NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1876
Version No:1.0
Subject:December 2022 release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:1 December 2022

Background:

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

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

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

Summary of changes:

Supporting Information
ATTRIBUTE DEFINITIONS INTRO   Changed Description
BREAST SCREENING INFORMATION SYSTEM   New Supporting Information
CLASS DEFINITIONS INTRO   Changed Description
DATA DICTIONARY FOR CARE (RETIRED) renamed from DATA DICTIONARY FOR CARE   Changed Description, Name, status to Retired
DATA ELEMENTS INTRO   Changed Description
NATIONAL NEONATAL DATA SET OVERVIEW   Changed Description
NEWBORN HEARING SCREENING   Changed Description
NHS BREAST SCREENING PROGRAMME CENTRAL RETURN DATA SET (KC62) OVERVIEW   Changed Description
NHS BUSINESS DEFINITIONS   Changed Description
NHS NEWBORN AND INFANT PHYSICAL EXAMINATION PROGRAMME   Changed Description
ORGANISATION MERGERS   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
RELEASE HISTORY: DECEMBER 2022 renamed from RELEASE HISTORY: NOVEMBER 2022   Changed Description, Name
SNOMED CT REFSET   Changed Description
SUPPORTING DEFINITIONS MENU   Changed Description
SUPPORTING INFORMATION INTRODUCTION   Changed Description
 
Data Elements
ETHNIC CATEGORY 2021 (BABY)   Changed Description
ETHNIC CATEGORY 2021 (FATHER)   Changed Description
ETHNIC CATEGORY 2021 (MOTHER)   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
COMMISSIONING DATA SET VERSION 6-3 XML SCHEMA CONSTRAINTS   Changed Description
 

Date:1 December 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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ATTRIBUTE DEFINITIONS INTRO

Change to Supporting Information: Changed Description


To navigate to an Attribute:

  • Click on Attributes on the left hand menu;
    • Because there are a large number of Attributes, the alphabetical list has been broken down into groups to make it easier to find what you are looking for.
  • Click on a group of letters in the Attribute menu to display the list of Attributes for that group;
  • Click on the Attribute name to display the definition for a specific Attribute.

 For more information on Attributes, see Attributes Help.

To navigate to an Attribute:

  • Click on Attributes on the left hand menu
  • Because there are a large number of Attributes, the alphabetical list has been broken down into groups to make it easier to find what you are looking for
  • Click on a group of letters in the Attribute menu to display the list of Attributes for that group
  • Click on the Attribute name to display the definition for a specific Attribute.

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BREAST SCREENING INFORMATION SYSTEM

Change to Supporting Information: New Supporting Information

The Breast Screening Information System (BSIS) is a browser-based application, that allows authorised users to:

For further information on the Breast Screening Information System, see the NHS England website at: Breast screening services.

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CLASS DEFINITIONS INTRO

Change to Supporting Information: Changed Description



To navigate to a Class:

  • Click on Classes on the left hand menu;
  • Click on a letter in the Class menu to display the list of Classes for that letter;
  • Click on the Class name to display the definition for a specific Class.

 For more information on Classes, see Classes Help.

To navigate to a Class:

  • Click on Classes on the left hand menu
  • Click on a letter in the Class menu to display the list of Classes for that letter
  • Click on the Class name to display the definition for a specific Class.

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DATA DICTIONARY FOR CARE (RETIRED)  renamed from DATA DICTIONARY FOR CARE

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

The Data Dictionary for Care (DD4C) publishes metadata associated with SNOMED CT Refsets.This item has been retired from the NHS Data Model and Dictionary.

For further information on the Data Dictionary for Care, see the NHS Digital website at: Welcome to DD4C.The last live version of this item is available in the November 2022 release of the NHS Data Model and Dictionary.

