NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1870
Version No:1.0
Subject:November 2022 release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:20 October 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:

Data Set
CDS V6-3 TYPE 020 - OUTPATIENT CDS   Changed Description
CDS V6-3 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS   Changed Description
CDS V6-3 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS   Changed Description
 
Supporting Information
CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW   Changed Description
CDS V6-3 TYPE 001 - CDS INTERCHANGE HEADER OVERVIEW   Changed Description
CLAVIEN-DINDO CLASSIFICATION OF SURGICAL CLASSIFICATIONS   Changed Description
COMMISSIONING DATA SET ADDRESSING GRID   Changed Description
NON-CONTRACT ACTIVITY   Changed Description
OPHTHALMIC QUALIFICATIONS COMMITTEE (RETIRED) renamed from OPHTHALMIC QUALIFICATIONS COMMITTEE   Changed Description, Name, status to Retired
ORGANISATION MERGERS   Changed Description
RADIOLOGY INFORMATION SYSTEM   New Supporting Information
RELEASE HISTORY: NOVEMBER 2022 renamed from RELEASE HISTORY: JULY 2022   Changed Description, Name
SECURITY ISSUES AND PATIENT CONFIDENTIALITY   Changed Description
SUPPORTING DEFINITIONS MENU   Changed Description
URINE OUTPUT   Changed Description
 
Class Definitions
CARE PLAN   Changed Description
CARE PROFESSIONAL TEAM   Changed Attributes
CLINICAL INTERVENTION   Changed Attributes
OPHTHALMIC MEDICAL PRACTITIONER   Changed Description
 
Attribute Definitions
BUILDING NAME   Changed Description
BUILDING NUMBER   Changed Description
COMMUNICATION CONTACT STRING   Changed Description
EMED3 FIT NOTE ISSUER   New Attribute
LOCAL TREATMENT CATEGORY CODE   Changed Description
MOLECULAR DIAGNOSTIC CODE   Changed Description
NHS NUMBER STATUS INDICATOR CODE   Changed Description
NUMBER OF BABIES IDENTIFICATION CODE   Changed Description
OFFENCE HISTORY INDICATION CODE   Changed Description
PERSON GENDER CODE   Changed Description
PERSON NAME WORD TEXT   Changed Description
POSTAL COUNTY   Changed Description
POST TOWN   Changed Description
PROSTATE CANCER CLINICAL RISK CATEGORY   Changed Description
REFERRING CARE PROFESSIONAL TYPE FOR NHS CONTINUING HEALTHCARE STANDARD   Changed Description
REPORTING TYPE INDICATOR   Changed Description
SESSION TIME   Changed Description
STREET OR ROAD NAME   Changed Description
 
Data Elements
ASSESSMENT TOOL VALIDATION TIMESTAMP   Changed Description
CODED DIAGNOSIS TIMESTAMP   Changed Description
CODED PROCEDURE TIMESTAMP   Changed Description
CODED PROCEDURE TIMESTAMP (MEDICATION ADMINISTRATION)   Changed Description
CODED PROCEDURE TIMESTAMP (RADIOTHERAPY EXPOSURE)   Changed Description
CODED PROVISIONAL DIAGNOSIS TIMESTAMP   Changed Description
DATA SET CREATED TIMESTAMP   Changed Description
DELIVERY TIMESTAMP   Changed Description
EMED3 FIT NOTE ISSUER   New Data Element
EMERGENCY CARE CLINICALLY READY TO PROCEED TIMESTAMP   Changed Description
EMERGENCY CARE EXPECTED DATE AND TIMESTAMP OF TREATMENT   Changed Description
EMERGENCY CARE TREATMENT ALLOCATION TIMESTAMP   Changed Description
GS1 APPLICATION IDENTIFIER (INTERNAL)   Changed Description
IMAGING REPORT TEXT   Changed Description
LAST PATIENT CANCELLED DATE   Changed Description
LAST PATIENT DID NOT ATTEND DATE   Changed Description
MEDICATION ADMINISTRATION RECORDED TIMESTAMP   Changed Description
MEDICATION ADMINISTRATION RECORD LAST UPDATED TIMESTAMP   Changed Description
OFFER STATUS (DATING ULTRASOUND SCAN)   Changed Description
ONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET)   Changed Description
PRESCRIBED MEDICATION AUTHORISED TIMESTAMP   Changed Description
PRESCRIBED MEDICATION DOSE TO BE ADMINISTERED TIMESTAMP   Changed Description
PRESCRIBED MEDICATION RECORD LAST UPDATED TIMESTAMP   Changed Description
PRESCRIBED MEDICATION VALIDITY PERIOD END TIMESTAMP   Changed Description
PRESCRIBED MEDICATION VALIDITY PERIOD START TIMESTAMP   Changed Description
PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY)   Changed Description
SMOKING STATUS (CANCER)   Changed Description
 
XML Schema Constraint
COMMISSIONING DATA SET VERSION 6-2-2 XML SCHEMA CONSTRAINTS   Changed Description
COMMISSIONING DATA SET VERSION 6-2-3 XML SCHEMA CONSTRAINTS   Changed Description
COMMUNITY SERVICES DATA SET CONSTRAINTS   Changed Description
CRITICAL CARE MINIMUM DATA SET CONSTRAINTS   Changed Description
DEVICES PATIENT LEVEL CONTRACT MONITORING DATA SET CONSTRAINTS   Changed Description
DRUGS PATIENT LEVEL CONTRACT MONITORING DATA SET CONSTRAINTS   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET CONSTRAINTS   Changed Description
MENTAL HEALTH SERVICES DATA SET CONSTRAINTS   Changed Description
NATIONAL CANCER WAITING TIMES MONITORING DATA SET CONSTRAINTS   Changed Description
NATIONAL NEONATAL DATA SET CONSTRAINTS   Changed Description
PATIENT LEVEL CONTRACT MONITORING DATA SET CONSTRAINTS   Changed Description
PLICS ACUTE SUPPLEMENTARY INFORMATION DATA SET CONSTRAINTS   Changed Description
PLICS AMBULANCE DATA SET CONSTRAINTS   Changed Description
PLICS INTEGRATED DATA SET ADMITTED PATIENT CARE (ACUTE) CONSTRAINTS   Changed Description
PLICS INTEGRATED DATA SET EMERGENCY CARE (ACUTE) CONSTRAINTS   Changed Description
PLICS INTEGRATED DATA SET IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CONSTRAINTS   Changed Description
PLICS INTEGRATED DATA SET MENTAL HEALTH ADMITTED PATIENT CARE CONSTRAINTS   Changed Description
PLICS INTEGRATED DATA SET OUT-PATIENT CARE (ACUTE) CONSTRAINTS   Changed Description
PLICS INTEGRATED DATA SET SPECIALIST WARD CARE (ACUTE) CONSTRAINTS   Changed Description
PLICS MENTAL HEALTH CARE CONTACTS DATA SET CONSTRAINTS   Changed Description
PLICS RECONCILIATION DATA SET CONSTRAINTS   Changed Description
RADIOTHERAPY DATA SET CONSTRAINTS   Changed Description
SYSTEMIC ANTI-CANCER THERAPY DATA SET CONSTRAINTS   Changed Description
 

Date:20 October 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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CDS V6-3 TYPE 020 - OUTPATIENT CDS

Change to Data Set: Changed Description


CDS V6-3 TYPE 020 - OUTPATIENT COMMISSIONING DATA SET
FUNCTION: To support the details of an Care Professional Outpatient Attendance.

NotationDATA GROUP: CDS V6-3 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-3 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED:
NotationDATA GROUP: CDS V6-3 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-3 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-3 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-3 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Patient Pathway.
This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target or is subject to Allied Health Professional Referral To Treatment Measurement.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F
 
F
I2
M1..1ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPE (COMMISSIONING DATA SET)V
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
 National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIER (EXTENDED)F
S3
M1..1ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIER (EXTENDED)F
S3
M1..1ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1Data Element ComponentsRules
M
OR
O
and
M
and
M
and
O
and
O
1..1
OR 
0..1
and
1..1
and
1..1
and
0..1
and
0..1
PATIENT FULL NAME
OR
PATIENT TITLE
and
PATIENT GIVEN NAME
and
PATIENT FAMILY NAME
and
PATIENT NAME SUFFIX
and
PATIENT INITIALS
F
S3
I4
R0..1Data Element ComponentsRules
M
OR
M
1..1
OR 
2..5
PATIENT USUAL ADDRESS (UNSTRUCTURED)
OR
PATIENT USUAL ADDRESS (STRUCTURED)
F
S3
I5
M1..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the characteristics of the Patient.
M1..1Data Element ComponentsRules
R0..1PERSON STATED GENDER CODEV
H4
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV
X0..1ETHNIC CATEGORY 2021N2

NotationDATA GROUP: PATIENT CHARACTERISTICS - SOCIAL AND PERSONAL CIRCUMSTANCES (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Social and Personal Circumstances for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT SOCIAL AND PERSONAL CIRCUMSTANCESRules
M1..1SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT EXPRESSION)F
M1..1SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - PERSON GROUP (CARE PROFESSIONAL)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the Care Professionals active during the Care Attendance.
M1..1Data Element ComponentsRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIERF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEF
H4
M1..1ACTIVITY TREATMENT FUNCTION CODEF
H4
O0..1LOCAL SUB-SPECIALTY CODEF
M1..1RESPONSIBLE CARE PROFESSIONAL INDICATORV

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
O
Group
Repeats
0..1
FUNCTION: To carry the details of the ICD coded Clinical Diagnoses for the Patient.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USE (COMMISSIONING DATA SET)V
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (ICD)F

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Clinical Diagnoses for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT DIAGNOSISRules
M1..1DIAGNOSIS (SNOMED CT EXPRESSION)F
M1..1CODED CLINICAL ENTRY SEQUENCE NUMBERF
M1..1CODED DIAGNOSIS TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - COMORBIDITY (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Comorbidities for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT COMORBIDITYRules
M1..1COMORBIDITY (SNOMED CT EXPRESSION)F
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - EMED3 FIT NOTE
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of EMED3 Fit Note issued.
M1..1Data Element ComponentsRules
R0..1EMED3 FIT NOTE ASSESSMENT DATEF
S13
R0..1EMED3 FIT NOTE CONDITION (SNOMED CT EXPRESSION)F
R0..1EMED3 FIT NOTE DIAGNOSIS (ICD)F
R0..1EMED3 FIT NOTE START DATEF
S13
R0..1EMED3 FIT NOTE END DATEF
S13
R0..1EMED3 FIT NOTE DURATIONF
R0..1EMED3 FIT NOTE RECORDED DATEF
S13
R0..1EMED3 FIT NOTE FOLLOW UP ASSESSMENT REQUIRED INDICATORV
X0..1EMED3 FIT NOTE ISSUERN2
X0..1EMED3 FIT NOTE ISSUERN2

NotationDATA GROUP: CARE ATTENDANCE - ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the details of the Attendance or Missed/Cancelled Appointment.
M1..1Data Element ComponentsRules
M1..1OUTPATIENT ATTENDANCE IDENTIFIERF
I1
R0..1ADMINISTRATIVE CATEGORY CODEV
R0..1ATTENDANCE STATUSV
R0..1FIRST ATTENDANCE CODEV
H4
R0..1OUT-PATIENT ATTENDANCE OUTCOMEV
R0..1APPOINTMENT BOOKED REASONV
M1..1APPOINTMENT DATEF
S1
S13
O0..1APPOINTMENT TIMEF
S14
O0..1EXPECTED DURATION OF APPOINTMENTF
M1..1AGE AT CDS ACTIVITY DATEF
H4
S8
R0..1OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATEV
R0..1EARLIEST REASONABLE OFFER DATEF
S13
R0..1EARLIEST CLINICALLY APPROPRIATE DATEF
S13
R0..1LATEST CLINICALLY APPROPRIATE DATEF
S13
R0..1CONSULTATION MECHANISMV
R0..1CONSULTATION TYPEV
O0..1MULTI-PROFESSIONAL OR MULTI-DISCIPLINARY INDICATION CODE (NATIONAL TARIFF PAYMENT SYSTEM)V
O0..1REHABILITATION ASSESSMENT TEAM TYPEV
N3
R0..1PATIENT ON PATIENT INITIATED OUT-PATIENT FOLLOW UP PATHWAY INDICATOR AT CDS ACTIVITY DATEV
R0..1PATIENT SUBJECT TO REMOTE MONITORING INDICATOR AT CDS ACTIVITY DATEV
R0..1PERSONALISED OUT-PATIENT FOLLOW UP PATHWAY REVIEW DATEF
S13
R0..1PERSONALISED OUT-PATIENT FOLLOW UP PATHWAY EXPIRY DATEF
S13

NotationDATA GROUP: CARE ATTENDANCE - SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the details of the Provider,  Commissioners and Service Agreements.
M1..1Data Element ComponentsRules
M1..1ORGANISATION IDENTIFIER (CODE OF PROVIDER)F
M1..*DATA GROUP: COMMISSIONERSRules
M1..1ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)F
R0..1START DATE (COMMISSIONER ASSIGNMENT PERIOD)F
S13
R0..1END DATE (COMMISSIONER ASSIGNMENT PERIOD)F
S13
R0..1NHS SERVICE AGREEMENT IDENTIFIERF
O0..1NHS SERVICE AGREEMENT LINE IDENTIFIERF
O0..1PROVIDER REFERENCE IDENTIFIERF
R0..1COMMISSIONER REFERENCE IDENTIFIERF
R0..1SERVICE CODEF

NotationDATA GROUP: CARE ATTENDANCE - PROCEDURE GROUP (OPCS)
Group
Status
O
Group
Repeats
0..1
FUNCTION: To carry the details of the OPCS coded Procedures for the Patient.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USE (COMMISSIONING DATA SET)V
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (OPCS)F
H4
R0..1PROCEDURE DATEF
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
R0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (OPCS)F
H4
R0..1PROCEDURE DATE
F
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F

