NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1863
Version No:1.0
Subject:April 2022 release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:19 April 2022

Background:

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

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
ABO SYSTEM   Changed Description
ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT   Changed Description
ANAESTHETIST   Changed Description
BLOOD PRESSURE   Changed Description
BRITISH HIV ASSOCIATION   Changed Description
CANCER TREATMENT PERIOD   Changed Description
CARE HOME WITH NURSING   Changed Description
CARE PLAN CREATION DATE   Changed Description
CARE PLAN CREATION TIME   Changed Description
CARE PLAN IMPLEMENTATION DATE   Changed Description
CARE PLAN LAST UPDATED DATE   Changed Description
CARE PROFESSIONAL ADMITTED CARE EPISODE   Changed Description
CHILD PROTECTION PLAN   Changed Description
CHIROPRACTOR   Changed Description
CLINICAL DENTAL TECHNICIAN   Changed Description
COMMISSIONING SUPPORT UNIT   Changed Description
COMMUNITY HEALTH SERVICE   Changed Description
CRISIS RESPONSE INTERMEDIATE CARE WAITING TIME MEASUREMENT   Changed Description
DENTAL HYGIENIST   Changed Description
DENTAL NURSE   Changed Description
DENTAL TECHNICIAN   Changed Description
DEPARTMENT FOR WORK AND PENSIONS   Changed Description
E-GOVERNMENT INTEROPERABILITY FRAMEWORK   Changed Description
EMERGENCY CARE ARRIVAL DATE   Changed Description
EMERGENCY CARE ARRIVAL TIME   Changed Description
EMERGENCY CARE ATTENDANCE CONCLUSION DATE   Changed Description
EMERGENCY CARE ATTENDANCE CONCLUSION TIME   Changed Description
EMERGENCY SERVICE   Changed Description
FOLLICULAR LYMPHOMA INTERNATIONAL PROGNOSTIC INDEX 2   Changed Description
FORENSIC MENTAL HEALTH PATIENT   Changed Description
GENERAL DENTAL COUNCIL   Changed Description
GENERAL OSTEOPATHIC COUNCIL   Changed Description
GENERAL PHARMACEUTICAL COUNCIL REGISTER   Changed Description
GOVERNMENT DATA STANDARDS CATALOGUE   Changed Description
GP PRACTICE   Changed Description
HAEMODIALYSIS   Changed Description
HOSPICE   Changed Description
HOSPITAL PROVIDER   Changed Description
IMMIGRATION REMOVAL CENTRE   Changed Description
IMMUNISATION PROGRAMME   Changed Description
INFORMATION STANDARDS NOTICE   Changed Description
INTERMEDIATE CARE   Changed Description
JOINT REPLACEMENT SURGERY   Changed Description
LEARNING DIFFICULTY   Changed Description
LEVEL 1 SEXUAL HEALTH SERVICE   Changed Description
LEVEL 2 SEXUAL HEALTH SERVICE   Changed Description
LEVEL 3 GENITOURINARY MEDICINE SERVICE   Changed Description
LOCAL AUTHORITY DISTRICT   Changed Description
LONG TERM PHYSICAL HEALTH CONDITION   Changed Description
LOOKED AFTER CHILD   Changed Description
MEASURED REFERRAL TO TREATMENT PERIOD   Changed Description
MENTAL HEALTH CONDITIONAL DISCHARGE PERIOD   Changed Description
MENTAL HEALTH SERVICE   Changed Description
MULTIDISCIPLINARY TEAM MEETING   Changed Description
NATIONAL CANCER WAITING TIMES MONITORING DATA SET SCENARIOS   Changed Description
NEWBORN PHYSICAL EXAMINATION   Changed Description
NHS ALLIED HEALTH PROFESSIONAL SERVICE (REFERRAL TO TREATMENT MEASUREMENT)   Changed Description
NHS CONTINUING HEALTHCARE LOCAL RESOLUTION FORMAL MEETING DATE   Changed Description
NHS CONTINUING HEALTHCARE LOCAL RESOLUTION INFORMAL MEETING DATE   Changed Description
NHS SHARED BUSINESS SERVICES   Changed Description
NORTHERN IRELAND LOCAL COMMISSIONING GROUP   Changed Description
NURSE OR MIDWIFE CONTACT   Changed Description
ORTHODONTIC THERAPIST   Changed Description
OTHER INTERMEDIATE CARE WAITING TIME MEASUREMENT   Changed Description
OVERSEAS VISITOR   Changed Description
OXFORD ORTHOPAEDIC QUESTIONNAIRE   Changed Description
PATIENT LEVEL INFORMATION COSTING SYSTEM AMBULANCE DATA SET OVERVIEW   Changed Description
PATIENT LEVEL INFORMATION COSTING SYSTEM INTEGRATED DATA SET OVERVIEW   Changed Description
PATIENT LEVEL INFORMATION COSTING SYSTEM RECONCILIATION DATA SET OVERVIEW   Changed Description
PATIENT TRANSPORT SERVICE   Changed Description
PERITONEAL DIALYSIS   Changed Description
PERSONAL DEVELOPMENT PLAN   Changed Description
PLACE OF SAFETY   Changed Description
RADIOGRAPHER   Changed Description
RADIOTHERAPY EXPOSURE   Changed Description
REASONABLE OFFER   Changed Description
REFERRAL TO TREATMENT PERIOD EXCLUDED FROM TARGET   Changed Description
RELEASE HISTORY: APRIL 2022 renamed from RELEASE HISTORY: MARCH 2022   Changed Name, Description
RESTRICTIVE INTERVENTION   Changed Description
SAFEGUARDING CHILDREN   Changed Description
SCREENING PROGRAMME   Changed Description
SECURE WELFARE ACCOMMODATION   Changed Description
SEXUAL AND REPRODUCTIVE HEALTH SERVICE   Changed Description
SEXUALLY TRANSMITTED INFECTION SERVICE   Changed Description
SIGNPOSTING   Changed Description
SNOMED CT REFSET   Changed Description
SPECIALIST COMMUNITY PUBLIC HEALTH NURSE: SCHOOL NURSE   Changed Description
SUPPORTING DEFINITIONS INTRODUCTION   Changed Description
SUPPORTING DEFINITIONS MENU   Changed Description
SYSTEMIC ANTI-CANCER THERAPY   Changed Description
TNM STAGING SYSTEM   Changed Description
UNACCOMPANIED ASYLUM SEEKING CHILD   Changed Description
YOUTH OFFENDING TEAM   Changed Description
 
Class Definitions
CADAVERIC ORGAN OR TISSUE DONOR   Changed Description
CARE ACTIVITY   Changed Description
LIVING ORGAN OR TISSUE DONOR   Changed Description
OPTOMETRIST   Changed Supertype, Description
TOBACCO USAGE   Changed Description
TRANSFORMING CARE   Changed Description
 
Attribute Definitions
ACTIVITY LOCATION TYPE CODE   Changed Description
ARTHROPLASTY REVISION TYPE FOR SHOULDER AND ELBOW REPLACEMENT   Changed Description
CDS BULK REPLACEMENT GROUP CODE   Changed Description
CLINICAL NURSE SPECIALIST INDICATION CODE   Changed Description
CRITICAL CARE ADMISSION TYPE   Changed Description
DEATH LOCATION TYPE CODE   Changed Description
GESTATION LENGTH IN WEEKS   Changed Description
HEADCOUNT ORGANISATION CURRENT   Changed Description
POSITION WORKED FTE IN REPORTING PERIOD   Changed Description
PROSTATE NERVE SPARING SURGERY TYPE   Changed Description
RADICAL PROSTATECTOMY MARGIN STATUS   Changed Description
REFERRED OUT OF AREA REASON FOR ADULT ACUTE MENTAL HEALTH   Changed Description
RESUSCITATION METHOD CODE   Changed Description
TUMOUR OR LESION LATERALITY   Changed Description
TUMOUR OR LESION LOCATION   Changed Description
TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE   Changed Description
 
Data Elements
ABNORMALITY DETECTED INDICATOR (DATING ULTRASOUND SCAN)   Changed Description
CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE)   Changed Description
CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT)   Changed Description
CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN)   Changed Description
CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)   Changed Description
CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT)   Changed Description
CANCER FASTER DIAGNOSIS PATHWAY END DATE   Changed Description
CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION OUTCOME COMMUNICATED TO PATIENT DATE (NHS CONTINUING HEALTHCARE STANDARD)   Changed Description
CLINICAL TRIAL IDENTIFIER   Changed Description
CRITICAL CARE DISCHARGE TIME   Changed Description
CURRENT SEX WORKER INDICATOR   Changed Description
DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)   Changed Description
DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS)   Changed Description
EMED3 FIT NOTE ASSESSMENT DATE   Changed Description
EMED3 FIT NOTE RECORDED DATE   Changed Description
EMPLOYEE ABSENCE TYPE RELATED REASON   Changed Description
FORCED EXPIRATORY VOLUME IN 1 SECOND (ABSOLUTE AMOUNT)   Changed Description
FORCED EXPIRATORY VOLUME IN 1 SECOND (PERCENTAGE)   Changed Description
GESTATION LENGTH (AT BIRTH)   Changed Description
GESTATION LENGTH (AT DELIVERY)   Changed Description
GESTATION LENGTH (LABOUR ONSET)   Changed Description
GESTATION LENGTH (REMAINING DAYS AT DELIVERY)   Changed Description
IMAGING ANATOMICAL SITE   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER   Changed Description
INTENDED AGE GROUP   Changed Description
LANGUAGE CODE (PREFERRED)   Changed Description
LANGUAGE CODE (TREATMENT)   Changed Description
LOCAL SUB-SPECIALTY CODE   Changed Description
NHS CONTINUING HEALTHCARE REFERRALS   Changed Description
NHS CONTINUING HEALTHCARE REFERRALS (DISCOUNTED BEFORE ASSESSMENT)   Changed Description
OFFER STATUS (DATING ULTRASOUND SCAN)   Changed Description
OFFER STATUS (HOLISTIC NEEDS ASSESSMENT)   Changed Description
OFFER STATUS (HUMAN PAPILLOMAVIRUS VACCINATION)   Changed Description
OFFER STATUS (PERSONALISED CARE AND SUPPORT PLANNING)   Changed Description
ONWARD REFERRAL REASON   Changed Description
ONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET)   Changed Description
ORGANISATION CODE (CODE OF PROVIDER)   Changed Description
ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)   Changed Description
ORGANISATION CODE (ON PATHWAY)   Changed Description
ORGANISATION CODE (RECEIVING)   Changed Description
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (CHILDRENS NOMINATED PRINCIPAL TREATMENT CENTRE)   Changed Description
ORGANISATION IDENTIFIER (CODE OF PROVIDER)   Changed Description
ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)   Changed Description
ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN)   Changed Description
ORGANISATION IDENTIFIER (OF SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION)   Changed Description
ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)   Changed Description
ORGANISATION IDENTIFIER (RECEIVING)   Changed Description
ORGANISATION IDENTIFIER (REPORTING LABORATORY)   Changed Description
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (TEENAGE YOUNG ADULTS NOMINATED PRINCIPAL TREATMENT CENTRE)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 1)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 10)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 11)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 12)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 2)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 3)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 4)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 5)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 6)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 7)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 8)   Changed Description
OXFORD SHOULDER SCORE (QUESTION 9)   Changed Description
OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE)   Changed Description
PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD)   Changed Description
PERSONS ASSESSED FOR NHS CONTINUING HEALTHCARE   Changed Description
PERSON STATED NATIONALITY   Changed Description
POSTCODE   Changed Description
PREGNANCY TOTAL PREVIOUS CAESAREAN SECTIONS   Changed Description
PREGNANCY TOTAL PREVIOUS LIVE BIRTHS   Changed Description
PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS   Changed Description
PREGNANCY TOTAL PREVIOUS PREGNANCIES   Changed Description
PREGNANCY TOTAL PREVIOUS STILLBIRTHS   Changed Description
PRISONER INDICATOR   Changed Description
PROFESSIONAL REGISTRATION ISSUER CODE   Changed Description
REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER)   Changed Description
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL)   Changed Description
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT)   Changed Description
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW NOT HELD REASON (PATIENT)   Changed Description
RESTRICTIVE INTERVENTION REASON   Changed Description
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL)   Changed Description
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON)   Changed Description
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT)   Changed Description
RESTRICTIVE INTERVENTION TYPE   Changed Description
RETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR   Changed Description
SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)   Changed Description
SITE CODE (RECEIVING)   Changed Description
SITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)   Changed Description
SPEECH AND LANGUAGE ASSESSMENT DATE   Changed Description
STAGE DATE (CANCER SITE SPECIFIC STAGE)   Changed Description
START TIME (HOME LEAVE)   Changed Description
START TIME (HOSPITAL PROVIDER SPELL)   Changed Description
START TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)   Changed Description
START TIME (MENTAL HEALTH DROP IN CONTACT)   Changed Description
START TIME (MENTAL HEALTH LEAVE OF ABSENCE)   Changed Description
START TIME (MENTAL HEALTH TRIAL LEAVE)   Changed Description
START TIME (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)   Changed Description
START TIME (RESTRICTIVE INTERVENTION INCIDENT)   Changed Description
START TIME (RESTRICTIVE INTERVENTION TYPE)   Changed Description
SURGEON NOTES   Changed Description
SUSPENSION END DATE   Changed Description
SUSPENSION START DATE   Changed Description
 

Date:19 April 2022
Sponsor:Alex Elias, Associate Director for Information Standards and Information Representation 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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ABO SYSTEM

Change to Supporting Information: Changed Description

The ABO System is a CODED CLINICAL ENTRY.

The ABO System is a system of 4 basic types into which human blood may be classified according to the presence or absence of particular antigens:The ABO System is a system of 4 basic types into which human blood may be classified according to the presence or absence of particular antigens.

The 4 types are:

  • A - Blood group A has A antigens in its red blood cells and anti-B antibodies in its plasma;
  • B - Blood group B has B antigens and anti-A antibodies in its plasma;
  • O - Blood group O blood has no antigens but both anti-A and anti-B antibodies
  • AB - Blood group AB has both A and B antigens but no antibodies, as it would destroy itself.

For further information on the ABO System, see the NHS website at: Blood groups.

 

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ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT

Change to Supporting Information: Changed Description

A Allied Health Professional Referral To Treatment Measurement is a REFERRAL TO TREATMENT PERIOD.An Allied Health Professional Referral To Treatment Measurement is a REFERRAL TO TREATMENT PERIOD.

In 2008, the Department of Health and Social Care published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the SERVICES which ALLIED HEALTH PROFESSIONALS in NHS Allied Health Professional Services (Referral To Treatment Measurement) provide:In 2008, the Department of Health and Social Care published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the SERVICES which ALLIED HEALTH PROFESSIONALS in NHS Allied Health Professional Services (Referral To Treatment Measurement) provide.

These are:

The Department of Health and Social Care introduced voluntary collection of ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT PERIOD waiting time information from April 2010, and mandatory collection from April 2011.  The Community Services Data Set and the Commissioning Data Sets (version 6-2 onwards) include the facility to report the ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT PERIOD waiting time data elements which are used for waiting time measurement.

The ALLIED HEALTH PROFESSIONALS mandated to collect and flow Referral To Treatment data are:

There is no maximum waiting time target attached to an ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT PERIOD, so no adjustments can be applied to the calculated waiting time between the REFERRAL TO TREATMENT PERIOD START DATE and the REFERRAL TO TREATMENT PERIOD END DATE.  However, locally the EARLIEST CLINICALLY APPROPRIATE DATE and the EARLIEST REASONABLE OFFER DATE can be used by Health Care Providers and their Commissioners to analyse unexpectedly long waits for First Definitive Treatment.

ALLIED HEALTH PROFESSIONALS working as part of a Consultant Led Service in secondary care are excluded.

Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found on the Department of Health and Social Care at: Allied Health Professional (AHP) Referral to Treatment (RTT) guide.

 

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ANAESTHETIST

Change to Supporting Information: Changed Description

An Anaesthetist is a CARE PROFESSIONAL.

Anaesthetists form the largest single hospital medical specialty and their skills are used in all aspects of PATIENT care, including:Anaesthetists form the largest single hospital medical specialty and their skills are used in all aspects of PATIENT care.

