NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1892
Version No:1.0
Subject:June 2023 release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:30 May 2023

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
ADULT MENTAL HEALTH CARE CLUSTER   Changed Description
ADULT MENTAL HEALTH CLUSTERING TOOL   Changed Description
ANN ARBOR STAGING SYSTEM   Changed Description
BARCELONA CLINIC LIVER CANCER STAGING SYSTEM   Changed Description
BREAST TRIPLE DIAGNOSTIC ASSESSMENT   Changed Description
CLINICAL FINDING   Changed Description
CLINICAL SITUATION   Changed Description
FITNESS ASSESSMENT FOR OLDER PATIENTS WITH BREAST CANCER   Changed Description
FORENSIC MENTAL HEALTH CARE CLUSTER   Changed Description
HEALTH AND SOCIAL CARE ORGANISATION REFERENCE DATA   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES PATIENT EXPERIENCE QUESTIONNAIRE   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE   Changed Description
INDEX   Changed Description
INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUPING SYSTEM   Changed Description
INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY   Changed Description
INTERNET ENABLED THERAPY   Changed Description
JUSTICE ORGANISATION   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE   Changed Description
MENTAL HEALTH CARE CLUSTER SUPER CLASS   Changed Description
NATIONAL DISEASE REGISTRATION SERVICE   Changed Description
NHS DATA MODEL AND DICTIONARY SERVICE   Changed Description
OBSERVABLE ENTITY   Changed Description
PATIENT PROCEDURE   Changed Description
RELEASE HISTORY: JUNE 2023 renamed from RELEASE HISTORY: MARCH 2023   Changed Name, Description
 
Class Definitions
GENERAL MEDICAL PRACTITIONER   Changed Description
 
Attribute Definitions
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE   Changed Description
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE FOR NATIONAL JOINT REGISTRY   Changed Description
CANCER CARE PLAN INTENT   Changed Description
CANCER CARE SETTING FOR TREATMENT   Changed Description
CLINICAL TERMINOLOGY CODE   Changed Description
CONSULTANT CODE   Changed Description
DOCTOR INDEX NUMBER   Changed Description
GENERAL DENTAL COUNCIL REGISTRATION NUMBER   Changed Description
GENERAL MEDICAL PRACTITIONER PPD CODE   Changed Description
INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY TUMOUR LOCAL STAGE   Changed Description
NEOADJUVANT THERAPY INDICATOR   Changed Description
ORGANISATION CODE   Changed Description
ORGANISATION SITE CODE   Changed Description
PATIENT DIAGNOSIS INDICATOR   Changed Description
PRIVATE CONTROLLED DRUG PRESCRIBER CODE   Changed Description
ROYAL COLLEGE OF RADIOLOGISTS PATIENT CATEGORY   Changed Description
SATELLITE TUMOUR NODULES LOCATION   Changed Description
SUBMISSION IDENTIFIER   Changed Description
 
Data Elements
CDS COPY RECIPIENT IDENTITY   Changed Description
CODED FINDING (CODED CLINICAL ENTRY)   Changed Description
CODED FINDING (SNOMED CT)   Changed Description
CODED OBSERVATION (CLINICAL TERMINOLOGY)   Changed Description
CODED OBSERVATION (SNOMED CT)   Changed Description
CODED PROCEDURE (CLINICAL TERMINOLOGY)   Changed Description
CODED SITUATION (CLINICAL TERMINOLOGY)   Changed Description
DISEASE OUTBREAK NOTIFICATION (RETIRED)   Changed linked Attribute
DISTANCE TO MARGIN   Changed Description
FINDING (SNOMED CT EXPRESSION)   Changed Description
FINDING DATE   Changed Description
OBSERVATION (SNOMED CT EXPRESSION)   Changed Description
OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)   Changed Description
OESOPHAGECTOMY SURGICAL APPROACH TYPE   Changed Description
ORGANISATION CODE (CODE OF COMMISSIONER)   Changed Description
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (CDS RECIPIENT)   Changed Description
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)   Changed Description
ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)   Changed Description
PATHOLOGY OBSERVATION REPORT IDENTIFIER   Changed Description
POSTCODE   Changed Description
PROCEDURE (SNOMED CT)   Changed Description
PROFESSIONAL REGISTRATION ISSUER CODE (MULTIDISCIPLINARY TEAM LEAD)   Changed Description
 

Date:30 May 2023
Sponsor:Tomas Sanchez Lopez, Director of Data Curation and Open Data, NHS England

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.

Click here for a printer friendly view of this page.


ADULT MENTAL HEALTH CARE CLUSTER

Change to Supporting Information: Changed Description

An Adult Mental Health Care Cluster is a type of CARE CLUSTER for adult PATIENTS.

An Adult Mental Health Care Cluster is part of a currency developed to support the National Tariff Payment System for Mental Health Services.

Adult Mental Health Care Clusters are 21 groupings of Mental Health PATIENTS based on their characteristics, and are a way of classifying individuals utilising Mental Health Services that forms the basis for payment.

An Adult Mental Health Care Cluster is assigned using a decision tree or algorithm based on the PERSON SCORE from the Adult Mental Health Clustering Tool undertaken by a CARE PROFESSIONAL for the PATIENT.

This is done by first assigning the PATIENT to one of three Mental Health Care Cluster Super Classes, to narrow down the number of possible Adult Mental Health Care Clusters which are applicable to the PATIENTS condition. The PATIENT is then assigned to the most appropriate of this sub-set of Adult Mental Health Care Clusters.

Further information relating to the Adult Mental Health Clustering Tool and Adult Mental Health Care Clusters is available from the NHS England website at: NHS payment system.Further information relating to the Adult Mental Health Clustering Tool and Adult Mental Health Care Clusters is available from the NHS England website at: NHS payment system.

 

top


ADULT MENTAL HEALTH CLUSTERING TOOL

Change to Supporting Information: Changed Description

The Adult Mental Health Clustering Tool is a type of Clustering Tool for adult PATIENTS receiving Mental Health care.

The Adult Mental Health Clustering Tool is a needs assessment tool designed to rate the care needs of a PATIENT, based upon a series of 18 rating scales.

The first 12 of these rating scales are the same as the Health of the Nation Outcome Scale (Working Age Adults) rating scales, originally developed by the Royal College of Psychiatrists. These 12 rating scales are numbered 1 - 12 under 'Current Ratings' in the Adult Mental Health Clustering Tool.

One additional 'current' rating and a new section relating to historical ratings have also been added, to form the Adult Mental Health Clustering Tool. These items are referred to as the Summary Assessment of Characteristics (SAC) items.

Part 1: Current Ratings

These ratings relate to the most severe occurrence in the two weeks prior to the Adult Mental Health Clustering Tool ASSESSMENT TOOL COMPLETION DATE.

  • 1. Overactive, aggressive, disruptive or agitated behaviour (current)
  • 2. Non-accidental self injury (current)
  • 3. Problem drinking or drug taking (current)
  • 4. Cognitive problems (current)
  • 5. Physical illness or disability problems (current)
  • 6. Problems associated with hallucinations and delusions (current)
  • 7. Problems with depressed mood (current)
  • 8. Other mental and behavioural problems (current), qualified by specific disorders: and the alphabetical list of headings from the glossary:
    • A. Phobic
    • B. Anxiety
    • C. Obsessive-compulsive
    • D. Mental strain/tension
    • E. Dissociative
    • F. Somatoform
    • G. Eating
    • H. Sleep
    • I. Sexual
    • J. Other
  • 9. Problems with relationships (current)
  • 10. Problems with activities of daily living (current)
  • 11. Problems with living conditions (current)
  • 12. Problems with occupation and activities (current)
  • 13. Strong unreasonable beliefs that are not psychotic in origin (current)

Part 2: Historical Ratings

These ratings relate to problems that occur in an episodic or unpredictable way, from a more 'historical' perspective. Whilst there may not be any direct observation or report of a manifestation during the two weeks prior to the Adult Mental Health Clustering Tool ASSESSMENT TOOL COMPLETION DATE, the evidence and clinical judgement would suggest that there is still a cause for concern that cannot be disregarded. In these circumstances, any event that remains relevant to the current CARE PLAN should be included.

  • A. Agitated behaviour / expansive mood (historical)
  • B. Repeat self-harm (historical)
  • C. Safeguarding other children and vulnerable adults (historical)
  • D. Engagement (historical)
  • E. Vulnerability (historical)

The allowed responses to each of the 18 items in the Adult Mental Health Clustering Tool are:

  • 0 - No problem
  • 1 - Minor problem requiring no action
  • 2 - Mild problem but definitely present
  • 3 - Moderately severe problem
  • 4 - Severe to very severe problem
  • 9 - Not known

The PERSON SCORE from the Adult Mental Health Clustering Tool is used to allocate the PATIENT to the most appropriate Adult Mental Health Care Cluster.

Further information relating to the Adult Mental Health Clustering Tool and Adult Mental Health Care Clusters is available from the NHS England website at: NHS payment system.Further information relating to the Adult Mental Health Clustering Tool and Adult Mental Health Care Clusters is available from the NHS England website at: NHS payment system.

 

top


ANN ARBOR STAGING SYSTEM

Change to Supporting Information: Changed Description

The Ann Arbor Staging System is a system for CANCER STAGING.

The Ann Arbor Staging System is the staging system for lymphomas, both in Hodgkin Lymphoma and Non-Hodgkin lymphoma (NHL).

The Ann Arbor Staging System has generally the same function as the TNM Staging System in solid Tumours.

For further information on CANCER STAGINGS, see the National Cancer Institute website.For further information on the Ann Arbor Staging System, see Lymphomas - Ann Arbor Staging.

 

top


BARCELONA CLINIC LIVER CANCER STAGING SYSTEM

Change to Supporting Information: Changed Description

The Barcelona Clinic Liver Cancer Staging System (BCLC Staging System) is a system for CANCER STAGING.

The Barcelona Clinic Liver Cancer Staging System creates categories by combining performance status, Tumour characteristics, liver function and cancer-related symptoms.