NotationDATA GROUP: CARE ATTENDANCE - PROCEDURE GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Procedures for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT PROCEDURERules
M1..1PROCEDURE (SNOMED CT EXPRESSION)F
M1..1CODED CLINICAL ENTRY SEQUENCE NUMBERF
M1..1CODED PROCEDURE TIMESTAMPF
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE ATTENDANCE - OBSERVATION GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Clinical Observations for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT OBSERVATIONRules
M1..1OBSERVATION (SNOMED CT EXPRESSION)F
R0..1OBSERVATION VALUEF
R0..1UCUM UNIT OF MEASUREMENTF
M1..1CODED OBSERVATION TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE ATTENDANCE - FINDING GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Clinical Findings for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT FINDINGRules
M1..1FINDING (SNOMED CT EXPRESSION)F
M1..1CODED FINDING TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE ATTENDANCE - ASSESSMENT TOOL  GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded  Assessment Tools for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT ASSESSMENT TOOLRules
M1..1ASSESSMENT TOOL (SNOMED CT EXPRESSION)F
M1..1PERSON SCOREF
M1..1ASSESSMENT TOOL COMPLETION TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: LOCATION GROUP - ATTENDANCE
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Location and Site Code Of Treatment.
M1..1Data Element ComponentsRules
R0..1ORGANISATION SITE IDENTIFIER (OF TREATMENT)F
R0..1ACTIVITY LOCATION TYPE CODEF
O0..1CLINIC CODEF

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details.
M1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)F

NotationDATA GROUP: ACTIVITY CHARACTERISTICS - REFERRAL
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Referral.
M1..1Data Element ComponentsRules
R0..1PRIORITY TYPE CODEV
R0..1SERVICE TYPE REQUESTED CODEV
R0..1SOURCE OF REFERRAL FOR OUT-PATIENTSV
R0..1REFERRAL REQUEST RECEIVED DATEF
S13
O0..1DIRECT ACCESS REFERRAL INDICATORV
O0..1REFERRED BY FIRST CONTACT PRACTITIONER INDICATORV
R0..1SERVICE REQUEST IDENTIFIERF

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Referrer.
M1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1ORGANISATION IDENTIFIER (REFERRING ORGANISATION)F

NotationDATA GROUP: CARE REFERRAL - MISSED APPOINTMENT OCCURRENCE
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of a Missed Appointment.
M1..1Data Element ComponentsRules
R0..1LAST PATIENT DID NOT ATTEND DATEF
S13
R0..1LAST PATIENT CANCELLED DATEF
S13

NotationDATA GROUP: CDS V6-3 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-3 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CDS V6-3 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS

Change to Data Set: Changed Description


CDS V6-3 TYPE 130 - FINISHED GENERAL EPISODE COMMISSIONING DATA SET
FUNCTION: To support the details of a Finished Care Professional Admitted Care General Episode.

NotationDATA GROUP: CDS V6-3 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-3 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-3 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED:
NotationDATA GROUP: CDS V6-3 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-3 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-3 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-3 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Patient Pathway.
This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F
 
F
I2
M1..1ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPE (COMMISSIONING DATA SET)V
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
 National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIER (EXTENDED)F
S3
M1..1ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIER (EXTENDED)F
S3
M1..1ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1Data Element ComponentsRules
M
OR
O
and
M
and
M
and
O
and
O
1..1
OR 
0..1
and
1..1
and
1..1
and
0..1
and
0..1
PATIENT FULL NAME
OR
PATIENT TITLE
and
PATIENT GIVEN NAME
and
PATIENT FAMILY NAME
and
PATIENT NAME SUFFIX
and
PATIENT INITIALS
F
S3
I4
R0..1Data Element ComponentsRules
M
OR
M
1..1
OR 
2..5
PATIENT USUAL ADDRESS (UNSTRUCTURED)
OR
PATIENT USUAL ADDRESS (STRUCTURED)
F
S3
I5
M1..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the characteristics of the Patient.
M1..1Data Element ComponentsRules
R0..1PERSON STATED GENDER CODEV
H4
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV
X0..1ETHNIC CATEGORY 2021N2
R0..1PERSON MARITAL STATUSV
R0..1MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)F

NotationDATA GROUP: PATIENT CHARACTERISTICS - SOCIAL AND PERSONAL CIRCUMSTANCES (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Social and Personal Circumstances for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT SOCIAL AND PERSONAL CIRCUMSTANCESRules
M1..1SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT EXPRESSION)F
M1..1SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1HOSPITAL PROVIDER SPELL IDENTIFIERF
H4
R0..1ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)V
R0..1PATIENT CLASSIFICATION CODEV
H4
R0..1METHOD OF ADMISSION (HOSPITAL PROVIDER SPELL)V
H4
R0..1ADMISSION SOURCE (HOSPITAL PROVIDER SPELL)V
H4
M1..1START DATE (HOSPITAL PROVIDER SPELL)F
H4
S13
O0..1START TIME (HOSPITAL PROVIDER SPELL)F
S14
M1..1AGE ON ADMISSIONF
H4
R0..1AMBULANCE CALL IDENTIFIERF
R0..1ORGANISATION IDENTIFIER (CONVEYING AMBULANCE TRUST)F
R0..1CARE CONTACT IDENTIFIER (AMBULANCE SERVICE)F

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL)V
H4
R0..1METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL)V
H4
R0..1DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)F
S13
R0..1DISCHARGE DATE (HOSPITAL PROVIDER SPELL)F
S13
O0..1DISCHARGE TIME (HOSPITAL PROVIDER SPELL)F
S14
R0..1DISCHARGED TO NHS AT HOME SERVICE INDICATORV

NotationDATA GROUP: CARE EPISODE - ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the details of the Patient's Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1EPISODE NUMBERF
H4
R0..1LAST EPISODE IN SPELL INDICATOR CODEV
R0..1NEONATAL LEVEL OF CARE CODEV
H4
O0..1FIRST REGULAR DAY OR NIGHT ADMISSION CODEV
R0..1PSYCHIATRIC PATIENT STATUS CODEV
M1..1START DATE (EPISODE)F
H4
S13
O0..1START TIME (EPISODE)F
S14
M1..1END DATE (EPISODE)F
H4
S1
S13
O0..1END TIME (EPISODE)F
S14
M1..1AGE AT CDS ACTIVITY DATEF
H4
S8
O0..1REHABILITATION ASSESSMENT TEAM TYPEV
N3

NotationDATA GROUP: CARE EPISODE - LENGTH OF STAY ADJUSTMENT
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry details of length of stay adjustments to the Finished General Care Professional Admitted Care Episode .
M1..1Data Element ComponentsRules
R0..1LENGTH OF STAY ADJUSTMENT (REHABILITATION)F
H4
R0..1LENGTH OF STAY ADJUSTMENT (SPECIALIST PALLIATIVE CARE)F
H4

NotationDATA GROUP: CARE EPISODE - OVERSEAS VISITOR CHARGING CATEGORY
Group
Status
R
Group
Repeats
0..5
FUNCTION: To carry the details of the Overseas Visitor Charging Categories of the Patient during the Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
M1..1OVERSEAS VISITOR CHARGING CATEGORYV
M1..1OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATEF
S13
R0..1OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATEF
S13

NotationDATA GROUP: CARE EPISODE - SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Provider,  Commissioners and Service Agreements.
M1..1Data Element ComponentsRules
M1..1ORGANISATION IDENTIFIER (CODE OF PROVIDER)F
H4
M1..*DATA GROUP: COMMISSIONERSRules
M1..1ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)F
R0..1START DATE (COMMISSIONER ASSIGNMENT PERIOD)F
S13
R0..1END DATE (COMMISSIONER ASSIGNMENT PERIOD)F
S13
R0..1NHS SERVICE AGREEMENT IDENTIFIERF
O0..1NHS SERVICE AGREEMENT LINE IDENTIFIERF
O0..1PROVIDER REFERENCE IDENTIFIERF
R0..1COMMISSIONER REFERENCE IDENTIFIERF
R0..1SERVICE CODEF

NotationDATA GROUP: CARE EPISODE - PERSON GROUP (CARE PROFESSIONAL)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the Care Professionals active during the Finished General Care Professional Admitted Care Episode.
M1..1M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIERF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEF
H4
M1..1ACTIVITY TREATMENT FUNCTION CODEF
H4
O0..1LOCAL SUB-SPECIALTY CODEF
M1..1RESPONSIBLE CARE PROFESSIONAL INDICATORV

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the ICD coded Clinical Diagnoses for the Patient.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USE (COMMISSIONING DATA SET)V
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV
R0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Clinical Diagnoses for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT DIAGNOSISRules
M1..1DIAGNOSIS (SNOMED CT EXPRESSION)F
M1..1CODED CLINICAL ENTRY SEQUENCE NUMBERF
M1..1CODED DIAGNOSIS TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - COMORBIDITY (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Comorbidities for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT COMORBIDITYRules
M1..1COMORBIDITY (SNOMED CT EXPRESSION)F
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - EMED3 FIT NOTE
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the EMED3 Fit Note issued.
M1..1Data Element ComponentsRules
R0..1EMED3 FIT NOTE ASSESSMENT DATEF
S13
R0..1EMED3 FIT NOTE CONDITION (SNOMED CT EXPRESSION)F
R0..1EMED3 FIT NOTE DIAGNOSIS (ICD)F
R0..1EMED3 FIT NOTE START DATEF
S13
R0..1EMED3 FIT NOTE END DATEF
S13
R0..1EMED3 FIT NOTE DURATIONF
R0..1EMED3 FIT NOTE RECORDED DATEF
S13
R0..1EMED3 FIT NOTE FOLLOW UP ASSESSMENT REQUIRED INDICATORV
X0..1EMED3 FIT NOTE ISSUERN2
X0..1EMED3 FIT NOTE ISSUERN2

NotationDATA GROUP: CARE EPISODE - PROCEDURE GROUP (OPCS)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the OPCS coded Procedures for the Patient.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USE (COMMISSIONING DATA SET)V
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (OPCS)F
H4
R0..1PROCEDURE DATEF
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
R0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (OPCS)F
H4
R0..1PROCEDURE DATE
F
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F

NotationDATA GROUP: CARE EPISODE - PROCEDURE GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Procedures for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT PROCEDURERules
M1..1PROCEDURE (SNOMED CT EXPRESSION)F
M1..1CODED CLINICAL ENTRY SEQUENCE NUMBERF
M1..1CODED PROCEDURE TIMESTAMPF
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - OBSERVATION GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Clinical Observations for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT OBSERVATIONRules
M1..1OBSERVATION (SNOMED CT EXPRESSION)F
R0..1OBSERVATION VALUEF
R0..1UCUM UNIT OF MEASUREMENTF
M1..1CODED OBSERVATION TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - FINDING GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Clinical Findings for the Patient.
One of the following DATA GROUPS may be used:
M0..1DATA GROUP: SNOMED CT FINDINGRules
M1..1FINDING (SNOMED CT EXPRESSION)F
M1..1CODED FINDING TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - ASSESSMENT TOOL  GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded  Assessment Tools for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT ASSESSMENT TOOLRules
M1..1ASSESSMENT TOOL (SNOMED CT EXPRESSION)F
M1..1PERSON SCOREF
M1..1ASSESSMENT TOOL COMPLETION TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: LOCATION GROUP (AT START OF CARE EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Location at the Start of the Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1ORGANISATION SITE IDENTIFIER (OF TREATMENT)F
R0..1ACTIVITY LOCATION TYPE CODEF
O0..1WARD INTENDED CLINICAL CARE INTENSITYV
O0..1WARD INTENDED AGE GROUPV
O0..1WARD INTENDED SEX OF PATIENTSV
O0..1WARD INTENDED DAY PERIOD AVAILABILITYV
O0..1WARD INTENDED NIGHT PERIOD AVAILABILITYV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT WARD STAY)
Group
Status
R
Group
Repeats
0..97
FUNCTION: To carry the details of one or more Ward Stays during the Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1ORGANISATION SITE IDENTIFIER (OF TREATMENT)F
R0..1ACTIVITY LOCATION TYPE CODEF
O0..1WARD INTENDED CLINICAL CARE INTENSITYV
O0..1WARD INTENDED AGE GROUPV
O0..1WARD INTENDED SEX OF PATIENTSV
O0..1WARD INTENDED DAY PERIOD AVAILABILITYV
O0..1WARD INTENDED NIGHT PERIOD AVAILABILITYV
O0..1START DATE (WARD STAY)F
S13
O0..1START TIME (WARD STAY)F
S14
O0..1END DATE (WARD STAY)F
S13
O0..1END TIME (WARD STAY)F
S14
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT END OF CARE EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Location at the End of the Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1ORGANISATION SITE IDENTIFIER (OF TREATMENT)F
R0..1ACTIVITY LOCATION TYPE CODEF
O0..1WARD INTENDED CLINICAL CARE INTENSITYV
O0..1WARD INTENDED AGE GROUPV
O0..1WARD INTENDED SEX OF PATIENTSV
O0..1WARD INTENDED DAY PERIOD AVAILABILITYV
O0..1WARD INTENDED NIGHT PERIOD AVAILABILITYV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP - HOME LEAVE
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of each separate period of Home Leave within the Finished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
M1..1START DATE (HOME LEAVE)F
S13
R0..1START TIME (HOME LEAVE)F
S14
R0..1END DATE (HOME LEAVE)F
S13
R0..1END TIME (HOME LEAVE)F
S14