These skills include:

  • The preoperative preparation of surgical PATIENTS
  • The resuscitation and stabilisation of PATIENTS in the Emergency Care Department
  • Pain relief in Labour and obstetric anaesthesia
  • Intensive care medicine
  • Transport of acutely ill and injured PATIENTS
  • Pre-hospital emergency care
  • Pain medicine including:
    • The relief of post-operative pain
    • Acute pain medicine and the management of acute teams
    • Chronic and cancer pain management
  • The provision of sedation and anaesthesia for PATIENTS undergoing various procedures outside the operating theatre. Examples of this include different Endoscopies, interventional radiology and dental surgery.

For further information on Anaesthetists, see the Royal College of Anaesthetists website at: What do Anaesthetists do?.

 

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BLOOD PRESSURE

Change to Supporting Information: Changed Description

Blood Pressure is a CLINICAL INVESTIGATION RESULT ITEM.

Blood Pressure is the pressure of the blood within the arteries and is comprised of:Blood Pressure is the pressure of the blood within the arteries.

Blood Pressure is comprised of:

 

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BRITISH HIV ASSOCIATION

Change to Supporting Information: Changed Description

The British HIV Association is an ORGANISATION.

The British HIV Association (BHIVA):The British HIV Association (BHIVA) is the leading UK association representing CARE PROFESSIONALS in HIV care.

The British HIV Association:

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

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

 

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CANCER TREATMENT PERIOD

Change to Supporting Information: Changed Description

A Cancer Treatment Period is an ACTIVITY GROUP.

A Cancer Treatment Period is:A Cancer Treatment Period is initiated when a Decision To Treat for a cancer condition is made and ends when the PATIENT receives the Planned Cancer Treatment specified in the Cancer Care Plan covering the PATIENTS condition. This is the same as TREATMENT START DATE (CANCER).

The full list of International Classification of Diseases (ICD) diagnosis codes is available on the NHS Digital website at: Cancer Waiting Times.

If the PATIENT receives several different types of treatment within the same Cancer Care Plan (e.g. surgery, followed by Chemotherapy, followed by Radiotherapy), then each stage has its own Cancer Treatment Period of 31 days between DECISION TO TREAT DATE (or EARLIEST CLINICALLY APPROPRIATE DATE) and TREATMENT START DATE (CANCER).

CANCER CARE SETTING (TREATMENT) is used to derive whether a waiting time adjustment between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER) may be recorded in WAITING TIME ADJUSTMENT (TREATMENT).

 

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CARE HOME WITH NURSING

Change to Supporting Information: Changed Description

A Care Home With Nursing is an ORGANISATION SITEA Care Home With Nursing is an ORGANISATION SITE.

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

Examples of Care Homes With Nursing include:

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

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

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

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

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

 

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CARE PLAN CREATION DATE

Change to Supporting Information: Changed Description

A Care Plan Creation Date is an ACTIVITY DATE TIME.

A Care Plan Creation Date is the date that a CARE PLAN was created.  

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CARE PLAN CREATION TIME

Change to Supporting Information: Changed Description

A Care Plan Creation Time is an ACTIVITY DATE TIME.

Care Plan Creation Time is the time that a CARE PLAN was created.  

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CARE PLAN IMPLEMENTATION DATE

Change to Supporting Information: Changed Description

A Care Plan Implementation Date is an ACTIVITY DATE TIME.

A Care Plan Implementation Date is the date that aspects of the CARE PLAN have commenced.  

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CARE PLAN LAST UPDATED DATE

Change to Supporting Information: Changed Description

A Care Plan Last Updated Date is an ACTIVITY DATE TIME.

A Care Plan Last Updated Date is the date that a CARE PLAN was last updated.  

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CARE PROFESSIONAL ADMITTED CARE EPISODE

Change to Supporting Information: Changed Description

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CHILD PROTECTION PLAN

Change to Supporting Information: Changed Description

A Child Protection Plan is a CARE PLAN.

A Child Protection Plan is initiated when a child is judged to be at risk of significant harm.

A Child Protection Plan should:

  • assess the likelihood of the child suffering harm and look at ways that the child can be protected;
  • decide upon short and long term aims to reduce the likelihood of harm to the child and to protect the child’s welfare;
  • clarify people’s responsibilities and actions to be taken; and
  • outline ways of monitoring and evaluating progress.
 

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CHIROPRACTOR

Change to Supporting Information: Changed Description

A Chiropractor is a CARE PROFESSIONAL.

A Chiropractor is a CARE PROFESSIONAL who is registered with the General Chiropractic Council and is competent to diagnose, manage and prevent musculoskeletal disorders.

 

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CLINICAL DENTAL TECHNICIAN

Change to Supporting Information: Changed Description

A Clinical Dental Technician is a CARE PROFESSIONAL.

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

Clinical Dental Technicians are also qualified Dental Technicians.

 

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COMMISSIONING SUPPORT UNIT

Change to Supporting Information: Changed Description

A Commissioning Support Unit is an ORGANISATION.

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

For example by providing:

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

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COMMUNITY HEALTH SERVICE

Change to Supporting Information: Changed Description

A Community Health Service is a SERVICE.

Community Health Services include a range of SERVICES and treatments provided by CARE PROFESSIONALS in Community premises such as:Community Health Services include a range of SERVICES and treatments provided by CARE PROFESSIONALS in Community premises.

These SERVICES include:

A full list of SERVICES can be found as National Codes on SERVICE OR TEAM TYPE REFERRED TO FOR COMMUNITY CARE.

SERVICES may be provided in various LOCATIONS and settings in the community.

 

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CRISIS RESPONSE INTERMEDIATE CARE WAITING TIME MEASUREMENT

Change to Supporting Information: Changed Description

A Crisis Response Intermediate Care Waiting Time Measurement is a REFERRAL TO TREATMENT PERIOD.

The Crisis Response Intermediate Care Waiting Time Measurement:The Crisis Response Intermediate Care Waiting Time Measurement is the duration between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

The Crisis Response Intermediate Care Waiting Time Measurement allows monitoring of waiting times for PATIENTS that are deemed not clinically appropriate for the Crisis Response Intermediate Care Within 2 Hours Waiting Time Measurement.

The Crisis Response Intermediate Care Waiting Time Measurement:

 

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DENTAL HYGIENIST

Change to Supporting Information: Changed Description

A Dental Hygienist is a CARE PROFESSIONAL.

A Dental Hygienist is a registered Dental Care Professional who helps PATIENTS maintain their oral health by preventing and treating gum disease and promoting good oral health practice.

 

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DENTAL NURSE

Change to Supporting Information: Changed Description

A Dental Nurse is a CARE PROFESSIONAL.

A Dental Nurse is a registered Dental Care Professional who provides clinical and other support to other General Dental Council registrants and PATIENTS.

 

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DENTAL TECHNICIAN

Change to Supporting Information: Changed Description

A Dental Technician is a CARE PROFESSIONAL.

A Dental Technician is a registered Dental Care Professional who makes dental devices including dentures, crowns and bridges to prescription from a dentist or Clinical Dental Technician. They also repair dentures direct to the public.

 

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DEPARTMENT FOR WORK AND PENSIONS

Change to Supporting Information: Changed Description

The Department for Work and Pensions is an ORGANISATION.

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

These policies and strategies are aimed at:

  • people who receive benefit
  • people who need help to find work
  • disabled people
  • older people
  • people who receive the State Pension.
  • PEOPLE who receive benefit
  • PEOPLE who need help to find work
  • disabled PEOPLE
  • older PEOPLE
  • PEOPLE who receive the State Pension.

For further information on the Department for Work and Pensions, see the Department for Work and Pensions part of the gov.uk website at: Department for Work & Pensions.

 

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E-GOVERNMENT INTEROPERABILITY FRAMEWORK

Change to Supporting Information: Changed Description

The e-Government Interoperability Framework has been archived and is still available for reference only.

The e-Government Interoperability Framework (e-GIF):

  • defined the technical policies and specifications governing information flows across government and the public sector
  • covered interconnectivity, data integration, e-services access and content management.

The e-Government Interoperability Framework have been archived and are still available for reference only.

The archived e-Government Interoperability Framework can be found on the archived Cabinet Office website.

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EMERGENCY CARE ARRIVAL DATE

Change to Supporting Information: Changed Description

An Emergency Care Arrival Date is an ACTIVITY DATE TIME.

An Emergency Care Arrival Date is the date the PATIENT:An Emergency Care Arrival Date is the date the PATIENT self presented at the Emergency Care Department or arrived in an Ambulance at the Emergency Care Department.

Note that for piloting purposes only, an Emergency Care Arrival Date may also be the Ambulatory Emergency Care Arrival Date.

 

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EMERGENCY CARE ARRIVAL TIME

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An Emergency Care Arrival Time is an ACTIVITY DATE TIME.

An Emergency Care Arrival Time is the time the PATIENT:An Emergency Care Arrival Time is the time the PATIENT self presented at the Emergency Care Department or arrived in an Ambulance at the Emergency Care Department.

The time should be recorded using the 24 hour clock.

Note that for piloting purposes only, an Emergency Care Arrival Time may also be the Ambulatory Emergency Care Arrival Time.

 

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EMERGENCY CARE ATTENDANCE CONCLUSION DATE

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An Emergency Care Attendance Conclusion Date is an ACTIVITY DATE TIME.

An Emergency Care Attendance Conclusion Date is the date:An Emergency Care Attendance Conclusion Date is the date that a PATIENT's Emergency Care Attendance concludes or when treatment in the Emergency Care Department is completed (whichever is the later).

For those PATIENTS admitted into hospital, the EMERGENCY CARE ATTENDANCE CONCLUSION DATE is recorded as the date when the DECISION TO ADMIT was made.

Where the PATIENT dies in the Emergency Care Department, the Emergency Care Attendance Conclusion Date is the same as the PERSON DEATH DATE.

Note that for piloting purposes only, an Emergency Care Attendance Conclusion Date may also be the Ambulatory Emergency Care Attendance Conclusion Date.

 

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EMERGENCY CARE ATTENDANCE CONCLUSION TIME

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An Emergency Care Attendance Conclusion Time is an ACTIVITY DATE TIME.

An Emergency Care Attendance Conclusion Time is the time, recorded using a 24 hour clock:An Emergency Care Attendance Conclusion Time is the time, recorded using a 24 hour clock that a PATIENT's Emergency Care Attendance concludes or when treatment in an Emergency Care Department is completed (whichever is the later).

For those PATIENTS admitted into hospital, the EMERGENCY CARE ATTENDANCE CONCLUSION TIME is recorded as the time when the DECISION TO ADMIT was made.

Where the PATIENT dies in the Emergency Care Department, the Emergency Care Attendance Conclusion Time is the same as the PERSON DEATH TIME.

Note that for piloting purposes only, an Emergency Care Attendance Conclusion Time may also be the Ambulatory Emergency Care Attendance Conclusion Time.

 

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EMERGENCY SERVICE

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An Emergency Service is a SERVICE.

An Emergency Service is the provision of an emergency SERVICE to PATIENTS following a 999 call, for SERVICES such as:An Emergency Service is the provision of an emergency SERVICE to PATIENTS following a 999 call.

This is for SERVICES such as:

 

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FOLLICULAR LYMPHOMA INTERNATIONAL PROGNOSTIC INDEX 2

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

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

The Follicular Lymphoma International Prognostic Index 2 is derived from:

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

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

 

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FORENSIC MENTAL HEALTH PATIENT

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A Forensic Mental Health Patient is a PATIENT.

A Forensic Mental Health Patient is a PATIENT being treated by a Forensic Mental Health Service.

A Forensic Mental Health Patient is someone in the following categories:

  • Not guilty by reason of mental illness: a PERSON subject to a special verdict who has been found not guilty by reason of mental illness and detained in a hospital, Prison or other place, or who has been granted release into the community conditionally
  • Unfit for trial: a PERSON who has been found unfit to be tried for the offences with which they have been charged
  • Limiting term: a PERSON who has been given a limiting term following a special hearing and has been detained in a mental health facility, Prison or other place, or who has been granted conditional release
  • Transferees: a PERSON who has been transferred from a Prison to a mental health facility whilst on remand or following conviction of a criminal offence and whilst serving a sentence of imprisonment
 

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GENERAL DENTAL COUNCIL

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The General Dental Council is a Regulatory Body.

The General Dental Council is supported by a number of committees and boards.

The General Dental Council aims to:

The General Dental Council's role is to:
  • register qualified professionals
  • set standards of dental practice and conduct
  • assure the quality of dental education
  • ensure professionals keep up-to-date
  • help PATIENTS with complaints about a dentist or a Dental Care Professional
  • strengthen PATIENT protection
For further information on the General Dental Council, see the General Dental Council website at: What we do

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GENERAL OSTEOPATHIC COUNCIL

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The General Osteopathic Council is a Regulatory Body.

The aim of the General Osteopathic Council is to protect PATIENTS, develop the osteopathic profession and promote an understanding of osteopathic care.

The General Osteopathic Council:

  • Registers qualified professionals
  • Sets standards of osteopathic practice and conduct
  • Assures the quality of osteopathic education
  • Ensures Continuing Professional Development
  • Helps PATIENTS with complaints about an Osteopath
The aim of the General Osteopathic Council is to protect PATIENTS, develop the osteopathic profession and promote an understanding of osteopathic care.

For further information on the General Osteopathic Council, see the General Osteopathic Council website at: About us.

 

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GENERAL PHARMACEUTICAL COUNCIL REGISTER

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GOVERNMENT DATA STANDARDS CATALOGUE

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The Government Data Standards Catalogue has been archived and is still available for reference only.

The Government Data Standards Catalogue:

  • set out the rationale, approach and rules for setting and agreeing the set of Government Data Standards (GDS) to be used in the schemas and other interchange processes
  • contained the standards agreed to date.

The Government Data Standards Catalogue has been archived and is still available for reference only.

The archived Government Data Standards Catalogue can be found on the archived Cabinet Office website.

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GP PRACTICE

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A GP Practice is an ORGANISATION.

GP Practices may operate from multiple ORGANISATION SITES.

A GP Practice may be either:

GP Practices may operate from multiple ORGANISATION SITES.

A GP Practice could be a:

 

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HAEMODIALYSIS

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Haemodialysis is a CLINICAL INTERVENTIONHaemodialysis is a CLINICAL INTERVENTION.

Haemodialysis is a form of Renal Dialysis which removes waste products from the blood by passing it out of the body through a filtering system (dialyser) and returning it, cleaned, to the body.

For further information on Haemodialysis, see Kidney Patient Guide - Haemodialysis.

 

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HOSPICE

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A Hospice is an ORGANISATION.

Hospices provide care, treatment and support to PATIENTS in specialised accommodation or in the community. The care provided may be long or short-term and may be provided on an inpatient basis or through day care, day therapy or outreach SERVICES.

A Hospice:

  • provides a range of SERVICES for conditions where curative treatment is no longer an option, and people are approaching the end of their life
  • provides care, treatment and support for people and their families and carers, including respite care for people who live with friends or family at home
  • will generally employ or work with a broad range of health and social CARE PROFESSIONALS to meet the needs of people using the SERVICE.

Care, treatment and support can be provided in accommodation or in the community. It can be long or short-term care, on an inpatient basis or provided through day care, day therapy or outreach services.

Examples of Hospices include:

For further information on Hospices, see the NHS website at: Finding a Hospice.

 

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HOSPITAL PROVIDER

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A Hospital Provider is an ORGANISATION.

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

 

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IMMIGRATION REMOVAL CENTRE

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An Immigration Removal Centre is a Justice Organisation.

An Immigration Removal Centre is a place where people are held:An Immigration Removal Centre is a place where people are held for reasons relating to their immigration status.

This could be:

  • whilst immigration requests are being processed
  • whilst appeals against removal are being processed or
  • pending deportation after having had asylum applications refused.

For further information on Health and Justice healthcare, see the NHS England and NHS Improvement website at: Health and Justice.

 

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IMMUNISATION PROGRAMME

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Immunisation Programme is a HEALTH PROGRAMME.An Immunisation Programme is a HEALTH PROGRAMME.

An Immunisation Programme aims to maintain an adequate level of immunisation in a population against a specific disease.

 

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INFORMATION STANDARDS NOTICE

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INTERMEDIATE CARE

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Intermediate Care is an ACTIVITY GROUP.

Intermediate Care provides care to help PATIENTS achieve what they want to do, which may involve:Intermediate Care provides care to help PATIENTS achieve what they want to do.

This may involve:

  • remaining at home when the PATIENT starts to find things more difficult
  • recovery after a fall, an acute illness or an operation
  • avoiding going into hospital unnecessarily
  • returning home more quickly after a hospital stay.

There are four types of Intermediate Care:

For further information on Intermediate Care, see the National Institute for Health and Care Excellence (NICE) website at: Understanding intermediate care.