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

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DATA DICTIONARY FOR CARE (RETIRED)  renamed from DATA DICTIONARY FOR CARE

Change to Supporting Information: Changed Description, Name, status to Retired
  • Changed Description
  • Changed Name from Web_Site_Content.Supporting_Definitions.Data_Dictionary_for_Care to Retired.Web_Site_Content.Supporting_Definitions.Data_Dictionary_for_Care
  • Retired Data Dictionary for Care

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DATA ELEMENTS INTRO

Change to Supporting Information: Changed Description


To navigate to a Data Element:

  • Click on Data Elements on the left hand menu;
    • Because there are a large number of Data Elements, the alphabetical list has been broken down into groups to make it easier to find what you are looking for
  • Click on a group of letters in the Data Element menu to display the list of Data Elements for that group;
  • Click on the Data Element name to display the definition for a specific Data Element.

 For more information on Data Elements, Data Elements Help.

To navigate to a Data Element:

  • Click on Data Elements on the left hand menu
  • Because there are a large number of Data Elements, the alphabetical list has been broken down into groups to make it easier to find what you are looking for
  • Click on a group of letters in the Data Element menu to display the list of Data Elements for that group
  • Click on the Data Element name to display the definition for a specific Data Element.

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NATIONAL NEONATAL DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The National Neonatal Data Set consists of a defined list of data items that are extracted from electronic clinical records created by clinical staff on all admissions to NHS Neonatal Units in England, Wales and Scotland.

The National Neonatal Data Set is in two parts:

The two neonatal data sets comprise data items relating to PATIENT demographics, CLINICAL INTERVENTIONS, outcomes, and PATIENT DIAGNOSES. Each data item is mapped or in the process of being mapped where possible to existing Information Standards and Data Collections (including Extractions) (such as the Neonatal Critical Care Minimum Data Set and Maternity Services Data Set) as well as to SNOMED CT and ICD codes.

The National Neonatal Data Set consists of a defined list of data items that are extracted from electronic clinical records created by clinical staff relating to all admissions to a Neonatal Unit in England, Wales and Scotland. The Neonatal Data Analysis Unit has established a database, the National Neonatal Research Database, to hold data comprising the National Neonatal Data Set, as a national resource, to serve a variety of needs, so avoiding duplicate data collections for different purposes, minimising the burden placed upon clinical teams, and promoting data quality and completeness.

Submission Information

Identifiable information (i.e. PERSON IDENTIFIERS, such as NHS NUMBER) is pseudonymised by the System Supplier before being submitted to the Neonatal Data Analysis Unit.  These pseudonymised data items are listed alongside their identifiable counterparts in the National Neonatal Data Set. Only data from PATIENTS whose parents have not opted-out of secondary uses of their babies data will flow to the Neonatal Data Analysis Unit.

Where anonymisation is required, the dates and times of events carried throughout the data set (such as CODED PROCEDURE TIMESTAMP (SAMPLE COLLECTION), CODED PROCEDURE TIMESTAMP (ABDOMINAL X-RAY) should be replaced with the specific relevant year and month of the event and the NUMBER OF MINUTES (BIRTH TO EVENT).

Further Guidance

Further guidance has been produced by the Neonatal Data Analysis Unit and is available on their website at: Neonatal Data Analysis Unit.

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
  • P = Pilot: this data element is for piloting use only.

Note: items in the Mandation column which are shown with notation P are included to facilitate piloting and testing of future Neonatal Data Analysis Unit data requirements, prior to formal inclusion in later versions of the data set.  These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

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NEWBORN HEARING SCREENING

Change to Supporting Information: Changed Description

Newborn Hearing Screening is a Clinical Investigation.

Newborn Hearing Screening is recommended to be undertaken on all newborn babies, using appropriate electro-acoustic or electro-physiological tests to detect moderate, severe or profound permanent childhood deafness.

The NHS Newborn Hearing Screening Programme (NHSP) ensures all parents are offered hearing screening for their new child within the first few weeks of life. It is a core service within the NHS in England and part of the family of Antenatal and Newborn Screening Programmes.

