NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1859
Version No:1.0
Subject:Data Dictionary for Care (DD4C) Links
Effective Date:Immediate
Reason for Change:Change to website links
Publication Date:2 March 2022

Background:

The Data Dictionary for Care (DD4C) website is being updated which means that the current links to SNOMED CT refsets via DD4C in the NHS Data Model and Dictionary will no longer work.

To ensure users can still access the SNOMED CT refset information, the links to DD4C content will be replaced with links to the SNOMED CT Browser.

This patch:

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
SNOMED CT   Changed Description
SNOMED CT BROWSER   New Supporting Information
SUPPORTING DEFINITIONS MENU   Changed Description
 
Attribute Definitions
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE   Changed Description
NEWBORN BLOOD SPOT TEST OUTCOME STATUS   Changed Description
PERSON STATED SEXUAL ORIENTATION CODE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE   Changed Description
 
Data Elements
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)   Changed Description
ACCOMMODATION STATUS (SNOMED CT)   Changed Description
AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT)   Changed Description
ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D)   Changed Description
CHLAMYDIA TEST RESULT (SNOMED CT)   Changed Description
CODED ASSESSMENT TOOL TYPE (SNOMED CT)   Changed Description
COMORBIDITY (SNOMED CT)   Changed Description
COMORBIDITY (SNOMED CT EXPRESSION)   Changed Description
EMERGENCY CARE ACUITY (SNOMED CT)   Changed Description
EMERGENCY CARE ARRIVAL MODE (SNOMED CT)   Changed Description
EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT)   Changed Description
EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT)   Changed Description
EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT)   Changed Description
EMERGENCY CARE DIAGNOSIS (SNOMED CT)   Changed Description
EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE STATUS (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY INTENT (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY MECHANISM (SNOMED CT)   Changed Description
EMERGENCY CARE PLACE OF INJURY (SNOMED CT)   Changed Description
EMERGENCY CARE PROCEDURE (SNOMED CT)   Changed Description
IMAGING CODE (SNOMED CT)   Changed Description
IMAGING CODE (SNOMED-CT)   Changed Description
INTERPRETER LANGUAGE (SNOMED CT)   Changed Description
PREFERRED SPOKEN LANGUAGE (SNOMED CT)   Changed Description
REFERRED TO SERVICE (SNOMED CT)   Changed Description
ROUTE OF ADMINISTRATION (SNOMED CT DM+D)   Changed Description
SAFEGUARDING CONCERN (SNOMED CT)   Changed Description
SEXUAL HEALTH SERVICE ATTENDANCE SOURCE (SNOMED CT)   Changed Description
SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT)   Changed Description
THERAPEUTIC INDICATION CODE (SNOMED CT)   Changed Description
 

Date:2 March 2022
Sponsor:Alex Elias, Executive Director Data Services, 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:SNOMED CT Refset:

  • 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.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Female genital mutilation related findings simple reference set (foundation metadata concept).

  • 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.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Female genital mutilation related procedures simple reference set (foundation metadata concept).

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 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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SNOMED CT

Change to Supporting Information: Changed Description

SNOMED CT® is the clinical terminology approved as an Information Standard.

Requirements for utilising SNOMED CT® are stated within the National Information Board document "A Framework for Action" and SNOMED CT® can be downloaded from Technology Reference Data Update Distribution (TRUD).

SNOMED CT® provides the clinical language that facilitates electronic communication between healthcare professionals in clear and unambiguous terms, and can be used to code, retrieve and analyse clinical data.

SNOMED CT® is comprehensive and provides clinical terms for all healthcare professions. Applications often use subsets of SNOMED CT®, known as SNOMED CT Refsets, that have been developed to support specific requirements. The NHS Data Model and Dictionary references SNOMED CT Refsets to support data reporting for specific data items.