 

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JOINT REPLACEMENT SURGERY

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Joint Replacement Surgery is a CLINICAL INTERVENTION.

Joint Replacement Surgery is surgery to replace a damaged joint with an artificial joint.

There are two types of Joint Replacement Surgery referred to in the National Joint Registry Data Set:

This uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out joint and

This involves removing Implants that were inserted during Primary Joint Replacement Surgery, and usually involves replacing them with new Implants.

 

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LEARNING DIFFICULTY

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A Learning Difficulty is a PERSON PROPERTY. 

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

There are several levels of Learning Difficulties, such as:

  • Specific Learning Difficulty - a particular difficulty in learning to read, write, spell etc
  • Moderate Learning Difficulty - achievements well below expected levels in all or most areas of the curriculum, despite appropriate interventions
  • Severe Learning Difficulty - significant intellectual or cognitive impairments
  • Profound and Multiple Learning Difficulty - multiple Learning Difficulties have severe and complex learning needs, in addition they have other significant difficulties, such as physical disabilities or a sensory impairment.

For further information on Learning Difficulties, see the mentalhealth.org.uk website at: Learning difficulties.

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

 

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LEVEL 1 SEXUAL HEALTH SERVICE

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Level 1 Sexual Health Service is a Sexual Health Service.A Level 1 Sexual Health Service is a SERVICE.

A Level 1 Sexual Health Service is a Sexual Health Service.

Level 1 Sexual Health Services provide Sexually Transmitted Infection (STI) management and includes:

  • Sexual history-taking and risk assessment: Including assessment of need for emergency CONTRACEPTION and Human Immunodeficiency Virus (HIV) post-exposure prophylaxis following sexual exposure (PEPSE)
  • Signposting to appropriate Sexual Health Services
  • Chlamydia screening: Opportunistic screening for genital chlamydia in asymptomatic males and females under the age of 25
  • Asymptomatic Sexually Transmitted Infection screening and treatment of asymptomatic infections (except treatment for syphilis) in men (excluding men who have sex with men) and women
  • Partner notification of Sexually Transmitted Infections or onward referral for partner notification
  • Human Immunodeficiency Virus testing: Including appropriate pre-test discussion and giving results
  • Point of care Human Immunodeficiency Virus testing: Rapid result Human Immunodeficiency Virus testing using a validated test (with confirmation of positive results or referral for confirmation)
  • Screening and vaccination for Hepatitis B: Appropriate screening and vaccination for Hepatitis B in at-risk groups
  • Sexual health promotion: Provision of verbal and written sexual health promotion information
  • Condom distribution: Provision of condoms for safer sex
  • Psychosexual problems: Assessment and referral for psychosexual problems
 

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LEVEL 2 SEXUAL HEALTH SERVICE

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A Level 2 Sexual Health Service is a SERVICE.

A Level 2 Sexual Health Service is a Sexual Health Service.

Level 2 Sexual Health Services incorporate Sexual Health Services provided by a Level 1 Sexual Health Service plus:

  • Sexually Transmitted Infection (STI) testing and treatment of symptomatic but uncomplicated infections in men (except men who have sex with men) and women excluding: men with dysuria and/or genital discharge, symptoms at extra-genital sites, e.g. rectal or pharyngeal, pregnant women, genital ulceration other than uncomplicated genital herpes.

Commissioned Level 2 Sexual Health Services include:

 

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LEVEL 3 GENITOURINARY MEDICINE SERVICE

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A Level 3 Genitourinary Medicine Service is a SERVICE.

A Level 3 Genitourinary Medicine Service is a Sexual Health Service.

Level 3 Genitourinary Medicine Services provide Sexually Transmitted Infection (STI) management and include SERVICES provided by Level 1 Sexual Health Services and Level 2 Sexual Health Services plus:

  • Sexually Transmitted Infection testing and treatment of men who have sex with men
  • Sexually Transmitted Infection testing and treatment of men with dysuria and genital discharge
  • Testing and treatment of Sexually Transmitted Infections at extra-genital sites
  • Sexually Transmitted Infections with complications, with or without symptoms
  • Sexually Transmitted Infections in pregnant women
  • Gonorrhoea cultures and treatment of gonorrhoea
  • Recurrent or recalcitrant Sexually Transmitted Infections and related conditions
  • Management of syphilis at all stages of infection and blood borne viruses
  • Tropical Sexually Transmitted Infections
  • Specialist HIV treatment and care
  • Provision and follow up of HIV post exposure prophylaxis (PEP), both sexual and occupational
  • Sexually Transmitted Infection service co-ordination across a network including:
    • Clinical leadership of Sexually Transmitted Infection management
    • Co-ordination of clinical governance
    • Co-ordination of Sexually Transmitted Infection training
    • Co-ordination of partner notification
 

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LOCAL AUTHORITY DISTRICT

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A Local Authority District is a GEOGRAPHIC AREA.

A Local Authority District describes the GEOGRAPHIC AREA for which a local government body is responsible.

A Local Authority District is a generic term used to cover:

For further information on Local Authority Districts, see the Office for National Statistics website at: Glossary.

 

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LONG TERM PHYSICAL HEALTH CONDITION

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A Long Term Physical Health Condition is a PATIENT DIAGNOSIS.

For the Improving Access to Psychological Therapies Data Set, a Long Term Physical Health Condition (also known as a Chronic Condition) is:A Long Term Physical Health Condition (also known as a Chronic Condition) is a health problem that requires ongoing management over a period of years or decades and is one that cannot currently be cured but can be controlled with the use of medication and/or other therapies.

  • A health problem that requires ongoing management over a period of years or decades
  • One that cannot currently be cured but can be controlled with the use of medication and/or other therapies.

Examples of Long Term Physical Health Conditions include:

  • Diabetes
  • Cardiovascular (e.g. Hypertension, Angina)
  • Chronic Respiratory (e.g. Asthma, Chronic Obstructive Pulmonary Disease (COPD))
  • Chronic Neurological (e.g. Multiple Sclerosis)
  • Chronic Pain (e.g. Arthritis)
  • Post-COVID-19 syndrome (see Long COVID)
  • Other Long Term Conditions (e.g. Chronic Fatigue Syndrome, Irritable Bowel Syndrome (IBS), Cancer) etc.

For further information on the Long Term Physical Health Conditions, see the NHS England and NHS Improvement website at: Long Term Conditions and Medically Unexplained Symptoms.

 

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LOOKED AFTER CHILD

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A Looked After Child is a PERSON.

A Looked After Child (also referred to as a Child Looked After) is a child in the care of a Local Authority either:A Looked After Child (also referred to as a Child Looked After) is a child in the care of a Local Authority.

This could either be through a:

  • through a Care Order made by a Court or
  • Care Order made by a Court or
  • voluntary agreement with their parent(s) to accommodate them.

They may be looked after:

All Unaccompanied Asylum Seeking Children are also Looked After Children.

 

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MEASURED REFERRAL TO TREATMENT PERIOD

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A Measured Referral to Treatment Period is any REFERRAL TO TREATMENT PERIOD.

It enables the time to the start of First Definitive Treatment to be measured following a SERVICE REQUEST toA Measured Referral to Treatment Period enables the time between referral of a PATIENT to a SERVICE and the start of First Definitive Treatment to be measured.

This is following a SERVICE REQUEST to:

See REFERRAL TO TREATMENT PERIOD START DATE for details of the types of SERVICE REQUEST which may start a REFERRAL TO TREATMENT PERIOD.

See Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement for the subset of REFERRAL TO TREATMENT PERIODS included in the Referral To Treatment Consultant-Led Waiting Times Measurement rules.

Where a referral is made during a Referral To Treatment Period Excluded From Target for the same disease, condition or injury and the referral is to a Consultant Led Service the Referral To Treatment Period Excluded From Target will end with REFERRAL TO TREATMENT PERIOD STATUS of National Code 34 - Decision not to treat and a new REFERRAL TO TREATMENT PERIOD will start.Where a referral is made during a Referral To Treatment Period Excluded From Target for the same disease, condition or injury and the referral is to a Consultant Led Service the Referral To Treatment Period Excluded From Target will end with REFERRAL TO TREATMENT PERIOD STATUS of National Code 34 - Decision not to treat and a new REFERRAL TO TREATMENT PERIOD will start.

 

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MENTAL HEALTH CONDITIONAL DISCHARGE PERIOD

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A Mental Health Conditional Discharge Period is an ACTIVITY GROUP.

A Mental Health Conditional Discharge Period:A Mental Health Conditional Discharge Period is the period of time that a Mental Health PATIENT is under a mental health conditional discharge.

  • Starts when a mental health tribunal or the Secretary of State decides that a PATIENT, who is detained under section 37/41 of the Mental Health Act, can be discharged from the care of a Health Care Provider subject to conditions which must be adhered to.
  • A Mental Health Conditional Discharge Period starts when a mental health tribunal or the Secretary of State decides that a PATIENT, who is detained under section 37/41 of the Mental Health Act, can be discharged from the care of a Health Care Provider subject to conditions which must be adhered to.

If the PATIENT does not adhere to the conditions then they may be recalled to hospital, this would end the Mental Health Conditional Discharge Period.If the PATIENT does not adhere to the conditions then they may be recalled to hospital, this would also end the Mental Health Conditional Discharge Period.

 

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MENTAL HEALTH SERVICE

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A Mental Health Service is a SERVICE.

A Mental Health Service is a SERVICE that provides assessment, treatment and support for PATIENTS (irrespective of funding arrangements) with:A Mental Health Service is a SERVICE that provides assessment, treatment and support for PATIENTS (irrespective of funding arrangements).

This is for:

  • A mental health condition and/or
  • A need for support with their mental wellbeing and/or
  • Autism or any other neurodevelopmental condition.

This could be provided by ORGANISATIONS including:

SERVICES may be provided in various LOCATIONS and settings.

 

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MULTIDISCIPLINARY TEAM MEETING

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A Multidisciplinary Team Meeting is a CARE ACTIVITY

A Multidisciplinary Team Meeting is a meeting of a Multidisciplinary Team.

The following definition is used for the National Cancer Waiting Times Monitoring Data Set and Cancer Outcomes and Services Data Set:

  • A Multidisciplinary Team Meeting is a meeting of the group of professionals from one or more clinical disciplines who together make decisions regarding recommended treatment of individual PATIENTS.
  • Multidisciplinary Teams may specialise in certain conditions, such as Cancer.  Clinical decisions are made based on reviews of clinical documentation such as case notes, test results, diagnostic imaging etc. The PATIENT may or may not be present.
  • Multidisciplinary Teams may specialise in certain conditions, such as Cancer.
  • Clinical decisions are made based on reviews of clinical documentation such as case notes, test results, diagnostic imaging etc.
  • The PATIENT may or may not be present.
 

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NATIONAL CANCER WAITING TIMES MONITORING DATA SET SCENARIOS

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National Cancer Waiting Times Monitoring Data Set: Concept of Operation and Patient Pathway ScenariosNational Cancer Waiting Times Monitoring Data Set: Concept of Operation and Patient Pathway Scenarios.

The National Cancer Waiting Times Monitoring Data Set is a generic data set designed to support the monitoring of waiting times for a variety of different pathways of cancer care. For the purpose of this data collection cancer is defined using the International Classification of Diseases (ICD) codes. The full list of International Classification of Diseases (ICD) diagnosis codes is available on the NHS Digital website at: Cancer Waiting Times.

Collection and submission of the National Cancer Waiting Times Monitoring Data Set is to be managed according to the maximum waiting time and information requirements of the pathway of care for each individual PATIENT. These requirements for providers of cancer SERVICES to return data to the Cancer Waiting Times Database are defined using different scenarios.

The columns in the table below show which data items are required for a range of health care scenarios:

Data Set Notation:

Note: Inter-Provider Transfers:

Data ItemScenario 1aScenario 1bScenario 1cScenario 1dScenario 1eScenario 1fScenario 1gScenario 2aScenario 2bScenario 3Scenario 4Scenario 5Scenario 6Scenario 7
NHS NUMBERMMMMMMMMMMMMMM
NHS NUMBER STATUS INDICATOR CODEMMMMMMMMMMMMMM
PATIENT PATHWAY IDENTIFIERMMMMMMMM*M*M*M*M*M*M*
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)MMMMMMMM*M*M*M*M*M*M*
SOURCE OF REFERRAL FOR OUT-PATIENTSMMMMMN/AMN/AN/AN/AMN/AON/A
PRIORITY TYPE CODEMMMMMN/AMN/AN/AN/AMN/AON/A
DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS)M*M*M*M*M*N/AM*N/AN/AN/AN/AN/AON/A
CANCER REFERRAL TO TREATMENT PERIOD START DATEMMMMMN/AMMN/AN/AON/AON/A
TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPEMMMMMN/AMN/AN/AN/AN/AN/AON/A
CONSULTANT UPGRADE DATEN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AMN/AON/A
ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AMN/AON/A
DATE FIRST SEENMMMMMN/AMN/AN/AN/AMN/AON/A
ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)MMMMMN/AMN/AN/AN/AMN/AN/AN/A
WAITING TIME ADJUSTMENT (FIRST SEEN)M*M*M*M*M*N/AM*N/AN/AN/AO*N/AN/AN/A
WAITING TIME ADJUSTMENT REASON (FIRST SEEN)M*M*M*M*M*N/AM*N/AN/AN/AO*N/AN/AN/A
CANCER CARE SPELL DELAY REASON (FIRST SEEN)M*M*M*M*M*N/AM*N/AN/AN/AN/AN/AN/AN/A
CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN)O*O*O*O*O*N/AO*N/AN/AN/AN/AN/AN/AN/A
CANCER DIAGNOSTIC REFERRAL ROUTEO*O*M*O*O*N/AO*O*N/AN/AN/AN/AO*N/A
RAPID DIAGNOSTIC CENTRE PATHWAY COMPLIANCE INDICATORO*O*O*O*O*N/AO*O*N/AN/AN/AN/AO*N/A
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUSMMMMMMMMMMMMMM
PRIMARY DIAGNOSIS (ICD)N/AM*N/AM*N/AN/AN/AMMMMMMM
TUMOUR LATERALITYN/AM*N/AM*N/AN/AN/AMMMMMMM
CANCER TREATMENT PERIOD START DATEN/AN/AN/AMN/AN/AN/AMMMMMMM
ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)N/AN/AN/AMN/AN/AN/AMMMMMMM
REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER) #N/AN/AN/AN/AN/AMN/AN/AMN/AN/AN/AN/AN/A
PROSTATE CANCER CLINICAL RISK CATEGORYM*M*M*M*M*N/AM*M*M*M*M*M*M*M*
CANCER FASTER DIAGNOSIS PATHWAY END REASONN/AMN/AMN/AN/AMMMM*N/AN/AN/AN/A
PRIMARY CANCER SITE (CANCER FASTER DIAGNOSIS PATHWAY)N/AMN/AMN/AN/AN/AMMN/AN/AN/AN/AN/A
CANCER FASTER DIAGNOSIS PATHWAY END DATEN/AMN/AMN/AN/AMMMM*N/AN/AN/AN/A
CANCER CARE SPELL DELAY REASON (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)N/AM*N/AM*N/AN/AN/AM*M*N/AN/AN/AN/AN/A
CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)N/AO*N/AO*N/AN/AN/AO*O*N/AN/AN/AN/AN/A
CANCER FASTER DIAGNOSIS PATHWAY EXCLUSION REASONN/AN/AN/AN/AN/AN/AMN/AN/AM*N/AN/AN/AN/A
CARE PROFESSIONAL TYPE (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)N/AO*N/AO*N/AN/AN/AO*O*N/AN/AN/AN/AN/A
METHOD OF COMMUNICATION (END OF CANCER FASTER DIAGNOSIS PATHWAY)N/AO*N/AO*N/AN/AN/AO*O*N/AN/AN/AN/AN/A
ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)N/AMN/AMN/AN/AMMMM*N/AN/AN/AN/A
SERVICE REQUESTED DATE (INTER-PROVIDER TRANSFER) #N/AN/AN/AN/AMN/AN/AN/AN/AN/AN/AN/AN/AN/A
ORGANISATION IDENTIFIER (REFERRING) #N/AN/AN/AN/AMMN/AN/AMN/AN/AN/AN/AN/A
ORGANISATION IDENTIFIER (RECEIVING) #N/AN/AN/AN/AMMN/AN/AMN/AN/AN/AN/AN/A
CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER) #N/AN/AN/AN/AON/AN/AN/AN/AN/AN/AN/AN/AN/A
CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER) #N/AN/AN/AN/AN/AON/AN/AON/AN/AN/AN/AN/A
REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER) ##N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
SERVICE REQUESTED DATE (INTER-PROVIDER TRANSFER) ##N/AN/AN/AN/AN/AMN/AN/AN/AN/AN/AN/AN/AN/A
ORGANISATION IDENTIFIER (REFERRING) ##N/AN/AN/AN/AN/AMN/AN/AN/AN/AN/AN/AN/AN/A
ORGANISATION IDENTIFIER (RECEIVING) ##N/AN/AN/AN/AN/AMN/AN/AN/AN/AN/AN/AN/AN/A
CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER) ##N/AN/AN/AN/AN/AON/AN/AN/AN/AN/AN/AN/AN/A
CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER) ##N/AN/AN/AN/AN/AON/AN/AN/AN/AN/AN/AN/AN/A
TREATMENT START DATE (CANCER)N/AN/AN/AN/AN/AN/AN/AMMMMMMM
ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)N/AN/AN/AN/AN/AN/AN/AMMMMMMM
CANCER TREATMENT EVENT TYPEN/AN/AN/AN/AN/AN/AN/AMMMMMMM
CANCER TREATMENT MODALITYN/AN/AN/AN/AN/AN/AN/AMMMMMMM
CLINICAL TRIAL INDICATORN/AN/AN/AN/AN/AN/AN/AMMMMMMM
CANCER CARE SETTING (TREATMENT)N/AN/AN/AN/AN/AN/AN/AMMMMMMM
CANCER CARE SPELL DELAY REASON (DECISION TO TREATMENT)N/AN/AN/AN/AN/AN/AN/AM*M*M*M*M*M*M*
CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT)N/AN/AN/AN/AN/AN/AN/AO*O*O*O*O*O*O*
WAITING TIME ADJUSTMENT (TREATMENT)N/AN/AN/AN/AN/AN/AN/AM*M*M*M*M*M*M*
WAITING TIME ADJUSTMENT REASON (TREATMENT)N/AN/AN/AN/AN/AN/AN/AM*M*M*M*M*M*M*
CANCER CARE SPELL DELAY REASON (REFERRAL TO TREATMENT)N/AN/AN/AN/AN/AN/AN/AM*M*N/AM*N/AO*N/A
CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT)N/AN/AN/AN/AN/AN/AN/AO*O*N/AO*