NotationDATA GROUP: CARE EPISODE - NEONATAL CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities.
M1..1DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
M1..1GESTATION LENGTH (AT DELIVERY)V
M1..999DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
R0..1PERSON WEIGHTF
M1..20CRITICAL CARE ACTIVITY CODEF
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: CARE EPISODE - PAEDIATRIC CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities.
M1..1DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
M1..999DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
M1..20CRITICAL CARE ACTIVITY CODEF
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: CARE EPISODE - ADULT CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities.
M1..1DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
O0..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
O0..1CRITICAL CARE UNIT BED CONFIGURATIONV
O0..1CRITICAL CARE ADMISSION SOURCEV
O0..1CRITICAL CARE SOURCE LOCATIONV
O0..1CRITICAL CARE ADMISSION TYPEV
M1..1DATA GROUP: ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICSRules
R0..1ADVANCED RESPIRATORY SUPPORT DAYSF
H4
R0..1BASIC RESPIRATORY SUPPORT DAYSF
H4
R0..1ADVANCED CARDIOVASCULAR SUPPORT DAYSF
H4
R0..1BASIC CARDIOVASCULAR SUPPORT DAYSF
H4
R0..1RENAL SUPPORT DAYSF
H4
R0..1NEUROLOGICAL SUPPORT DAYSF
H4
O0..1GASTRO-INTESTINAL SUPPORT DAYSF
R0..1DERMATOLOGICAL SUPPORT DAYSF
H4
R0..1LIVER SUPPORT DAYSF
H4
O0..1ORGAN SUPPORT MAXIMUMV
R0..1CRITICAL CARE LEVEL 2 DAYSF
H4
R0..1CRITICAL CARE LEVEL 3 DAYSF
H4
R0..*DATA GROUP: ADULT CRITICAL CARE - DAILY CARE ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
M1..9ORGAN SYSTEM SUPPORTEDV
M1..1CRITICAL CARE LEVELV
R0..1DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14
O0..1CRITICAL CARE DISCHARGE READY DATEF
S13
O0..1CRITICAL CARE DISCHARGE READY TIMEF
S14
O0..1CRITICAL CARE DISCHARGE STATUSV
O0..1CRITICAL CARE DISCHARGE DESTINATIONV
O0..1CRITICAL CARE DISCHARGE LOCATIONV

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details.
M1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)F

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Referrer.
M1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1ORGANISATION IDENTIFIER (REFERRING ORGANISATION)F

NotationDATA GROUP: REFERRAL
Group
Status
O
Group
Repeats
0..1
FUNCTION: To carry the details of the Referral.
M1..1Data Element ComponentsRules
O0..1DIRECT ACCESS REFERRAL INDICATORV

NotationDATA GROUP: ELECTIVE ADMISSION LIST ENTRY
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Elective Admission List Entry.
M1..1Data Element ComponentsRules
R0..1DURATION OF ELECTIVE WAITF
R0..1INTENDED MANAGEMENT CODEV
R0..1DECIDED TO ADMIT DATEF
S13
R0..1EARLIEST REASONABLE OFFER DATEF
S13
R0..1EARLIEST CLINICALLY APPROPRIATE DATEF
S13
R0..1LATEST CLINICALLY APPROPRIATE DATEF
S13

NotationDATA GROUP: CDS V6-3 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-3 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-3 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-3 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS

Change to Data Set: Changed Description


CDS V6-3 TYPE 190 - UNFINISHED GENERAL EPISODE COMMISSIONING DATA SET
FUNCTION: To support the details of an Unfinished Care Professional Admitted Care General Episode.

NotationDATA GROUP: CDS V6-3 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-3 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-3 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED:
NotationDATA GROUP: CDS V6-3 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-3 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-3 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-3 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Patient Pathway. This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F
 
F
I2
M1..1ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPE (COMMISSIONING DATA SET)V
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
 National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIER (EXTENDED)F
S3
M1..1ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIER (EXTENDED)F
S3
M1..1ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1Data Element ComponentsRules
M
OR
O
and
M
and
M
and
O
and
O
1..1
OR 
0..1
and
1..1
and
1..1
and
0..1
and
0..1
PATIENT FULL NAME
OR
PATIENT TITLE
and
PATIENT GIVEN NAME
and
PATIENT FAMILY NAME
and
PATIENT NAME SUFFIX
and
PATIENT INITIALS
F
S3
I4
R0..1Data Element ComponentsRules
M
OR
M
1..1
OR 
2..5
PATIENT USUAL ADDRESS (UNSTRUCTURED)
OR
PATIENT USUAL ADDRESS (STRUCTURED)
F
S3
I5
M1..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the characteristics of the Patient.
M1..1Data Element ComponentsRules
R0..1PERSON STATED GENDER CODEV
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV
X0..1ETHNIC CATEGORY 2021N2
R0..1PERSON MARITAL STATUSV
R0..1MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)F

NotationDATA GROUP: PATIENT CHARACTERISTICS - SOCIAL AND PERSONAL CIRCUMSTANCES (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION:
To carry the details of the SNOMED CT coded Social and Personal Circumstances for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT SOCIAL AND PERSONAL CIRCUMSTANCESRules
M1..1SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT EXPRESSION)F
M1..1SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1HOSPITAL PROVIDER SPELL IDENTIFIERF
R0..1ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)V
R0..1PATIENT CLASSIFICATION CODEV
R0..1METHOD OF ADMISSION (HOSPITAL PROVIDER SPELL)V
R0..1ADMISSION SOURCE (HOSPITAL PROVIDER SPELL)V
M1..1START DATE (HOSPITAL PROVIDER SPELL)F
S13
O0..1START TIME (HOSPITAL PROVIDER SPELL)F
S14
M1..1AGE ON ADMISSIONF
R0..1AMBULANCE CALL IDENTIFIERF
R0..1ORGANISATION IDENTIFIER (CONVEYING AMBULANCE TRUST)F
R0..1CARE CONTACT IDENTIFIER (AMBULANCE SERVICE)F

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL)V
R0..1METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL)V
R0..1DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)F
S13
R0..1DISCHARGE DATE (HOSPITAL PROVIDER SPELL)F
S13
O0..1DISCHARGE TIME (HOSPITAL PROVIDER SPELL)F
S14
R0..1DISCHARGED TO NHS AT HOME SERVICE INDICATORV

NotationDATA GROUP: CARE EPISODE - ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the details of the Patient's Unfinished  General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1EPISODE NUMBERF
R0..1LAST EPISODE IN SPELL INDICATOR CODEV
R0..1NEONATAL LEVEL OF CARE CODEV
O0..1FIRST REGULAR DAY OR NIGHT ADMISSION CODEV
R0..1PSYCHIATRIC PATIENT STATUS CODEV
M1..1START DATE (EPISODE)F
S1
S13
O0..1START TIME (EPISODE)F
S14
R0..1END DATE (EPISODE)F
S13
O0..1END TIME (EPISODE)F
S14
M1..1AGE AT CDS ACTIVITY DATEF
S8
O0..1REHABILITATION ASSESSMENT TEAM TYPEV
N3

NotationDATA GROUP: CARE EPISODE - LENGTH OF STAY ADJUSTMENT
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry details of length of stay adjustments to the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1LENGTH OF STAY ADJUSTMENT (REHABILITATION)F
R0..1LENGTH OF STAY ADJUSTMENT (SPECIALIST PALLIATIVE CARE)F

NotationDATA GROUP: CARE EPISODE - OVERSEAS VISITOR CHARGING CATEGORY
Group
Status
R
Group
Repeats
0..5
FUNCTION: To carry the details of the Overseas Visitor Charging Categories of the Patient during the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
M1..1OVERSEAS VISITOR CHARGING CATEGORYV
M1..1OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATEF
S13
R0..1OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATEF
S13

NotationDATA GROUP: CARE EPISODE - SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION: To carry the details of the Provider,  Commissioners and Service Agreements.
M1..1Data Element ComponentsRules
M1..1ORGANISATION IDENTIFIER (CODE OF PROVIDER)F
M1..*DATA GROUP: COMMISSIONERSRules
M1..1ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)F
R0..1START DATE (COMMISSIONER ASSIGNMENT PERIOD)F
S13
R0..1END DATE (COMMISSIONER ASSIGNMENT PERIOD)F
S13
R0..1NHS SERVICE AGREEMENT IDENTIFIERF
O0..1NHS SERVICE AGREEMENT LINE IDENTIFIERF
O0..1PROVIDER REFERENCE IDENTIFIERF
R0..1COMMISSIONER REFERENCE IDENTIFIERF
R0..1SERVICE CODEF

NotationDATA GROUP: CARE EPISODE - PERSON GROUP (CARE PROFESSIONAL)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the Care Professionals active during the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIERF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEF
H4
M1..1ACTIVITY TREATMENT FUNCTION CODEF
H4
O0..1LOCAL SUB-SPECIALTY CODEF
M1..1RESPONSIBLE CARE PROFESSIONAL INDICATORV

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the ICD coded Clinical Diagnoses for the Patient.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USE (COMMISSIONING DATA SET)V
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV
R0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Clinical Diagnoses for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT DIAGNOSISRules
M1..1DIAGNOSIS (SNOMED CT EXPRESSION)F
M1..1CODED CLINICAL ENTRY SEQUENCE NUMBERF
M1..1CODED DIAGNOSIS TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - COMORBIDITY (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT coded Comorbidities for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT COMORBIDITYRules
M1..1COMORBIDITY (SNOMED CT EXPRESSION)F
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - EMED3 FIT NOTE
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the EMED3 Fit Note issued.
M1..1Data Element ComponentsRules
R0..1EMED3 FIT NOTE ASSESSMENT DATEF
S13
R0..1EMED3 FIT NOTE CONDITION (SNOMED CT EXPRESSION)F
R0..1EMED3 FIT NOTE DIAGNOSIS (ICD)F
R0..1EMED3 FIT NOTE START DATEF
S13
R0..1EMED3 FIT NOTE END DATEF
S13
R0..1EMED3 FIT NOTE DURATIONF
R0..1EMED3 FIT NOTE RECORDED DATEF
S13
R0..1EMED3 FIT NOTE FOLLOW UP ASSESSMENT REQUIRED INDICATORV
X0..1EMED3 FIT NOTE ISSUERN2
X0..1EMED3 FIT NOTE ISSUERN2

NotationDATA GROUP: CARE EPISODE - PROCEDURE GROUP (OPCS)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the OPCS coded Procedures for the Patient.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USE (COMMISSIONING DATA SET)V
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (OPCS)F
R0..1PROCEDURE DATEF
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
R0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (OPCS)F
R0..1PROCEDURE DATE
F
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F

NotationDATA GROUP: CARE EPISODE - PROCEDURE GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Procedures for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT PROCEDURERules
M1..1PROCEDURE (SNOMED CT EXPRESSION)F
M1..1CODED CLINICAL ENTRY SEQUENCE NUMBERF
M1..1CODED PROCEDURE TIMESTAMPF
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - OBSERVATION GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Clinical Observations for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT OBSERVATIONRules
M1..1OBSERVATION (SNOMED CT EXPRESSION)F
R0..1OBSERVATION VALUEF
R0..1UCUM UNIT OF MEASUREMENTF
M1..1CODED OBSERVATION TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - FINDING GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded Clinical Findings for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT FINDINGRules
M1..1FINDING (SNOMED CT EXPRESSION)F
M1..1CODED FINDING TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: CARE EPISODE - ASSESSMENT TOOL  GROUP (SNOMED CT)
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of the SNOMED CT  coded  Assessment Tools for the Patient.
One of the following DATA GROUPS may be used:
M1..1DATA GROUP: SNOMED CT ASSESSMENT TOOLRules
M1..1ASSESSMENT TOOL (SNOMED CT EXPRESSION)F
M1..1PERSON SCOREF
M1..1ASSESSMENT TOOL COMPLETION TIMESTAMPF
OR
O0..1DATA GROUP: DATA ABSENT REASONRules
O0..1DATA ABSENT REASON (FHIR R4)F

NotationDATA GROUP: LOCATION GROUP (AT START OF CARE EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Location at the Start of the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1ORGANISATION SITE IDENTIFIER (OF TREATMENT)F
R0..1ACTIVITY LOCATION TYPE CODEF
O0..1WARD INTENDED CLINICAL CARE INTENSITYV
O0..1WARD INTENDED AGE GROUPV
O0..1WARD INTENDED SEX OF PATIENTSV
O0..1WARD INTENDED DAY PERIOD AVAILABILITYV
O0..1WARD INTENDED NIGHT PERIOD AVAILABILITYV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT WARD STAY)
Group
Status
R
Group
Repeats
0..97
FUNCTION: To carry the details of one or more Ward Stays during the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1ORGANISATION SITE IDENTIFIER (OF TREATMENT)F
R0..1ACTIVITY LOCATION TYPE CODEF
O0..1WARD INTENDED CLINICAL CARE INTENSITYV
O0..1WARD INTENDED AGE GROUPV
O0..1WARD INTENDED SEX OF PATIENTSV
O0..1WARD INTENDED DAY PERIOD AVAILABILITYV
O0..1WARD INTENDED NIGHT PERIOD AVAILABILITYV
O0..1START DATE (WARD STAY)F
S13
O0..1START TIME (WARD STAY)F
S14
O0..1END DATE (WARD STAY)F
S13
O0..1END TIME (WARD STAY)F
S14
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT END OF CARE EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Location at the End of the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
R0..1ORGANISATION SITE IDENTIFIER (OF TREATMENT)F
R0..1ACTIVITY LOCATION TYPE CODEF
O0..1WARD INTENDED CLINICAL CARE INTENSITYV
O0..1WARD INTENDED AGE GROUPV
O0..1WARD INTENDED SEX OF PATIENTSV
O0..1WARD INTENDED DAY PERIOD AVAILABILITYV
O0..1WARD INTENDED NIGHT PERIOD AVAILABILITYV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP - HOME LEAVE
Group
Status
R
Group
Repeats
0..*
FUNCTION: To carry the details of each separate period of Home Leave within the Unfinished General Care Professional Admitted Care Episode.
M1..1Data Element ComponentsRules
M1..1START DATE (HOME LEAVE)F
S13
R0..1START TIME (HOME LEAVE)F
S14
R0..1END DATE (HOME LEAVE)F
S13
R0..1END TIME (HOME LEAVE)F
S14