For further information on the Barcelona Clinic Liver Cancer Staging System, see the National Cancer Institute website.For further information on the Barcelona Clinic Liver Cancer Staging System, see Barcelona Clinic Liver Cancer (BCLC) Staging System.

 

top


BREAST TRIPLE DIAGNOSTIC ASSESSMENT

Change to Supporting Information: Changed Description

A Breast Triple Diagnostic Assessment is a CLINICAL INTERVENTION.

A Breast Triple Diagnostic Assessment is used in the diagnosis of breast cancer.

A Breast Triple Diagnostic Assessment involves:

For further information on Breast Triple Diagnostic Assessments, see the breastcancercare.org.uk website at: What will happen at the breast clinic?uk website at: What happens at a breast clinic appointment?.

 

top


CLINICAL FINDING

Change to Supporting Information: Changed Description

A Clinical Finding is a CLINICAL INVESTIGATION RESULT ITEM.

A Clinical Finding represents the PATIENT DIAGNOSIS and symptoms of the PATIENT.

For example:

For further information on Clinical Findings, see the: SNOMED CT Fact Sheet.For further information on Clinical Findings, see the:

 
  •  

    top


    CLINICAL SITUATION

    Change to Supporting Information: Changed Description

    A Clinical Situation is a qualified PATIENT DIAGNOSISClinical Investigation or Patient Procedure.

    A Clinical Situation represents a concept in which the clinical context is specified as part of the definition of the concept itself.

    These include presence or absence of a condition, whether a Clinical Finding is current, in the past or relates to someone other than the subject of the record.

    For example:

    • History of drug dependency
    • Family history: Myocardial infarction
    • Medication review done by Pharmacist.

    For further information on Clinical Situations, see the: SNOMED CT Fact Sheet.For further information on Clinical Situations, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

     

    top


    FITNESS ASSESSMENT FOR OLDER PATIENTS WITH BREAST CANCER

    Change to Supporting Information: Changed Description

    A Fitness Assessment for Older Patients with Breast Cancer is an ASSESSMENT TOOL.

    A Fitness Assessment for Older Patients with Breast Cancer is used to assess the health and fitness of older PATIENTS attending a breast clinic for the first time with a suspicion of breast cancer (prior to any breast cancer diagnosis).

    For further information on the Fitness Assessment for Older Patients with Breast Cancer, see the National Audit of Breast Cancer in Older PATIENTS at: Fitness assessment for older patients with breast cancer.For further information on the Fitness Assessment for Older Patients with Breast Cancer, see the National Audit of Breast Cancer in Older PATIENTS at: Fitness assessment for older patients in breast clinic.

     

    top


    FORENSIC MENTAL HEALTH CARE CLUSTER

    Change to Supporting Information: Changed Description

    A Forensic Mental Health Care Cluster is a type of CARE CLUSTER for PATIENTS accessing Forensic Mental Health Services.

    A Forensic Mental Health Care Cluster is part of a currency developed to support the National Tariff Payment System for Forensic Mental Health Services.

    Forensic Mental Health Care Clusters are 22 groupings of Forensic Mental Health Patients based on their characteristics.

    A Forensic Mental Health Care Cluster is assigned using a decision tree or algorithm based on the PERSON SCORE from the Forensic Mental Health Clustering Tool undertaken by a CARE PROFESSIONAL for the PATIENT.

    This is done by first assigning the PATIENT to one of three Mental Health Care Cluster Super Classes, to narrow down the number of possible Forensic Mental Health Care Clusters which are applicable to the PATIENT's condition. The PATIENT is then assigned to the most appropriate of this sub-set of Forensic Mental Health Care Clusters.

    Further information relating to the Forensic Mental Health Clustering Tool and Forensic Mental Health Care Cluster is available from the NHS England website at: NHS payment system.Further information relating to the Forensic Mental Health Clustering Tool and Forensic Mental Health Care Cluster is available from the NHS England website at: NHS payment system.

     

    top


    HEALTH AND SOCIAL CARE ORGANISATION REFERENCE DATA

    Change to Supporting Information: Changed Description

    Health and Social Care Organisation Reference Data is reference data about the ORGANISATIONS that comprise the health and social care SERVICES, primarily in England but also in the other UK-constituent countries.

    The data is distributed and uploaded to health IT systems. It supports user security, access control, messaging and is used as reference data for both operations and reporting.

    Note: Health and Social Care Organisation Reference Data is governed by the fundamental standard for "Health and Social Care Organisation Reference Data" (HSC Org Ref Data).

    The Health and Social Care Organisation Reference Data is issued to NHS users monthly via Technology Reference Update Distribution (TRUD).

    Updates to the Health and Social Care Organisation Reference Data are also available daily via the Organisation Data Service (ODS) website at: Application Programming Interfaces (APIs) for the Organisation Data Service.Updates to the Health and Social Care Organisation Reference Data are also available daily via the Organisation Data Service (ODS) website at: Organisation Data Service - ORD API.

    Where valid Health and Social Care Organisation Reference Data is required but is not available or not known, an Organisation Data Service Default Code can be used to provide a substitute value.

    top


    IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES PATIENT EXPERIENCE QUESTIONNAIRE

    Change to Supporting Information: Changed Description

    top


    IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE

    Change to Supporting Information: Changed Description

    An Improving Access to Psychological Therapies Service is a SERVICE.

    Improving Access to Psychological Therapies Services deliver a range of evidence-based interventions in accordance with the National Institute for Health and Care Excellence (NICE) guidelines for people suffering from depression or anxiety disorders.

    For further information on Improving Access to Psychological Therapies Services, see the NHS England website at: Adult Improving Access to Psychological Therapies programme.For further information on Improving Access to Psychological Therapies Services, see the NHS England website at: NHS Talking Therapies, for anxiety and depression.

     

    top


    INDEX

    Change to Supporting Information: Changed Description


    NHS DATA MODEL AND DICTIONARY Version 3

    Release History: March 2023

    Release History: June 2023

    Welcome to the NHS Data Model and Dictionary for England

    If you would like to view our Frequently Asked Questions, see Frequently Asked Questions.

    The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

    The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Alliance Partnership Board (DAPB) process. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).

     

    Related Links:
    Recording activity relating to coronavirus (COVID-19)
    Frequently Asked Questions
    Department of Health and Social Care website
    NHS England website
    Published Information Standards Documentation

    Welcome to the NHS Data Model and Dictionary for England

    The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

    The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Alliance Partnership Board (DAPB) process. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).

     

    Related Links: 
    Department of Health and Social Care website
    NHS England website
    Published Information Standards Documentation

    top


    INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUPING SYSTEM

    Change to Supporting Information: Changed Description

    top


    INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY

    Change to Supporting Information: Changed Description

    The International Society of Paediatric Oncology is an ORGANISATION.

    The International Society of Paediatric Oncology's vision is that "No child should die of cancer".

    The mission of the International Society of Paediatric Oncology (SIOP) is to:

    • ensure that each child and young adult with cancer has access to state of the art treatment and care
    • ensure that all involved in childhood cancer worldwide, have access to the latest progress through meetings, networking, and continuing professional development
    • support those caring for children and young adults with cancer to provide the best curative and palliative therapies
    • advocate for appropriate long term follow up for children and young adults after treatment for cancer.

    For further information on the International Society of Paediatric Oncology, see the International Society of Paediatric Oncology website.For further information on the International Society of Paediatric Oncology, see the International Society of Paediatric Oncology website at: About.

     

    top


    INTERNET ENABLED THERAPY

    Change to Supporting Information: Changed Description

    Internet Enabled Therapy is a CLINICAL INTERVENTION.

    Internet Enabled Therapy is the delivery of therapy through an internet-based programme, which is accessed by the PATIENT in their own time.

    For the Improving Access to Psychological Therapies Data Set:

     

    top


    JUSTICE ORGANISATION

    Change to Supporting Information: Changed Description

    A Justice Organisation is an ORGANISATION.

    A Justice Organisation provides SERVICES or facilities for persons who are detained for any period of more than 6 hours.

    Justice Organisations were under the jurisdiction of the Home Office or the Justice Department. The responsibility for care delivered in Justice Organisation has been transferred to the NHS.

    For the purposes of the Organisation Data Service code set, Justice Organisations include:

    ** Note: People are not detained in Sexual Assault Referral Centres (SARCs), but SARCs are included with the other Justice Organisations for the purpose of the Organisation Data Service file publication.

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

     

    top


    MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE

    Change to Supporting Information: Changed Description

    Guidance Notes relating to MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE.

    For further information regarding the definition and use of MAIN SPECIALTY see the attribute MAIN SPECIALTY CODE.

    For further information regarding the definition and use of TREATMENT FUNCTION see the attribute TREATMENT FUNCTION CODE.

    Note:

    Table 1 Main Specialty codes

     CodeMain Specialty TitleComments
    Surgical Specialties
     100General SurgeryFor further information, see: Royal College of Surgeons - General Surgery
     101UrologyFor further information, see: Royal College of Surgeons - Urology
     107Vascular SurgeryFor further information, see: Royal College of Surgeons - Vascular Surgery
     110Trauma and OrthopaedicsFor further information, see: Royal College of Surgeons - Orthopaedic Surgery
     120Ear Nose and ThroatFormerly known as ENT.
    For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)
     130OphthalmologyFor further information, see: The Royal College of Ophthalmologists
     140Oral SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
     141Restorative DentistryFor further information, see: The British Society for Restorative Dentistry (BSRD)
     142Paediatric DentistryFor further information, see: The British Society of Paediatric Dentistry
     143OrthodonticsFor further information, see: British Orthodontic Society
     145Oral and Maxillofacial SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
     146EndodonticsFor further information, see: British Endodontic Society
     147PeriodonticsFor further information, see: British Society of Periodontology
     148ProsthodonticsFor further information, see: The British Society of Prosthodontics (BSSPD)
     149Surgical DentistryFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
     150NeurosurgeryFor further information, see: Royal College of Surgeons - Neurosurgery
     160Plastic SurgeryFor further information, see: Royal College of Surgeons - Plastic and Reconstructive
     170Cardiothoracic SurgeryFor further information, see: Royal College of Surgeons - Cardiothoracic Surgery
     171Paediatric SurgeryFor further information, see: Royal College of Surgeons - Paediatric Surgery
     191Pain Management (Retired 1 April 2004) 
    Medical Specialties
     180Emergency MedicineFormerly known as Accident and Emergency.
    For further information, see: The Royal College of Emergency Medicine
     190AnaestheticsFor further information, see: Royal College of Anaesthetists
     192Intensive Care MedicineFormerly known as Critical Care Medicine.
    For further information, see: The Faculty of Intensive Care Medicine
     200Aviation and Space MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine
     300General Internal MedicineFormerly known as General Medicine.
    For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
     301GastroenterologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology
     302Endocrinology and DiabetesFormerly known as Endocrinology.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
     303Clinical HaematologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
     304Clinical PhysiologyFor further information, see: The Registration Council for Clinical Physiologists
     305Clinical PharmacologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
     310Audio Vestibular MedicineFormerly known as Audiological Medicine.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine
     311Clinical GeneticsFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics
    *312Clinical Cytogenetics and Molecular Genetics (Retired 1 April 2010) 
     313Clinical ImmunologyFormerly known as Clinical Immunology and Allergy.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology
     314Rehabilitation MedicineFormerly known as Rehabilitation.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine
     315Palliative MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine
     317AllergyFor further information, see: Joint Royal Colleges of Physicians Training Board - Allergy
     320CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology
     321Paediatric CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology
     325Sport and Exercise MedicineFor further information, see: Faculty of Sport and Exercise Medicine
     326Acute Internal MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine
     330DermatologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
     340Respiratory MedicineAlso known as Thoracic Medicine.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
     350Infectious DiseasesFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
     352Tropical MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine
     360Genitourinary MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine
     361Renal MedicineFormerly known as Nephrology.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
     370Medical OncologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
     371Nuclear MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
     400NeurologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
     401Clinical NeurophysiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology
     410RheumatologyFor further information, see: British Society for Rheumatology
     420PaediatricsFor further information, see: Royal College of Paediatrics and Child Health - General Paediatrics
     421Paediatric NeurologyFor further information, see: Royal College of Paediatrics and Child Health - Neurology
     430Geriatric MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
     450Dental MedicineFormerly known as Dental Medicine Specialties.
    For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
     451Special Care DentistryFor further information, see: Special Care Dentistry Association (SCDA)
     460Medical OphthalmologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
    500Obstetrics and GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
     501ObstetricsFor further information, see: Royal College of Obstetricians and Gynaecologists
     502GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
     504Community Sexual and Reproductive HealthFor further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists
     510Antenatal Clinic (Retired 1 April 2004) 
     520Postnatal Clinic (Retired 1 April 2004) 
     600General Medical PracticeFor further information, see: Royal College of General Practitioners
     601General Dental PracticeFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
     610Maternity Function (Retired 1 April 2004) 
     620Other Than Maternity (Retired 1 April 2004) 
     831Medical Microbiology and VirologyFor further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology
     833Medical MicrobiologyAlso known as Microbiology and Bacteriology.
    For further information, see: The Royal College of Pathologists - Medical Microbiology
     834Medical VirologyFor further information, See: The Royal College of Pathologists - Medical Virology
    Psychiatry
     700Learning DisabilityAlso known as Intellectual Disability.
    For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability and British Institute of Learning Disabilities
     710Adult Mental IllnessFor further information, see: NHS England - Adult and older adult mental health
     711Child and Adolescent PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
     712Forensic PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
     713Medical PsychotherapyFor further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy
     715Old Age PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
    Other
     560MidwiferyFormerly known as Midwife Episode.
    For further information, see: Royal College of Midwives
     800Clinical OncologyFormerly known as Radiotherapy.
    For further information, see: The Royal College of Radiologists - Clinical Oncology
     810RadiologyFor further information, see: The Royal College of Radiologists (RCR)
     820General PathologyFor further information, see: The Royal College of Pathologists
     821Blood TransfusionFor further information, see: The Royal College of Pathologists - Blood Transfusion
     822Chemical PathologyFor further information, see: The Royal College of Pathologists
     823HaematologyFor further information, see: The Royal College of Pathologists - Haematology
     824HistopathologyFor further information, see: The Royal College of Pathologists - Histopathology
     830ImmunopathologyFor further information, see: The Royal College of Pathologists - Immunology
     832Neuropathology (Retired 1 April 2004) 
     900Community MedicineFor further information, see: Faculty of Public Health
     901Occupational MedicineFor further information, see: Royal College of Physicians - Faculty of Occupational Medicine
     902Community Health Services DentalFor further information, see: Faculty of Public Health
     903Public Health MedicineFor further information, see: Faculty of Public Health
     904Public Health DentalFor further information, see: GOV.uk - Oral Health
     950NursingFormerly known as Nursing Episode.
    For further information, see: Nursing & Midwifery Council
     960Allied Health ProfessionalFormerly known as Allied Health Professional Episode.
    For further information, see: Health and Care Professions Council
     990Joint Consultant Clinics (Retired 1 April 2004) 

    Notes:
    Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics
    *Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.