SNOMED CT® has been distributed in Release Format 2 (RF2) since 1 April 2018. SNOMED CT® contains SNOMED CT Refsets referenced by refset ID, which are listed in the Data Dictionary for Care (DD4C). SNOMED CT® contains SNOMED CT Refsets referenced by SNOMED CT Refset ID, which are listed in the SNOMED CT Browser.

SNOMED CT® is managed and maintained internationally by SNOMED International and in the UK by NHS Digital.

National and International arrangements have been established to ensure there is adequate and relevant governance of SNOMED CT®, to ensure it meets the needs of healthcare in the respective jurisdictions.

Note: previous versions of SNOMED (including SNOMED RT and SNOMED 3) ceased to be licensed after April 2017 other than for historical content.

Mapping tables and guidance to enable historical data previously captured using a previous version of SNOMED, can be found on the Technology Reference Data Update Distribution (TRUD) at: SNOMED Antecedent Versions Data Migration.

For:

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SNOMED CT BROWSER

Change to Supporting Information: New Supporting Information

The NHS Digital SNOMED CT Browser is the preferred online browser for SNOMED CT content for the NHS to use.

The NHS Digital SNOMED CT Browser contains the SNOMED CT International release, the UK Clinical Extensions and SNOMED CT Refsets, and the UK Drug Extension.

For further information on the SNOMED CT Browser, see: The SNOMED CT Browser.

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SUPPORTING DEFINITIONS MENU

Change to Supporting Information: Changed Description


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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Change to Attribute: Changed Description

A code which identifies the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.

Note that the National Code 'Informal' is used for those PATIENTS who are neither formally detained nor receiving supervised aftercare.

Where applicable, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE is aligned with descriptors for "Mental Health Act legal status findings" in SNOMED CT® as follows:

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Mental Health Act legal status findings simple reference set
  • Refset Id: 999003071000000100

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Mental Health Act legal status findings.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Mental Health Act legal status findings simple reference set (foundation metadata concept).

National Codes:

01Informal
02Formally detained under Mental Health Act Section 2
03Formally detained under Mental Health Act Section 3
04Formally detained under Mental Health Act Section 4
05Formally detained under Mental Health Act Section 5(2)
06Formally detained under Mental Health Act Section 5(4)
07Formally detained under Mental Health Act Section 35
08Formally detained under Mental Health Act Section 36
09Formally detained under Mental Health Act Section 37 with section 41 restrictions
10Formally detained under Mental Health Act Section 37
12Formally detained under Mental Health Act Section 38
13Formally detained under Mental Health Act Section 44
14Formally detained under Mental Health Act Section 46
15Formally detained under Mental Health Act Section 47 with section 49 restrictions
16Formally detained under Mental Health Act Section 47
17Formally detained under Mental Health Act Section 48 with section 49 restrictions
18Formally detained under Mental Health Act Section 48
19Formally detained under Mental Health Act Section 135
20Formally detained under Mental Health Act Section 136
31Formally detained under Criminal Procedure(Insanity) Act 1964 as amended by the Criminal Procedures (Insanity and Unfitness to Plead) Act 1991
32Formally detained under other acts
33Supervised Discharge (Mental Health (Patients in the Community) Act 1995) (Retired 03 November 2008 - but may apply to some patients until 3 May 2009) 
34Formally detained under Mental Health Act Section 45A (Retired 01 September 2014)
35Subject to guardianship under Mental Health Act Section 7
36Subject to guardianship under Mental Health Act Section 37
37Formally detained under Mental Health Act Section 45A (Limited direction in force)
38Formally detained under Mental Health Act Section 45A (Limitation direction ended)
 

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NEWBORN BLOOD SPOT TEST OUTCOME STATUS

Change to Attribute: Changed Description

The outcome/status of a Newborn Blood Spot Test request.

NEWBORN BLOOD SPOT TEST OUTCOME STATUS is aligned with descriptors in SNOMED CT® as follows:

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Newborn blood spot screening result status simple reference set (foundation metadata concept)
  • Refset Id: 966281000000109

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Newborn blood spot screening result status.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Newborn blood spot screening result status simple reference set (foundation metadata concept).