NotationDATA GROUP: CARE EPISODE - NEONATAL CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities.
M1..1DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
M1..1GESTATION LENGTH (AT DELIVERY)V
M1..999DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
R0..1PERSON WEIGHTF
M1..20CRITICAL CARE ACTIVITY CODEF
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: CARE EPISODE - PAEDIATRIC CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities.
M1..1DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
M1..999DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
M1..20CRITICAL CARE ACTIVITY CODEF
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: CARE EPISODE - ADULT CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities.
M1..1DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
S13
O0..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
O0..1CRITICAL CARE UNIT BED CONFIGURATIONV
O0..1CRITICAL CARE ADMISSION SOURCEV
O0..1CRITICAL CARE SOURCE LOCATIONV
O0..1CRITICAL CARE ADMISSION TYPEV
M1..1DATA GROUP: ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICSRules
R0..1ADVANCED RESPIRATORY SUPPORT DAYSF
R0..1BASIC RESPIRATORY SUPPORT DAYSF
R0..1ADVANCED CARDIOVASCULAR SUPPORT DAYSF
R0..1BASIC CARDIOVASCULAR SUPPORT DAYSF
R0..1RENAL SUPPORT DAYSF
R0..1NEUROLOGICAL SUPPORT DAYSF
O0..1GASTRO-INTESTINAL SUPPORT DAYSF
R0..1DERMATOLOGICAL SUPPORT DAYSF
R0..1LIVER SUPPORT DAYSF
O0..1ORGAN SUPPORT MAXIMUMV
R0..1CRITICAL CARE LEVEL 2 DAYSF
R0..1CRITICAL CARE LEVEL 3 DAYSF
R0..*DATA GROUP: ADULT CRITICAL CARE - DAILY CARE ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
M1..9ORGAN SYSTEM SUPPORTEDV
M1..1CRITICAL CARE LEVELV
R0..1DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14
O0..1CRITICAL CARE DISCHARGE READY DATEF
S13
O0..1CRITICAL CARE DISCHARGE READY TIMEF
S14
O0..1CRITICAL CARE DISCHARGE STATUSV
O0..1CRITICAL CARE DISCHARGE DESTINATIONV
O0..1CRITICAL CARE DISCHARGE LOCATIONV

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details.
M1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)F

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Referrer.
M1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1ORGANISATION IDENTIFIER (REFERRING ORGANISATION)F

NotationDATA GROUP: REFERRAL
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referral.
M1..1Data Element ComponentsRules
O0..1DIRECT ACCESS REFERRAL INDICATORV

NotationDATA GROUP: ELECTIVE ADMISSION LIST ENTRY
Group
Status
R
Group
Repeats
0..1
FUNCTION: To carry the details of the Elective Admission List Entry.
M1..1Data Element ComponentsRules
R0..1DURATION OF ELECTIVE WAITF
R0..1INTENDED MANAGEMENT CODEV
R0..1DECIDED TO ADMIT DATEF
S13
R0..1EARLIEST REASONABLE OFFER DATEF
S13
R0..1EARLIEST CLINICALLY APPROPRIATE DATEF
S13
R0..1LATEST CLINICALLY APPROPRIATE DATEF
S13

NotationDATA GROUP: CDS V6-3 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-3 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-3 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-3 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Due to Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) version 9 was deferred until 1 July 2020.

Introduction

The Cancer Outcomes and Services Data Set is a compiled data set which provides the standard for secondary uses information required to support national cancer registration and associated analysis (at local, regional, national and international level), as well as other national cancer audit programmesThe Cancer Outcomes and Services Data Set is a compiled data set which provides the standard for secondary uses information required to support national cancer registration and associated analysis (at local, regional, national and international level), as well as other national cancer audit programmes.

The standard and XML Schema consists of:

  • a set of individual data items, with their definitions
  • the assemblage of data items into discrete data sets
  • the means of flowing the data items
  • compilation of the data items into a reconciled and verified data set.

Additionally, the output supports commissioning and service development through provision of relevant information on service delivery and outcomes.

All PATIENTS diagnosed with or receiving cancer treatment in or funded by the NHS in England are covered by the standard. This includes adult and paediatric cancer PATIENTS. The standard applies to all ORGANISATIONS providing Cancer Services within secondary care. It does not apply to general practice ORGANISATIONS.

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom and Ireland Association of Cancer Registries (UKIACR) as described in the User Guide at Appendix A and B.

Unless otherwise specified, the term cancer is used throughout the standard and related documents to cover all conditions registerable by the United Kingdom and Ireland Association of Cancer Registries.

Submission Information

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set.

The Cancer Outcomes and Services Data Set is submitted to the National Cancer Registration and Analysis Service (NCRAS) using the COSDS XML Schema.

While the core and cancer site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS XML Schema integrates each core and cancer site specific set of data elements. Documentation provided on the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification.

For all diagnoses not covered by a cancer site specific data set, only the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Registration and Analysis Service User Guide.

Pathology

From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.

This replaced the current reporting to the National Cancer Registration and Analysis Service of electronic pathology reports which were then transcribed by the National Cancer Registration and Analysis Service into the Cancer Registration Reports. This also prevented Cancer Service teams, for example, Multidisciplinary Teams, Pathway Co-ordinators, duplicating the work, which had been happening as part of their data collection process.

From April 2020, the pathology data can only be collected and submitted using the separate Pathology Data Set and Pathology XML Schema. Pathology data items have been removed from the main Cancer Outcomes and Services Data Set.

This allows the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set and the Pathologists to collect and report the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Cancer Registration and Analysis Service.

There will be no requirement for Pathology Laboratories to double report. Once their Laboratory Information Management Systems (LIMS) are updated to report in the COSDS XML Schema, all other pathology reporting can cease.

Further Guidance

Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Cancer Registration and Analysis Service at Cancer Outcomes and Services Dataset.

Mandation

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

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

XML Schema

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

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CDS V6-3 TYPE 001 - CDS INTERCHANGE HEADER OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The CDS V6-3 Type 001 - Commissioning Data Set Interchange Header carries mandatory controls for a Commissioning Data Set Interchange and is only used by inclusion in other CDS Types.

Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows.

Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:

Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:

Followed by:

  • The CDS Type - As required to carry the specific Commissioning Data Set data records

Each Commissioning Data Set message ends with:

Each Commissioning Data Set Interchange ends with:

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Notation

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Business Rules

See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.

XML Schema

For guidance on the XML Schema constraints, see the Commissioning Data Set Version 6-3 XML Schema Constraints.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

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CLAVIEN-DINDO CLASSIFICATION OF SURGICAL CLASSIFICATIONS

Change to Supporting Information: Changed Description

The Clavien-Dindo Classification of Surgical Classifications is an ASSESSMENT TOOL.

The Clavien-Dindo Classification of Surgical Classifications is used throughout surgery for grading adverse events (i.e. complications) which occur as a result of surgical procedures; it is now used in most urology units and has become the standard classification system for many surgical specialties.The Clavien-Dindo Classification of Surgical Classifications is used throughout surgery for grading adverse events (complications) which occur as a result of surgical procedures; it is now used in most urology units and has become the standard classification system for many surgical specialties.

For further information on the Clavien-Dindo Classification of Surgical Classifications, see: The Clavien-Dindo Classification.

 

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COMMISSIONING DATA SET ADDRESSING GRID

Change to Supporting Information: Changed Description

The Commissioning Data Set Addressing Grid below illustrates which ORGANISATION CODES should be used to populate the CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY for each PATIENT / NHS SERVICE AGREEMENT.  See the specific ORGANISATION CODE Data Elements for further information on their usage and Organisation Data Service Default Codes etc.

This page has been updated in DDCN 1645 (Specialised Commissioning: Removal of Default Code YDD82) to remove the National Commissioning Group, as NHS England became responsible for commissioning all specialised services in April 2013.
The page will be updated as part of an Information Standard to reflect the current arrangements for the Commissioning Data Sets.

The page will be updated as part of an Information Standard to reflect the current arrangements for the Commissioning Data Sets.

Note that the Commissioning Data Set Addressing Grid is only applicable for Commissioning Data Set version 6-2, as CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY have been replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT) in Commissioning Data Set version 6-3.Note that the Commissioning Data Set Addressing Grid is only applicable for Commissioning Data Set version 6-2, as CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY have been replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT) in Commissioning Data Set version 6-3.

Health Care Providers need to specify the ORGANISATIONS that have a right to the commissioning data set data as a CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY. This is so that they can access the data once it has been stored in the Secondary Uses Service.

Please note that payment via the National Tariff Payment System is not determined by the CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY.

Important Notes:

Commissioning Data Set Addressing Grid for users of Commissioning Data Set version 6-2

PATIENT / NHS SERVICE AGREEMENT

Data Elements in the Commissioning Data Sets Version 6-2 onwards

CDS PRIME RECIPIENT IDENTITY
M*

CDS COPY RECIPIENT IDENTITY
O*

Private PATIENTORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
Overseas Visitor liable for NHS charges and not registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00 
Overseas Visitor liable for NHS charges and registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00 ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
Overseas Visitor exempt from charges, current permanent residence overseas and not registered with a General Medical Practitioner PracticeTDH00ORGANISATION CODE (CODE OF COMMISSIONER) 
Overseas Visitor exempt from charges, current permanent overseas and registered with a General Medical Practitioner PracticeTDH00ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
Overseas Visitor exempt from charges, current permanent residence is the UK and not registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (CODE OF COMMISSIONER) 
Overseas Visitor exempt from charges, current permanent residence is the UK and registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract ActivityORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board LocationORGANISATION CODE (CODE OF COMMISSIONER)
PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract ActivityORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE of the responsible Sub Integrated Care Board LocationORGANISATION CODE (CODE OF COMMISSIONER)
PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract ActivityORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (CODE OF COMMISSIONER) 
** PATIENT registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board LocationORGANISATION CODE of ORGANISATION to which costs of treatment accrue
** PATIENT registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE of the responsible Sub Integrated Care Board LocationORGANISATION CODE of ORGANISATION to which costs of treatment accrue
** PATIENT not registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE of ORGANISATION to which costs of treatment accrue 
PATIENT registered with General Medical Practitioner Practice with Primary Care Trust NHS SERVICE AGREEMENT (excluding Overseas Visitors)ORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location 
PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust NHS SERVICE AGREEMENT (excluding Overseas Visitors)ORGANISATION CODE (RESIDENCE RESPONSIBILITY) 
PATIENT registered with General Medical Practitioner Practice with an NHS SERVICE AGREEMENT (excluding Overseas Visitors)ORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE of the responsible Sub Integrated Care Board Location 
PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by an NHS SERVICE AGREEMENT (excluding Overseas Visitors)ORGANISATION CODE (RESIDENCE RESPONSIBILITY) 


Notes:

Key to population codes:

M*: This Data Element is mandatory in the CDS-XML schema. Submissions will not flow if this Data Element is absent
O*: This Data Element is optional

** Specialised Services and Other Commissioning Consortia Service Agreements include SERVICES that are commissioned by regional Specialised Commissioning Groups and local arrangements for commissioning ACTIVITY through shared service ORGANISATIONS.

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NON-CONTRACT ACTIVITY

Change to Supporting Information: Changed Description

Non-Contract Activity was known as Out Of Area Treatment prior to 1 April 2005.Non-Contract Activity is the term used to refer to an NHS-funded SERVICE delivered to a PATIENT for whom an Integrated Care Board has responsibility, where there is no written NHS SERVICE AGREEMENT in place between the relevant Health Care Provider and that Integrated Care Board.

Non-Contract Activities are covered by NHS SERVICE AGREEMENTS between a commissioner and the Trust providing treatment.This is an NHS-funded SERVICE delivered to a PATIENT by a Health Care Provider which does not, at the point at which that SERVICE is delivered, have a written NHS SERVICE AGREEMENT in place with the Integrated Care Board which has responsibility for the PATIENT (as determined under the "Who Pays?" rules published by NHS England, but which does have a written NHS SERVICE AGREEMENT CHANGE for the delivery of that SERVICE in place with at least one other Integrated Care Board.

The commissioner is identified by the ORGANISATION CODE (CODE OF COMMISSIONER).NHS England's Contract Technical Guidance sets out further details on Non-Contract Activity, including on when a Health Care Provider must or may provide a SERVICE to a PATIENT on a Non-Contract Activity basis.

Non-Contract Activities cover:

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OPHTHALMIC QUALIFICATIONS COMMITTEE (RETIRED)  renamed from OPHTHALMIC QUALIFICATIONS COMMITTEE

Change to Supporting Information: Changed Description, Name, status to Retired

The Ophthalmic Qualifications Committee is a Regulatory Body.This item has been retired from the NHS Data Model and Dictionary.

The Ophthalmic Qualifications Committee is delegated by the Department of Health and Social Care to oversee applications by those who seek admission to the Central Professional List of Medical Practitioners authorised to work in the General Ophthalmic Services as an OPHTHALMIC MEDICAL PRACTITIONER.The last live version of this item is available in the July 2022 release of the NHS Data Model and Dictionary.

The Ophthalmic Qualifications Committee considers applications and once approved and issued with an Ophthalmic Qualifications Committee number, a practitioner will need to be registered with the Primary Care Trust for the area in which they wish to work.Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

The British Medical Association updates and administers the Central List Register of OPHTHALMIC MEDICAL PRACTITIONERS.