For further information on Newborn Hearing Screening, see the Public Health England part of the gov.For further information on Newborn Hearing Screening, see the gov.uk website at: NHS newborn hearing screening programme (NHSP).

Note: if the child fails the Newborn Hearing Screening, a REFERRAL REQUEST for a Newborn Hearing Audiology Test is made.

 

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NHS BREAST SCREENING PROGRAMME CENTRAL RETURN DATA SET (KC62) OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The NHS Breast Screening Programme Central Return Data Set (KC62) provides information to the NHS Breast Screening Programme from Breast Screening Units on the processes and outcomes of the call and recall system. Screening Programmes are supported by the UK National Screening Committee.

The information is used:

The NHS Breast Screening Programme Central Return Data Set (KC62) is analysed by NHS Digital and also used by the Public Health Research Unit to evaluate the effectiveness of Breast Screening.  It is also used by the Regional Breast Screening Quality Assurance Reference Centres as part of the quality assurance process, and enables on-going monitoring of their individual programmes and comparisons within their regions and with England overall.

Collection

The NHS Breast Screening Programme Central Return Data Set (KC62) requires information on women invited for Breast Screening, the outcome of the Breast Screening and further information on each cancer detected.  It is completed annually and submitted by the end of the October following the end of the REPORTING PERIOD to which the data relates.

Women are included in the NHS Breast Screening Programme Central Return Data Set (KC62) only if the test date offered or SCREENING TEST DATE was within the review period.  All Screening Tests taking place within the REPORTING PERIOD are counted.  One woman may not have more than one outcome of cancer in the REPORTING PERIOD.  Women who are referred directly for a Screening Test (rather than an invitation as part of a Screening Programme) are also included if the SCREENING TEST DATE is within the REPORTING PERIOD.

Submission

The NHS Breast Screening Programme Central Return Data Set (KC62) is submitted via the Breast Screening Information System.

Parts One to Five of the NHS Breast Screening Programme Central Return Data Set (KC62) should be reported for Tables A to T.

TABLEDESCRIPTION
A*First invitation for routine screening
B*Routine invitation to previous non-attenders
C1*Return invitation to previous attenders (last screen within 5 years)
C2Return invitation to previous attenders (last screen more than 5 years)
DShort term recall
ESelf/GP referrals of women not previously screened
F1Self/GP referrals of women previously screened (last screen within 5 years)
F2Self/GP referrals of women previously screened (last screen more than 5 years previously)
TAll invitations and screenings: Sum of Tables A - F2

* INVASIVE BREAST CANCER TOTAL OBSERVED, INVASIVE BREAST CANCER TOTAL EXPECTED and STANDARDISED DETECTION RATIO TOTAL are only appropriate for tables A, B and C1.

The NHS Breast Screening Programme Central Return Data Set (KC62) is submitted in csv file format.

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NHS BUSINESS DEFINITIONS

Change to Supporting Information: Changed Description


To navigate to a NHS Business Definition:

  • Click on NHS Business Definitions on the left hand menu;
  • Click on a letter in the NHS Business Definition menu to display the list of NHS Business Definitions for that letter;
  • Click on the NHS Business Definition name to display the definition for a specific NHS Business Definition.

 For more information on NHS Business Definitions, see NHS Business Definitions Help.

To navigate to an NHS Business Definition:

  • Click on NHS Business Definitions on the left hand menu
  • Click on a letter in the NHS Business Definition menu to display the list of NHS Business Definitions for that letter
  • Click on the NHS Business Definition name to display the definition for a specific NHS Business Definition.

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NHS NEWBORN AND INFANT PHYSICAL EXAMINATION PROGRAMME

Change to Supporting Information: Changed Description

The NHS Newborn and Infant Physical Examination Programme is a HEALTH PROGRAMME.

The NHS Newborn and Infant Physical Examination Programme (NIPE) offers parents of newborn babies in England the opportunity to have their child examined shortly after birth.