O*

O*N/A
CANCER CARE SPELL DELAY REASON (CONSULTANT UPGRADE)N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AM*N/AO*N/A
CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE)N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AO*N/AO*N/A

Full details of the validation rules and processes are available on the NHS Digital website at: Cancer Waiting Times.

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NEWBORN PHYSICAL EXAMINATION

Change to Supporting Information: Changed Description

A Newborn Physical Examination is a Clinical Investigation.

A physical examination of the baby is carried out within 72 hours of birth, using appropriate clinical examination techniques to examine:A Newborn Physical Examination is a physical examination of the baby carried out within 72 hours of birth.

A Newborn Physical Examination uses appropriate clinical examination techniques to examine the:

  • the heart for congenital heart defects (CHD)
  • heart for congenital heart defects (CHD)
  • hips for developmental dysplasia of the hip (DDH)
  • testes for undescended testes and
  • eyes.

For further information on Newborn Physical Examinations, see the NHS website at: Newborn physical examination.

 

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NHS ALLIED HEALTH PROFESSIONAL SERVICE (REFERRAL TO TREATMENT MEASUREMENT)

Change to Supporting Information: Changed Description

An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE.

An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE involving the treatment of a PATIENT by one of the following types of ALLIED HEALTH PROFESSIONAL:An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE included in the requirement to measure the time between referral of a PATIENT to an ALLIED HEALTH PROFESSIONAL and First Definitive Treatment.

This is treatment of a PATIENT by one of the following types of ALLIED HEALTH PROFESSIONAL:

Where the ALLIED HEALTH PROFESSIONAL works in a Community Health Service, the Department of Health and Social Care requires their Allied Health Professional Referral To Treatment Measurement activity to be reported in the Community Services Data Set

Where the ALLIED HEALTH PROFESSIONAL ACTIVITY took place at an Out-Patient Clinic, the Allied Health Professional Referral To Treatment Measurement activity must be reported in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set / CDS V6-3 Type 020 - Outpatient Commissioning Data Set

In addition, where an ALLIED HEALTH PROFESSIONAL sees a PATIENT on a WARD but the ACTIVITY is not related to the Hospital Provider Spell the PATIENT is being treated under, this should be regarded as replacing a Care Professional Out-Patient Attendance under the management of the ALLIED HEALTH PROFESSIONAL , and a CDS V6-2 Type 020 - Outpatient Commissioning Data Set / CDS V6-3 Type 020 - Outpatient Commissioning Data Set record should be recorded and submitted to the Secondary Uses Service.  The ACTIVITY LOCATION TYPE CODE in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set / CDS V6-3 Type 020 - Outpatient Commissioning Data Set may be submitted to allow identification of this ALLIED HEALTH PROFESSIONAL ACTIVITY

For example, if a Podiatrist were asked to see a PATIENT who was currently admitted for a condition where the agreed care pathway did not include Podiatry services, then a Care Professional Out-Patient Attendance should be recorded, with the ACTIVITY LOCATION TYPE CODE National Code 'WARD', and the relevant Referral To Treatment data items also completed.

Further guidance relating to Allied Health Professional Referral To Treatment initiative can be found on the Department of Health and Social Care part of the gov.uk website at: the Revised guide for referral to treatment for allied health professionals.

 

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NHS CONTINUING HEALTHCARE LOCAL RESOLUTION FORMAL MEETING DATE

Change to Supporting Information: Changed Description

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NHS CONTINUING HEALTHCARE LOCAL RESOLUTION INFORMAL MEETING DATE

Change to Supporting Information: Changed Description

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NHS SHARED BUSINESS SERVICES

Change to Supporting Information: Changed Description

NHS Shared Business Services is an ORGANISATION.

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

This is to:

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

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

 

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NORTHERN IRELAND LOCAL COMMISSIONING GROUP

Change to Supporting Information: Changed Description

A Northern Ireland Local Commissioning Group is an ORGANISATION in Northern Ireland.

Northern Ireland Local Commissioning Group carry out a range of functions with respect to the commissioning of health and social care for people within their area, including:Northern Ireland Local Commissioning Groups carry out a range of functions with respect to the commissioning of health and social care for people within their area.

This includes:

  • assessing health and social care needs
  • planning health and social care to meet current and emerging needs
  • securing the delivery of health and social care to meet assessed needs.

In exercising these functions, the Northern Ireland Local Commissioning Group have regard to improving the health and social well-being of people in the area within which they exercise their functions, and improving the availability and quality of health and social care in that area.In exercising these functions, the Northern Ireland Local Commissioning Groups have regard to improving the health and social well-being of people in the area within which they exercise their functions, and improving the availability and quality of health and social care in that area.

Further information relating to Northern Ireland Local Commissioning Group can be found at:Further information relating to Northern Ireland Local Commissioning Groups can be found at:

 

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NORTHERN IRELAND LOCAL COMMISSIONING GROUP

Change to Supporting Information: Changed Description
  • Changed Description

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NURSE OR MIDWIFE CONTACT

Change to Supporting Information: Changed Description

A Nurse or Midwife Contact is a CARE CONTACT.

A Nurse or Midwife Contact is a contact, attendance or visit as defined in each of the following:A Nurse or Midwife Contact is a contact or attendance with, or visit to, a PATIENT by a NURSE or MIDWIFE.

A Nurse or Midwife Contact is a contact is defined in each of the following:

There must be only one Nurse or Midwife Contact recorded for a face to face contact, whether it is at a clinic or any other location at one Health Care Provider.

There must be only one responsible NURSE or MIDWIFE for each Nurse or Midwife Contact.

Nursing contacts may be made either by qualified NURSES or by community support workers (nursing).

 

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ORTHODONTIC THERAPIST

Change to Supporting Information: Changed Description

An Orthodontic Therapist is a registered Dental Care ProfessionalAn Orthodontic Therapist is a CARE PROFESSIONAL.

An Orthodontic Therapist is a registered Dental Care Professional.

An Orthodontic Therapist who carries out certain parts of orthodontic treatment under prescription from a dentist.

 

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OTHER INTERMEDIATE CARE WAITING TIME MEASUREMENT

Change to Supporting Information: Changed Description

An Other Intermediate Care Waiting Time Measurement is a REFERRAL TO TREATMENT PERIOD.

The Other Intermediate Care Waiting Time Measurement:Other Intermediate Care Waiting Time Measurement allows monitoring of waiting times for PATIENTS that are deemed not clinically appropriate for the Other Intermediate Care Within 2 Days Waiting Time Measurement.

The Other Intermediate Care Waiting Time Measurement is for Intermediate Care other than Crisis Response Intermediate Care, i.e. Reablement Intermediate Care, Home-based Intermediate Care and Community Bed-based Intermediate Care.

Reablement Intermediate Care:

The waiting time is the duration between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

The Reablement Intermediate Care Waiting Time Measurement:

Home-based Intermediate Care:

The waiting time is the duration between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

The Home-based Intermediate Care Waiting Time Measurement:

Community Bed-based Intermediate Care:

The waiting time is measured to ensure there are 2 midnights or fewer between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

The Community Bed-based Intermediate Care Waiting Time Measurement:

 

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OVERSEAS VISITOR

Change to Supporting Information: Changed Description

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OXFORD ORTHOPAEDIC QUESTIONNAIRE

Change to Supporting Information: Changed Description

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PATIENT LEVEL INFORMATION COSTING SYSTEM AMBULANCE DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Please note that the NHS Data Model and Dictionary content relating to the Patient Level Information Costing System data sets has not been updated for the financial year 2021-2022.  Please refer to the Information Standards pages at: Patient Level Information and Costing Systems for the latest specifications. 

Introduction

The Patient Level Information Costing System Ambulance Data Set is used to standardise the method of reporting cost information at Ambulance Incident level. All designated providers of Ambulance Services are required to submit Patient Level Information Costing data.

The Patient Level Information Costing System Ambulance Data Set is used to:

  • inform new methods of pricing NHS SERVICES
  • inform new approaches and other changes to the design of the currencies used to price NHS SERVICES
  • contribute to NHS England and NHS Improvement's strategic objective of a ‘single national cost collection by 2020’ to inform the relationship between provider characteristics and cost
  • help NHS Trusts to maximise use of their resources and improve efficiencies, as required by the provider licence
  • identify the relationship between PATIENT characteristics and cost
  • support an approach to benchmarking for regulatory purposes.

Data Extract Specification

Description

NHS England and NHS Improvement have mandated all designated providers of Ambulance Services to record and report:

Reporting is required at the end of each financial year, consistent with the methodologies and submission processes in the Approved Costing Guidance. This only includes those NHS Health Care Providers noted in the Costing Mandation Timetable and does not include non-NHS Health Care Providers.

Time

The data is collected annually. It must be submitted in accordance with the timetable set out by NHS England and NHS Improvement in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Format

The data should be submitted in an XML file, created by NHS England and NHS Improvement's Data Validation Tool (DVT). Information on how to access and use this tool is included in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Transmission

Patient Level Information Costing data will be submitted to NHS Digital using Secure Electronic File Transfer (SEFT). Secure Electronic File Transfer (SEFT) can only be accessed by registered and approved users and NHS England and NHS Improvement will invite relevant people to register for the service and provide details of the log in process.

Mandation

The Mandatory or Required (M/R) 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.

Data Set Constraints

For guidance on the Data Set constraints, see the PLICS Ambulance Data Set Constraints.

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PATIENT LEVEL INFORMATION COSTING SYSTEM INTEGRATED DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Please note that the NHS Data Model and Dictionary content relating to the Patient Level Information Costing System data sets has not been updated for the financial year 2021-2022.  Please refer to the Information Standards pages at: Patient Level Information and Costing Systems for the latest specifications. 

Introduction

The Patient Level Information Costing System Integrated Data Set is used to standardise the method of reporting cost information at PATIENT level. All designated NHS Health Care Providers are required to submit Patient Level Information Costing data.

The Patient Level Information Costing System Integrated Data Set is used to:

  • inform new methods of pricing NHS SERVICES
  • inform new approaches and other changes to the design of the currencies used to price NHS SERVICES
  • contribute to NHS England and NHS Improvement's strategic objective of a ‘single national cost collection
  • inform the relationship between provider characteristics and cost
  • help NHS Trusts to maximise use of their resources and improve efficiencies, as required by the provider licence
  • identify the relationship between PATIENT characteristics and cost
  • support an approach to benchmarking for regulatory purposes.

Data Extract Specification

Description

NHS England and NHS Improvement has mandated designated NHS Trusts and NHS Foundation Trusts to record and report:

Reporting is required at the end of each financial year, consistent with the methodologies and submission processes in the Approved Costing Guidance. This only includes those NHS Health Care Providers noted in the Costing Mandation Timetable and does not include non-NHS Health Care Providers.

Time

The data is collected annually. It must be submitted in accordance with the timetable set out by NHS England and NHS Improvement in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Format

The data should be submitted in an XML file, created by NHS England and NHS Improvement's Data Validation Tool (DVT). Information on how to access and use this tool is included in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Transmission

Patient Level Information Costing data will be submitted to NHS Digital using Secure Electronic File Transfer (SEFT). Secure Electronic File Transfer (SEFT) can only be accessed by registered and approved users and NHS England and NHS Improvement will invite relevant people to register for the service and provide details of the log in process.

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.

Data Set Constraints

For guidance on the Data Set constraints, see the:

 

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PATIENT LEVEL INFORMATION COSTING SYSTEM RECONCILIATION DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Please note that the NHS Data Model and Dictionary content relating to the Patient Level Information Costing System data sets has not been updated for the financial year 2021-2022.  Please refer to the Information Standards pages at: Patient Level Information and Costing Systems for the latest specifications.

Introduction

The Patient Level Information Costing System Reconciliation Data Set is used to help establish the Patient Level Information Costing quantum from the final audited accounts, and outline material differences between ACTIVITY data sets and Patient Level Information Costing totals and is an integral part of the Patient Level Information Costing submission process.

All designated NHS Health Care Providers, NHS Trusts, Mental Health Services, Improving Access to Psychological Therapies Services and Ambulance Services are required to submit Patient Level Information Costing data.

The Patient Level Information Costing System Reconciliation Data Set is used to:

  • inform new methods of pricing NHS SERVICES
  • inform new approaches and other changes to the design of the currencies used to price NHS SERVICES
  • contribute to NHS England and NHS Improvement's strategic objective of a single national cost collection
  • inform the relationship between Health Care Provider characteristics and cost
  • help NHS Trusts to maximise use of their resources and improve efficiencies, as required by the provider licence
  • identify the relationship between PATIENT characteristics and cost
  • support an approach to benchmarking for regulatory purposes.

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

Data Set Constraints

For guidance on the Data Set constraints, see the PLICS Reconciliation Data Set Constraints.

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PATIENT TRANSPORT SERVICE

Change to Supporting Information: Changed Description

A Patient Transport Service is a SERVICE.

A Patient Transport Service (PTS) is the provision of a non-emergency pre-planned service for PATIENTS to transport them to and from medical facilities for treatment or discharge from hospitalA Patient Transport Service (PTS) is the provision of a non-emergency pre-planned service for PATIENTS to transport them to and from medical facilities for treatment or discharge from hospital.

For further information on Patient Transport Services, see the nhs.uk website at: Non-emergency patient transport services.

 

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PERITONEAL DIALYSIS

Change to Supporting Information: Changed Description

Peritoneal Dialysis is a CLINICAL INTERVENTIONPeritoneal Dialysis is a CLINICAL INTERVENTION.

Peritoneal Dialysis is a form of Renal Dialysis which cleans the blood inside the body by running a Renal Dialysis fluid (dialysate) through a tube into the peritoneal cavity. The dialysate is left for a period of time to absorb the waste products and then drained out through the tube and discarded.

For further information on Peritoneal Dialysis, see An Introduction to peritoneal dialysis

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PERSONAL DEVELOPMENT PLAN

Change to Supporting Information: Changed Description

A Personal Development Plan is an EMPLOYEE PLAN.

A Personal Development Plan should aim to develop the EMPLOYEE and identify training and development needs, and learning requirements, with measurable outcomes. The plan should be developed from an agreed local or national appraisal and performance review process.  

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PLACE OF SAFETY

Change to Supporting Information: Changed Description

A Place of Safety is a LOCATION.