    Table 2 Treatment Function codes

    CodeTreatment Function TitleComments
    Surgical Specialties
    100General Surgery ServiceSERVICES delivering surgical ACTIVITY not covered by other subspecialty areas. The majority of elective procedures, about 80 per cent, fall outside subspecialty areas.
    For further information, see: Royal College of Surgeons - Surgical Specialties
    101Urology ServiceSurgical SERVICES for the treatment of disorders of the urinary system and male reproductive system. This includes surgery for gender dysphoria.
    For further information, see: Royal College of Surgeons - Urology
    102Transplant Surgery ServiceSERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Cardiothoracic Transplantation Service - see TREATMENT FUNCTION CODE 174, corneal grafts carried out by Ophthalmology Service - see TREATMENT FUNCTION CODE 130 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
    For further information, see: Royal College of Surgeons - General Surgery
    103Breast Surgery ServiceSERVICES which include surgical treatment for cancer, suspected neoplasms, indeterminate breast lesions, benign breast lumps, disorders of the nipple-areolar complex, cysts and post-cancer reconstructive, revision and symmetrising surgery. Includes breast surgery for gender dysphoria. Excludes cosmetic surgery.
    For further information, see: Association of Breast Surgery
    104Colorectal Surgery ServiceSERVICES for the surgical treatment of disorders of the lower intestine (colon, anus and rectum)
    105Hepatobiliary and Pancreatic Surgery ServiceSpecialist surgical SERVICES for hepatobiliary and pancreatic (HPB) disorders. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Transplant Surgery Service - see TREATMENT FUNCTION CODE 102.
    For further information, see: NHS England: Hepatobiliary and Pancreas
    106Upper Gastrointestinal Surgery ServiceSERVICES for surgical treatment of disorders of the upper parts of the gastrointestinal tract.
    For further information, see: Royal College of Surgeons - General Surgery
    107Vascular Surgery ServiceSERVICES for the surgical treatment of diseases of the vascular system.
    For further information, see: Royal College of Surgeons - Vascular Surgery
    108Spinal Surgery ServiceSurgery concentrating on specialised and complex treatment of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Service - see TREATMENT FUNCTION CODE 111, Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Injuries Service - see TREATMENT FUNCTION CODE 323.
    For further information, see: British Association of Spine Surgeons
    109Bariatric Surgery ServiceSERVICES assessing, managing and treating obesity, and specifically consideration of bariatric (weight loss) surgery. It includes PATIENTS who are obese and have, or are at risk of, other medical conditions. It does not cover preventing a PERSON from becoming overweight or obese, or lifestyle weight management programmes for a PERSON who is overweight or obese.
    For further information, see: National Institute for Health and Care Excellence - Obesity
    110Trauma and Orthopaedic ServiceSERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Orthopaedic Surgery Service - TREATMENT FUNCTION CODE 111 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
    For further information, see: Royal College of Surgeons - Major Trauma Surgery and Royal College of Surgeons - Orthopaedic Surgery
    111Orthopaedic ServiceSERVICES for the elective or planned surgical assessment or treatment of the musculoskeletal system. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. Where there is no dedicated Orthopaedic Service use Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110.
    For further information, see: Royal College of Surgeons - Orthopaedic Surgery
    113Endocrine Surgery ServiceSERVICES for the surgical treatment of diseases of the thyroid and/or other endocrine glands.
    For further information, see: Royal College of Surgeons - General Surgery
    115Trauma Surgery ServiceMajor trauma specialist SERVICES at a designated unit, with the specific exclusion of Spinal Surgery Service - see TREATMENT FUNCTION CODE 108.
    Excludes elective or planned Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111. Where there is no major trauma centre use Trauma and Orthopaedics Service - see TREATMENT FUNCTION CODE 110.
    For further information, see: Royal College of Surgeons - Major Trauma Surgery
    120Ear Nose and Throat ServiceFormerly known as ENT.
    Surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
    For further information, see: Royal College of Surgeons - Ear, Nose & Throat (ENT)
    130Ophthalmology ServiceThe surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology Service - see TREATMENT FUNCTION CODE 460 and Ophthalmic and Vision Science Service - see TREATMENT FUNCTION CODE 461.
    For further information, see: Royal College of Ophthalmologists
    130Ophthalmology ServiceThe surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology Service - see TREATMENT FUNCTION CODE 460 and Ophthalmic and Vision Science Service - see TREATMENT FUNCTION CODE 461.
    For further information, see: Royal College of Ophthalmologists
    140Oral Surgery ServiceSERVICES for the diagnosis and surgical treatment of diseases, injuries and defects of hard and soft tissues of the mouth.
    Excludes departments delivering a SERVICE where oral surgery and maxillofacial services are mixed (i.e. an out-patient clinic accepting oral surgery and maxillofacial surgery patients) – see TREATMENT FUNCTION CODE 145.
    For further information, see: British Association of Oral Surgeons Specialty Training Curriculum – Oral Surgery
    141Restorative Dentistry ServiceSERVICES providing examination and treatment of diseases of the oral cavity, the teeth and their supporting structures. Restorative Dentistry includes the dental specialties of Endodontics, Periodontics and Prosthodontics (including implantology), and its foundation is based upon how these interact in the management of cases requiring multifaceted care.
    For further information, see: British Society for Restorative Dentistry
    143Orthodontic ServiceSERVICES for the treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth.
    For further information, see: British Orthodontic Society
    144Maxillofacial Surgery ServiceProfessional recommendation is to use Oral and Maxillofacial Surgery Service where this SERVICE is combined with oral surgery - see TREATMENT FUNCTION CODE 145. Alternatively, for oral surgery services only see TREATMENT FUNCTION CODE 140. This code has been retained for existing SERVICES which only provide maxillofacial surgery.
    145Oral and Maxillofacial Surgery ServiceCombined SERVICES providing diagnosis and surgical treatment of diseases, injuries and defects involving hard and soft tissues of the mouth, jaws, and neck.
    These SERVICES may have formerly been categorised as TREATMENT FUNCTION CODE 140 (Oral Surgery Service) or TREATMENT FUNCTION CODE 144 (Maxillofacial Surgery Service).
    For further information, see: British Association of Oral & Maxillofacial Surgeons
    149not a Treatment Function 
    150Neurosurgical ServiceSurgical SERVICES for the treatment of disorders of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service – see TREATMENT FUNCTION CODE 115.
    For further information, see: Royal College of Surgeons - Neurosurgery
    160Plastic Surgery ServiceSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist burn services, use Burns Care Service - see TREATMENT FUNCTION CODE 161. Excludes breast surgery for gender dysphoria, use Breast Surgery Service - see TREATMENT FUNCTION CODE 103.
    For further information, see: Royal College of Surgeons - Plastic and Reconstructive
    161Burns Care ServiceSERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
    For further information, see: British Burn Association
    170Cardiothoracic Surgery ServiceSERVICES delivering surgical treatment of diseases affecting the heart and organs inside the thorax (the chest). Should only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery.
    For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
    172Cardiac Surgery ServiceSERVICES delivering surgical treatment of diseases affecting the heart. Procedures are often lengthy and complex, requiring support from advanced forms of technology during surgery and CRITICAL CARE LEVEL 2 and 3 for the PATIENT after surgery.
    For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
    173Thoracic Surgery ServiceSERVICES providing surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. Predominantly this is surgical treatment of malignant disease or its effects.
    For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
    174Cardiothoracic Transplantation ServiceSERVICES for pre- and post-operative care for heart and lung transplants. To be used by recognised specialist units and associated outreach services only.
    For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
    Other Children's Specialist Services - The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.
    142Paediatric Dentistry ServiceDedicated children's SERVICES for dentistry with appropriate facilities and support staff.
    For further information, see: The British Society of Paediatric Dentistry
    171Paediatric Surgery ServiceDedicated children's SERVICES for general surgery.
    For further information, see: Royal College of Surgeons - Paediatric Surgery
    211Paediatric Urology ServiceDedicated children's SERVICES for surgical treatment of disorders of the urinary system and male reproductive system.
    For further information, see: British Association of Paediatric Surgeons - Urology
    212Paediatric Transplantation Surgery ServiceDedicated children's SERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Paediatric Cardiac Surgery Service - see TREATMENT FUNCTION CODE 221, Paediatric Thoracic Surgery Service - see TREATMENT FUNCTION CODE 222, corneal grafts carried out by Paediatric Ophthalmology Service - see TREATMENT FUNCTION CODE 216 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
    For further information, see: Royal College of Surgeons - General Surgery
    213Paediatric Gastrointestinal Surgery ServiceDedicated children's SERVICES for surgical treatment of disorders of the gastrointestinal tract.
    For further information, see: British Association of Paediatric Surgeons - Gastrointestinal
    214Paediatric Trauma and Orthopaedic ServiceDedicated children's SERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
    For further information, see: British Society for Children's Orthopaedic Surgery (BSCOS)
    215Paediatric Ear Nose and Throat ServiceDedicated children's surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
    For further information, see: British Association for Paediatric Otolaryngology
    216Paediatric Ophthalmology ServiceDedicated children's SERVICES for the surgical treatment of disorders and diseases of the eye.
    For further information, see: British & Irish Paediatric Ophthalmology and Strabismus Association
    217Paediatric Oral and Maxillofacial Surgery ServiceDedicated children’s SERVICES providing diagnosis and surgical treatment of diseases, injuries and defects involving hard and soft tissues of the mouth, jaws, and neck.
    Excludes Paediatric Dentistry Services - see TREATMENT FUNCTION CODE 142.
    For further information, see: British Association of Oral & Maxillofacial Surgeons
    218Paediatric Neurosurgery ServiceDedicated children's SERVICES for the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.
    For further information, see: Royal College of Surgeons - Neurosurgery
    219Paediatric Plastic Surgery ServiceDedicated children's SERVICES for correction or to restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist paediatric burn services, use Paediatric Burns Care Service - see TREATMENT FUNCTION CODE 220.
    For further information, see: NHS England: Specialised surgery in children
    220Paediatric Burns Care ServiceDedicated children's SERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
    For further information, see: British Burn Association
    221Paediatric Cardiac Surgery ServiceDedicated children's SERVICES for the surgical treatment of the heart or great vessels.
    For further information, see: NHS England: E05. Congenital Heart Services
    222Paediatric Thoracic Surgery ServiceDedicated children's SERVICES for the surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm.
    For further information, see: British Association of Paediatric Surgeons - Thoracic
    223Paediatric Epilepsy ServiceDedicated children's SERVICES by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff.
    For further information, see: Royal College of Paediatrics and Child Health - Epilepsy
    230Paediatric Clinical Pharmacology ServiceDedicated children's SERVICES providing advice and support locally and nationally regarding the introduction of new medicines, adverse drug reactions, poisoning and toxicity, and prescribing policies.
    For further information, see: Royal College of Paediatrics and Child Health - Drugs and medicines
    240Paediatric Palliative Medicine ServiceDedicated children's SERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other problems, physical, psychosocial and spiritual.
    For further information, see: Royal College of Paediatrics and Child Health - Palliative care
    241Paediatric Pain Management ServiceDedicated children's SERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team.
    For further information, see: Royal College of Paediatrics and Child Health - Pain management
    242Paediatric Intensive Care ServiceDedicated children's SERVICES only to be used by designated Paediatric Intensive Care Units.
    For further information, see: Royal College of Paediatrics and Child Health - Intensive care medicine
    250Paediatric Hepatology ServiceDedicated children's SERVICES for the treatment of disease of the liver.
    For further information, see: Royal College of Paediatrics and Child Health - Hepatology
    251Paediatric Gastroenterology ServiceDedicated children's SERVICES for the treatment of disorders of the digestive system.
    For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology
    252Paediatric Endocrinology ServiceDedicated children's SERVICES for the treatment of disorders of the endocrine system. Excludes Paediatric Diabetes Service - see TREATMENT FUNCTION CODES 263.
    For further information, see: British Society for Paediatric Endocrinology and Diabetes
    253Paediatric Clinical Haematology ServiceDedicated children's SERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
    For further information, see: NHS England: Paediatric haematology
    254Paediatric Audio Vestibular Medicine ServiceDedicated children's SERVICES for the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
    For further information, see: British Association of Paediatricians in Audiology
    255Paediatric Clinical Immunology and Allergy ServiceDedicated children's SERVICES for the treatment of disorders of the immune system and allergic disease.
    For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
    256Paediatric Infectious Diseases ServiceDedicated children's SERVICES for the diagnosis and treatment of contagious or communicable diseases.
    For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
    257Paediatric Dermatology ServiceDedicated children's SERVICES for the treatment of diseases of the skin.
    For further information, see: The British Society for Paediatric Dermatology (BSPD)
    258Paediatric Respiratory Medicine ServiceDedicated children's SERVICES for the diagnosis and treatment of respiratory conditions.
    Also known as Thoracic Medicine and Pulmonary Medicine.
    For further information, see: Royal College of Paediatrics and Child Health - Paediatric respiratory medicine - sub-specialty