For further information on the NHS Newborn and Infant Physical Examination Programme, see the Public Health England part of the gov.For further information on the NHS Newborn and Infant Physical Examination Programme, see the gov.uk website at: Newborn and infant physical examination screening: programme overview .

 

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ORGANISATION MERGERS

Change to Supporting Information: Changed Description

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 DESTINATIONDESTINATION OF DISCHARGE

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

DISCHARGE METHODMETHOD OF DISCHARGE

  • 1   PATIENT discharged on clinical advice or with clinical consent

ADMISSION METHODMETHOD OF ADMISSION

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
ADMISSION SOURCE

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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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Paediatric Critical Care Minimum Data Set (PCCMDS) provides a record of what happens to a PATIENT when they receive Paediatric Critical Care in a Paediatric Intensive Care Unit, or other critical care setting suitable for children.

The primary purpose of the Paediatric Critical Care Minimum Data Set is to allow the operation of the National Tariff Payment System within paediatric critical care. The Paediatric Critical Care Minimum Data Set supports the National Tariff Payment System by capturing the data needed to generate a Healthcare Resource Group (HRG) for each calendar day (or part thereof) of a period of paediatric critical care; these Healthcare Resource Groups are then used to inform the annual aggregate costing exercise, NHS Reference Costs.

Scope and Uses

The scope of the Paediatric Critical Care Minimum Data Set is:

a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '04 - Paediatric Intensive Care Unit (Paediatric critical care patients predominate)'

b) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code of either:

  • 16 - Ward for children and young people
  • 17 - High Dependency Unit for children and young people
  • 18 - Renal Unit for children and young people
  • 19 - Burns Unit for children and young people
  • 92 - Non standard location using the operating department for children and young people

to whom one or more of the following CRITICAL CARE ACTIVITY CODES applies for a period greater than 4 hours: 

04Exchange Transfusion (PATIENT received exchange transfusion)
05Peritoneal dialysis (acute PATIENTS only i.e. excluding chronic) *
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin)
09Oxygen Therapy (supplementary Oxygen Therapy, irrespective of ventilatory state) **
13Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))
16Haemofiltration (PATIENT received Haemofiltration)
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute PATIENTS only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS)
73Continuous pulse oximetry
74PATIENT nursed in single occupancy cubicle
80Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT)
85PATIENT has an epidural catheter in situ
94PATIENT has arrhythmia requiring intravenous anti-arrhythmic therapy
95PATIENT has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring
96Intravenous infusion of sedative agent (PATIENT receiving continuous intravenous infusion of sedative agent)
97PATIENT has status epilepticus requiring treatment with continuous intravenous infusion

Notes:

  • * National Code 05 applies as an inclusion criterion for acute PATIENTS only: it does not apply with chronic PATIENTS.
  • ** National Code 09 applies as an inclusion criterion when the PATIENT receives supplementary Oxygen Therapy, irrespective of their ventilatory state.

This data is captured and recorded locally and may be used for the purposes of direct care, clinical audit, Reference Costs, and other local uses. Any transmission of the Paediatric Critical Care Minimum Data Set must be covered by fair processing arrangements in accordance with information governance criteria and appropriate local arrangements.

Commissioning Data Set Transmission

Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Paediatric Critical Care Minimum Data Set is sent to the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, SCCI0076:Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints and Commissioning Data Set Version 6-3 XML Schema Constraints, the Paediatric Critical Care Minimum Data Set is sent to the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, SCCI0076:

The Secondary Uses Service groups this data into paediatric critical care Healthcare Resource Groups. Further guidance can be found on the NHS Digital website at: SCCI0076.