For further information on the Ophthalmic Qualifications Committee, see the Royal College of Ophthalmologists website.

 

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OPHTHALMIC QUALIFICATIONS COMMITTEE (RETIRED)  renamed from OPHTHALMIC QUALIFICATIONS COMMITTEE

Change to Supporting Information: Changed Description, Name, status to Retired
  • Changed Description
  • Changed Name from Data_Dictionary.NHS_Business_Definitions.O.Ophthalmic_Qualifications_Committee to Retired.Data_Dictionary.NHS_Business_Definitions.O.Ophthalmic_Qualifications_Committee
  • Retired Ophthalmic Qualifications Committee

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ORGANISATION MERGERS

Change to Supporting Information: Changed Description


Introduction

This guidance explains the circumstances under which Hospital Provider Spells should close and reopen as a result of a merger or demerger, in terms of NHS Information Standards.

It specifies which ORGANISATION CODES / ORGANISATION IDENTIFIERS should be used for Hospital Provider Spells which must be closed and reopened for:

When Hospital Provider Spells Should be Closed and ReopenedMergersDemergersThe National Codes Used when Hospital Provider Spells are Closed and Reopened

If Hospital Provider Spells are to be closed and reopened only as a result of Organisation Mergers or demergers, for most cases the codes below should be used.

DISCHARGE DESTINATION

This depends on the type of WARD the PATIENT is in, but will be either:

DISCHARGE METHOD

  • 1   PATIENT discharged on clinical advice or with clinical consent

ADMISSION METHOD

Note that this ADMISSION METHOD is classed under "Other Admission". It is not elective and the PATIENT does therefore not have an entry on an Elective Admission List.
SOURCE OF ADMISSION

Again, this depends on the type of WARD the PATIENT is in, but will be either:

REFERRER CODE

This will be the referrer to the Hospital Provider Spell within which the PATIENT was receiving care before the merger, i.e. the "original" Hospital Provider Spell.

Guidance for Merging Organisations to support Sending of Commissioning Data Sets to the Secondary Uses Service

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RADIOLOGY INFORMATION SYSTEM

Change to Supporting Information: New Supporting Information

A Radiology Information System (RIS) is a software system that is used to efficiently manage the process of obtaining, storing and sharing medical imagery.

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RELEASE HISTORY: NOVEMBER 2022  renamed from RELEASE HISTORY: JULY 2022

Change to Supporting Information: Changed Description, Name

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

November 2022

  • CR1738 (1 December 2022) - DAPB1595 Neonatal Data Set

July 2022

  • CR1847 (1 July 2022) - DAPB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Version 2.3
  • CR1846 (1 July 2022) - DAPB0090 Health and Care Bill: Organisational impact
  • CR1831 (14 July 2022) - DAPB4005 Electronic Prescribing and Medicines Administration Data Sets
  • CR1864 (Immediate) - DAPB0092 Commissioning Data Sets Version 6-3 Corrigendum
  • CR1853 (31 July 2022) - DAPB1067 National Workforce Data Set v3.3

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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SECURITY ISSUES AND PATIENT CONFIDENTIALITY

Change to Supporting Information: Changed Description


Data senders are directly responsible for the integrity of the data they submit. This means that data senders must not flow legally restricted or identifiable information using data items that are not designed for this purpose.

  • A. Removal of name and address where the NHS Number is present
  • From 1 April 1999, PATIENT NAME and PATIENT USUAL ADDRESS (not POSTCODE OF USUAL ADDRESS) must be removed from all Commissioning Data Sets where a valid NHS NUMBER is present. This applies to all nationally defined Commissioning Data Set data and any additional locally agreed flows from service providers to commissioning bodies.

  • A valid NHS NUMBER is one that has passed the check digit calculation on entry into the source system. If an NHS NUMBER is not valid (i.e. does not conform with the check digit algorithm) then PATIENT NAMES and PATIENT USUAL ADDRESSES should not be removed, as the reliability of the NHS NUMBER will not be known.

  • The NHS NUMBER STATUS INDICATOR CODE is a mandatory part of the Commissioning Data Set. PATIENT NAME and PATIENT USUAL ADDRESS should be removed when a valid NHS NUMBER is present, even if the NHS NUMBER STATUS INDICATOR CODE does not have a status of 01, Number present and verified.

    B. Sensitive data
  • The Human Fertilisation and Embryology Act 1990 as amended by the Human Fertilisation and Embryology (Disclosure of Information) Act 1992 imposes statutory restrictions on the disclosure of information about identifiable individuals in connection with certain infertility treatments.

  • The latest approved list of codes which can be used to identify the relevant PATIENT record in which the patient-identifiable data are to be omitted from the CDS Types can be accessed via the Secondary Uses Service website.  In these cases the NHS NUMBER, LOCAL PATIENT IDENTIFIER/LOCAL PATIENT IDENTIFIER (EXTENDED), PATIENT NAMES, POSTCODE OF USUAL ADDRESS and PERSON BIRTH DATE should be omitted from the Commissioning Data Set submission.

  • From Commissioning Data Set Version 6-2 onwards, records where the patient-identifiable data has been withheld should be submitted using the PATIENT IDENTITY - WITHHELD IDENTITY STRUCTURE data group in the Commissioning Data Set XML schema.  This data group allows only the NHS NUMBER STATUS INDICATOR CODE (the actual value held on source systems should be used), ORGANISATION CODE (RESIDENCE RESPONSIBILITY)/ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) and WITHHELD IDENTITY REASON to flow.  The WITHHELD IDENTITY REASON allows Health Care Providers to inform their Commissioners why a record has been anonymised.  Note that the same rules apply to the additional PATIENT IDENTITY structures relating to Mother and Baby in the Delivery and Birth CDS types.

  • Other statutory restrictions on the disclosure of PATIENT information do not prohibit the disclosure to individuals involved with the treatment and prevention of certain specific diseases (HIV/AIDS and venereal diseases) in the population.

  • All records containing patient identifiable information, other than those covered by the Sensitive Data section, should be treated as sensitive. ORGANISATIONS may continue to exchange records containing NHS NUMBER, POSTCODE OF USUAL ADDRESS and PERSON BIRTH DATE in these cases, but receiving ORGANISATIONS must ensure that only those staff with legitimate need have access to this information, e.g. public health departments, and strictly on a need to know basis. No-one should have unrestricted access unless fully justified in accordance with the Caldicott Principles.

  • Where PATIENT level data is required for other purposes within an ORGANISATION, it should be anonymised/aggregated prior to disclosure by someone with legitimate access. If this is not practicable, local protocols defining which CDS Types are particularly sensitive (including, but not necessarily restricted to HIV/AIDS and venereal disease) agreed by the ORGANISATION Caldicott Guardian, should be put in place and identifiers stripped from these records.

  • Your Caldicott Guardian will be able to advise you further on all issues relating to patient confidentiality.

  • Where appropriate, further information about confidentiality is contained within the notes for individual data items.

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SUPPORTING DEFINITIONS MENU

Change to Supporting Information: Changed Description


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URINE OUTPUT

Change to Supporting Information: Changed Description

Urine Output is a CLINICAL INVESTIGATION RESULT ITEM.

Urine Output is the output of urine of a PATIENT over a specified period of time (i.e. last hour, last 24 hours).Urine Output is the output of urine of a PATIENT over a specified period of time.

 For example, last hour, last 24 hours.

 

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CARE PLAN

Change to Class: Changed Description

A plan of the treatment or health care to be provided to a PATIENT for a CARE ACTIVITY or within an ACTIVITY GROUP.

An ACTIVITY GROUP may include more than one CARE PLAN. Often the effectiveness of a CARE PLAN is reviewed periodically and as a result of the review, a new CARE PLAN may be developed.

CARE PLAN TYPE provides a list of CARE PLANS.

 

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CARE PROFESSIONAL TEAM

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE PROFESSIONAL TEAM IDENTIFIER
CHILD AND ADOLESCENT MENTAL HEALTH TIER OF SERVICE
MEMBER OF SPECIALIST MULTIDISCIPLINARY TEAM INDICATOR
REHABILITATION ASSESSMENT TEAM TYPE
RESPONSIBLE CARE PROFESSIONAL INDICATOR