    259Paediatric Nephrology ServiceDedicated children's SERVICES for the diagnosis and treatment of kidney conditions and abnormalities.
    Also known as Renal Medicine.
    For further information, see: Royal College of Paediatrics and Child Health - Nephrology
    260Paediatric Medical Oncology ServiceDedicated children's SERVICES for the diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer.
    For further information, see: Royal College of Paediatrics and Child Health - Oncology
    261Paediatric Inherited Metabolic Medicine ServiceFormerly known as Paediatric Metabolic Disease.
    Dedicated children's SERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
    For further information, see: Royal College of Paediatrics and Child Health - Inherited metabolic medicine
    262Paediatric Rheumatology ServiceDedicated children's SERVICES incorporating the investigation, multidisciplinary holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
    For further information, see: Royal College of Paediatrics and Child Health - Rheumatology
    263Paediatric Diabetes ServiceFormerly known as Paediatric Diabetes Medicine.
    Dedicated children's SERVICES for the diagnosis, treatment and support of PATIENTS with diabetes.
    For further information, see: Royal College of Paediatrics and Child Health - Diabetes
    264Paediatric Cystic Fibrosis ServiceDedicated multidisciplinary children's SERVICES concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
    For further information, see: NHS England: Specialised respiratory
    270Paediatric Emergency Medicine ServiceDedicated children's SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
    For further information, see: Royal College of Paediatrics and Child Health - Emergency Medicine
    280Paediatric Interventional Radiology ServiceDedicated children's SERVICES for the diagnosis and treatment of diseases utilising minimally invasive image-guided procedures. Not to be used for Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
    For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
    290Community Paediatric ServiceSERVICES providing assessment and care to vulnerable children, including those with developmental disorders and disabilities, complex behavioural presentations, and those at risk of abuse or are being abused. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291.
    For further information, see: Royal College of Paediatrics and Child Health - Community child health - sub-specialty
    291Paediatric Neurodisability ServiceDedicated children's SERVICES for the diagnosis and treatment of Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability/Intellectual Disability.
    For further information, see: Royal College of Paediatrics and Child Health - Neurodisability
    321Paediatric Cardiology ServiceDedicated children's SERVICES for diseases and abnormalities of the heart. Excludes Congenital Heart Disease Service - see TREATMENT FUNCTION CODE 331.
    For further information, see: Joint Royal Colleges of Physicians Training Board – Paediatric Cardiology
    421Paediatric Neurology ServiceDedicated children's SERVICES for diagnosis, management and medical treatment of conditions and diseases of the central nervous system, with appropriate facilities and support staff. Excludes Paediatric Epilepsy Service - see TREATMENT FUNCTION CODE 223.
    For further information, see: Royal College of Paediatrics and Child Health - Neurology
    Medical Specialties
    180Emergency Medicine ServiceFormerly known as Accident & Emergency.
    SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
    For further information, see: The Royal College of Emergency Medicine
    190Anaesthetic ServiceSERVICES for PATIENTS being assessed for anaesthesia, as well as the provision of sedation and anaesthesia for patients undergoing interventional radiology and radiotherapy.
    This can be used in out-patients only. Pain Management Service should be recorded in TREATMENT FUNCTION CODE 191. Intensive Care Medicine Service should be recorded in TREATMENT FUNCTION CODE 192.
    For further information, see: Royal college of Anaesthetists - Anaesthetists
    191Pain Management ServiceSERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team
    192Intensive Care Medicine ServiceFormerly known as Critical Care Medicine.
    SERVICES using a body of specialist knowledge and practice concerned with the treatment of PATIENTS, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body’s organ systems. It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and PATIENT safety, ethics, end-of-life care, and the support of families. Typically, this will refer to CRITICAL CARE LEVEL 2 and 3 beds within the scope of the Critical Care Minimum Data Set.
    For further information, see: Faculty of Intensive Care Medicine
    192Intensive Care Medicine ServiceFormerly known as Critical Care Medicine.
    SERVICES using a body of specialist knowledge and practice concerned with the treatment of PATIENTS, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body’s organ systems. It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and PATIENT safety, ethics, end-of-life care, and the support of families. Typically, this will refer to CRITICAL CARE LEVEL 2 and 3 beds within the scope of the Critical Care Minimum Data Set.
    For further information, see: Faculty of Intensive Care Medicine
    200Aviation and Space Medicine ServiceAlso known as Aerospace Medicine Services.  
    Aviation and Space Medicine SERVICES study all factors affecting the PERSON in flight. This may include pre-flight preparation and checks as well as inflight care to minimise the potentially harmful effects of their abnormal environment.
    For further information, see: Royal College of Physicians - Aviation and Space Medicine
    300General Internal Medicine ServiceFormerly known as General Medicine.
    SERVICES include adults admitted as emergencies with acute medical problems, including multiple disorders. PATIENTS with problems that are not clearly within the remit of a particular medical specialty are referred for the opinion of a general physician.
    For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
    301Gastroenterology ServiceScreening, diagnostic and therapeutic endoscopy SERVICES including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see TREATMENT FUNCTION CODE 306.
    302Endocrinology ServiceThe treatment of disorders of the endocrine system, excluding specific Diabetes Services - see TREATMENT FUNCTION CODE 307.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
    303Clinical Haematology ServiceSERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
    304Clinical Physiology ServicePhysiological measurement. Excludes Clinical Neurophysiology Service - see TREATMENT FUNCTION CODE 401, Audiology Service - see TREATMENT FUNCTION CODE 840, Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341, Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675, Gastrointestinal Physiology Service - see TREATMENT FUNCTION CODE 677, Urological Physiology Service - see TREATMENT FUNCTION CODE 670, Vascular Physiology Service - see TREATMENT FUNCTION CODE 673 and Ophthalmic and Vision Science - see TREATMENT FUNCTION CODE 461.
    For further information, see: The Registration Council for Clinical Physiologists
    305Clinical Pharmacology ServiceSERVICES undertaking and interpreting clinical investigations including clinical trials; optimising the therapeutic use of drugs; detection and analysis of adverse drug effects; contribution to medicines evaluation and management of poisoning.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
    306Hepatology ServiceMedical SERVICES for the diagnosis and treatment of liver disease. Also known as liver medicine. For hepatobiliary endoscopy, use Gastroenterology Service - see TREATMENT FUNCTION CODE 301
    307Diabetes ServiceFormerly known as Diabetes Medicine.
    SERVICES to diagnose, treat and support PATIENTS with diabetes.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
    308Blood and Marrow Transplantation ServiceSERVICES recognised as specialist units and associated outreach services only. Includes pre- and post-operative specialised services for autologous, allogeneic or syngeneic Blood and Marrow Transplantation.
    For further information, see: British Society of Blood and Marrow Transplantation
    309Haemophilia ServiceSpecialist SERVICES for the diagnosis, treatment and management of haemophilia.
    For further information, see: NHS England: Blood and infection
    310Audio Vestibular Medicine ServiceFormerly known as Audiological Medicine.
    SERVICES concerned with the diagnosis and management of hearing and balance disorders, for example tinnitus, dysacusis and communication disorders. Rehabilitative/habilitative care is delivered by Multidisciplinary Teams and is aimed at improving the well-being and quality of life of the PATIENT concerned.
    Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
    For further information, see: Joint Royal College of Physicians Training Board - Audio vestibular Medicine
    311Clinical Genetics ServiceSERVICES for the diagnosis and management of genetic disorders affecting individuals and their families.
    For further information, see: Clinical Genetics
    312not a Treatment Function 
    313Clinical Immunology and Allergy ServiceSERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and allergic disease (abnormal immune responses to external substances). Should only be used where there are no separate SERVICES for Clinical Immunology and Allergy.
    For separate services - See Clinical Immunology Service - TREATMENT FUNCTION CODE 316 and Allergy Service - TREATMENT FUNCTION CODE 317.
    For further information, see: Welcome to the British Society for Allergy & Clinical Immunology (BSACI)
    314Rehabilitation Medicine ServiceFormerly known as Rehabilitation Service.
    SERVICES for the prevention, diagnosis, treatment and rehabilitation management of disabling conditions. Rehabilitation medicine is broadly divided into neurological rehabilitation, spinal cord injury, limb loss and prosthetics and/or musculoskeletal rehabilitation.
    Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725, Cardiac Rehabilitation Service - see TREATMENT FUNCTION CODE 327, Pulmonary Rehabilitation Service - see TREATMENT FUNCTION CODE 342, Orthotics Service - See TREATMENT FUNCTION CODE 658 or Prosthetics Service - see TREATMENT FUNCTION CODE 657.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation medicine
    315Palliative Medicine ServiceSERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness and end of life care. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other physical, psychosocial and spiritual problems.
    For further information, see: Joint Royal College of Physicians - Specialty spotlight – palliative medicine
    316Clinical Immunology ServiceSERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy.
    Allergy SERVICES should be recorded against Allergy Service - see TREATMENT FUNCTION CODE 317.
    For further information, see: Joint Royal College of Physicians Training Board - Immunology
    317Allergy ServiceSERVICES for the diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
    For further information, see: Joint Royal College of Physicians Training Board - Allergy
    318Intermediate Care ServiceSERVICES encompassing a range of multidisciplinary approaches, designed to safeguard independence by maximising rehabilitation and recovery after illness or injury.
    For further information, see: National Institute for Health and Care Excellence - Understanding intermediate care, including reablement
    319Respite Care ServiceSERVICES providing temporary care of a dependant PERSON, providing relief for their usual caregivers
    320Cardiology ServiceSERVICES for PATIENTS with heart disease covering a wide range of clinical activities. Management can involve interventional treatment, cardiac imaging, preventative and therapeutic options. This includes both diagnostic and interventional procedures in the cardiac catheterisation laboratory.
    For further information, see: Royal College of Physicians - Cardiology
    322Clinical Microbiology ServiceSERVICES for the diagnosis, management and treatment of PATIENTS with diseases caused by bacteria, viruses, fungi and parasites.
    323Spinal Injuries ServiceSERVICES for non-surgical management of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only.
    Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
    324Anticoagulant ServiceSERVICES providing the monitoring and control of anticoagulant therapy, including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage.
    This can be used in out-patients only
    325Sport and Exercise Medicine ServiceSpecific SERVICES providing diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111, and Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Sport and Exercise Medicine
    326Acute Internal Medicine ServiceSERVICES concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness.
    For further information, see: Acute Internal Medicine
    327Cardiac Rehabilitation ServiceSERVICES for PATIENTS recovering from heart-related conditions such as heart attacks or procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
    328Stroke Medicine ServiceSERVICES for diagnosis, investigation, treatment and care of stroke PATIENTS. Excludes out-patients for Transient Ischaemic Attack Service - see TREATMENT FUNCTION CODE 329.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Stroke Medicine (sub-specialty)
    329Transient Ischaemic Attack ServiceA multidisciplinary out-patient  SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
    For further information, see: National Institute for Health and Care Excellence - Stroke and transient ischaemic attack
    330Dermatology ServiceSERVICES for the treatment of diseases of the skin.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
    331Congenital Heart Disease ServiceThe management and treatment of congenital heart disease, including the ongoing care of children into adulthood.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric cardiology
    333Rare Disease ServiceSERVICES for rare diseases, many of which are present at birth and are either caused by a genetic problem or deficiencies or exposures to substances around the time of conception or during pregnancy. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
    For further information, see: National Congenital Anomaly and Rare Disease Registration Service
    335Inherited Metabolic Medicine ServiceSERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Metabolic Medicine
    340Respiratory Medicine ServiceRespiratory Medicine is also known as Thoracic Medicine and Pulmonary Medicine.
    SERVICES for the investigation, diagnosis, management and treatment of PATIENTS with respiratory complaints. Excludes acute respiratory failure and adult respiratory distress syndrome (ARDS) - see Intensive Care Medicine Service TREATMENT FUNCTION CODE 192 and Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
    341Respiratory Physiology ServiceSERVICES for the physiological measurement of the function of the respiratory system. Excludes Sleep Medicine Service - see TREATMENT FUNCTION CODE 347.
    For further information, see: Association for Respiratory Technology & Physiology
    342Pulmonary Rehabilitation ServiceFormerly known as Programmed Pulmonary Rehabilitation.
    A multidisciplinary SERVICE for PATIENTS with chronic respiratory impairment.
    For further information, see: NHS England: Pulmonary rehabilitation
    343Adult Cystic Fibrosis ServiceMultidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
    For further information, see: NHS England: Specialised Respiratory
    344Complex Specialised Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