National Codes:

01Specimen received in Laboratory
02Screening declined
03Repeat/Further Sample Required
04Condition not suspected
05Carrier
06Sickle Cell Disease not suspected, carrier of other haemoglobin
07Condition not suspected, other disorders follow up
08Condition suspected
09Not screened/screening incomplete
10Haemoglobin S not suspected (by DNA) No other haemoglobin /thalassemia excluded
 

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PERSON STATED SEXUAL ORIENTATION CODE

Change to Attribute: Changed Description

The PERSON STATED SEXUAL ORIENTATION of a PERSON.

PERSON STATED SEXUAL ORIENTATION CODE is aligned with descriptors for "Sexual orientation findings" in SNOMED CT® as follows:

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Sexual orientation findings simple reference set (foundation metadata concept)
  • Refset Id: 999003081000000103

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Sexual orientation findings.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Sexual orientation findings simple reference set (foundation metadata concept).

National Codes:

1Heterosexual or Straight
2Gay or Lesbian
3Bisexual
4Other sexual orientation not listed
UPERSON asked and does not know or is not sure
ZNot Stated (PERSON asked but declined to provide a response)
 

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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:SNOMED CT Refset:

  • 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.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Religious or other belief system affiliation simple reference set (foundation metadata concept).

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:

A1Baha'i
B1Buddhist
B2Mahayana Buddhist
B3New Kadampa Tradition Buddhist
B4Nichiren Buddhist
B5Pure Land Buddhist
B6Theravada Buddhist
B7Tibetan Buddhist
B8Zen Buddhist
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
D1Hindu
D2Advaitin Hindu
D3Arya Samaj Hindu
D4Shakti Hindu
D5Shiva Hindu
D6Vaishnava Hindu
Synonym: Hare Krishna
E1Jain
F1Jewish
F2Ashkenazi Jew
F3Haredi Jew
F4Hasidic Jew
F5Liberal Jew
F6Masorti Jew
F7Orthodox Jew
F8Reform Jew
G1Muslim
G2Ahmadi
G3Druze
G4Ismaili Muslim
G5Shi'ite Muslim
G6Sunni Muslim
H1Pagan
H2Asatruar
H3Celtic Pagan
H4Druid
H5Goddess
H6Heathen
H7Occultist
H8Shaman
H9Wiccan
I1Sikh
J1Zoroastrian
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
L1Atheist
L2Not Religious
M1Religion not given - PATIENT refused
N1PATIENT Religion Unknown
 

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE

Change to Attribute: Changed Description

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

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

RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE is aligned with descriptors for "Religious or other belief system affiliation groups" in SNOMED CT® as follows:

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Religious or other belief system affiliation groups simple reference set (foundation metadata concept)
  • Refset Id : 999002601000000106

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 groups.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Religious or other belief system affiliation groups simple reference set (foundation metadata concept).

National Codes:

ABaha'i
BBuddhist
CChristian
DHindu
EJain
FJewish
GMuslim
HPagan
ISikh
JZoroastrian
KOther
LNone
MDeclines to Disclose
NPatient Religion Unknown
 

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ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires support (aids/equipment/adjustments) to enable communication.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Accessible information - communication support simple reference set (foundation metadata concept)
  • Refset Id: 999002121000000109

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - communication support.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Accessible information - communication support simple reference set (foundation metadata concept).

Note: This Data Element is referenced by the approved Information Standard DCB1605: Accessible Information.

 

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ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires a different or specific contact method.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Accessible information - requires specific contact method simple reference set (foundation metadata concept)
  • Refset Id: 999002131000000106

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific contact method.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Accessible information - requires specific contact method simple reference set (foundation metadata concept) .

Note: This Data Element is referenced by the approved Information Standard DCB1605: Accessible Information.