A Place of Safety is where PEOPLE are detained and managed safely while an appropriate mental health assessment is undertaken.

A Place of Safety maybe:

  • a residential ACCOMMODATION provided by a local social services authority under Part III of the National Assistance Act 1948
  • a hospital as defined by the Mental Health Act 1983 as amended by the Mental Health Act 2007
  • a police station
  • an independent hospital or Care Home for mentally disordered PERSONS or
  • any other suitable place.

The legislation.gov.uk website at: Restrictions on places that may be used as places of safety provides the following restrictions on places that may be used as places of safety:

A house, flat or room where a PERSON is living may not be regarded as a suitable Place of Safety unless:

  • if the PERSON believed to be suffering from a mental disorder is the sole occupier of the place, that PERSON agrees to the use of the place as a Place of Safety
  • if the PERSON believed to be suffering from a mental disorder is an occupier of the place but not the sole occupier, both that PERSON and one of the other occupiers agree to the use of the place as a Place of Safety
  • if the PERSON believed to be suffering from a mental disorder is not an occupier of the place, both that PERSON and the occupier (or, if more than one, one of the occupiers) agree to the use of the place as a Place of Safety.

A place other than the one mentioned above may not be regarded as a suitable place, unless a PERSON who appears to the constable exercising powers under this section to be responsible for the management of the place agrees to its use as a Place of Safety.

 

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RADIOGRAPHER

Change to Supporting Information: Changed Description

A Radiographer is a CARE PROFESSIONAL.

A Radiographer is a CARE PROFESSIONAL who is registered with the Health and Care Professions Council.

Radiographers include:

  • Therapeutic Radiographers who plan and deliver treatment using radiation.
  • Diagnostic Radiographers who produce and interpret high-quality images of the body to diagnose injuries and diseases. For example, x-rays, Ultrasound Scans or CT Scans carried out in hospital etc.
 

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RADIOTHERAPY EXPOSURE

Change to Supporting Information: Changed Description

A Radiotherapy Exposure is a CLINICAL INTERVENTION.

A Radiotherapy Exposure is the delivery of one treatment field as part of a Radiotherapy Fraction.  

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REASONABLE OFFER

Change to Supporting Information: Changed Description

A Reasonable Offer is an APPOINTMENT OFFER or OFFER OF ADMISSION.A Reasonable Offer relates to an APPOINTMENT OFFER or OFFER OF ADMISSION.

An offer is reasonable where:

 

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REFERRAL TO TREATMENT PERIOD EXCLUDED FROM TARGET

Change to Supporting Information: Changed Description

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RELEASE HISTORY: APRIL 2022  renamed from RELEASE HISTORY: MARCH 2022

Change to Supporting Information: Changed Name, Description

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

April 2022

  • CR1855 (Immedite) - DAPB0108 Automatic Identification and Data Capture (AIDC)

March 2022

  • CR1736 (1 April 2022) - DAPB0111 Radiotherapy Data Set Version 6
  • CR1818 (1 April 2022) - DAPB1520 Improving Access to Psychological Therapies Data Set Version 2.1
  • CR1856 (1 February 2022) - DCB0011 Mental Health Services Data Set Version 5.0 Corrigendum
  • CR1851 (Immediate) - DDCN 1851/2022 GUMCAD Code Description Amendment
  • CR1857 (Immediate) - DDCN 1857/2022 NHSX merger with NHS England and NHS Improvement
  • CR1861 (1 April 2022) - DDCN 1861/2022 Retirement of Commissioning Data Set V6-2-1 Type 011 - Emergency Care Commissioning Data Set

November 2021

  • CR1850 (Immediate) - DDCN 1850/2021 Public Health England (PHE) and UK Health Security Agency (UKHSA)
  • CR1848 (Immediate) - DDCN 1848/2021 National Cancer Registration and Analysis Service (NCRAS) Update

September 2021

  • CR1768 (1 October 2021) - DCB0011 Mental Health Services Data Set Version 5.0
  • CR1817 (6 September 2021) - DAPB4000 and DAPB4001 Patient Level Information Costing System (PLICS) Integrated Data Set
  • CR1829 (Immediate) - DCB3085 NHS Continuing Healthcare Patient Level Data Set
  • CR1833 (Immediate) - DDCN 1833/2021 Supporting Definition for Impairment Harmonised Standard
  • CR1843 (Immediate) - DDCN 1843/2021 Care Quality Commission Update

August 2021

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2022:

  • CR1764 (1 April 2022) - DAPB0092 Commissioning Data Sets Version 6-3

June 2021

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

March 2021

  • CR1815 (1 April 2021) - DDCN 1815/2021 Commissioning Data Set XML Schema Version 6-2-0

  • The March 2021 Release introduces the NHS Data Model and Dictionary Demonstrations, which can be found at: Demonstrations.

February 2021

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

January 2021

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

November 2020

  • CR1790 (1 April 2021) - DDCN 1790/2020 NHS Continuing Healthcare Patient Level Data Set
  • CR1798 (Immediate) - DDCN 1798/2020 Commissioning Data Set change to weekly submission
  • CR1803 (Immediate) - DDCN 1803/2020 Emergency Care Department Update

October 2020

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

September 2020

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

August 2020

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

June 2020

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

May 2020

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

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

April 2020

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

March 2020

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

Release: December 2019

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

Release: October 2019

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

Release: August 2019

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

Release: July 2019

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

Release: May 2019

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

Release: April 2019

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

Release: March 2019

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

Release: December 2018

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

Release: November 2018

  • CR1631 (Immediate) - DCB3017 Overseas Visitor Charging Category

Release: October 2018

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

Release: September 2018

Release: July 2018

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

Release: May 2018

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

Release: April 2018

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

Release: March 2018

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

Release: January 2018

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

Release: November 2017

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

Release: October 2017

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

Release: September 2017

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

Release: July 2017

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

Release: June 2017

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

Release: April 2017

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

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

Release: March 2017

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

Release: December 2016

Release: November 2016

Release: October 2016

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

Release: September 2016

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

Release: August 2016

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

Release: July 2016

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

Release: March 2016

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

Release: February 2016

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

Release: December 2015

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

Release: November 2015

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

Release: October 2015

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

Release: September 2015

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

Release: August 2015

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

Release: July 2015

  • CR1475 (Immediate) - SCCI1605 Accessible Information

Release: June 2015

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

Release: May 2015

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

Release: April 2015

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

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

Release: March 2015

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

Release: February 2015

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

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

Release: January 2015

Release: December 2014

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

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

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

Release: November 2014

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

Release: October 2014

Release: September 2014

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

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

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

Release: August 2014

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

Release: July 2014

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

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

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

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

Release: June 2014

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

Release: May 2014

Release: April 2014

Release: March 2014

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

Release: February 2014

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

Release: January 2014

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

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

Release: November 2013

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

Release: September 2013

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

Release: July 2013

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

Release: May 2013

Release: April 2013

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

Release: March 2013

Release: February 2013

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

Release: December 2012

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

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

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

Release: November 2012

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

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

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

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

Release: September 2012

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

Release: August 2012

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

Release: June 2012

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

Release: May 2012

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

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

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

Release: March 2012

Release: January 2012

Release: November 2011

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

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

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

Release: October 2011

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

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

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

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

Release: August 2011

  • CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
  • CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
  • CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
  • CR1188 (Immediate) - ISB 0139 Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

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

Release: July 2011

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

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

Release: June 2011

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

Release: April 2011

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

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

Release: March 2011

Release: January 2011

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

Release: December 2010

Release: November 2010

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

Release: September 2010

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

Release: August 2010

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

Release: July 2010

Release: May 2010

Release: March 2010

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

Release: January 2010

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

Release: December 2009

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

Release: November 2009

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

Release: September 2009

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

Release: June 2009

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

Release: March 2009

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

Release: December 2008

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

Release: November 2008

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

Release: August 2008

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

Release: May 2008

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

Release: February 2008

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

Release: November 2007

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

Release: August 2007

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

Release: June 2007

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

Release: May 2007

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

Release: February 2007

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

Release: September 2006

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

Release: May 2006

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

Release: April 2006

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

Release: August 2005

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

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RESTRICTIVE INTERVENTION

Change to Supporting Information: Changed Description

A Restrictive Intervention is a CARE ACTIVITY.

Restrictive Interventions are defined by the Department of Health and Social Care as:Restrictive Interventions are defined by the Department of Health and Social Care.

They are defined as:

  • Deliberate acts on the part of other PERSON(s) that restrict an individual’s movement, liberty and/or freedom to act independently in order to:
    • take immediate control of a dangerous situation where there is a real possibility of harm to the PERSON or others if no action is undertaken; and
    • end or reduce significantly the danger to the PERSON or others; and
    • contain or limit the person's freedom for no longer than is necessary.

For further information on Restrictive Interventions, see the Department of Health and Social Care part of the gov.uk website at: Positive and Proactive Care: reducing the need for restrictive interventions.

 

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SAFEGUARDING CHILDREN

Change to Supporting Information: Changed Description

Safeguarding Children is a SAFEGUARDING CHILDREN OBSERVATION.

The term "Safeguarding Children" is defined as:The term "Safeguarding Children" is defined as "the process of protecting children from abuse or neglect, preventing impairment of their health and development, and ensuring they are growing up in circumstances consistent with the provision of safe and effective care that enables children to have optimum life chances and enter adulthood successfully".

The process of protecting children from abuse or neglect, preventing impairment of their health and development, and ensuring they are growing up in circumstances consistent with the provision of safe and effective care that enables children to have optimum life chances and enter adulthood successfully.

For further information, see the "Schools, colleges and children's services" part of the gov.uk website at: Safeguarding children.

 

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SCREENING PROGRAMME

Change to Supporting Information: Changed Description

Screening Programme is a HEALTH PROGRAMME.A Screening Programme is a HEALTH PROGRAMME.

A programme directed towards the detection of a specific disease or condition in a target group: for example:A Screening Programme is directed towards the detection of a specific disease or condition in a target group.

For example:

  • cervical cancer in women of a particular age group
  • hypertension in adults of a particular age group or
  • hearing impairment in school children.

Screening makes the use of tests which can be applied rapidly to apparently well PERSONS as a means of distinguishing those who probably have the condition from those who probably do not.

 

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SECURE WELFARE ACCOMMODATION

Change to Supporting Information: Changed Description

Secure Welfare Accommodation is a type of ACCOMMODATION.

Secure Welfare Accommodation provides ACCOMMODATION for children and young people who have been committed to care on a secure welfare placement.  

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SEXUAL AND REPRODUCTIVE HEALTH SERVICE

Change to Supporting Information: Changed Description

A Sexual and Reproductive Health Service is a SERVICE

Sexual and Reproductive Health Services (formerly referred to as Family Planning Clinics) provide a range of SERVICES which may include:Sexual and Reproductive Health Services (formerly referred to as Family Planning Clinics) provide a range of SERVICES.

These SERVICES may include:

  • Screening for cervical abnormalities
  • Colposcopy
  • Abortion
  • Menopause care
  • Menstrual dysfunction
  • Sexually transmitted infection management
  • Psychosexual medicine
 

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SEXUALLY TRANSMITTED INFECTION SERVICE

Change to Supporting Information: Changed Description

A Sexually Transmitted Infection Service is a SERVICE.

A Sexually Transmitted Infection Service is a free and open access SERVICE providing advice and testing for Sexually Transmitted Infections (STI's), treatment counselling and partner notification for those found to have STI's.

 

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SIGNPOSTING

Change to Supporting Information: Changed Description

The process of directing a PERSON to a suitable local SERVICE.

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SNOMED CT REFSET

Change to Supporting Information: Changed Description

A SNOMED CT Refset:A SNOMED CT Refset is a data structure defined within SNOMED CT® Release Format 2 (RF2), which consists of a set of references to SNOMED CT® components, like concepts, descriptions or relationships.

  • Is a data structure defined within SNOMED CT® Release Format 2 (RF2)
  • Consists of a set of references to SNOMED CT® components, like concepts, descriptions or relationships.

In its simple form a SNOMED CT Refset is used to represent a subset of SNOMED CT® content.

SNOMED CT Refsets:

  • Usually represent groups of concepts that share specified characteristics (for example, a specific clinical domain)
  • Support user interface development through the organisation of clinical display, creation of menus and pick-lists, or support of knowledge structures
  • May be created as value sets for messaging or data entry.

Different types of SNOMED CT Refsets are used to represent:

  • Descriptions or concepts for particular realms or specialties
  • Suitability of particular concepts for use in a particular context in a record.

For further information on SNOMED CT Refsets, see the SNOMED CT® Glossary at: SNOMED CT reference set.

Change requests for SNOMED CT Refsets released by NHS Digital should be made through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.

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SPECIALIST COMMUNITY PUBLIC HEALTH NURSE: SCHOOL NURSE

Change to Supporting Information: Changed Description

A Specialist Community Public Health Nurse: School Nurse is a CARE PROFESSIONAL.

Specialist Community Public Health Nurse - School Nurses provide a variety of services such as:Specialist Community Public Health Nurse - School Nurses provide a variety of SERVICES.

This could be:

  • providing health and sex education within Schools
  • carrying out developmental screening
  • undertaking health interviews, administering immunisation programmes etc.
Specialist Community Public Health Nurse - School Nurses can be employed either by the Local Authority, Clinical Commissioning GroupNHS Trust, NHS Foundation Trust or by the School directly. 

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SUPPORTING DEFINITIONS INTRODUCTION

Change to Supporting Information: Changed Description


Supporting Definitions provide information to help users understand content in the NHS Data Model and Dictionary.

 For more information on Supporting Definitions, see Supporting Definitions Help.

Supporting Definitions provide information to help users understand content in the NHS Data Model and Dictionary.

 

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SUPPORTING DEFINITIONS MENU

Change to Supporting Information: Changed Description


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SYSTEMIC ANTI-CANCER THERAPY

Change to Supporting Information: Changed Description

Systemic Anti-Cancer Therapy is a CLINICAL INTERVENTION.

Systemic Anti-Cancer Therapy is for the treatment of solid tumours and haematological cancers through the systemic delivery of agents that have anti-tumour effects.  

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TNM STAGING SYSTEM

Change to Supporting Information: Changed Description

The TNM Staging System is a system for CANCER STAGING.

The TNM Staging System:The TNM Staging System is one of the most widely used systems for CANCER STAGING.

The TNM Staging System has been accepted by the Union for International Cancer Control (UICC) and the American Joint Committee on Cancer (AJCC).

The TNM Staging System is based on:

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

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

For further information on the TNM Staging System, see the National Cancer Institute website

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UNACCOMPANIED ASYLUM SEEKING CHILD

Change to Supporting Information: Changed Description

An Unaccompanied Asylum Seeking Child is a PERSON.

An Unaccompanied Asylum Seeking Child is a child who is:An Unaccompanied Asylum Seeking Child is a child who is applying for asylum in their own right and is separated from both parents and is not being cared for by an adult who by law has responsibility to do so.

  1. applying for asylum in their own right and
  2. is separated from both parents and is not being cared for by an adult who by law has responsibility to do so.

A child may move between the unaccompanied and accompanied categories whilst their applications are under consideration, e.g.

  • where a child arrives alone but is later united with other family members in the UK
  • a child arrives with their parents or close relatives but is later abandoned
  • a trafficked child
  • one brought in on false papers with an adult claiming to be a relative.

All Unaccompanied Asylum Seeking Children are also Looked After Children

For further information on Unaccompanied Asylum Seeking Children, see the Home Office website.

 

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YOUTH OFFENDING TEAM

Change to Supporting Information: Changed Description

A Youth Offending Team is a Justice Organisation.

A Youth Offending Team provides the main supervisory elements of statutory youth justice services, including:A Youth Offending Team provides the main supervisory elements of statutory youth justice services.

This includes:

  • assessment of children and young people who have offended and management of risk and Child Safeguarding issues
  • supervision of children and young people who have been remanded to custody and those requiring support in the community, as directed by the court
  • provision of pre-court interventions
  • supervision of children and young people who have been given court orders which are to be managed in the community, including the provision of a lay youth panel to discharge the responsibilities of Referral Orders
  • sentence planning for children and young people in custody and their supervision on release.

For further information on Youth Offending Teams, see the gov.uk website at: Youth offending teams.

 

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CADAVERIC ORGAN OR TISSUE DONOR

Change to Class: Changed Description

A subtype of ORGAN OR TISSUE DONORA subtype of ORGAN OR TISSUE DONOR.

A donor who is dead at the time of organ donation.