    Complex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service
    345Specialist Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

    Specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service.
    346Local Specialist Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

    Local specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service.
    347Sleep Medicine ServiceSERVICES providing diagnosis and management of sleep disorders including parasomnias, excessive daytime sleepiness and sleep apnoea.
    For further information, see: Royal Society of Medicine - Sleep Medicine Section
    348Post-COVID-19 Syndrome ServiceMultidisciplinary SERVICES for PATIENTS experiencing long-term health effects following COVID-19 infection, whether or not this was diagnosed at the time of acute illness or the patient was initially asymptomatic. Post-COVID-19 syndrome has also been known as ‘long COVID’.
    For further information, see: National Institute for Health and Care Excellence - COVID-19 guideline: management of the long-term effects of COVID-19 and NHS England and NHS Improvement coronavirus - National guidance for post-COVID syndrome assessment clinics
    350Infectious Diseases ServiceSERVICES for the diagnosis, management and treatment of infectious diseases. Excludes Tropical Medicine Service - see TREATMENT FUNCTION CODE 352.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases
    352Tropical Medicine ServiceSERVICES for the diagnosis, management and treatment of diseases that are found most often in tropical or sub-tropical regions. This TREATMENT FUNCTION CODE should be used by designated specialist centres only. Excludes Infectious Diseases Service - see TREATMENT FUNCTION CODE 350.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
    360Genitourinary Medicine ServiceSERVICES for the investigation and management of sexually transmitted infections and HIV.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine (GUM)
    361Renal Medicine ServiceFormerly known as Nephrology.
    SERVICES for PATIENTS with acute renal failure and chronic kidney disease requiring long term care with the help of a Multidisciplinary Team. Most general medical problems in PATIENTS with kidney disease are managed by the Renal Medicine Service.
    Excludes acute renal replacement therapy in the critical care setting, see Intensive Care Medicine Service - TREATMENT FUNCTION CODE 192.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
    370Medical Oncology ServiceSERVICES for the specialised assessment and management of PATIENTS with cancer using chemotherapy. Includes treatment option discussions with PATIENTS, supervision of therapy and management of any complications of disease and/or treatment that may arise.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
    371Nuclear Medicine ServiceSERVICES responsible for administration of unsealed radioactive substances to PATIENTS for the purposes of diagnosis, therapy or research.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
    400Neurology ServiceSERVICES for the diagnosis, management and medical treatment of neurological conditions. Excludes Stroke Medicine Service - TREATMENT FUNCTION CODE 328, out-patients for Transient Ischaemic Attack Service – see TREATMENT FUNCTION CODE 329.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
    401Clinical Neurophysiology ServicePrimarily diagnostic SERVICE concerned with recording electrical activity from the nervous system to aid diagnosis, classification and management of neurological disease. Includes Electroencephalogram (EEG) and Electromyography (EMG).
    For further information, see: Joint Royal College of Physicians - Clinical Neurophysiology
    410Rheumatology ServiceSERVICES incorporating the investigation, holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
    For further information, see: Joint Royal College of Physicians - Rheumatology
    420Paediatric ServiceDedicated children's SERVICES for the treatment of patients typically aged 0 to 18 for medical conditions, however the environments and other members of the multidisciplinary service are likely to care for surgical PATIENTS too.
    For further information, see: Royal College of Paediatrics and Child Health - General paediatrics - level 3 training
    422Neonatal Critical Care ServiceFormerly known as Neonatology.
    SERVICES providing care for all babies that require on-going, enhanced medical care following birth. Neonatal critical care SERVICES are provided in a variety of settings dependent upon the interventions required for the baby and with dedicated transport services to support babies being transferred to and from neonatal care units. Use when NEONATAL LEVEL OF CARE = 1, 2 or 3. Includes Special Care Baby Units (SCBU), Local Neonatal Units (LNU) and Neonatal Intensive Care Units (NICU).
    Any readmission would be to Paediatric Service - see TREATMENT FUNCTION CODE 420, or Paediatric Intensive Care Service - see TREATMENT FUNCTION CODE 242.
    For further information, see: Royal College of Paediatrics and Child Health - Neonatal medicine - sub-specialty and NHS England - E08. Neonatal Critical Care
    424Well Baby ServiceSERVICES for healthy infants born and referenced by the Maternity record who do not require any intervention other than health screening and prophylactic healthcare. General care given by the mother/substitute with healthcare education if needed.
    Use when NEONATAL LEVEL OF CARE = 0 - Normal Care.
    Excludes Neonatal Critical Care Service - see TREATMENT FUNCTION CODE 422
    430Elderly Medicine ServiceFormerly known as Geriatric Medicine.
    SERVICES to treat diseases and disabilities in older adults, particularly those with multiple morbidities. There is no set age at which PATIENTS may be under the care of the Elderly Medicine Service, this decision should be determined by the individual PATIENT's needs.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
    431Orthogeriatric Medicine ServiceMultidisciplinary SERVICES addressing clinical and social needs in the management of PATIENTS with fragility fractures, including hip fractures. The care provided aims to be holistic and to include secondary prevention of fractures as well as acute care.
    For further information, see: GM - Orthogeriatrics
    450Dental Medicine ServiceSERVICES for dental treatment carried out in a hospital setting. Includes Oral Medicine.
    For further information, see: British Dental Association
    451Special Care Dentistry ServiceSERVICES concerned with the improvement of the oral health of PATIENTS and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or DISABILITY or, more often, a combination of these factors. The specialty focuses on adolescents and adults only and includes the important period of transition as the adolescent moves into adulthood.
    For further information, see: Special Care Dentistry Association (SCDA)
    460Medical Ophthalmology ServiceMedically-led SERVICES including assessment, investigation, diagnosis and management of inflammatory, vascular and neurological disorders affecting vision. May include public health screening, for example diabetic retinopathy screening.
    For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
    461Ophthalmic and Vision Science ServiceSERVICES providing physiological measurement of the function of the eye and vision. Includes diagnostic electrophysiology of vision, imaging and biometry.
    For further information, see: NHS Health Education England: Ophthalmic and vision science
    500not a Treatment Function 
    501Obstetrics ServiceSERVICES managing high risk pregnancy and childbirth including miscarriages and stillbirths but specifically excluding planned terminations. Excludes Midwifery Service - see TREATMENT FUNCTION CODE 560.
    For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
    502Gynaecology ServiceSERVICES for the diagnosis, management and treatment of disorders of the female reproductive system. Includes planned terminations of pregnancy.
    For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
    503Gynaecological Oncology ServiceSERVICES to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team.
    For further information, see: British Gynaecological Cancer Society
    504Community Sexual and Reproductive Health ServiceSERVICES supporting people to have a positive and respectful approach to sexuality and sexual relationships and to have pleasurable and safe sexual experiences, free of infection, coercion, discrimination and violence. The SERVICE also provides access to contraception and signposts Maternity Services to support pregnancy and childbirth.
    Excludes Genitourinary Medicine Service - see TREATMENT FUNCTION CODE 360 and Midwifery Service - see TREATMENT FUNCTION CODE 560.
    For further information, see: Faculty of Sexual and Reproductive Healthcare (FSRH)
    505Fetal Medicine ServiceSERVICES providing specialist care at a designated centre for the fetus or fetuses and mother. This includes assessment of fetal growth and wellbeing; the diagnosis and management of identified fetal disorders (including fetal abnormalities); prenatal fetal intervention and surgery; and counselling and support for parents. Excludes routine maternity screening activities - see Midwifery Service TREATMENT FUNCTION CODE 560.
    510RetiredRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
    520RetiredRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
    600not a Treatment Function 
    610RetiredRecord as Obstetrics
    620RetiredUse the appropriate function under which the patient is treated
    834Medical Virology ServiceClinical SERVICES for the diagnosis, management and prevention of blood-borne and/or airborne viral infections. For further information, see: Royal College of Pathologists - MEDICAL VIROLOGY
    Mental Health Services
    656Clinical Psychology ServiceMental Health Services for the assessment, management and treatment of problems including addiction, anxiety, depression, behavioural difficulties and relationship issues. Methods of assessment include psychometric tests, interviews and direct observation of behaviour. Assessment may lead to advice, counselling or therapy.
    For further information, see: The British Psychological Society
    700Learning Disability ServiceAlso known as Intellectual Disability Service.
    Mental Health Services provided to PATIENTS with a Learning Disability.
    For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability and British Institute of Learning Disabilities
    710Adult Mental Health ServiceMental Health Services provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness and maintenance of mental health.
    For further information, see: Royal College of Psychiatrists - Faculty of General Adult Psychiatry
    711Child and Adolescent Psychiatry ServiceMental Health Services for children and young people with somatisation and complex presentations, behavioural challenges, eating disorders, mood disorders, anxiety, and other mental health presentations. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291 and specialist Eating Disorders Service - see TREATMENT FUNCTION CODE 720.
    For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
    712Forensic Psychiatry ServiceMental Health Services for the assessment, management and treatment of PATIENTS who are being held in high, medium and low secure units or prisons. This includes prevention of further harm in the community or to the individual themselves.
    For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
    713Medical Psychotherapy ServiceFormerly known as Psychotherapy.
    Multidisciplinary Mental Health Services to assess, manage and treat children and adults with mental health problems using talking therapies and other psychotherapeutic techniques.