 

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ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires support from a communication professional.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Accessible information - requires communication professional simple reference set (foundation metadata concept)
  • Refset Id: 999002151000000104

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires communication professional.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Accessible information - requires communication professional simple reference set (foundation metadata concept).

 

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ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires information in a specific format.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Accessible information - requires specific information format simple reference set (foundation metadata concept)
  • Refset Id: 999002141000000102

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific information format.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Accessible information - requires specific information format simple reference set (foundation metadata concept).

Note: This Data Element is referenced by the approved Information Standard DCB1605: Accessible Information.

 

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ACCOMMODATION STATUS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCOMMODATION STATUS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCOMMODATION STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the details of the ACCOMMODATION of the PERSON.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care usual residence type simple reference set (foundation metadata concept)
  • Refset Id: 999003051000000109

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care usual residence type.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care usual residence type simple reference set (foundation metadata concept) .

 

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AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of Acquired Immune Deficiency Syndrome (AIDS) defining illness a PATIENT is diagnosed with.

AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is used for adult PERSONS over 15 years of age.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Acquired immune deficiency syndrome defining illness for adults simple reference set (foundation metadata concept)
  • Refset Id : 999002431000000102

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: AIDS defining illness for adults.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Acquired immune deficiency syndrome defining illness for adults simple reference set (foundation metadata concept).

 

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ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D)

Change to Data Element: Changed Description

Format/Length:See DM+D CODE
National Codes: 
Default Codes: 

Notes:
ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D) is the same as attribute CLINICAL TERMINOLOGY CODE.

ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D) is the SNOMED CT® concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the Antiretroviral Therapy drug prescribed to a PATIENT at the HIV Clinic Attendance.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: National Health Service dictionary of medicines and devices virtual therapeutic moiety simple reference set (foundation metadata concept)
  • Refset Id : 999000581000001102

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: NHS dm+d VTM.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: National Health Service dictionary of medicines and devices virtual therapeutic moiety simple reference set (foundation metadata concept).

 

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CHLAMYDIA TEST RESULT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
CHLAMYDIA TEST RESULT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

CHLAMYDIA TEST RESULT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the result of the Chlamydia test.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Chlamydia test result findings simple reference set (foundation metadata concept)
  • Refset Id: 999002091000000108

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test result findings.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Chlamydia test result findings simple reference set (foundation metadata concept).

 

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CODED ASSESSMENT TOOL TYPE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
CODED ASSESSMENT TOOL TYPE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

CODED ASSESSMENT TOOL TYPE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an ASSESSMENT TOOL.

Nationally published SNOMED CT Refset Metadata can be found on the Data Dictionary for Care (DD4C) website at: Published Subset Metadata.Nationally published SNOMED CT content relating to ASSESSMENT TOOLS can be found in the SNOMED CT Browser at: staging and scales (staging scale).

 

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COMORBIDITY (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
COMORBIDITY (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

COMORBIDITY (SNOMED CT) is the SNOMED CT® concept ID which is used to identify comorbid conditions.

SNOMED CT Refset:

  • Refset FSN: Comorbid conditions for selection simple reference set (foundation metadata concept)
  • Refset Id: 991381000000107

For further details relating to the SNOMED CT Refset, see the Data Dictionary for Care (DD4C) website at: Comorbid conditions for selection.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Comorbid conditions for selection simple reference set (foundation metadata concept).

 

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COMORBIDITY (SNOMED CT EXPRESSION)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT EXPRESSION
National Codes: 
Default Codes: 

Notes:
COMORBIDITY (SNOMED CT EXPRESSION) is the same as attribute CLINICAL TERMINOLOGY CODE.

COMORBIDITY (SNOMED CT EXPRESSION) is a structured combination of one or more SNOMED CT® concept identifiers which are used to describe a comorbid condition for a PERSON.

A SNOMED CT Refset describing comorbid conditions is available for reference purposes if required; but COMORBIDITY (SNOMED CT EXPRESSION) is not limited to the use of these concepts.