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RELEASE HISTORY: DECEMBER 2022  renamed from RELEASE HISTORY: NOVEMBER 2022

Change to Supporting Information: Changed Description, Name

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

December 2022

  • CR1844 (1 January 2023) - DAPB1069 Community Services Data Set Version 1.6

November 2022

  • CR1738 (1 December 2022) - DAPB1595 Neonatal Data Set
  • CR1873 (Immediate) - DAPB3085 NHS Continuing Healthcare Patient Level Data Set Second Corrigendum

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
  • CR1864 (Immediate) - DAPB0092 Commissioning Data Sets Version 6-3 Corrigendum
  • CR1853 (31 July 2022) - DAPB1067 National Workforce Data Set v3.3

The following has been incorporated early before release of the Information Standards Notice. Formal notification of implementation will be provided by the Data Alliance Partnership Board.

  • CR1831 (14 July 2022) - DAPB4005 Electronic Prescribing and Medicines Administration Data Sets

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
  • 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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SNOMED CT REFSET

Change to Supporting Information: Changed Description

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

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

SNOMED CT Refsets:

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

Different types of SNOMED CT Refsets are used to represent:

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

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

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

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SUPPORTING DEFINITIONS MENU

Change to Supporting Information: Changed Description


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SUPPORTING INFORMATION INTRODUCTION

Change to Supporting Information: Changed Description


Supporting Information provides information to help users understand and use the NHS Data Model and Dictionary.

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

Use the links below to access more detailed information:

 

Supporting Information provides information to help users understand and use the NHS Data Model and Dictionary.

Use the links below to access more detailed information:

 

Coding and Classifications:Organisation Information:
NHS Data Model and Dictionary Information:Contacts / Links: 

Archived Publications

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ETHNIC CATEGORY 2021 (BABY)

Change to Data Element: Changed Description

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

Notes:
ETHNIC CATEGORY 2021 (BABY) is the same as attribute ETHNIC CATEGORY 2021 for the baby.

For the National Neonatal Data SetETHNIC CATEGORY 2021 (BABY) is the ethnicity of the baby as specified by the mother in a Maternity Episode. 

Note: This item has not been approved by the Data Coordination Board.Note: This item has not been approved by the Data Alliance Partnership Board. It has been introduced to provide advance notice to data providers and system suppliers of the intention to report this item at a later date. This item should not be submitted until further development by NHS Digital has been undertaken. This item should not be submitted until further development by NHS Digital has been undertaken.

 

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ETHNIC CATEGORY 2021 (FATHER)

Change to Data Element: Changed Description

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

Notes:
ETHNIC CATEGORY 2021 (FATHER) is the same as attribute ETHNIC CATEGORY 2021 for the father.

For the National Neonatal Data Set - Episodic and Daily Care, ETHNIC CATEGORY 2021 (FATHER):

  • Is the ethnicity of the father in a Maternity Episode
  • Refers to the genetic father of the baby. Where details of the genetic father are unknown, this field should be omitted.

Note: This item has not been approved by the Data Coordination Board.Note: This item has not been approved by the Data Alliance Partnership Board. It has been introduced to provide advance notice to data providers and system suppliers of the intention to report this item at a later date. This item should not be submitted until further development by NHS Digital has been undertaken. This item should not be submitted until further development by NHS Digital has been undertaken.

 
 

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ETHNIC CATEGORY 2021 (MOTHER)

Change to Data Element: Changed Description

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

Notes:
ETHNIC CATEGORY 2021 (MOTHER) is the same as attribute ETHNIC CATEGORY 2021 for the mother.

For the National Neonatal Data Set - Episodic and Daily Care, ETHNIC CATEGORY 2021 (MOTHER) is the ethnicity of the mother in a Maternity Episode.

Note: This item has not been approved by the Data Coordination Board.Note: This item has not been approved by the Data Alliance Partnership Board. It has been introduced to provide advance notice to data providers and system suppliers of the intention to report this item at a later date. This item should not be submitted until further development by NHS Digital has been undertaken. This item should not be submitted until further development by NHS Digital has been undertaken.