    For further information, see: Faculty of Medical Psychotherapy
    715Old Age Psychiatry ServiceMental Health Services providing the specialised assessment, treatment and continuing care for older adults suffering a range of mental illnesses, including dementia, depression or schizophrenia. Excludes specific Dementia Assessment Service - see TREATMENT FUNCTION CODE 727.
    For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
    720Eating Disorders ServiceA specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. This is usually a multidisciplinary service which needs to consider both physical and mental health aspects of the PATIENT's care.
    For further information, see: Royal College of Psychiatrists - Faculty of Eating Disorders Psychiatry
    721Addiction ServiceMental Health Services for the treatment of addictive behaviour, including substance misuse, drugs, alcohol, tobacco and gambling. Excludes PATIENTS with both severe mental illness and problematic substance misuse, see Mental Health Dual Diagnosis Service - TREATMENT FUNCTION CODE 726.
    For further information, see: Royal College of Psychiatrists - Faculty of Addictions Psychiatry
    722Liaison Psychiatry ServiceMental Health Services for the provision of psychiatric treatment to PATIENTS attending acute hospitals including Out-Patient ClinicsEmergency Care Departments and admission to WARDS. Deals with the interface between physical and psychological health.
    For further information, see: Royal College of Psychiatrists - Faculty of Liaison Psychiatry
    723Psychiatric Intensive Care ServiceMental Health Services provided to vulnerable individuals with severe disturbances who are admitted to Psychiatric Intensive Care Units from mental health acute wards and forensic settings.
    For further information, see: Royal College of Psychiatrists - Quality Network for Psychiatric Intensive Care Units
    724Perinatal Mental Health ServiceFormerly known as Perinatal Psychiatry.
    Specialist Mental Health Services for the assessment, management and treatment of pre-existing or new mental health issues during pregnancy or after delivery.
    For further information, see: Royal College of Psychiatrists - Faculty of Perinatal Psychiatry
    725Mental Health Recovery and Rehabilitation ServiceMental Health Services provided to support recovery from mental illness that maximises the PATIENTS' quality of life and social inclusion by encouraging their skills, promoting independence and autonomy.
    For further information, see: Faculty of Rehabilitation and Social Psychiatry
    726Mental Health Dual Diagnosis ServiceMental Health Services to provide support to PATIENTS with both severe mental illness and substance misuse problems.
    For further information, see: Mind: Recreational drugs, alcohol and addiction
    727Dementia Assessment ServiceDesignated Mental Health Services for the assessment of PATIENTS who have or are suspected to have dementia. Dementia complicates care giving and can occur at any stage of the illness and at any age. In addition to memory impairment, dementia may include behavioural and psychological problems. For non-specific Old Age Psychiatry Service - see TREATMENT FUNCTION CODE 715.
    For further information, see: Royal College of Psychiatrists - Dementia pathway
    730Neuropsychiatry ServiceMental Health Services for brain disorders and integration of psychiatry within clinical neurosciences.
    For further information, see: Royal College of Psychiatrists - Faculty of Neuropsychiatry
    Other Services
    560Midwifery ServiceSERVICES for managing antenatal and perinatal care during pregnancy, and postnatal care following delivery, provided under the direct care of a MIDWIFE. Excludes Obstetrics Service - see TREATMENT FUNCTION CODE 501.
    For further information, see: Royal College of Midwives
    650Physiotherapy ServiceSERVICES helping PATIENTS affected by injury, illness or DISABILITY through movement and exercise, manual therapy, education and advice to manage pain and prevent disease. To encourage development and facilitate recovery, enabling maintenance of work and independence for as long as possible.
    For further information, see: Chartered Society of Physiotherapy (CSP) - Physiotherapy
    651Occupational Therapy ServiceSERVICES using specific activities to limit the effects of DISABILITY and promote independence in all aspects of daily life
    652Speech and Language Therapy ServiceSERVICES providing assessment, management and treatment of speech, language, communication and swallowing issues in PATIENTS of all ages.
    For further information, see: Royal College of Speech & Language Therapists - Speech and language therapy
    653Podiatry ServiceAlso known as Chiropody.
    SERVICES for the diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery Service - see TREATMENT FUNCTION CODE 663.
    For further information, see: The College of Podiatry
    654Dietetics ServiceSERVICES applying the science of nutrition to improve health and treat diseases/conditions by educating and giving practical, personalised advice to PATIENTS, Patient Proxies and other members of the Multidisciplinary Team. They advise on and help to maintain nutritional status during dietary interventions such as exclusion diets and to recommend nutritional supplements.
    For further information, see: British Dietetic Association
    655Orthoptics ServiceSERVICES providing the diagnosis and treatment of visual problems involving eye movement and alignment.
    For further information, see: British and Irish Orthoptic Society
    657Prosthetics ServiceSERVICES providing gait analysis and engineering solutions to patients with limb loss. They design and provide prostheses that replicate the structural or functional characteristics of the PATIENTS absent limb. They often work autonomously or part of Multidisciplinary Teams working closely with Physiotherapists and Occupational Therapists as part of multidisciplinary amputee rehabilitation teams.
    For further information, see: British Association of Prosthetists and Orthotists (BAPO) - Prosthetists
    658Orthotics ServiceSERVICES providing gait analysis and engineering solutions to PATIENTS with needs of the neuro, muscular and skeletal systems. They design and provide orthoses that modify the structural or functional characteristics of the PATIENTS neuro-muscular and skeletal systems enabling patients to mobilise, eliminate gait deviations, reduce falls, reduce pain, prevent and facilitate healing of ulcers. They often work autonomously or part of Multidisciplinary Teams such as within the diabetic foot team or neuro-rehabilitation team.
    For further information, see: The British Association of Prosthetists and Orthotists (BAPO) - Orthotists
    659Dramatherapy ServiceSERVICES providing dramatherapy which is a form of psychological therapy focussing on the use of performance arts within the therapeutic relationship.
    For further information, see: British Association of Dramatherapists
    660Art Therapy ServiceSERVICES delivering a form of psychotherapy that uses art media as its primary mode of expression and communication. Within this context, art is not used as diagnostic tool but as a medium to address emotional issues which may be confusing and distressing.
    For further information, see: British Association of Art Therapists
    661Music Therapy ServiceSERVICES delivering a form of psychotherapy that uses music to support psychological, emotional, cognitive, physical, communicative and/or social needs.
    For further information, see: British Association for Music Therapy
    662Optometry ServiceSERVICES providing the diagnosis and non-surgical treatment of disorders of the eye and vision care
    663Podiatric Surgery ServiceSERVICES involved in the complex management of the foot and ankle involving surgery under both local and general anaesthetic. Excludes Podiatry Service - see TREATMENT FUNCTION CODE - 653.
    For further information, see: The College of Podiatry
    670Urological Physiology ServiceDiagnostic SERVICES for the study of erectile, upper and lower urinary tract function, including urodynamics.
    For further information, see: The British Association of Urological Surgeons
    673Vascular Physiology ServiceDiagnostic SERVICES for the study of arterial and venous circulation primarily using Doppler ultrasound but including tests such as pressure measurement and plethysmography. Excludes Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675.
    For further information, see: The Society for Vascular Technology
    675Cardiac Physiology ServiceSERVICES providing physiological measurements of the heart structure/function and response to therapeutic/surgical intervention through the means of a wide spectrum of non-invasive and invasive cardiac diagnostic testing. Examples include echocardiography, cardiac device management.
    For further information, see: Society for Cardiological Science and Technology (SCST)
    677Gastrointestinal Physiology ServiceSERVICES providing physiological measurement of the gastrointestinal tract. This includes standard catheter based oesophageal pH studies, oesophageal pH impedance, oesophageal manometry, ano-rectal manometry, wireless capsule studies. Excludes Gastroenterology Service - see TREATMENT FUNCTION CODE 301.
    For further information, see: AGIP – Association of GI Physiologists
    800Clinical Oncology ServiceFormerly known as Radiotherapy.
    The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
    For further information, see: Royal College of Radiologists - Clinical oncology
    810not a Treatment Function 
    811Interventional Radiology ServiceSERVICES delivering a range of techniques using radiological image guidance including X-ray fluoroscopy, ultrasound, Computerised Tomography Scan, or Magnetic Resonance Imaging Scan (MRI) to precisely target therapy. Excludes Interventional Cardiology - see Cardiology Service TREATMENT FUNCTION CODE 320, and Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
    For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
    812Diagnostic Imaging ServiceSERVICES providing medical imaging, especially X-ray based examinations, Ultrasound scan, MRI Scan, PET Scan or CT Scan. Diagnostic imaging is used to confirm, assess and document diseases, as well as to assess responses to treatment.
    For further information, see: WHO: Diagnostic imaging
    820not a Treatment Function 
    821not a Treatment Function 
    822Chemical Pathology ServiceSERVICES interpreting biochemical investigation results to assess, diagnose and treat diseases. To be used for the clinical management of PATIENTS by chemical pathology only.
    For further information, see: Royal College of Pathologists - CHEMICAL PATHOLOGY
    823not a Treatment FunctionSee Clinical Haematology
    824not a Treatment Function 
    830not a Treatment FunctionSee Clinical Immunology
    831not a Treatment FunctionSee Clinical Microbiology
    832Retired 
    840Audiology ServiceSERVICES providing physiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss. Include hearing services activity, such as hearing tests and the fitting of hearing aids.
    For further information, see: British Society of Audiology
    900not a Treatment Function 
    901not a Treatment Function 
    902not a Treatment Function 
    903not a Treatment Function 
    904not a Treatment Function 
    920Diabetic Education ServiceSERVICES providing dedicated small group education courses regarding self-management for diabetic PATIENTS
    950not a Treatment FunctionUse the appropriate function under which the patient is treated
    960not a Treatment FunctionUse the appropriate function under which the patient is treated
    990Retired 