SNOMED CT Refset:

  • Refset FSN: Comorbid conditions for selection simple reference set (foundation metadata concept)
  • Refset Id: 991381000000107

For further details relating to the SNOMED CT Refset see the Data Dictionary for Care (DD4C) website at: Comorbid conditions for selection.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Comorbid conditions for selection simple reference set (foundation metadata concept).

For further information on SNOMED CT EXPRESSIONS, see the SNOMED CT® Glossary at: Expression.

 

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EMERGENCY CARE ACUITY (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE ACUITY (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE ACUITY (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the acuity of the PATIENT's condition on the Emergency Care Initial Assessment Date and Emergency Care Initial Assessment Time.

The EMERGENCY CARE ACUITY (SNOMED CT) may be determined by a formal triage process, or by the physical allocation of the PATIENT to a specific clinical area such as Resuscitation.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care acuity simple reference set (foundation metadata concept)
  • Refset Id: 999003061000000107

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care acuity.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care acuity simple reference set (foundation metadata concept).

 

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EMERGENCY CARE ARRIVAL MODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE ARRIVAL MODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE ARRIVAL MODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the transport mode by which the PATIENT arrived at the Emergency Care Department.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care arrival mode simple reference set (foundation metadata concept)
  • Refset Id: 999002981000000107

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care arrival mode.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care arrival mode simple reference set (foundation metadata concept) .

 

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EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the source of an Emergency Care Attendance.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care source of attendance findings simple reference set (foundation metadata concept)
  • Refset FSN: Emergency care attendance source simple reference set (foundation metadata concept)
  • Refset Id: 999002991000000109

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care attendance source.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care attendance source simple reference set (foundation metadata concept).

 

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EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the nature of the PATIENT’s chief complaint as assessed by the CARE PROFESSIONAL first assessing the PATIENT.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care presenting complaints or issues simple reference set (foundation metadata concept)
  • Refset Id: 991401000000107

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care presenting complaints or issues.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care presenting complaints or issues simple reference set (foundation metadata concept).

 

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EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT) is the SNOMED CT® concept ID which is used to identify a Clinical Investigation performed while a PATIENT is under the care of an Emergency Care Department.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care investigations simple reference set (foundation metadata concept)
  • Refset Id: 991261000000107

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care investigations.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care investigations simple reference set (foundation metadata concept).

 

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EMERGENCY CARE DIAGNOSIS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DIAGNOSIS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DIAGNOSIS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the PATIENT DIAGNOSIS.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care diagnosis simple reference set (foundation metadata concept)
  • Refset Id: 991411000000109

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care diagnosis simple reference set (foundation metadata concept).

 

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EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT) is the SNOMED CT® concept ID which is used to express the level of certainty of a PATIENT DIAGNOSIS.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care diagnosis qualifier simple reference set (foundation metadata concept)
  • Refset Id: 999003001000000108

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis qualifier.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care diagnosis qualifier simple reference set (foundation metadata concept).

 

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EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the intended destination of the PATIENT following discharge from the Emergency Care Department.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care discharge destination simple reference set (foundation metadata concept)
  • Refset Id: 999003011000000105

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge destination.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care discharge destination simple reference set (foundation metadata concept).

 

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EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the SERVICE to which a PATIENT was referred for continuing care following an Emergency Care Attendance.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care follow-up procedures simple reference set (foundation metadata concept)
  • Refset Id: 991441000000105

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care follow-up procedures.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care follow-up procedures simple reference set (foundation metadata concept).

 

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EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify whether a copy of a letter to their GENERAL PRACTITIONER has been printed and given to the PATIENT on discharge from an Emergency Care Department.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care notification to general practitioner simple reference set (foundation metadata concept)
  • Refset Id: 991241000000106

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care notification to general practitioner.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care notification to general practitioner simple reference set (foundation metadata concept).