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CLINICAL INTERVENTION

Change to Class: Changed Attributes

Attributes of this Class are:
ABDOMINAL XRAY PERFORMED INDICATOR
ABDOMINAL XRAY PERFORMED REASON
ABDOMINAL XRAY PERFORMED TO INVESTIGATE ABDOMINAL SIGNS INDICATOR
ABLATIVE THERAPY TYPE
ACTIVE COOLING INDICATOR
ACUTE ONCOLOGY ASSESSMENT PATIENT PRESENTATION TYPE
ACUTE ONCOLOGY EPISODE OUTCOME
ADDITIONAL UNPLANNED PROCEDURE REQUIRED INDICATOR
ADJUNCTIVE THERAPY TYPE
ANAESTHETIC TYPE FOR JOINT REPLACEMENT
ANTIRETROVIRAL THERAPY DRUG REGIMEN GROUP CODE
ANTIRETROVIRAL THERAPY HOME DELIVERY INDICATOR
ARTHROPLASTY REVISION TYPE FOR HIP KNEE AND ANKLE REPLACEMENT
ARTHROPLASTY REVISION TYPE FOR SHOULDER AND ELBOW REPLACEMENT
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE FOR NATIONAL JOINT REGISTRY
ASSOCIATED PROCEDURE TYPE FOR ANKLE REPLACEMENT
BIOLOGICAL GLENOID RESURFACING TYPE FOR SHOULDER REPLACEMENT
BIOPSY ANAESTHETIC TYPE
BIOPSY TYPE FOR CENTRAL NERVOUS SYSTEM TUMOURS
BLOOD PRODUCTS REQUIRED FOLLOWING OESOPHAGECTOMY INDICATION CODE
BLOOD TRANSFUSION PRODUCT TYPE
BLOOD TRANSFUSION TYPE
BONE GRAFT INDICATOR FOR JOINT REPLACEMENT
BONE GRAFT SOURCE FOR JOINT REPLACEMENT
BONE GRAFT STRUCTURE FOR JOINT REPLACEMENT
BRAIN ACTIVITY SCAN PERFORMED INDICATOR
BRAIN INJURY DETECTED ON MRI SCAN INDICATOR
BREAST ASSESSMENT OUTCOME
BREAST TRIPLE DIAGNOSTIC ASSESSMENT INDICATOR
BRONCHOSCOPY PERFORMED TYPE
CANCER CARE SETTING FOR TREATMENT
CANCER IMAGING MODALITY
CANCER IMAGING OUTCOME
CANCER SURGICAL ADMISSION TYPE
CANCER TREATMENT MODALITY
CANCER TREATMENT MODALITY FOR REGISTRATION
CARDIOPULMONARY EXERCISE TEST TYPE
CD4 CELL COUNT PERFORMED INDICATOR
CEMENT REMOVAL INDICATOR FOR JOINT REPLACEMENT
CHEMICAL THROMBOPROPHYLAXIS REGIME TYPE FOR JOINT REPLACEMENT
CHRONIC VIRAL LIVER DISEASE TREATMENT INDICATOR FOR HIV
CLINICAL INTERVENTION TEXT STRING
CO MORBIDITY ADJUSTMENT INDICATOR
COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT
COMPUTER GUIDED SURGERY INDICATOR FOR JOINT REPLACEMENT
CONTINUOUS INFUSION OF PULMONARY VASODILATOR RECEIVED INDICATOR
CONTRACEPTION METHOD STATUS
DEINFIBULATION UNDERTAKEN REASON
DELIVERED IN WATER INDICATOR
DELIVERED IN WATER INDICATOR FOR NATIONAL NEONATAL DATA SET
DELIVERY INSTRUMENT TYPE
DIEPOXYBUTANE TEST RESULT
DRUG REGIMEN ACRONYM
EMED3 FIT NOTE FOLLOW UP ASSESSMENT REQUIRED INDICATOR
EMED3 FIT NOTE ISSUER
ENDOSCOPIC OR RADIOLOGICAL COMPLICATION TYPE
ENDOSCOPIC PROCEDURE TYPE
ENTERAL FEEDING METHOD
ENTERAL FEED TYPE GIVEN
ESCALATION IN LEVEL OF PATIENT CARE FOLLOWING OESOPHAGECTOMY INDICATOR
EXCISION TYPE FOR CENTRAL NERVOUS SYSTEM TUMOURS
EXTERNAL VENTRICULAR DRAIN INSERTED INDICATOR
EXTRACORPOREAL MEMBRANE OXYGENATION RECEIVED INDICATOR
FETAL ORDER
FIRST ANTIRETROVIRAL THERAPY IN THE UNITED KINGDOM INDICATOR
FIXATION TYPE FOR ELBOW REPLACEMENT
FIXATION TYPE FOR SHOULDER REPLACEMENT
GERMLINE GENETIC TEST TYPE OFFERED
HAEMOFILTRATION PERFORMED INDICATOR
HIP JOINT SURGERY PATIENT POSITION
HUMAN PAPILLOMAVIRUS VACCINATION DOSE GIVEN
HYPOGLYCAEMIA TREATMENT INDICATOR
IMAGE GUIDED SURGERY INDICATOR
IMAGING ANATOMICAL SITE
INOTROPE INFUSION ADMINISTERED INDICATOR
INTERNATIONAL ESOPHAGEAL DATABASE SURGICAL COMPLICATIONS
INTERVENTION SESSION TYPE FOR STOP SMOKING
INTERVENTION SETTING TYPE FOR STOP SMOKING
INTRAVENOUS INFUSION OF GLUCOSE AND ELECTROLYTE SOLUTION ADMINISTERED INDICATOR
INTRAVESICAL CHEMOTHERAPY RECEIVED INDICATOR
INTRAVESICAL IMMUNOTHERAPY RECEIVED INDICATOR
JOINT REPLACEMENT PATIENT PROCEDURE PERFORMED INDICATOR
JOINT REPLACEMENT REVISION REASON CODE FOR ANKLE
JOINT REPLACEMENT REVISION REASON CODE FOR ELBOW
JOINT REPLACEMENT REVISION REASON CODE FOR HIP
JOINT REPLACEMENT REVISION REASON CODE FOR KNEE
JOINT REPLACEMENT REVISION REASON CODE FOR SHOULDER
KI 67 STAINING PERFORMED INDICATION CODE
LABOUR OR DELIVERY ONSET METHOD
LAPAROTOMY FOR NECROTISING ENTEROCOLITIS INDICATION CODE
LATENT TUBERCULOSIS TEST PERFORMED INDICATOR
LINER REMOVAL INDICATOR FOR JOINT REPLACEMENT
LIVER CANCER SURVEILLANCE SCAN INDICATOR
LIVER SURGERY PERFORMED TYPE
LIVER TRANSARTERIAL EMBOLISATION MATERIAL INJECTION TYPE
MAGNESIUM SULPHATE ADMINISTERED INDICATOR
MALIGNANCY TREATMENT INDICATOR FOR HIV
MARGIN INVOLVED INDICATION CODE
MARGIN INVOLVED INDICATION CODE FOR COLORECTAL
MATERNITY CARE SETTING
MECHANICAL THROMBOPROPHYLAXIS REGIME TYPE FOR JOINT REPLACEMENT
MEDIASTINAL SAMPLING INDICATOR
MINIMALLY INVASIVE OESOPHAGECTOMY SURGICAL APPROACH TYPE
MINIMALLY INVASIVE SURGERY INDICATOR FOR JOINT REPLACEMENT
MRI SCAN PERFORMED INDICATOR
MRI ULTRASOUND FUSION GUIDED BIOPSY INDICATOR
MULTIPARAMETRIC MRI SCAN INDICATOR
NEOADJUVANT THERAPY INDICATOR
NEONATAL RESUSCITATION METHOD FOR NATIONAL NEONATAL DATA SET
NEURODEVELOPMENTAL ASSESSMENT ALREADY TAKEN INDICATOR
NEWBORN HEARING SCREENING TEST TYPE
NITRIC OXIDE ADMINISTERED INDICATOR
OBSERVATION SCHEME IN USE
OESOPHAGECTOMY ANASTOMOSIS TYPE
OESOPHAGECTOMY NECK DISSECTION INDICATOR
OESOPHAGECTOMY OESOPHAGEAL CONDUIT TYPE
OESOPHAGECTOMY SURGICAL APPROACH TYPE
OPEN OESOPHAGECTOMY SURGICAL APPROACH TYPE
OPERATION STATUS CODE
OXYGEN ADMINISTERED INDICATOR
OXYGEN DELIVERY MODE FOR NATIONAL NEONATAL DATA SET
OXYGEN THERAPY AMOUNT CODE ON DISCHARGE FROM NEONATAL CRITICAL CARE
PARENTAL CONSENT TO ADMINISTER VITAMIN K INDICATOR
PARENTAL CONSENT TO POST MORTEM INDICATOR
PARENTERAL NUTRITION RECEIVED INDICATOR
PASSIVE COOLING INDICATOR
PATHOLOGY INVESTIGATION TYPE
PATHOLOGY INVESTIGATION TYPE FOR BREAST SCREENING
PATIENT CONSENT FOR TISSUE BANKED AT DIAGNOSIS INDICATION CODE
PATIENT DIAGNOSIS TREATMENT PROVIDED INDICATION CODE FOR SEXUAL HEALTH SERVICE
PATIENT PROCEDURE TYPE FOR PRIMARY ANKLE REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY ELBOW REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY HIP REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY KNEE REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY SHOULDER REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION ANKLE REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION ELBOW REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION HIP REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION KNEE REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION SHOULDER REPLACEMENT
PATIENT SPECIFIC INSTRUMENTS INDICATOR FOR SHOULDER OR KNEE REPLACEMENT
PATIENT SUBJECT TO REMOTE MONITORING INDICATOR
PATIENT TREATED TO CHILDRENS CANCER AND LEUKAEMIA GROUP GUIDELINES INDICATOR
PERITONEAL DIALYSIS RECEIVED INDICATOR
PERITONEAL DRAIN INSERTED FOLLOWING ABDOMINAL XRAY INDICATOR
PHOTOTHERAPY RECEIVED INDICATOR
PLANE OF SURGICAL EXCISION INDICATOR
PRETREATMENT PROSTATE BIOPSY TECHNIQUE TYPE
PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT FOR ANKLE REPLACEMENT
PREVIOUS FRACTURE OF INDEX JOINT INDICATOR FOR ANKLE REPLACEMENT
PREVIOUS INDEX JOINT SURGERY TYPE FOR ANKLE REPLACEMENT
PREVIOUS SURGERY TYPE FOR SHOULDER REPLACEMENT
PRIMARY INDUCTION CHEMOTHERAPY FAILURE INDICATOR
PRINCIPAL DIAGNOSTIC IMAGING TYPE
PROCEDURE SCHEME IN USE
PROSTAGLANDIN INFUSION RECEIVED INDICATOR
PROSTATE NERVE SPARING SURGERY TYPE
RADICAL PROSTATECTOMY MARGIN STATUS
RADIOISOTOPE
RADIOTHERAPY ACTUAL DOSE
RADIOTHERAPY ATTENDANCE ADDITIONAL PROCEDURE
RADIOTHERAPY PLAN OTHER PROCEDURE
RADIOTHERAPY PRESCRIBED BEAM TYPE
RADIOTHERAPY PRESCRIBED DOSE
RADIOTHERAPY TREATMENT INTENT
RADIOTHERAPY TREATMENT MODALITY
REGIONAL ANAESTHETIC TECHNIQUE FOR CANCER
RELAPSE METHOD DETECTION TYPE
RENAL VEIN TUMOUR INDICATOR FOR PAEDIATRIC KIDNEY
RENAL VEIN TUMOUR THROMBUS INDICATION CODE FOR UROLOGICAL
RESPIRATORY SUPPORT DEVICE TYPE FOR NATIONAL NEONATAL DATA SET
RESPIRATORY SUPPORT MODE FOR NATIONAL NEONATAL DATA SET
RESUSCITATION METHOD CODE
RETINOPATHY OF PREMATURITY SCREENING OUTCOME STATUS CODE
RETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR
RETINOPATHY OF PREMATURITY SURGICAL PROCEDURE PERFORMED INDICATOR
REVISION PROCEDURE TYPE FOR ANKLE REPLACEMENT
REVISION PROCEDURE TYPE FOR ELBOW REPLACEMENT
REVISION PROCEDURE TYPE FOR HIP REPLACEMENT
REVISION PROCEDURE TYPE FOR KNEE REPLACEMENT
REVISION PROCEDURE TYPE FOR SHOULDER REPLACEMENT
ROTATOR CUFF CONDITION FOR SHOULDER REPLACEMENT
ROTATOR CUFF REPAIRED INDICATOR FOR SHOULDER REPLACEMENT
ROTATOR CUFF REPAIR TYPE FOR SHOULDER REPLACEMENT
ROYAL COLLEGE OF RADIOLOGISTS PATIENT CATEGORY
SENTINEL LYMPH NODE BIOPSY TYPE
SIGNIFICANT MATERNAL PYREXIA IN LABOUR INDICATOR
SPECIALIST RADIOTHERAPY TREATMENT TYPE
STAFF ROLE CARRYING OUT HOLISTIC NEEDS ASSESSMENT OR PERSONALISED CARE AND SUPPORT PLANNING
STEM CELL INFUSION DONOR TYPE
STEM CELL INFUSION SOURCE CODE
STEM CELL TRANSPLANT CONDITIONING REGIMEN
STEROIDS ADMINISTERED DURING PREGNANCY TO MATURE FETAL LUNGS INDICATOR
SURFACTANT ADMINISTERED INDICATOR
SURGICAL ACCESS TYPE
SURGICAL ACCESS TYPE FOR HEAD AND NECK CANCER
SURGICAL APPROACH FOR PRIMARY HIP REPLACEMENT
SURGICAL APPROACH FOR PRIMARY KNEE REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION ANKLE REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION ELBOW REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION SHOULDER REPLACEMENT
SURGICAL APPROACH FOR REVISION HIP REPLACEMENT
SURGICAL APPROACH FOR REVISION KNEE REPLACEMENT
SURGICAL PALLIATION TYPE
SYSTEMIC ANTI CANCER THERAPY CURATIVE TREATMENT COMPLETED AS PLANNED INDICATOR
SYSTEMIC ANTI CANCER THERAPY CURATIVE TREATMENT NOT COMPLETED OUTCOME REASON
SYSTEMIC ANTI CANCER THERAPY DRUG REGIMEN MODIFICATION INDICATOR FOR DOSE REDUCTION
SYSTEMIC ANTI CANCER THERAPY DRUG REGIMEN TREATMENT INTENT
SYSTEMIC ANTI CANCER THERAPY DRUG ROUTE OF ADMINISTRATION
SYSTEMIC ANTI CANCER THERAPY NON CURATIVE TREATMENT PATIENT BENEFIT INDICATOR
TOTAL VOLUME OF MILK RECEIVED
TREATMENT TYPE FOR HYPOGLYCAEMIA
TREATMENT TYPE FOR NECROTISING ENTEROCOLITIS
TREATMENT TYPE FOR NEONATAL ABSTINENCE SYNDROME
TREATMENT TYPE FOR PATENT DUCTUS ARTERIOSUS
TUBERCULOSIS TREATMENT INDICATOR FOR HIV
UMBILICAL CORD CLAMPED IMMEDIATELY AFTER BIRTH INDICATOR
UMBILICAL CORD MILKING PERFORMED INDICATOR
UNITS OF BLOOD TRANSFUSED FOLLOWING OESOPHAGECTOMY
UNTOWARD INTRAOPERATIVE EVENT CODE FOR ANKLE REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR ELBOW REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR HIP REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR KNEE REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR SHOULDER REPLACEMENT
VENTRICULAR TAP PERFORMED INDICATOR
VENTRICULOPERITONEAL SHUNT SURGERY PERFORMED INDICATOR
VIRAL LOAD COUNT PERFORMED INDICATOR
VISUAL INSPECTION CONFIRMED NECROTISING ENTEROCOLITIS DURING LAPAROTOMY INDICATOR
VITAMIN K ADMINISTERED INDICATOR
VITAMIN K ROUTE OF ADMINISTRATION

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OPHTHALMIC MEDICAL PRACTITIONER

Change to Class: Changed Description

A subtype of GENERAL PRACTITIONER which is a type of CARE PROFESSIONAL.

A PERSON whose name is registered with the General Medical Council and the Ophthalmic Qualifications Committee and who is contracted as an OPHTHALMIC MEDICAL PRACTITIONER to an ORGANISATION to provide general ophthalmic services.A PERSON whose name is registered with the General Medical Council and the National Health Service National Performers List and who is contracted as an OPHTHALMIC MEDICAL PRACTITIONER to an ORGANISATION to provide general ophthalmic services.

 

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BUILDING NAME

Change to Attribute: Changed Description

The name of a building (eg. 'Quarry House').The name of a building.

 For example, Quarry House.

 

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BUILDING NUMBER

Change to Attribute: Changed Description

The number of a building (eg. '62', '37a').The number of a building.

 For example, 62, 37a.

 

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COMMUNICATION CONTACT STRING

Change to Attribute: Changed Description

The sequence of numbers, letters or characters that constitute a COMMUNICATION CONTACT METHOD, (e.g. '0118 663760', for a telephone number or F.The sequence of numbers, letters or characters that constitute a COMMUNICATION CONTACT METHOD.

For example, 0118 663760 for a telephone number or F.Elton@mha.nhs.uk for the e-mail address of 'F. Elton').uk for the e-mail address of F. Elton.

 

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EMED3 FIT NOTE ISSUER

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been approved.

 

This attribute is also known by these names:
ContextAlias
pluralEMED3 FIT NOTE ISSUERS

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EMED3 FIT NOTE ISSUER

Change to Attribute: New Attribute

EMED3 FIT NOTE ISSUER
 
Data Elements:
EMED3 FIT NOTE ISSUER

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LOCAL TREATMENT CATEGORY CODE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY related to the LOCAL TREATMENT CODE.

National Codes:

10SNOMED CT®
20Imaging Code (NICIP Code Set)
30Pathology Bounded Code List (PBCL) Code
40Primary Diagnosis (ICD)
50Primary Procedure (OPCS Classification of Interventions and Procedures)
98Other (not listed)
 

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MOLECULAR DIAGNOSTIC CODE

Change to Attribute: Changed Description

The molecular diagnostics (i.e. chromosomal or genetic markers) associated with the brain Tumour during a Central Nervous System Cancer Care Spell, taken from the World Health Organisation classification.The molecular diagnostics (chromosomal or genetic markers) associated with the brain Tumour during a Central Nervous System Cancer Care Spell, taken from the World Health Organisation classification.

The National Codes can be found on the National Cancer Registration and Analysis Service website at: Cancer Outcomes and Services Dataset (COSD).

 

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NHS NUMBER STATUS INDICATOR CODE

Change to Attribute: Changed Description

The trace status of the NHS NUMBER.

Note:

National Codes:

01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS NUMBER or PATIENT detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old)
 

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NUMBER OF BABIES IDENTIFICATION CODE

Change to Attribute: Changed Description

A code to identify the number of babies born and their rank (i.e. birth order).A code to identify the number of babies born and their rank (birth order).