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.  

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CARE ACTIVITY

Change to Class: Changed Description

A subtype of ACTIVITYA subtype of ACTIVITY.

The provision of an individual instance of care to a PATIENT given by one or more CARE PROFESSIONALS.

Subtypes of CARE ACTIVITY are:

CARE ACTIVITIES include:

 

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LIVING ORGAN OR TISSUE DONOR

Change to Class: Changed Description

A subtype of ORGAN OR TISSUE DONORA subtype of ORGAN OR TISSUE DONOR.

A PERSON who donates tissue or organs whilst still alive, and is expected to make a recovery after the donation.

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.  

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OPTOMETRIST

Change to Class: Changed Supertype, Description

A subtype of CARE PROFESSIONAL.

An OPTOMETRIST, also known as an OPHTHALMIC OPTICIAN, is a CARE PROFESSIONAL who is registered with the General Optical Council to practise in the United Kingdom.

An OPTOMETRIST examines eyes, tests sight and prescribes spectacles or contact lenses for those who need them. They also fit spectacles or contact lenses, give advice on visual problems and detect any ocular disease or abnormality, referring the PATIENT to a medical practitioner if necessary.

OPTOMETRISTS may also share the care of PATIENTS who have chronic ophthalmic conditions with a medical practitioner. Once qualified, OPTOMETRISTS can undertake further training to specialise in certain eye treatment by therapeutic drugs.

 

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OPTOMETRIST

Change to Class: Changed Supertype, Description
  • Changed Supertype from null to Data_Dictionary.Classes.C.CARE_PROFESSIONAL
  • Changed Description

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TOBACCO USAGE

Change to Class: Changed Description

A subtype of PERSON PROPERTYA subtype of PERSON PROPERTY.

Information relating to a PATIENT's tobacco usage.

 

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TRANSFORMING CARE

Change to Class: Changed Description

A subtype of PERSON PROPERTYA subtype of PERSON PROPERTY.

Information relating to Transforming Care.

 

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ACTIVITY LOCATION TYPE CODE

Change to Attribute: Changed Description

The type of LOCATION for an ACTIVITY:The type of LOCATION for an ACTIVITY.

This can be the LOCATION:

Notes:

Further information on the groupings and scope of each ACTIVITY LOCATION TYPE CODE is provided at: Activity Location Type Codes.

National Codes:

A01PATIENT's Home
A02Carer's Home
A03PATIENT's Workplace
A04Other PATIENT Related Location
B01Primary Care Health Centre
B02Polyclinic
C01General Medical Practitioner Practice
C02Dental Practice
C03OPHTHALMIC MEDICAL PRACTITIONER Premises
D01Walk In Centre
D02Out of Hours Centre
D03Emergency Community Dental Service
E01Out-Patient Clinic
E02WARD
E03Day Hospital
E04Emergency Care Department or Minor Injuries Department
E99Other Departments
F01Hospice
G01Care Home Without Nursing
G02Care Home With Nursing
G03Children's Home
G04Integrated Care Home Without Nursing and Care Home With Nursing
H01Day Centre
J01Resource Centre
K01Sure Start Children’s Centre
K02Child Development Centre
L01School
L02Further Education College
L03University
L04Nursery Premises
L05Other Childcare Premises
L06Training Establishments
L99Other Educational Premises
M01Prison
M02Probation Service Premises
M03Police Station / Police Custody Suite
M04Young Offender Institution
M05Immigration Removal Centre
M06Young Offender Institution (15-17)
M07Young Offender Institution (18-21)
N01Street or other public open space
N02Other publicly accessible area or building
N03Voluntary or charitable agency premises
N04Dispensing Optician Premises
N05Dispensing Pharmacy Premises
X01Other locations not elsewhere classified
 

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ARTHROPLASTY REVISION TYPE FOR SHOULDER AND ELBOW REPLACEMENT

Change to Attribute: Changed Description

The type of Arthroplasty revision for Revision Shoulder Replacement Surgery or Revision Elbow Replacement SurgeryThe type of Arthroplasty revision for Revision Shoulder Replacement Surgery or Revision Elbow Replacement Surgery.

National Codes:

3Primary Arthroplasty
4Previous Revision Arthroplasty (excluding excision arthroplasty)
 

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CDS BULK REPLACEMENT GROUP CODE

Change to Attribute: Changed Description

The Commissioning Data Set Group into which CDS Types must be grouped when using the Commissioning Data Set Bulk Replacement Update Mechanism.

Note:

  • CDS Type 010 'Accident and Emergency Attendance' was retired from 1 November 2020 and is no longer accepted for submission to the Secondary Uses Service.
  • Commissioning Data Set version 6-3 does not require submission of the following CDS Types:
    • Detained and/or Long Term Psychiatric Census (050)
    • Any Elective Admission List CDS Type (070, 080, 090, 100, 110, 120, 130)
    • Future Outpatient (150)
    • Emergency Care Attendance (160)

National Codes:

010Finished General, Delivery and Birth Episodes
020Unfinished General, Delivery and Birth Episodes
030Other Delivery
040Other Birth
050Detained and/or Long Term Psychiatric Census
060Outpatient
070Standard variation of Elective Admission List End Of Period Census
080New and Old variations of Elective Admission List End Of Period Census
090Add variation of Elective Admission List Event During Period
100Remove variation of Elective Admission List Event During Period
110Offer variation of Elective Admission List Event During Period
120Available/Unavailable variation of Elective Admission List Event During Period
130New and Old variations of Elective Admission List Event During Period
140Accident and Emergency Attendance (Retired 1 November 2020)
150Future Outpatient
160Emergency Care Attendance
 

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CLINICAL NURSE SPECIALIST INDICATION CODE

Change to Attribute: Changed Description

A code to indicate whether the:A code to indicate the level of involvement of a Clinical Nurse Specialist in the delivery of a PATIENT DIAGNOSIS.

This indicates whether:

National Codes:

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

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CRITICAL CARE ADMISSION TYPE

Change to Attribute: Changed Description

An indication of whether a CRITICAL CARE PERIOD was initiated as a result of a non-emergency treatment plan, for example, for elective major surgery. This relates only to the period of critical care and not to the nature of the hospital admission.

This relates only to the period of critical care and not to the nature of the hospital admission. For example, a planned hospital admission may unexpectedly require an emergency intensive care unit admission, in which case the classification will be National Code '01'.

National Codes:

01Unplanned local admission. All emergency or urgent PATIENTS referred to the unit only as a result of an unexpected acute illness occurring within the local area (hospitals within the Trust together with neighbouring community units and services).
02Unplanned transfer in. All emergency or urgent PATIENTS referred to the unit as a result of an unexpected acute illness occurring outside the local area (including private and overseas Health Care Providers).
03Planned transfer in (tertiary referral). A pre-arranged admission to the unit after treatment or initial stabilisation at another Health Care Provider (including private and overseas Health Care Providers) but requiring specialist or higher-level care that cannot be provided at the source hospital or unit.
04Planned local surgical admission. A pre-arranged surgical admission from the local area to the to the unit, acceptance by the unit must have occurred prior to the start of the surgical procedure and the procedure will usually have been of an elective or scheduled nature. For example, following a major procedure, for a high risk medical condition associated with any level of surgery, admitted prior to elective surgery for optimisation, admitted for monitoring of pain control eg epidurals, or obstetric surgical cases admitted on a planned basis.
05Planned local medical admission from the local area. Booked medical admission, for example, planned investigation or high risk medical treatment.
06Repatriation. The PATIENT is normally resident in your local area and is being admitted or readmitted to your unit from another hospital (including overseas Health Care Providers). This situation will normally arise when a PATIENT is returning from tertiary or specialist care.

 

 

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DEATH LOCATION TYPE CODE

Change to Attribute: Changed Description

The type of LOCATION:The type of LOCATION at which a PERSON died or the preferred LOCATION of death of the PATIENT, as stated by the PATIENT, Patient Proxy or Carer.

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

National Codes:

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

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GESTATION LENGTH IN WEEKS

Change to Attribute: Changed Description

This is the number of weeks completed gestation, based upon an average 40 week gestation, which may be derived from:The number of weeks completed gestation.

This may be derived from:

a)estimated date of delivery calculated by Ultrasound Scan measurements according to the trimester of the scan
b)estimated date of delivery measured from the first day of last menstrual period (LMP)
c)clinical assessment (in the absence of a or b) - antenatally for Maternity, postnatally for Neonatal

The gestational age should be recorded in completed weeks: e.g. events occurring 280-286 days after the onset of the last menstrual period are considered to have occurred at 40 weeks gestation.

 

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HEADCOUNT ORGANISATION CURRENT

Change to Attribute: Changed Description

The total number of EMPLOYEES currently employed within the ORGANISATION on the REPORTING PERIOD END DATE.

HEADCOUNT (ORGANISATION CURRENT) is a count of the number of EMPLOYEES who have one or more EMPLOYMENT CONTRACTS with the ORGANISATION where the:

and

 

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POSITION WORKED FTE IN REPORTING PERIOD

Change to Attribute: Changed Description

The amount of time worked by an EMPLOYEE in a given POSITION over a period of time, 

The amount of time worked by an EMPLOYEE in a given POSITION over a period of time. 

 

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PROSTATE NERVE SPARING SURGERY TYPE

Change to Attribute: Changed Description

The type of prostate nerve sparing surgery (surgery that attempts to save the nerves near the TISSUES being removed) performed during a Urological Cancer Care SpellThe type of prostate nerve sparing surgery (surgery that attempts to save the nerves near the TISSUES being removed) performed during a Urological Cancer Care Spell.

National Codes:

1Bilateral
2Unilateral
3None
 

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RADICAL PROSTATECTOMY MARGIN STATUS

Change to Attribute: Changed Description

The margin status following a radical prostatectomy (surgery to remove the entire prostate gland and surrounding Lymph Nodes) during a Urological Cancer Care SpellThe margin status following a radical prostatectomy (surgery to remove the entire prostate gland and surrounding Lymph Nodes) during a Urological Cancer Care Spell.

National Codes:

1Negative Margins
2Positive Margins less than 3mm in length
3Positive Margins greater than or equal to 3mm in length
4Positive Margins, length unknown
 

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REFERRED OUT OF AREA REASON FOR ADULT ACUTE MENTAL HEALTH

Change to Attribute: Changed Description

The reason a PATIENT:The reason a PATIENT was referred to an ORGANISATION for the purposes of the Mental Health Services Data Set.

This is the reason the PATIENT:

  • with assessed acute mental health needs and
  • requiring adult mental health admitted PATIENT care

was referred to an ORGANISATION:

For further information, see the Department of Health and Social Care part of the gov.uk website at: Out of area placements in mental health services for adults in acute inpatient care.

National Codes:

10Unavailability of bed at referring ORGANISATION
11Safeguarding
12Offending restrictions
13Staff member or family/friend within the referring ORGANISATION
14PATIENT choice
 

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RESUSCITATION METHOD CODE

Change to Attribute: Changed Description

An indicator of whether resuscitation was:An indicator of whether resuscitation was by positive pressure and administered using drugs.

  • by positive pressure and
  • administered using drugs.

RESUSCITATION METHOD CODE records the means by which regular respiration of the baby was attempted and is not recorded for stillbirths.

For local purposes, the actual drugs administered should be specified.

National Codes:

1Positive pressure nil, drugs nil
2Positive pressure nil, drugs administered
3Positive pressure by mask, drugs nil
4Positive pressure by mask, drugs administered
5Positive pressure by endotracheal tube, drugs nil
6Positive pressure by endotracheal tube, drugs administered
 

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TUMOUR OR LESION LATERALITY

Change to Attribute: Changed Description

An indication of the:An indication of the side of the body for a Tumour relating to paired organs within a PATIENT or radiologically determined laterality of the Lesion(s).

  • side of the body for a Tumour relating to paired organs within a PATIENT or
  • radiologically determined laterality of the Lesion(s).

National Codes:

LLeft
RRight
MMidline
BBilateral
 

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TUMOUR OR LESION LOCATION

Change to Attribute: Changed Description

TUMOUR OR LESION LOCATION is the:The radiologically determined anatomical location of the Lesion(s) or surgically determined anatomical location of the Tumour.

  • radiologically determined anatomical location of the Lesion(s) or
  • surgically determined anatomical location of the Tumour.

National Codes:

01Frontal lobe
02Temporal lobe
03Parietal lobe
04Occipital lobe
05Pineal region
06Hypothalamic
07Basal ganglia/thalamic
08Cerebellar
09Midbrain
10Pons
11Medulla
12Fourth ventricle
13Third ventricle
14Lateral ventricle
15Parasagittal/parafalcine dura
16Posterior fossa convexity dura
17Convexity dura
18Petrous temporal bone
19Orbital roof
20Skull vault
21Scalp
22Anterior cranial fossa
23Middle cranial fossa
24Orbital roof (Retired 1 April 2020)
25Infratemporal fossa
26Pterygopalatine fossa
27Anterior clinoid dura
28Sphenoid wing dura
29Subfrontal dura
30Suprasellar dura
31Clival dura
32Cavernous sinus
33Cerebellopontine angle
34Jugular bulb
35Venous angle dura
36Foramen magnum
37Cervical intramedullary
38Cervical intradural
39Cervical extradural
40Cervical bony
41Thoracic intramedullary
42Thoracic intradural
43Thoracic extradural
44Thoracic bony
45Lumbar intramedullary
46Lumbar intradural
47Lumbar extradural
48Lumbar bony
98Other (not listed)
 

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TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE

Change to Attribute: Changed Description

The site where cancer is suspected:The site where cancer is suspected by the GENERAL MEDICAL PRACTITIONERGENERAL DENTAL PRACTITIONER or OPTOMETRIST referring the PATIENT where the PRIORITY TYPE is National Code "Two Week Wait".

This is used to identify PATIENTS being referred on the basis of exhibited (non-cancer) breast symptoms from any CARE PROFESSIONAL.

National Codes:

01Suspected breast cancer
02Suspected children's cancer. For monitoring of the cancer Two Week Wait and 28 Day Faster Diagnosis standards, a child is defined as under the age of 16 years at the CANCER REFERRAL TO TREATMENT PERIOD START DATE
03Suspected lung cancer
04Suspected haematological malignancies excluding acute leukaemia
05Suspected acute leukaemia
06Suspected upper gastrointestinal cancers
07Suspected lower gastrointestinal cancers
08Suspected skin cancers
09Suspected gynaecological cancers
10Suspected brain or central nervous system tumours
11Suspected urological cancers (excluding testicular)
12Suspected testicular cancer
13Suspected head and neck cancers
14Suspected sarcomas
15Other suspected cancer (not listed) (Retired 1 October 2020)
16Exhibited (non-cancer) breast symptoms - cancer not initially suspected. This National Code is only to be used where a PATIENT has been referred on the basis of exhibited breast symptoms, but those symptoms do not place the PATIENT within the scope of the referral guidelines that specify that an urgent referral for suspected cancer from a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER must be made.
17Suspected cancer - non-specific symptoms
18Other suspected cancer (not listed)
 

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ABNORMALITY DETECTED INDICATOR (DATING ULTRASOUND SCAN)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ABNORMALITY DETECTED INDICATOR
Default Codes: 

Notes:
ABNORMALITY DETECTED INDICATOR (DATING ULTRASOUND SCAN) is the same as the attribute ABNORMALITY DETECTED INDICATOR to identify if any abnormality is detected at a Dating Ultrasound Scan.ABNORMALITY DETECTED INDICATOR (DATING ULTRASOUND SCAN) is the same as attribute ABNORMALITY DETECTED INDICATOR to identify if any abnormality is detected at a Dating Ultrasound Scan. 

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CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE)

Change to Data Element: Changed Description

Format/Length:max an255
National Codes: 
Default Codes: 

Notes:
CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE) is the same as attribute CANCER CARE SPELL DELAY REASON COMMENT.

CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE) is the free text comment that describes why a Cancer Care Spell Delay occurred:CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE) is the free text comment that describes why a Cancer Care Spell Delay occurred.

This is:

 

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CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT)

Change to Data Element: Changed Description

Format/Length:max an255
National Codes: 
Default Codes: 

Notes:
CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT) is the same as attribute CANCER CARE SPELL DELAY REASON COMMENT.

CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT) is the free text comment that describes why a Cancer Care Spell Delay occurred:CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT) is the free text comment that describes why a Cancer Care Spell Delay occurred.

This is:

 

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CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN)

Change to Data Element: Changed Description

Format/Length:max an255
National Codes: 
Default Codes: 

Notes:
CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN) is the same as attribute CANCER CARE SPELL DELAY REASON COMMENT.

CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN) is the free text comment field to describe why a Cancer Care Spell Delay occurred:CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN) is the free text comment field to describe why a Cancer Care Spell Delay occurred.

This is:

 

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CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)

Change to Data Element: Changed Description

Format/Length:max an255
National Codes: 
Default Codes: 

Notes:
CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY) is the same as attribute CANCER CARE SPELL DELAY REASON COMMENT.

CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY) is the free text comment that describes why a Cancer Care Spell Delay occurred where the:CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY) is the free text comment that describes why a Cancer Care Spell Delay occurred.

This is where the:

 

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CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT)

Change to Data Element: Changed Description

Format/Length:max an255
National Codes: 
Default Codes: 

Notes:
CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT) is the same as attribute CANCER CARE SPELL DELAY REASON COMMENT.

CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT) is the free text comment field to describe why a Cancer Care Spell Delay occurred:CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT) is the free text comment field to describe why a Cancer Care Spell Delay occurred.

This is:

 

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CANCER FASTER DIAGNOSIS PATHWAY END DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
CANCER FASTER DIAGNOSIS PATHWAY END DATE is the same as ACTIVITY DATE.

CANCER FASTER DIAGNOSIS PATHWAY END DATE is the End Date of the Cancer Faster Diagnosis Pathway.

CANCER FASTER DIAGNOSIS PATHWAY END DATE is either the End Date when the PATIENT:

Note: where a Decision To Treat is made before the CANCER FASTER DIAGNOSIS PATHWAY END REASON is recordedthen the end of the Cancer Faster Diagnosis Pathway is the DECISION TO TREAT DATE.

 

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CLINICAL TRIAL IDENTIFIER

Change to Data Element: Changed Description

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

Notes:
CLINICAL TRIAL IDENTIFIER is the same as attribute CLINICAL TRIAL IDENTIFIER.

Use in the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set / CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set ;/ CDS V6-2-3 Type 011 - Emergency Care Commissioning Data Set:Use in the CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set / CDS V6-2-3 Type 011 - Emergency Care Commissioning Data Set:

 

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CRITICAL CARE DISCHARGE TIME

Change to Data Element: Changed Description

Format/Length:an8 HH:MM:SS
National Codes: 
Default Codes: 

Notes:
CRITICAL CARE DISCHARGE TIME is the same as attribute ACTIVITY TIME.

CRITICAL CARE DISCHARGE TIME is the End Time for the CRITICAL CARE PERIODCRITICAL CARE DISCHARGE TIME is the End Time for the CRITICAL CARE PERIOD.

 

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CURRENT SEX WORKER INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See SEX WORKER INDICATOR
Default Codes: 

Notes:
CURRENT SEX WORKER INDICATOR is the same as the attribute SEX WORKER INDICATOR.CURRENT SEX WORKER INDICATOR is the same as attribute SEX WORKER INDICATOR.

CURRENT SEX WORKER INDICATOR is an indication of whether a PERSON is currently a sex worker.

 

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DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the same as attribute PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.

DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is either the date:DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the date the Primary Cancer was confirmed or the Primary Cancer diagnosis was agreed.

For the date that the Primary Cancer diagnosis was agreed:

 

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DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS)

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS) is the same as attribute DECISION TO REFER DATE.

DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS) is the date that a decision was made to refer a PATIENT for the purposes of the National Cancer Waiting Times Monitoring Data Set.

DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS) is the date on which:

 

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EMED3 FIT NOTE ASSESSMENT DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
EMED3 FIT NOTE ASSESSMENT DATE is the same as the attribute ACTIVITY DATE for the 'eMED3 Fit Note Assessment Date'.EMED3 FIT NOTE ASSESSMENT DATE is the same as attribute ACTIVITY DATE for the 'eMED3 Fit Note Assessment Date'. 

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EMED3 FIT NOTE RECORDED DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
EMED3 FIT NOTE RECORDED DATE is the same as the attribute ACTIVITY DATE for the 'eMED3 Fit Note Recorded Date'.EMED3 FIT NOTE RECORDED DATE is the same as attribute ACTIVITY DATE for the 'eMED3 Fit Note Recorded Date'. 

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EMPLOYEE ABSENCE TYPE RELATED REASON

Change to Data Element: Changed Description

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FORCED EXPIRATORY VOLUME IN 1 SECOND (ABSOLUTE AMOUNT)

Change to Data Element: Changed Description

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FORCED EXPIRATORY VOLUME IN 1 SECOND (PERCENTAGE)

Change to Data Element: Changed Description

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

Notes:
FORCED EXPIRATORY VOLUME IN 1 SECOND (PERCENTAGE) is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

FORCED EXPIRATORY VOLUME IN 1 SECOND (PERCENTAGE) is the result of the Clinical Investigation which measures the PATIENT's Forced Expiratory Volume in 1 second (Percentage).

For the Cancer Outcomes and Services Data Set:

 

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GESTATION LENGTH (AT BIRTH)

Change to Data Element: Changed Description

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

Notes:
GESTATION LENGTH (AT BIRTH) is the same as attribute GESTATION LENGTH IN DAYS at the PERSON BIRTH DATE of the REGISTRABLE BIRTH.GESTATION LENGTH (AT BIRTH) is the same as attribute GESTATION LENGTH IN DAYS.

GESTATION LENGTH (AT BIRTH) is the number of weeks completed gestation at the PERSON BIRTH DATE of the REGISTRABLE BIRTH.

GESTATION LENGTH (AT BIRTH) is calculated as:

280 - (ESTIMATED DATE OF DELIVERY (AGREED) - PERSON BIRTH DATE (BABY)).

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GESTATION LENGTH (AT DELIVERY)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes:99 - Not known

Notes:
GESTATION LENGTH (AT DELIVERY) is the same as attribute GESTATION LENGTH IN WEEKS and records a period of between 10 to 49 weeks in completed weeks at delivery.GESTATION LENGTH (AT DELIVERY) is the same as attribute GESTATION LENGTH IN WEEKS.

GESTATION LENGTH (AT DELIVERY) records a period of between 10 to 49 weeks in completed weeks at Delivery.

Note: the Format/Length has been updated in Data Dictionary Change Notice 1808 "Correction of Format/Length Data Elements". 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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GESTATION LENGTH (LABOUR ONSET)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes:99 - Not known

Notes:
GESTATION LENGTH (LABOUR ONSET) is the same as attribute GESTATION LENGTH IN WEEKS.

GESTATION LENGTH (LABOUR ONSET) records a period of between 10 to 49 weeks in completed weeks at the onset of labour.GESTATION LENGTH (LABOUR ONSET) records a period of between 10 to 49 weeks in completed weeks at the onset of Labour.

Note: the Format/Length has been updated in Data Dictionary Change Notice 1808 "Correction of Format/Length Data Elements". 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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GESTATION LENGTH (REMAINING DAYS AT DELIVERY)

Change to Data Element: Changed Description

Format/Length:n1
National Codes: 
Default Codes:9 - Not known

Notes:
GESTATION LENGTH (REMAINING DAYS AT DELIVERY) is the same as attribute GESTATION LENGTH IN WEEKS.

GESTATION LENGTH (REMAINING DAYS AT DELIVERY) is the remaining number of days of an uncompleted whole week after the GESTATION LENGTH IN WEEKS.

The value is in the range of 0-6.

 

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IMAGING ANATOMICAL SITE

Change to Data Element: Changed Description

Format/Length:max an5
National Codes: 
Default Codes: 

Notes:
IMAGING ANATOMICAL SITE is the same as attribute IMAGING ANATOMICAL SITE.

For the Cancer Outcomes and Services Data Set, IMAGING ANATOMICAL SITE is the OPCS-4 'Z' code plus the following permitted values:For the Cancer Outcomes and Services Data Set, IMAGING ANATOMICAL SITE is the OPCS-4 'Z' code plus a permitted value.

The permitted values are:

CZ001Whole body
CZ002Multiple sites
 

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER

Change to Data Element: Changed Description

Format/Length:max an5
National Codes: 
Default Codes: 

Notes:
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER is the same as attribute ACTIVITY SUSPENSION IDENTIFIER for the Improving Access to Psychological Therapies Data Set.

IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER is:IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER is used to used to uniquely identify the period of PATIENT initiated ACTIVITY SUSPENSION.

  • used to uniquely identify the period of PATIENT initiated ACTIVITY SUSPENSION
  • is locally generated and does not need to be sequential.

IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER is locally generated and does not need to be sequential.

See the NHS Digital website at: Improving Access to Psychological Therapies Data Set for details of how this identifier is generated.

 

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INTENDED AGE GROUP

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes:
INTENDED AGE GROUP is the same as attribute AGE GROUP INTENDED.

INTENDED AGE GROUP is based on the AGE GROUP INTENDED National Codes, with the addition of Home Leave:   INTENDED AGE GROUP is based on the AGE GROUP INTENDED National Codes, with the addition of Home Leave.   

Permitted National Codes:

1Neonates
2Children and/or adolescents
3Elderly
8Any age
9Home Leave
 

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LANGUAGE CODE (PREFERRED)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See LANGUAGE CODE
Default Codes: 

Notes:
LANGUAGE CODE (PREFERRED) is the same as the attribute LANGUAGE CODE.LANGUAGE CODE (PREFERRED) is the same as attribute LANGUAGE CODE.

LANGUAGE CODE (PREFERRED) is the LANGUAGE the PATIENTPatient Proxy or Carer prefers to use for communication with a Health Care Provider.

 

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LANGUAGE CODE (TREATMENT)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See LANGUAGE CODE
Default Codes: 

Notes:
LANGUAGE CODE (TREATMENT) is the same as the attribute LANGUAGE CODE.LANGUAGE CODE (TREATMENT) is the same as attribute LANGUAGE CODE.

LANGUAGE CODE (TREATMENT) is the LANGUAGE used for the delivery of the treatment to the PATIENT.

 

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LOCAL SUB-SPECIALTY CODE

Change to Data Element: Changed Description

Format/Length:max an8
National Codes: 
Default Codes: 

Notes:
LOCAL SUB-SPECIALTY CODE is the same as the attribute LOCAL SUB-SPECIALTY CODE.LOCAL SUB-SPECIALTY CODE is the same as attribute LOCAL SUB-SPECIALTY CODE.

LOCAL SUB-SPECIALTY CODE is an optional item in the Commissioning Data Set version 6-2, and is for local use only.  However it must NOT contain any text which may identify the PATIENT DIAGNOSIS of the PATIENT to which the ACTIVITY relates (for example, it must not include the acronym 'HIV') or the Patient Procedure being undertaken (for example using the acronym 'TOP' for terminations of pregnancy). Use of such identifiers contravenes the legal requirements for withholding identifiable information about PATIENTS with identified conditions.  See Security Issues and Patient Confidentiality for further details. 

 

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NHS CONTINUING HEALTHCARE REFERRALS

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 

Notes:
NHS CONTINUING HEALTHCARE REFERRALS is the same as attribute ACTIVITY COUNT.

NHS CONTINUING HEALTHCARE REFERRALS is the number of referrals for NHS Continuing Healthcare in the REPORTING PERIOD.

A referral is the earliest notification to the Clinical Commissioning Group (CCG), or ORGANISATION acting on behalf of the Clinical Commissioning Group, that full consideration for NHS Continuing Healthcare is required, for example:A referral is the earliest notification to the Clinical Commissioning Group (CCG), or ORGANISATION acting on behalf of the Clinical Commissioning Group, that full consideration for NHS Continuing Healthcare is required, for example, for:

The following should not be counted as referrals:

 

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NHS CONTINUING HEALTHCARE REFERRALS (DISCOUNTED BEFORE ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 


Notes:
NHS CONTINUING HEALTHCARE REFERRALS (DISCOUNTED BEFORE ASSESSMENT) is the same as attribute ACTIVITY COUNT.

NHS CONTINUING HEALTHCARE REFERRALS (DISCOUNTED BEFORE ASSESSMENT) is the number of referrals for NHS Continuing Healthcare that were discounted before assessment was complete.

For example:

  • PERSON deceased
  • Case withdrawn
  • Case closed without carrying out an assessment
  • Fast Track referrals that are deemed to not meet the criteria for Fast Track.
 

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OFFER STATUS (DATING ULTRASOUND SCAN)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
OFFER STATUS (DATING ULTRASOUND SCAN) is either attribute ACTIVITY OFFER STATUS or ACTIVITY NOT OFFERED REASON FOR MATERNITY, for the mother during the Maternity Episode for the Dating Ultrasound Scan.OFFER STATUS (DATING ULTRASOUND SCAN) is the same as attribute ACTIVITY OFFER STATUS or ACTIVITY NOT OFFERED REASON FOR MATERNITY, for the mother during the Maternity Episode for the Dating Ultrasound Scan.

Permitted National Codes:

01Offered and Undecided
02Offered and Declined
03Offered and Accepted
04Not Offered
SPNot eligible - for stage in pregnancy
 

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OFFER STATUS (HOLISTIC NEEDS ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
OFFER STATUS (HOLISTIC NEEDS ASSESSMENT) is the same as attribute ACTIVITY OFFER STATUS.   

OFFER STATUS (HOLISTIC NEEDS ASSESSMENT) is the status of the offer of the Holistic Needs Assessment.   

Permitted National Codes:

01Offered and Undecided
02Offered and Declined
03Offered and Accepted
04Not Offered
05Offered but PATIENT Unable to Complete
 

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OFFER STATUS (HUMAN PAPILLOMAVIRUS VACCINATION)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes:09 - Not Known (Not recorded)

Notes:
OFFER STATUS (HUMAN PAPILLOMAVIRUS VACCINATION) is the same as attribute ACTIVITY OFFER STATUS.   

OFFER STATUS (HUMAN PAPILLOMAVIRUS VACCINATION) is the status of the offer of the vaccination for Human papillomavirus (HPV).   

Permitted National Codes:

01Offered and Undecided
02Offered and Declined
03Offered and Accepted
05Not Offered: HPV vaccination previously received in full
06Not Offered: Other reason
 

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OFFER STATUS (PERSONALISED CARE AND SUPPORT PLANNING)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
OFFER STATUS (PERSONALISED CARE AND SUPPORT PLANNING) is the same as attribute ACTIVITY OFFER STATUS.

OFFER STATUS (PERSONALISED CARE AND SUPPORT PLANNING) is the status of the offer of the Personalised Care and Support Planning.   

Permitted National Codes:

01Offered and Undecided
02Offered and Declined
03Offered and Accepted
04Not Offered
05Offered but PATIENT Unable to Complete
06Not required (no concerns from Holistic Needs Assessment)
 

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ONWARD REFERRAL REASON

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ONWARD REFERRAL REASON
Default Codes:98 - Onward Referral Reason Not Applicable
Default Codes:98 - ONWARD REFERRAL REASON Not Applicable
 99 - Not Known (Not Recorded)

Notes:
ONWARD REFERRAL REASON is the same as attribute ONWARD REFERRAL REASON

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ONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes:98 - Onward Referral Reason Not Applicable
Default Codes:98 - ONWARD REFERRAL REASON Not Applicable
 99 - Not Known (Not Recorded)

Notes:
ONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET) is the same as attribute ONWARD REFERRAL REASON for the Mental Health Services Data Set.

Permitted National Codes:

01Transfer of Clinical Responsibility
02For Opinion Only
03For Diagnostic Test Only
04New Referral (Non Transfer)
96Other (not listed)
 

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ORGANISATION CODE (CODE OF PROVIDER)

Change to Data Element: Changed Description

Format/Length:an3, an5 or an6
National Codes: 
Default Codes:89997 - Non-UK provider where no ORGANISATION CODE has been issued
 89999 - Non-NHS UK provider where no ORGANISATION CODE has been issued

Notes:
ORGANISATION CODE (CODE OF PROVIDER) is the same as the attribute ORGANISATION CODE.ORGANISATION CODE (CODE OF PROVIDER) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (CODE OF PROVIDER) is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider.

For Commissioning Data Sets, the ORGANISATION CODE (CODE OF PROVIDER) should always be the ORGANISATION CODE of the Health Care Provider receiving the National Tariff Payment System income.

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

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

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

 

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ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)

Change to Data Element: Changed Description

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ORGANISATION CODE (ON PATHWAY)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
ORGANISATION CODE (ON PATHWAY) is the same as the attribute ORGANISATION CODE.ORGANISATION CODE (ON PATHWAY) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (ON PATHWAY) is the code of an ORGANISATION that has been involved in the PATIENT PATHWAY following the ORGANISATION that issued the PATIENT PATHWAY IDENTIFIER.