 

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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 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
Commissioning Data Set version 6-2-2 allows a Null field to be submitted
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 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
Commissioning Data Set version 6-2-3 allows a Null field to be submitted
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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COMMISSIONING DATA SET VERSION 6-3 XML SCHEMA CONSTRAINTS

Change to XML Schema Constraint: Changed Description

XML Schema constraints applied to the Commissioning Data Sets V6-3.

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 LOCATION TYPE CODENone
Removed
None
None
National Codes not enumerated in XML schema
ACTIVITY TREATMENT FUNCTION CODENone
Removed
None
None
National Codes not enumerated in XML schema
ASSESSMENT TOOL (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
SNOMED CT EXPRESSION data item constrained to recommended length 
CARE PROFESSIONAL MAIN SPECIALTY CODENone
Removed
None
None
National Codes not enumerated in XML schema
CDS BULK REPLACEMENT GROUP CODENone
010,020,030,040,060
None
None
Commissioning Data Set version 6-3 only allows these CDS BULK REPLACEMENT GROUP CODES
CDS MESSAGE VERSION NUMBERNone
CDS063
Commissioning Data Set version 6-3 only allows these CDS BULK REPLACEMENT GROUP CODES
CDS INTERCHANGE TEST INDICATORNone
1,0
None
None
Commissioning Data Set version 6-3 allows a Null field to be submitted
CDS MESSAGE VERSION NUMBERNone
CDS063
None
None
Message version is hard coded in the XML schema
CDS TYPE CODENone
020,120,130,140,150,160,180,190,200
None
None
Commissioning Data Set version 6-3 only allows these CDS Types
COMORBIDITY (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
SNOMED CT EXPRESSION data item constrained to recommended length
CRITICAL CARE ACTIVITY CODENone
Removed
None
None
National Codes not enumerated in XML schema
DIAGNOSIS (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
SNOMED CT EXPRESSION data item constrained to recommended length
EMED3 FIT NOTE CONDITION (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
SNOMED CT EXPRESSION data item constrained to recommended length
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
FINDING (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
SNOMED CT EXPRESSION data item constrained to recommended length
GENERAL MEDICAL PRACTITIONER (SPECIFIED)None
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
GESTATION LENGTH (ASSESSMENT)
None
10,11,12,13,14,15,16,17,18,19,20,21,22,23,
24,25,26,27,28,29,30,31,32,33,34,35,36,37,
38,39,40,41,42,43,44,45,46,47,48,49,99
None
None
Gestation lengths between 10 and 49 weeks, and default code 99, are enumerated in the XML schema
GESTATION LENGTH (AT DELIVERY)
None
10,11,12,13,14,15,16,17,18,19,20,21,22,23,
24,25,26,27,28,29,30,31,32,33,34,35,36,37,
38,39,40,41,42,43,44,45,46,47,48,49,99
None
None
Gestation lengths between 10 and 49, and default code 99, are enumerated in the XML schema weeks
GESTATION LENGTH (LABOUR ONSET)
None
10,11,12,13,14,15,16,17,18,19,20,21,22,23,
24,25,26,27,28,29,30,31,32,33,34,35,36,37,
38,39,40,41,42,43,44,45,46,47,48,49,99
None
None
Gestation lengths between 10 and 49, and default code 99, are enumerated in the XML schema weeks
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)None
Removed
None
None
National Codes not enumerated in XML schema
OBSERVATION (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
SNOMED CT EXPRESSION data item constrained to recommended length
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.
an6 is not applicable.
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY))None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER))None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)None
Removed
None
None
Default codes not enumerated in the XML Schema
ORGANISATION IDENTIFIER (REFERRING ORGANISATION)None
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 (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 Commissioning Data Set version 6-3
REFERRER CODENone
Removed
None
None
Default Codes not enumerated in the XML schema
PROCEDURE (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
Default Codes not enumerated in the XML schema
SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT EXPRESSION)min an6 max an4000
None
None
None
SNOMED CT EXPRESSION data item constrained to recommended length

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

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