National Codes:

1/1One baby
1/2First of two babies (twin 1)
2/2Second of two babies (twin 2) 
1/3First of three babies (triplet 1)
2/3Second of three babies (triplet 2)
3/3Third of three babies triplet 3)
1/4First of four babies (quadruplet 1)
2/4Second of four babies (quadruplet 2)
3/4Third of four babies (quadruplet 3)
4/4Fourth of four babies (quadruplet 4)
1/5First of five babies (quintuplet 1)
2/5Second of five babies (quintuplet 2)
3/5Third of five babies (quintuplet 3)
4/5Fourth of five babies (quintuplet 4)
5/5Fifth of five babies (quintuplet 5)
1/6First of six babies (sextuplet 1)
2/6Second of six babies (sextuplet 2)
3/6Third of six babies (sextuplet 3)
4/6Fourth of six babies (sextuplet 4)
5/6Fifth of six babies (sextuplet 5)
6/6Sixth of six babies (sextuplet 6)
1/7First of seven babies (septuplet 1)
2/7Second of seven babies (septuplet 2)
3/7Third of seven babies (septuplet 3)
4/7Fourth of seven babies (septuplet 4)
5/7Fifth of seven babies (septuplet 5)
6/7Sixth of seven babies (septuplet 6)
7/7Seventh of seven babies (septuplet 7)
1/8First of eight babies (octuplet 1)
2/8Second of eight babies (octuplet 2)
3/8Third of eight babies (octuplet 3)
4/8Fourth of eight babies (octuplet 4)
5/8Fifth of eight babies (octuplet 5)
6/8Sixth of eight babies (octuplet 6)
7/8Seventh of eight babies (octuplet 7)
8/8Eighth of eight babies (octuplet 8)
1/9First of nine babies (nontuplet 1)
2/9Second of nine babies (nontuplet 2)
3/9Third of nine babies (nontuplet 3)
4/9Fourth of nine babies (nontuplet 4)
5/9Fifth of nine babies (nontuplet 5)
6/9Sixth of nine babies (nontuplet 6)
7/9Seventh of nine babies (nontuplet 7)
8/9Eighth of nine babies (nontuplet 8)
9/9Ninth of nine babies (nontuplet 9)

Further guidance can be found on the NHS Digital website at: DCB1077: AIDC for Patient Identification.

 

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OFFENCE HISTORY INDICATION CODE

Change to Attribute: Changed Description

An indication of whether the PATIENT has a history of offences, including index offences (i.e. the offence is recordable, committed in England or Wales and is prosecuted by the police. Breach of the peace offences are not included).An indication of whether the PATIENT has a history of offences, including index offences.

This is if the offence is recordable, committed in England or Wales and is prosecuted by the police. Breach of the peace offences are not included.

This is completed by CARE PROFESSIONALS based on PATIENT history or may be informed by referral information.

National Codes:

1No - No offence
2Yes - Less serious offence
3Yes - Serious offence
 

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PERSON GENDER CODE

Change to Attribute: Changed Description

A code to identify the PERSON GENDER.

The classification is phenotypical rather than genotypical, i.e. it does not provide codes for medical or scientific purposes.

Notes:

  • National Code 'Not Known' means that the sex of a PERSON has not been recorded
  • National Code 'Not Specified' means indeterminate, i.e. unable to be classified as either male or female.

National Codes:

0Not Known
1Male
2Female
9Not Specified

Note:
This was e-GIF approved for use in NHS England.
e-GIF and the Government Data Standards Catalogue have been archived and are available for reference only.

PERSON GENDER CODE will be replaced with PERSON STATED GENDER CODE or PERSON PHENOTYPIC SEX CLASSIFICATION, which is the most recent approved national information standard to describe the required definition.

 

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PERSON NAME WORD TEXT

Change to Attribute: Changed Description

The character or string of characters comprising an element of a PERSON's name which has been recorded for at least one PERSON (e.g. 'Dr', 'John', 'Smith').The character or string of characters comprising an element of a PERSON's name which has been recorded for at least one PERSON.

For example, Dr, John, Smith.

This can be a PERSON NAME STRUCTURED or PERSON NAME UNSTRUCTURED.

 

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POSTAL COUNTY

Change to Attribute: Changed Description

The name of a postal county (eg. 'Berkshire').The name of a postal county.

 For example, Berkshire.

 

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POST TOWN

Change to Attribute: Changed Description

The name of a post town (eg. 'Leeds', 'London').The name of a post town.

 For example, Leeds, London.

 

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PROSTATE CANCER CLINICAL RISK CATEGORY

Change to Attribute: Changed Description

The clinical risk of prostate cancer as defined by the CARE PROFESSIONAL.

National Codes:

01Low risk
02Low-intermediate risk
03High-intermediate risk
04High risk
 

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REFERRING CARE PROFESSIONAL TYPE FOR NHS CONTINUING HEALTHCARE STANDARD

Change to Attribute: Changed Description

The type of CARE PROFESSIONAL who carried out the NHS Continuing Healthcare Checklist and referred the PATIENT for an NHS Continuing Healthcare (Standard) assessment.

National Codes:

01Occupational Therapist
02Physiotherapist
03GENERAL MEDICAL PRACTITIONER
04District NURSE
05Other NURSE
06Social Care Worker
98Other CARE PROFESSIONAL (not listed)
 

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REPORTING TYPE INDICATOR

Change to Attribute: Changed Description

An indication of whether a record submitted in a data set is frozen (Post-Reconciliation), i.e. not subject to further update.An indication of whether a record submitted in a data set is frozen (Post-Reconciliation) and is therefore not subject to further update.

National Codes:

YYes - The record submitted is frozen
NNo - The record submitted is not frozen
 

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SESSION TIME

Change to Attribute: Changed Description

The time of a SESSION, e.g. a Consultant Clinic Session.The time of a SESSION.

For example, a Consultant Clinic Session. This may be an actual start time or an indicator of am or pm.

 

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STREET OR ROAD NAME

Change to Attribute: Changed Description

The name of a street or road (eg. 'Nine Elms Lane').The name of a street or road.

 For example, Nine Elms Lane.

 

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ASSESSMENT TOOL VALIDATION TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
ASSESSMENT TOOL VALIDATION TIMESTAMP is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Assessment Tool Validation Timestamp'.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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CODED DIAGNOSIS TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
CODED DIAGNOSIS TIMESTAMP is the same as attribute PERSON PROPERTY OBSERVED DATE and PERSON PROPERTY OBSERVED TIME for the PATIENT DIAGNOSIS.

CODED DIAGNOSIS TIMESTAMP is the date, time and time zone that the PATIENT DIAGNOSIS was observed by a CARE PROFESSIONAL.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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CODED PROCEDURE TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
CODED PROCEDURE TIMESTAMP is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Procedure Date' and 'Procedure Time'.

CODED PROCEDURE TIMESTAMP is the date, time and time zone that the Patient Procedure was performed by a CARE PROFESSIONAL.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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CODED PROCEDURE TIMESTAMP (MEDICATION ADMINISTRATION)

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
CODED PROCEDURE TIMESTAMP (MEDICATION ADMINISTRATION) is the same as attribute ACTIVITY DATE and ACTIVITY TIME.

CODED PROCEDURE TIMESTAMP (MEDICATION ADMINISTRATION) is the date, time and time zone that the Patient Procedure to administer a PRESCRIBED ITEM to a PATIENT was performed by a CARE PROFESSIONAL.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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CODED PROCEDURE TIMESTAMP (RADIOTHERAPY EXPOSURE)

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
CODED PROCEDURE TIMESTAMP (RADIOTHERAPY EXPOSURE) is the same as data element CODED PROCEDURE TIMESTAMP.

CODED PROCEDURE TIMESTAMP (RADIOTHERAPY EXPOSURE) is the date, time and time zone that the Radiotherapy Exposure was initiated at the Radiotherapy Attendance.

 A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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CODED PROVISIONAL DIAGNOSIS TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
CODED PROVISIONAL DIAGNOSIS TIMESTAMP is the same as attribute PERSON PROPERTY OBSERVED DATE and PERSON PROPERTY OBSERVED TIME for the PROVISIONAL DIAGNOSIS.

CODED PROVISIONAL DIAGNOSIS TIMESTAMP is the date, time and time zone that the PROVISIONAL DIAGNOSIS was observed by a CARE PROFESSIONAL.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

For the Mental Health Services Data Set, offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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DATA SET CREATED TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
DATA SET CREATED TIMESTAMP is the same as attribute EVENT DATE and EVENT TIME.

DATA SET CREATED TIMESTAMP is the date, time and time zone that a data set was created.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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DELIVERY TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
DELIVERY TIMESTAMP is the same as attribute PERSON BIRTH DATE and PERSON BIRTH TIME.

DELIVERY TIMESTAMP is the date, time and time zone of delivery for each REGISTRABLE BIRTH.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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EMED3 FIT NOTE ISSUER

Change to Data Element: New Data Element

This item is being used for development purposes and has not yet been approved.

 

This data element is also known by these names:
ContextAlias
pluralEMED3 FIT NOTE ISSUERS

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EMED3 FIT NOTE ISSUER

Change to Data Element: New Data Element

EMED3 FIT NOTE ISSUER
 
Attribute:
EMED3 FIT NOTE ISSUER

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EMERGENCY CARE CLINICALLY READY TO PROCEED TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE CLINICALLY READY TO PROCEED TIMESTAMP is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Emergency Care Clinically Ready To Proceed Timestamp'.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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EMERGENCY CARE EXPECTED DATE AND TIMESTAMP OF TREATMENT

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE EXPECTED DATE AND TIMESTAMP OF TREATMENT is the same as attribute PLANNED ACTIVITY DATE and PLANNED ACTIVITY TIME for the 'Emergency Care Expected Date and Timestamp of Treatment'.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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EMERGENCY CARE TREATMENT ALLOCATION TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE TREATMENT ALLOCATION TIMESTAMP is the same as attribute EVENT DATE and EVENT TIME.

EMERGENCY CARE TREATMENT ALLOCATION TIMESTAMP is the date, time and time zone that an Emergency Care Expected Date and Timestamp of Treatment was allocated to the PATIENT.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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GS1 APPLICATION IDENTIFIER (INTERNAL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
GS1 APPLICATION IDENTIFIER (INTERNAL) is the same as attribute GS1 APPLICATION IDENTIFIER (INTERNAL).

Permitted National Codes:

91Hospital Identifiers
92Baby Details
93PATIENT Descriptive Data

For further information relating to format/length, see the NHS Digital website at: DCB1077: AIDC for Patient Identification.

 

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IMAGING REPORT TEXT

Change to Data Element: Changed Description

Format/Length:max an270000
National Codes: 
Default Codes: 

Notes:
IMAGING REPORT TEXT is the same as attribute PERSON OBSERVATION TEXT STRING.

IMAGING REPORT TEXT is the full text provided in the Pathology Laboratory Service Report and may be required by the National Cancer Registration and Analysis Service to derive the final stage and DIAGNOSIS DATE for registration.IMAGING REPORT TEXT is the full text provided in the Radiology Information System report and may be required by the National Cancer Registration and Analysis Service to derive the final stage and DIAGNOSIS DATE for registration.

 

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LAST PATIENT CANCELLED DATE

Change to Data Element: Changed Description

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

Notes:
LAST PATIENT CANCELLED DATE is the same as attribute ACTIVITY DATE for the 'Last Patient Cancelled Date'.

For the CDS V6-3 Type 020 - Outpatient Commissioning Data Set, the LAST PATIENT CANCELLED DATE is the last APPOINTMENT within a Consultant Out-Patient Episode which the PATIENT cancelled, on or prior to the APPOINTMENT DATE carried in that CDS V6-3 Type 020 - Outpatient Commissioning Data Set record.For the CDS V6-3 Type 020 - Outpatient Commissioning Data Set, the LAST PATIENT CANCELLED DATE is the last APPOINTMENT within a Care Professional Out-Patient Episode which the PATIENT cancelled, on or prior to the APPOINTMENT DATE carried in that CDS V6-3 Type 020 - Outpatient Commissioning Data Set record.

 

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LAST PATIENT DID NOT ATTEND DATE

Change to Data Element: Changed Description

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

Notes:
LAST PATIENT DID NOT ATTEND DATE is the same as attribute ACTIVITY DATE for the 'Last Patient Did Not Attend Date'.

For the CDS V6-3 Type 020 - Outpatient Commissioning Data Set, the LAST PATIENT DID NOT ATTEND DATE is the last APPOINTMENT within a Consultant Out-Patient Episode which the PATIENT failed to attend without advance warning, on or prior to the APPOINTMENT DATE carried in that CDS V6-3 Type 020 - Outpatient Commissioning Data Set record.For the CDS V6-3 Type 020 - Outpatient Commissioning Data Set, the LAST PATIENT DID NOT ATTEND DATE is the last APPOINTMENT within a Care Professional Out-Patient Episode which the PATIENT failed to attend without advance warning, on or prior to the APPOINTMENT DATE carried in that CDS V6-3 Type 020 - Outpatient Commissioning Data Set record.

 

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MEDICATION ADMINISTRATION RECORDED TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
MEDICATION ADMINISTRATION RECORDED TIMESTAMP is the same as attribute ACTIVITY DATE and ACTIVITY TIME.

MEDICATION ADMINISTRATION RECORDED TIMESTAMP is the date, time and time zone that the administration of a PRESCRIBED ITEM to a PATIENT was recorded in the ELECTRONIC HEALTH RECORD.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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MEDICATION ADMINISTRATION RECORD LAST UPDATED TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
MEDICATION ADMINISTRATION RECORD LAST UPDATED TIMESTAMP is the same as attribute ACTIVITY DATE and ACTIVITY TIME.