For the Inter-Provider Transfer Administrative Minimum Data Set, multiple occurrences of the ORGANISATION CODE (ON PATHWAY) may be recorded to reflect all ORGANISATIONS involved in the PATIENT PATHWAY.

 

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ORGANISATION CODE (RECEIVING)

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
Default Codes:ZZ201 - Not applicable (not discharged to another ORGANISATION): only valid for the National Neonatal Data Set - Episodic and Daily Care

Notes:
ORGANISATION CODE (RECEIVING) is the same as the attribute ORGANISATION CODE.ORGANISATION CODE (RECEIVING) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (RECEIVING) is the ORGANISATION CODE of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.

For the National Neonatal Data Set - Episodic and Daily Care, this is the ORGANISATION CODE of the ORGANISATION where a baby is transferred to on discharge from the neonatal critical care.

ORGANISATION CODE (RECEIVING) will be replaced with ORGANISATION IDENTIFIER (RECEIVING), which is the most recent approved national information standard to describe the required definition.

 

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ORGANISATION CODE (RESIDENCE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS.

This is where the PATIENT resides within the boundary of a:

ORGANISATION CODES can be downloaded from Technology Reference Update Distribution (TRUD). For further information, see Organisation Data Service.

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors)' should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (RESIDENCE RESPONSIBILITY).

The Organisation Data Service provides postcode files which link postcodes to the Clinical Commissioning Group. See NHS Postcode Directory.

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) will be replaced with ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY), which is the most recent approved national information standard to describe the required definition.

 

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ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)

Change to Data Element: Changed Description

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ORGANISATION IDENTIFIER (CHILDRENS NOMINATED PRINCIPAL TREATMENT CENTRE)

Change to Data Element: Changed Description

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ORGANISATION IDENTIFIER (CODE OF PROVIDER)

Change to Data Element: Changed Description

Format/Length:min an3 max an6
National Codes: 
Default Codes:89997 - Non-UK provider where no ORGANISATION IDENTIFIER has been issued
 89999 - Non-NHS UK provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION IDENTIFIER (CODE OF PROVIDER) is the same as the attribute ORGANISATION IDENTIFIER.ORGANISATION IDENTIFIER (CODE OF PROVIDER) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (CODE OF PROVIDER) is the ORGANISATION IDENTIFIER of the ORGANISATION acting as a Health Care Provider.

For Commissioning Data Sets, the ORGANISATION IDENTIFIER (CODE OF PROVIDER) should always be the ORGANISATION IDENTIFIER of the Health Care Provider receiving the National Tariff Payment System income.

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

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

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

 

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ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes: 

Notes:
ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST) is the same as the attribute ORGANISATION IDENTIFIER.ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST) is the ORGANISATION IDENTIFIER of the ORGANISATION at which the authorising Pathologist is based.

 

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ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN)

Change to Data Element: Changed Description

Format/Length:min an3 max an6
National Codes: 
Default Codes:89997 - Non-UK provider where no ORGANISATION IDENTIFIER has been issued
 89999 - Non-NHS UK provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN) is the same as the attribute ORGANISATION IDENTIFIER.ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN) is the ORGANISATION IDENTIFIER of the ORGANISATION that performed the Dating Ultrasound Scan.

 

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ORGANISATION IDENTIFIER (OF SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION)

Change to Data Element: Changed Description

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ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)

Change to Data Element: Changed Description

Format/Length:min an3 max an6
National Codes: 
Default Codes: 
  

Notes:
ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN) is the same as the attribute ORGANISATION IDENTIFIER.ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN) is the ORGANISATION IDENTIFIER of the originating ORGANISATION that referred the PATIENT to the SERVICE.

For the Maternity Services Data Set:

 

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ORGANISATION IDENTIFIER (RECEIVING)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes: 

Notes:
ORGANISATION IDENTIFIER (RECEIVING) is the same as the attribute ORGANISATION IDENTIFIER.ORGANISATION IDENTIFIER (RECEIVING) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (RECEIVING) is the ORGANISATION IDENTIFIER of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.

ORGANISATION CODE (RECEIVING) will be replaced with ORGANISATION IDENTIFIER (RECEIVING), which is the most recent approved national information standard to describe the required definition.

 

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ORGANISATION IDENTIFIER (REPORTING LABORATORY)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes: 

Notes:
ORGANISATION IDENTIFIER (REPORTING LABORATORY) is the same as the attribute ORGANISATION IDENTIFIER.ORGANISATION IDENTIFIER (REPORTING LABORATORY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (REPORTING LABORATORY) is the ORGANISATION IDENTIFIER of the ORGANISATION where the reporting Laboratory (the Laboratory that performed the test) is based.

 

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ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the ORGANISATION IDENTIFIER derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the ORGANISATION IDENTIFIER derived from the PATIENT's POSTCODE OF USUAL ADDRESS.

This is where the PATIENT resides within the boundary of a:

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors)' should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY).

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) will be replaced with ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY), which is the most recent approved national information standard to describe the required definition.

 

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ORGANISATION IDENTIFIER (TEENAGE YOUNG ADULTS NOMINATED PRINCIPAL TREATMENT CENTRE)

Change to Data Element: Changed Description

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OXFORD SHOULDER SCORE (QUESTION 1)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 1) is the PERSON SCORE for question 1 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 1) is the same as attribute PERSON SCORE for question 1 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "How would you describe the worst pain you had from your shoulder?"

 

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OXFORD SHOULDER SCORE (QUESTION 10)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 10) is the PERSON SCORE for question 10 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 10) is the same as attribute PERSON SCORE for question 10 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Have you been able to wash and dry yourself under both arms?"

 

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OXFORD SHOULDER SCORE (QUESTION 11)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 11) is the PERSON SCORE for question 11 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 11) is the same as attribute PERSON SCORE for question 11 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "How much has pain from your shoulder interfered with your usual work (including housework)?"

 

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OXFORD SHOULDER SCORE (QUESTION 12)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 12) is the PERSON SCORE for question 12 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 12) is the same as attribute PERSON SCORE for question 12 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Have you been troubled by pain from your shoulder in bed at night?"

 

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OXFORD SHOULDER SCORE (QUESTION 2)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 2) is the PERSON SCORE for question 2 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 2) is the same as attribute PERSON SCORE for question 2 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Have you had any trouble dressing yourself because of your shoulder?"

 

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OXFORD SHOULDER SCORE (QUESTION 3)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 3) is the PERSON SCORE for question 3 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 3) is the same as attribute PERSON SCORE for question 3 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Have you had any trouble getting in and out of a car or using public transport because of your shoulder?"

 

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OXFORD SHOULDER SCORE (QUESTION 4)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 4) is the PERSON SCORE for question 4 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 4) is the same as attribute PERSON SCORE for question 4 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Have you been able to use a knife and fork at the same time?"

 

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OXFORD SHOULDER SCORE (QUESTION 5)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 5) is the PERSON SCORE for question 5 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 5) is the same as attribute PERSON SCORE for question 5 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Could you do the household shopping on your own?"

 

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OXFORD SHOULDER SCORE (QUESTION 6)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 6) is the PERSON SCORE for question 6 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 6) is the same as attribute PERSON SCORE for question 6 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Could you carry a tray containing a plate of food across a room?"

 

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OXFORD SHOULDER SCORE (QUESTION 7)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 7) is the PERSON SCORE for question 7 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 7) is the same as attribute PERSON SCORE for question 7 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Could you brush/comb your hair with the affected arm?"

 

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OXFORD SHOULDER SCORE (QUESTION 8)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 8) is the PERSON SCORE for question 8 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 8) is the same as attribute PERSON SCORE for question 8 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "How would you describe the pain you usually had from your shoulder?"

 

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OXFORD SHOULDER SCORE (QUESTION 9)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X- Not Available

Notes:
OXFORD SHOULDER SCORE (QUESTION 9) is the PERSON SCORE for question 9 of the Oxford Orthopaedic Questionnaire (Shoulder).OXFORD SHOULDER SCORE (QUESTION 9) is the same as attribute PERSON SCORE for question 9 of the Oxford Orthopaedic Questionnaire (Shoulder).

The question asks the PATIENT "Could you hang your clothes up in a wardrobe, using the affected arm?"

 

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OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes:999 - Oxygen Saturation unknown

Notes:
OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE) is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE) is the result of the Clinical Investigation which measures the baby's Oxygen Saturation, on admission to neonatal critical care.

The value is in the range of 10-100.

 

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PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD)

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 

Notes:
PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD) is the same as attribute PERSON COUNT.

PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD) is the number of PERSONS assessed as not eligible for NHS Continuing Healthcare (Standard) in the REPORTING PERIOD.

This is where a new Decision Support Tool for NHS Continuing Healthcare or Multidisciplinary Team recommendation has been made and the Clinical Commissioning Group (CCG) has made a decision that the PERSON is not eligible for NHS Continuing Healthcare (Standard).

This could also include those cases that were found not eligible for Standard NHS Continuing Healthcare but were eligible for NHS-funded Nursing Care (NHS FNC) or a Joint Funded individual package of care.

Note: this item is not applicable for NHS Continuing Healthcare (Fast Track)

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PERSONS ASSESSED FOR NHS CONTINUING HEALTHCARE

Change to Data Element: Changed Description

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PERSON STATED NATIONALITY

Change to Data Element: Changed Description

Format/Length:max an50
NWDS ID:PNAT
NWDS Field Name:Nationality
National Codes: 
Default Codes: 

Notes:
PERSON STATED NATIONALITY  is the same as attribute PERSON STATED NATIONALITY.

For the National Workforce Data Set the PERSON STATED NATIONALITY is the nationality of the PERSON:For the National Workforce Data Set the PERSON STATED NATIONALITY is the nationality of the PERSON as stated by the individual on appointment to a POSITION or as stated by the individual in the course of employment (should they change their NATIONALITY).

  • as stated by the individual on appointment to a POSITION or
  • as stated by the individual in the course of employment (should they change their NATIONALITY).

For Electronic Staff Record and National Workforce Data Set only one NATIONALITY can be identified. In the case of dual NATIONALITY, the PERSON should choose their preferred NATIONALITY.

 

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POSTCODE

Change to Data Element: Changed Description

Format/Length:max an8
NWDS ID:SPOC
NWDS Field Name:Post Code
National Codes: 
Default Codes: 

Notes:
POSTCODE is the same as attribute POSTCODE.

If a POSTCODE is not known, (for example, the PATIENT has no fixed abode, the PATIENT is an Overseas Visitor etc.) the appropriate Organisation Data Service pseudo POSTCODE should be used.

The pseudo POSTCODES can be found on the Organisation Data Service pages of the NHS Digital website at: Office for National Statistics data. The look_ups file contains the Pseudo Country Postcode files.

For further information on POSTCODES, see:

If a POSTCODE is not known, (for example, the PATIENT has no fixed abode, the PATIENT is an Overseas Visitor etc.) the appropriate Organisation Data Service pseudo POSTCODE should be used.

The pseudo POSTCODES can be found on the Organisation Data Service pages of the NHS Digital website at: Office for National Statistics data. The look_ups file contains the Pseudo Country Postcode files.

 

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PREGNANCY TOTAL PREVIOUS CAESAREAN SECTIONS

Change to Data Element: Changed Description

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

Notes:
PREGNANCY TOTAL PREVIOUS CAESAREAN SECTIONS is the same as attribute ACTIVITY COUNT.

PREGNANCY TOTAL PREVIOUS CAESAREAN SECTIONS is the number of previous pregnancies where a baby was delivered via a caesarean section.  

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PREGNANCY TOTAL PREVIOUS LIVE BIRTHS

Change to Data Element: Changed Description

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

Notes:
PREGNANCY TOTAL PREVIOUS LIVE BIRTHS is the same as attribute ACTIVITY COUNT.

PREGNANCY TOTAL PREVIOUS LIVE BIRTHS is the number of live REGISTRABLE BIRTHS from previous pregnancies.  

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PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS

Change to Data Element: Changed Description

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

Notes:
PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS is the same as attribute ACTIVITY COUNT.

PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS is the number of previous terminations and losses before 24 weeks of pregnancy (i.e. less than 23 weeks and 6 days).  

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PREGNANCY TOTAL PREVIOUS PREGNANCIES

Change to Data Element: Changed Description

Format/Length:n2
National Codes: 
Default Codes:99 - Not known

Notes:
PREGNANCY TOTAL PREVIOUS PREGNANCIES is the same as attribute ACTIVITY COUNT.

PREGNANCY TOTAL PREVIOUS PREGNANCIES is the number of previous pregnancies resulting in one or more REGISTRABLE BIRTHS.

The following values with the addition of the Default Code, can be used:

00No previous pregnancy resulting in a REGISTRABLE BIRTH
01One previous pregnancy resulting in a REGISTRABLE BIRTH
02Two previous pregnancies resulting in a REGISTRABLE BIRTH
03Three previous pregnancies resulting in a REGISTRABLE BIRTH

etc. until

29Twenty nine previous pregnancies resulting in a REGISTRABLE BIRTH

PREGNANCY TOTAL PREVIOUS PREGNANCIES will be replaced with NUMBER OF PREVIOUS PREGNANCIES RESULTING IN REGISTRABLE BIRTH, which is the most recent approved national information standard to describe the required definition.

 

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PREGNANCY TOTAL PREVIOUS STILLBIRTHS

Change to Data Element: Changed Description

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

Notes:
PREGNANCY TOTAL PREVIOUS STILLBIRTHS is the same as attribute ACTIVITY COUNT.

PREGNANCY TOTAL PREVIOUS STILLBIRTHS is the number of still REGISTRABLE BIRTHS from previous pregnancies, i.e. a birth after a gestation of 24 weeks (168 days), or more, where a baby shows no identifiable signs of life at delivery.  

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PRISONER INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PRISONER INDICATOR
Default Codes: 

Notes:
PRISONER INDICATOR is the same as the attribute PRISONER INDICATOR.PRISONER INDICATOR is the same as attribute PRISONER INDICATOR. 

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PROFESSIONAL REGISTRATION ISSUER CODE

Change to Data Element: Changed Description

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REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description

Format/Length:n2
National Codes: 
Default Codes: 

Notes:
REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER) is the same as attribute REFERRAL TO TREATMENT PERIOD STATUS for inter-provider transfers.
Notes:

Permitted National Codes:

12First ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following a decision to refer directly to the CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition
20Subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD - further ACTIVITIES anticipated
90Not part of a REFERRAL TO TREATMENT PERIOD: After treatment - First Definitive Treatment occurred previously (e.g. admitted as an emergency from A&E or the ACTIVITY is after the start of treatment)
98Not part of a REFERRAL TO TREATMENT PERIODACTIVITY not applicable to REFERRAL TO TREATMENT PERIODS 
 Notes:

 

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RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL)

Change to Data Element: Changed Description

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RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT)

Change to Data Element: Changed Description

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RESTRICTIVE INTERVENTION REASON

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See RESTRICTIVE INTERVENTION REASON
Default Codes:99 - Not Known (Not Recorded)

Notes:
RESTRICTIVE INTERVENTION REASON is the same as the attribute RESTRICTIVE INTERVENTION REASON.RESTRICTIVE INTERVENTION REASON is the same as attribute RESTRICTIVE INTERVENTION REASON. 

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RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR
Default Codes: 

Notes:
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL) is the same as the attribute RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR to indicate if an injury was sustained to a member of Care Personnel during an incident of restraint during a Restrictive Intervention.RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL) is the same as attribute RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR to indicate if an injury was sustained to a member of Care Personnel during an incident of restraint during a Restrictive Intervention. 

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RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR
Default Codes: 

Notes:
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON) is the same as the attribute RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR to indicate if an injury was sustained to a PERSON, other than the PATIENT or Care Personnel during an incident of restraint during a Restrictive Intervention.RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON) is the same as attribute RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR to indicate if an injury was sustained to a PERSON, other than the PATIENT or Care Personnel during an incident of restraint during a Restrictive Intervention. 

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RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR
Default Codes: 

Notes:
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT) is the same as the attribute RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR to indicate if an injury was sustained to the PATIENT during an incident of restraint during a Restrictive Intervention.RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT) is the same as attribute RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR to indicate if an injury was sustained to the PATIENT during an incident of restraint during a Restrictive Intervention. 

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RESTRICTIVE INTERVENTION TYPE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See RESTRICTIVE INTERVENTION TYPE
Default Codes: 

Notes:
RESTRICTIVE I