 

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EMERGENCY CARE DISCHARGE STATUS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE STATUS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used indicate the status of the PATIENT on discharge from an Emergency Care Department.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care discharge status simple reference set (foundation metadata concept)
  • Refset Id: 999003021000000104

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge status.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care discharge status simple reference set (foundation metadata concept).

 

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EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the status of activity being undertaken by the PATIENT when the injury occurred.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care injury activity status simple reference set (foundation metadata concept)
  • Refset Id: 999003031000000102

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury activity status.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care injury activity status simple reference set (foundation metadata concept).

 

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EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of activity being undertaken by the PERSON at the moment the injury occurred.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care injury activity type simple reference set (foundation metadata concept)
  • Refset Id: 1024501000000108

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury activity type.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care injury activity type simple reference set (foundation metadata concept).

 

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EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify any drugs or alcohol used by the PATIENT, which are thought likely to have contributed to the need to attend the Emergency Care Department.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care drug or alcohol use related to injury simple reference set (foundation metadata concept)
  • Refset Id: 991421000000103

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care drug or alcohol use related to injury.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care drug or alcohol use related to injury simple reference set (foundation metadata concept).

 

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EMERGENCY CARE INJURY INTENT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY INTENT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY INTENT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the most likely human intent in the occurrence of the injury or poisoning as assessed by the CARE PROFESSIONAL.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care injury intent type simple reference set (foundation metadata concept)
  • Refset Id: 991431000000101

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury intent type.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care injury intent type simple reference set (foundation metadata concept).

 

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EMERGENCY CARE INJURY MECHANISM (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY MECHANISM (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY MECHANISM (SNOMED CT) is the SNOMED CT® concept ID which is used to identify how an injury was caused.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care mechanism of injury simple reference set (foundation metadata concept)
  • Refset Id: 991281000000103

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care mechanism of injury.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care mechanism of injury simple reference set (foundation metadata concept).

 

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EMERGENCY CARE PLACE OF INJURY (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE PLACE OF INJURY (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE PLACE OF INJURY (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of LOCATION at which the PATIENT was present when the injury occurred.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care place of injury type simple reference set (foundation metadata concept)
  • Refset Id: 991291000000101

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care place of injury type.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care place of injury type simple reference set (foundation metadata concept).

 

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EMERGENCY CARE PROCEDURE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE PROCEDURE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE PROCEDURE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify a Patient Procedure performed while a PATIENT is under the care of an Emergency Care Department.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care treatments simple reference set (foundation metadata concept)
  • Refset Id: 991271000000100

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care treatments.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care treatments simple reference set (foundation metadata concept).

 

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IMAGING CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
IMAGING CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

IMAGING CODE (SNOMED CT) is the  SNOMED CT® concept ID which is used to identify the Diagnostic Imaging test.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: United Kingdom diagnostic imaging procedure simple reference set (foundation metadata concept)
  • Refset Id: 999001111000000105

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: UK Diagnostic Imaging Procedure Concepts.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: United Kingdom diagnostic imaging procedure simple reference set (foundation metadata concept).

IMAGING CODE (SNOMED-CT) will be replaced with IMAGING CODE (SNOMED CT), which is the most recent approved national information standard to describe the required definition.

 

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IMAGING CODE (SNOMED-CT)

Change to Data Element: Changed Description

Format/Length:max n18
National Codes: 
Default Codes: 

Notes:
IMAGING CODE (SNOMED-CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

IMAGING CODE (SNOMED-CT) is the SNOMED CT® concept ID which is used to identify the Diagnostic Imaging test.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: United Kingdom diagnostic imaging procedure simple reference set (foundation metadata concept)
  • Refset Id: 999001111000000105

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: UK Diagnostic Imaging Procedure Concepts.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: United Kingdom diagnostic imaging procedure simple reference set (foundation metadata concept).

IMAGING CODE (SNOMED-CT) will be replaced with IMAGING CODE (SNOMED CT), which is the most recent approved national information standard to describe the required definition.