MEDICATION ADMINISTRATION RECORD LAST UPDATED TIMESTAMP is the date, time and time zone that the record of the administration of PRESCRIBED ITEMS to a PATIENT was last updated in the ELECTRONIC HEALTH RECORD.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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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 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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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
 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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PRESCRIBED MEDICATION AUTHORISED TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
PRESCRIBED MEDICATION AUTHORISED TIMESTAMP is the same as attribute ACTIVITY DATE and ACTIVITY TIME of the 'Prescribed Medication Authorised Timestamp'.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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PRESCRIBED MEDICATION DOSE TO BE ADMINISTERED TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
PRESCRIBED MEDICATION DOSE TO BE ADMINISTERED TIMESTAMP is the same as attribute PLANNED ACTIVITY DATE and PLANNED ACTIVITY TIME of the 'Prescribed Medication Dose To Be Administered Timestamp'.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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PRESCRIBED MEDICATION RECORD LAST UPDATED TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
PRESCRIBED MEDICATION RECORD LAST UPDATED TIMESTAMP is the same as attribute ACTIVITY DATE and ACTIVITY TIME of the 'Prescribed Medication Record Last Updated Timestamp'.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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PRESCRIBED MEDICATION VALIDITY PERIOD END TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
PRESCRIBED MEDICATION VALIDITY PERIOD END TIMESTAMP is the same as attribute PRESCRIBED ITEM VALIDITY PERIOD END DATE AND TIME and time zone offset.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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PRESCRIBED MEDICATION VALIDITY PERIOD START TIMESTAMP

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
PRESCRIBED MEDICATION VALIDITY PERIOD START TIMESTAMP is the same as attribute PRESCRIBED ITEM VALIDITY PERIOD START DATE AND TIME and time zone offset.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY)

Change to Data Element: Changed Description

Format/Length:max an25
National Codes: 
Default Codes: 

Notes:
PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY) is the same as attribute PRESCRIPTION DATE and PRESCRIPTION TIME.

PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY) is the date, time and time zone for the PRESCRIPTION of Assistive Technology.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

For the Mental Health Services Data Set, offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

  • 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2020-08-21T10:15:20+00:00 Greenwich Mean Time
  • 2020-08-21T10:15:20-00:00 Greenwich Mean Time
  • 2020-08-21T09:18:00Z Greenwich Mean Time.
  • 2022-12-01T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
  • 2022-12-01T10:15:20+00:00 Greenwich Mean Time
  • 2022-12-01T10:15:20-00:00 Greenwich Mean Time
  • 2022-12-01T09:18:00Z Greenwich Mean Time.
 

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SMOKING STATUS (CANCER)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:9 - Unknown (Not Recorded)

Notes:
SMOKING STATUS (CANCER) is the same as attribute SMOKING STATUS for the Cancer Outcomes and Services Data Set: Core.

SMOKING STATUS (CANCER) is for use in the Cancer Outcomes and Services Data Set: Core to identify if the PATIENT smokes tobacco only.

National Codes:Permitted National Codes:

1Current smoker
2Ex-smoker
4Never smoked
 

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COMMISSIONING DATA SET VERSION 6-2-2 XML SCHEMA CONSTRAINTS

Change to XML Schema Constraint: Changed Description

XML Schema Constraints applied to the:XML Schema Constraints applied to the Commissioning Data Sets V6-2-2.

Key to XML Schema Constraint Column Headings:

Column NameColumn MeaningColumn Options
XML Schema Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the XML Schema representationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the XML Schema to the NHS Data Model and Dictionary 
Allowed ValuesIndicates whether the NHS Data Model and Dictionary National Codes and Default Codes are present in the XML SchemaNone = The NHS Data Model and Dictionary National and Default Codes are present in the XML SchemaRemoved = The NHS Data Model and Dictionary National Codes and Default Codes are not present in the XML SchemaAny other entry = Shows the values present in the XML Schema which are a subset of those in the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the XML SchemaNone = There is no range value constraint applied in the XML SchemaAny other entry = Shows the range value constraint applied in the XML Schema 
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the XML SchemaNone = There is no data pattern, to which the data must conform, applied in the XML SchemaAny other entry = Shows the data pattern, to which the data must conform, applied in the XML Schema 

XML Schema Constraints:

Data ElementXML Schema Format/LengthAllowed ValuesRangePattern MatchReason / Comment / XML Choice
ACTIVITY TREATMENT FUNCTION CODE (DECISION TO ADMIT)None
Removed
None
None
National Codes not enumerated in the XML Schema
AGE AT CDS ACTIVITY DATEmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
CDS COPY RECIPIENT IDENTITYmin an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
CDS INTERCHANGE TEST INDICATORNone
0,1
None
None
Null value not allowed in XML Schema
CDS MESSAGE VERSION NUMBERan6
CDS062
None
None
Message version is hard coded in the XML Schema
CDS PRIME RECIPIENT IDENTITYmin an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
CDS SENDER IDENTITYmin an3 max an12
None
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
EMERGENCY CARE PLACE OF INJURY (LATITUDE)None
None
-90.000000-90.000000
None
Range applied to allow correct reporting of EMERGENCY CARE PLACE OF INJURY (LATITUDE)
EMERGENCY CARE PLACE OF INJURY (LONGITUDE)None
None
-180.000000-180.000000
None
Range applied to allow correct reporting of EMERGENCY CARE PLACE OF INJURY (LONGITUDE)
ETHNIC CATEGORYmax an2
None
None
None
Existing Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Second character can be for local use.
Format/Length amended to max an2
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)None
Removed
None
None
Default codes not enumerated in the XML Schema
GENERAL MEDICAL PRACTITIONER (SPECIFIED)None
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (CODE OF PROVIDER)min an3 max an5
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION SITE IDENTIFIER (OF TREATMENT)None
Removed
None
None
Default codes not enumerated in the XML Schema
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATENone
A,B,C,D,E,F,P,9
None
None
National Code X is not valid in CDS V6-2-2 Type 011 - Emergency Care CDS
POSTCODE OF USUAL ADDRESSmin an2 max an8
None
None
None
Existing Format/Length states max an8 - XML Schema allows min an2 max an8
PROFESSIONAL REGISTRATION ENTRY IDENTIFIERmin an1 max an32
None
None
None
Existing Format/Length states max an32 - XML Schema allows min an1 max an32
WAITING TIME MEASUREMENT TYPENone
01,02,09
None
None
National Codes 03, 04, 05, 06, 07 and 08 not valid in Commissioning Data Sets

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COMMISSIONING DATA SET VERSION 6-2-3 XML SCHEMA CONSTRAINTS

Change to XML Schema Constraint: Changed Description

XML Schema Constraints applied to the:XML Schema Constraints applied to the Commissioning Data Sets V6-2-3.

Key to XML Schema Constraint Column Headings:

Column NameColumn MeaningColumn Options
XML Schema Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the XML Schema representationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the XML Schema to the NHS Data Model and Dictionary 
Allowed ValuesIndicates whether the NHS Data Model and Dictionary National Codes and Default Codes are present in the XML SchemaNone = The NHS Data Model and Dictionary National and Default Codes are present in the XML SchemaRemoved = The NHS Data Model and Dictionary National Codes and Default Codes are not present in the XML SchemaAny other entry = Shows the values present in the XML Schema which are a subset of those in the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the XML SchemaNone = There is no range value constraint applied in the XML SchemaAny other entry = Shows the range value constraint applied in the XML Schema 
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the XML SchemaNone = There is no data pattern, to which the data must conform, applied in the XML SchemaAny other entry = Shows the data pattern, to which the data must conform, applied in the XML Schema 

XML Schema Constraints:

Data ElementXML Schema Format/LengthAllowed ValuesRangePattern MatchReason / Comment / XML Choice
ACTIVITY TREATMENT FUNCTION CODE (DECISION TO ADMIT)None
Removed
None
None
National Codes not enumerated in the XML Schema
AGE AT CDS ACTIVITY DATEmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
CDS INTERCHANGE TEST INDICATORNone
0,1
None
None
Null value not allowed in XML Schema
CDS MESSAGE VERSION NUMBERan6
CDS062
None
None
Message version is hard coded in the XML Schema
EMERGENCY CARE DEPARTMENT TYPEan2
Removed
None
None
National Codes not enumerated in the XML Schema
EMERGENCY CARE PLACE OF INJURY (LATITUDE)None
None
-90.000000-90.000000
None
Range applied to allow correct reporting of EMERGENCY CARE PLACE OF INJURY (LATITUDE)
EMERGENCY CARE PLACE OF INJURY (LONGITUDE)None
None
-180.000000-180.000000
None
Range applied to allow correct reporting of EMERGENCY CARE PLACE OF INJURY (LONGITUDE)
ETHNIC CATEGORYmax an2
None
None
None
Existing Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Second character can be for local use.
Format/Length amended to max an2
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)None
Removed
None
None
Default codes not enumerated in the XML Schema
GENERAL MEDICAL PRACTITIONER (SPECIFIED)None
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (CODE OF PROVIDER)min an3 max an5
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION SITE IDENTIFIER (OF TREATMENT)None
Removed
None
None
Default codes not enumerated in the XML Schema
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATENone
A,B,C,D,E,F,P,9
None
None
National Code X is not valid in CDS V6-2-3 Type 011 - Emergency Care CDS
POSTCODE OF USUAL ADDRESSmin an2 max an8
None
None
None
Existing Format/Length states max an8 - XML Schema allows min an2 max an8
PROFESSIONAL REGISTRATION ENTRY IDENTIFIERmin an1 max an32
None
None
None
Existing Format/Length states max an32 - XML Schema allows min an1 max an32
WAITING TIME MEASUREMENT TYPENone
01,02,09
None
None
National Codes 03, 04, 05, 06, 07 and 08 not valid in Commissioning Data Sets

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COMMUNITY SERVICES DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Community Services Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
ETHNIC CATEGORYmax an2NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an2

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CRITICAL CARE MINIMUM DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Critical Care Minimum Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
CRITICAL CARE DISCHARGE DESTINATIONn2NoneNoneExisting Format/Length states max an3 -Data Set allows n2

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DEVICES PATIENT LEVEL CONTRACT MONITORING DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Devices Patient Level Contract Monitoring Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
ETHNIC CATEGORYmax an2NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an2

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DRUGS PATIENT LEVEL CONTRACT MONITORING DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Drugs Patient Level Contract Monitoring Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
ETHNIC CATEGORYmax an2NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an2

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Improving Access to Psychological Therapies Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)min an6 max an56NoneNoneThe SNOMED CT EXPRESSION base data element is not defined with a maximum length.
This data item constraint has been set to min an6 max an56 as required by the Information Standard owner.
ETHNIC CATEGORYmax an2NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an2

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MENTAL HEALTH SERVICES DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Mental Health Services Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
CODED INDIRECT ACTIVITY PROCEDURE AND PROCEDURE STATUS (SNOMED CT)min an6 max an56NoneNoneThe SNOMED CT EXPRESSION base data element is not defined with a maximum length.
This data item constraint has been set to min an6 max an56 as required by the Information Standard owner.
CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)min an6 max an56NoneNoneThe SNOMED CT EXPRESSION base data element is not defined with a maximum length.
This data item constraint has been set to min an6 max an56 as required by the Information Standard owner.
CODED REFERRAL PROCEDURE AND PROCEDURE STATUS (SNOMED CT)min an6 max an56NoneNoneThe SNOMED CT EXPRESSION base data element is not defined with a maximum length.
This data item constraint has been set to min an6 max an56 as required by the Information Standard owner.
ETHNIC CATEGORYmax an2NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an2
MENTAL HEALTH RESOURCE GROUP TYPE (SNOMED CT)min an6 max an56NoneNoneThe SNOMED CT EXPRESSION base data element is not defined with a maximum length.
This data item constraint has been set to min an6 max an56 as required by the Information Standard owner.

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NATIONAL CANCER WAITING TIMES MONITORING DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the National Cancer Waiting Times Monitoring Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementXML Schema Format/LengthAllowed ValuesRangePattern MatchReason / Comment / XML Choice
PATIENT PATHWAY IDENTIFIERmin an1 max an20
None
None
None
Existing Format/Length is max an20. Unable to change this as it is used in other data sets.
XML Schema allows min an1 max an20
ORGANISATION IDENTIFIER (REFERRING)min an3 max an5
Removed
None
None
Default codes not enumerated in the XML Schema.
an6 is not applicable for the National Cancer Waiting Times Monitoring Data Set.

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NATIONAL NEONATAL DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the National Neonatal Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
BIRTH WEIGHTn4NoneNoneExisting Format/Length states max an4 - Data Set allows n4
GESTATION LENGTH (AT DELIVERY)n2NoneNoneExisting Format/Length states an2 - Data Set allows n2

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PATIENT LEVEL CONTRACT MONITORING DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Patient Level Contract Monitoring Data Set.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constraint has been applied in the data set specificationNone = There is no range value constraint applied in the data set specificationAny other entry = Shows the range value constraint applied in the data set specification
Pattern MatchIndicates whether a data pattern, to which the data must conform, has been applied in the data set specificationNone = There is no data pattern, to which the data must conform, applied in the data set specificationAny other entry = Shows the data pattern, to which the data must conform, applied in the data set specification

Data Set Constraints:

Data ElementFormat/LengthRangePattern MatchReason / Comment
ETHNIC CATEGORYmax an2NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an2

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PLICS ACUTE SUPPLEMENTARY INFORMATION DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set Constraints applied to the Patient Level Information Costing System Integrated Data Set - Supplementary Information.

Key to Data Set Constraint Column Headings:

Column NameColumn MeaningColumn Options
Column NameColumn MeaningColumn Options
Format/LengthIndicates any differences between the Format/Length of the item in the NHS Data Model and Dictionary and the data set specificationNone = The Format/Length is the same as the NHS Data Model and DictionaryAny other entry = The Format/Length is different in the data set specification to the NHS Data Model and Dictionary
RangeIndicates whether a range value constrain