 

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INTERPRETER LANGUAGE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
INTERPRETER LANGUAGE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

INTERPRETER LANGUAGE (SNOMED CT) is the SNOMED CT® concept ID which is used to record the LANGUAGE of the interpreter required by the PERSON.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Interpreter type findings simple reference set
  • Refset Id: 991231000000102

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Interpreter type findings.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Interpreter type findings simple reference set (foundation metadata concept).

 

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PREFERRED SPOKEN LANGUAGE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
PREFERRED SPOKEN LANGUAGE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

PREFERRED SPOKEN LANGUAGE (SNOMED CT) is the SNOMED CT® concept ID which is used to capture the preferred spoken LANGUAGE of the PERSON.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Preferred spoken language findings simple reference set
  • Refset Id: 991181000000109

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Preferred spoken language findings.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Preferred spoken language findings simple reference set (foundation metadata concept).

 

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REFERRED TO SERVICE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
REFERRED TO SERVICE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

REFERRED TO SERVICE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the SERVICE to which a PATIENT was referred for admission or opinion by the treating CARE PROFESSIONAL.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Emergency care referral procedures simple reference set (foundation metadata concept)
  • Refset Id: 991451000000108

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care referral procedures.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Emergency care referral procedures simple reference set (foundation metadata concept).

 

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ROUTE OF ADMINISTRATION (SNOMED CT DM+D)

Change to Data Element: Changed Description

Format/Length:See DM+D CODE
National Codes: 
Default Codes: 

Notes:
ROUTE OF ADMINISTRATION (SNOMED CT DM+D) is the same as attribute CLINICAL TERMINOLOGY CODE.

ROUTE OF ADMINISTRATION (SNOMED CT DM+D) is the SNOMED CT® concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the route of administration.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: ePrescribing route of administration simple reference set (foundation metadata concept)
  • Refset Id : 999000051000001100

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: NHS e-Prescribing route of administration subset.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: ePrescribing route of administration simple reference set (foundation metadata concept).

ROUTE OF ADMINISTRATION (SNOMED CT DM+D) will be replaced with ROUTE OF ADMINISTRATION (SNOMED CT), which is the most recent approved national information standard to describe the required definition.ROUTE OF ADMINISTRATION (SNOMED CT DM+D) will be replaced with ROUTE OF ADMINISTRATION (SNOMED CT), which is the most recent approved national information standard to describe the required definition.

 

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SAFEGUARDING CONCERN (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
SAFEGUARDING CONCERN (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

SAFEGUARDING CONCERN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an unresolved issue or concern regarding adult and child safeguarding that requires communication to another ORGANISATION or care agency.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Safeguarding issues simple reference set (foundation metadata concept)
  • Refset Id: 999002381000000108

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Safeguarding issues.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Safeguarding issues simple reference set (foundation metadata concept).

 

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SEXUAL HEALTH SERVICE ATTENDANCE SOURCE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
SEXUAL HEALTH SERVICE ATTENDANCE SOURCE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

SEXUAL HEALTH SERVICE ATTENDANCE SOURCE (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the source of an attendance for a Sexual Health Service.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Sexual health source of attendance simple reference set (foundation metadata concept)
  • Refset Id: 999003111000000106
For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Sexual Health Source of Attendance.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Sexual health source of attendance simple reference set (foundation metadata concept). 

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SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of specimen used for Chlamydia testing.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Chlamydia test procedures simple reference set (foundation metadata concept)
  • Refset Id: 999002071000000109

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test procedures.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Chlamydia test procedures simple reference set (foundation metadata concept).

 

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THERAPEUTIC INDICATION CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
THERAPEUTIC INDICATION CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

THERAPEUTIC INDICATION CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the reason for administering a drug to a PATIENT.

SNOMED CT Refset Metadata:SNOMED CT Refset:

  • Refset FSN: Health issues simple reference set (foundation metadata concept)
  • Refset Id: 1127581000000103

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Health issues.For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Health issues simple reference set (foundation metadata concept).

 

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

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