    Notes:

    Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics
     TREATMENT FUNCTION CODES should be used for all data sets/collections unless otherwise stated e.g. National Workforce Data Set uses MAIN SPECIALTY CODES
     GENERAL MEDICAL PRACTITIONER, NURSE and ALLIED HEALTH PROFESSIONAL/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
     Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

    top


    MENTAL HEALTH CARE CLUSTER SUPER CLASS

    Change to Supporting Information: Changed Description

    A Mental Health Care Cluster Super Class is identified during the process of assigning an Adult Mental Health Care Cluster or Forensic Mental Health Care Cluster to a PATIENT.

    A Mental Health Care Cluster Super Class enables the number of applicable Adult Mental Health Care Clusters or Forensic Mental Health Care Clusters to be narrowed down, by deciding if the origin of the presenting condition is primarily:

    • Non-psychotic
    • Psychotic or
    • Organic

    If the PATIENT cannot be assigned to an Adult Mental Health Care Cluster or Forensic Mental Health Care Cluster, MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE is recorded as 'Unable to assign PATIENT to Mental Health Care Cluster Super Class'. The PATIENT will automatically be assigned to the ADULT MENTAL HEALTH CARE CLUSTER CODE or FORENSIC MENTAL HEALTH CARE CLUSTER CODE '00 Care Cluster 0 - Variance.'

    Further information relating to the Adult Mental Health Clustering Tool and Adult Mental Health Care Clusters is available from the NHS England website at: NHS payment system.Further information relating to the Adult Mental Health Clustering Tool and Adult Mental Health Care Clusters is available from the NHS England website at: NHS payment system.

    top


    NATIONAL DISEASE REGISTRATION SERVICE

    Change to Supporting Information: Changed Description

    The National Disease Registration Service is an ORGANISATION.

    The National Disease Registration Service (NDRS) collects information about every cancer PATIENT and uses it to help CARE PROFESSIONALS across England treat PATIENTS.

    Further information on the National Disease Registration Service, see the National Disease Registration Service website at: National Disease Registration Service.Further information on the National Disease Registration Service, see the NHS England website at: NDRS: About: NCRAS: Cancer.

     

    top


    NHS DATA MODEL AND DICTIONARY SERVICE

    Change to Supporting Information: Changed Description

    The NHS Data Model and Dictionary Service is provided by NHS England.

    The NHS Data Model and Dictionary Service provides the development, maintenance and support of NHS Information Standards, contained in the NHS Data Model and Dictionary.

    The NHS Data Model and Dictionary Service provides the following products and information to help users understand and navigate the NHS Data Model and Dictionary:

    For further information on the NHS Data Model and Dictionary Service, see the NHS Data Model and Dictionary Service web pages on the NHS England website.

    top


    OBSERVABLE ENTITY

    Change to Supporting Information: Changed Description

    An Observable Entity is a CLINICAL INTERVENTION.

    An Observable Entity represents a question or assessment which can produce an answer or result.

    For example:

    For further information on Observable Entities, see the see the: SNOMED CT Fact Sheet.For further information on Observable Entities, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

     

    top


    PATIENT PROCEDURE

    Change to Supporting Information: Changed Description

    A Patient Procedure is a CLINICAL INTERVENTION.

    A Patient Procedure is a procedure performed on a PATIENT by a CARE PROFESSIONAL.

    A Patient Procedure may be carried out:

    • for the prevention, cure, relief or diagnosis of disease
    • during pregnancy
    • during childbirth.

    A Patient Procedure may be carried out as part of a Clinical Investigation, where it is both diagnostic and therapeutic, for example, certain endoscopic procedures.

    For further information on Patient Procedures, see the: SNOMED CT Fact Sheet.For further information on Patient Procedures, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

     

    top


    RELEASE HISTORY: JUNE 2023  renamed from RELEASE HISTORY: MARCH 2023

    Change to Supporting Information: Changed Name, Description

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

    June 2023

    • CR1869 (1 July 2023) - DAPB0092-2062 Introduction of Emergency Care Data Set Version 4
    • CR1887 (30 June 2023) - DAPB1067 National Workforce Data Set Version 3.4
    • CR1897 (Immediate) - DDCN 1897/2023 Care Homes

    March 2023

    • CR1893 (21 March 2023) - DDCN 1893/2023 Update to Discharge Ready Date NHS Business Definition 
    • CR1867 (1 April 2023) - DAPB0084 Introduction of OPCS-4.10
    • CR1879 (1 March 2023) - DDCN 1879/2023 Retirement of CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set
    • CR1884 (1 April 2023) - DDCN 1884/2023 Health Education England merger with NHS England

    January 2023

    • CR1878 (1 February 2023) - DDCN 1878/2023 NHS Digital merger with NHS England

    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
    • 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
    • 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
    • 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
    • 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

    top


    GENERAL MEDICAL PRACTITIONER

    Change to Class: Changed Description

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

    Also known as a MEDICAL DOCTOR, works in primary care and specialises in family medicine.A GENERAL MEDICAL PRACTITIONER works in primary care and specialises in family medicine. They treat acute and chronic illnesses and provide preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues and co-morbidities.

    All MEDICAL DOCTORs working in general practice in the health service in the United Kingdom, other than doctors in training, such as GP Registrars, are required to be on the General Medical Council GP Register.All GENERAL MEDICAL PRACTITIONERS working in general practice in the health service in the United Kingdom, other than doctors in training, such as GP Registrars, are required to be on the General Medical Council GP Register.

    GENERAL MEDICAL PRACTITIONERS are allocated a GENERAL MEDICAL COUNCIL REFERENCE NUMBER, DOCTOR INDEX NUMBER and GENERAL MEDICAL PRACTITIONER PPD CODE.

     

    top


    ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE

    Change to Attribute: Changed Description

    The physical status of the PATIENT as recorded by an anaesthetist for the operative procedure.

    This is the American Society of Anesthesiologists (ASA) Physical Status Classification System. For further information see the American Society of Anesthesiologists website at: ASA Physical Status Classification System. For further information see the American Society of Anesthesiologists website at: ASA Physical Status Classification System.

    National Codes:

    1A normal healthy PATIENT 
    2A PATIENT with mild systemic disease
    3A PATIENT with severe systemic disease
    4A PATIENT with severe systemic disease that is a constant threat to life
    5A moribund PATIENT who is not expected to survive without the operation
    6A declared brain-dead PATIENT whose organs are being removed for donor purposes
     

    top


    ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE FOR NATIONAL JOINT REGISTRY

    Change to Attribute: Changed Description

    The physical status of the PATIENT as recorded by an anaesthetist for the operative procedure, for the purpose of the National Joint Registry Data Set.

    The National Joint Registry Data Set National Codes are based on the American Society of Anesthesiologists (ASA) Physical Status Classification System. For further information see the American Society of Anesthesiologists website at: ASA Physical Status Classification System. For further information see the American Society of Anesthesiologists website at: ASA Physical Status Classification System.

    National Codes:

    1Fit and healthy
    2Mild disease; not incapacitating
    3Incapacitating systemic disease
    4Life threatening disease
    8Expected to die within 24hrs with or without an operation
     

    top


    CANCER CARE PLAN INTENT

    Change to Attribute: Changed Description

    The intention of a Cancer Care Plan developed within a Cancer Care Spell.

    National Codes:

    CCurative
    PPalliative anti-cancer (Retired 1 January 2013)
    SSupportive (Retired 1 January 2013)
    NNo specific cancer treatment (Retired 1 January 2013)
    ZNon-Curative
    XNo active treatment
     

    top


    CANCER CARE SETTING FOR TREATMENT

    Change to Attribute: Changed Description

    The type of care setting where the cancer care, relating to the TREATMENT START DATE (CANCER), took place.

    Where the cancer care is delivered during a Hospital Provider Spell, distinction is made between care delivered as part of an ordinary admission (where the PATIENT CLASSIFICATION is National Code 'Ordinary Admission') and a day case admission (where PATIENT CLASSIFICATION is National Code 'Day case admission').

    National Codes:

    01Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 'Ordinary admission')
    02Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 'Day case admission')
    03Cancer treatment delivered in an Out-patient setting
    04Cancer treatment delivered in another care setting
     

    top


    CLINICAL TERMINOLOGY CODE

    Change to Attribute: Changed Description

    A unique clinical terminology identifier for a CODED CLINICAL ENTRY.

    This could be Read Coded Clinical TermsSNOMED CT concepts or defined in the National Interim Clinical Imaging Procedure Code Set.This could be Read Coded Clinical TermsSNOMED CT concepts / expressions, or defined in the National Interim Clinical Imaging Procedure Code Set.

    See Clinical Coding for further information about the types of CODED CLINICAL ENTRIES.

    Note: SNOMED CT is the Information Standard for clinical terminology for use within the NHS; it is planned that in time this will be the only terminology used by the NHS.

     

    top


    CONSULTANT CODE

    Change to Attribute: Changed Description

    A code uniquely identifying a CONSULTANT.

    The CONSULTANT CODE is derived from either the GENERAL MEDICAL COUNCIL REFERENCE NUMBER for GENERAL MEDICAL PRACTITIONERS, or the GENERAL DENTAL COUNCIL REGISTRATION NUMBER for GENERAL DENTAL PRACTITIONERS (where the Dentist doesn't have a GENERAL MEDICAL COUNCIL REFERENCE NUMBER).

    For GENERAL MEDICAL PRACTITIONERS working as CONSULTANTS, the GENERAL MEDICAL PRACTITIONER's GENERAL MEDICAL COUNCIL REFERENCE NUMBER should be used, see data item note for GENERAL MEDICAL PRACTITIONER (SPECIFIED).

    For GENERAL DENTAL PRACTITIONERS working as a:

    For further information, see the Organisation Data Service pages of the NHS England website at:

    For NHS PATIENTS treated overseas, the commissioner of the overseas treatment is responsible for assuring that the overseas doctor is provided with a GENERAL MEDICAL COUNCIL REFERENCE NUMBER. In the case of overseas doctors, the default code C9999998 should only be used where no GENERAL MEDICAL COUNCIL REFERENCE NUMBER has been assigned.

    For Commissioning Data Set version 6-2, default CONSULTANT CODES are used to identify ACTIVITY which is led by a NURSE, MIDWIFE or ALLIED HEALTH PROFESSIONAL. See CONSULTANT CODE for the default codes.

    For Commissioning Data Set version 6-3 onwards, CONSULTANT CODE is replaced by PROFESSIONAL REGISTRATION ENTRY IDENTIFIER, which allows submission of the actual PROFESSIONAL REGISTRATION code for NURSES, MIDWIVES and ALLIED HEALTH PROFESSIONALS, as well as CONSULTANTS.

     

    top


    DOCTOR INDEX NUMBER

    Change to Attribute: Changed Description

    The General Medical Council allocates all doctors a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on their first contact with the General Medical Council.

    A doctor can be both a GENERAL PRACTITIONER and a Hospital CONSULTANT, and therefore hold a DOCTOR INDEX NUMBER, GENERAL MEDICAL PRACTITIONER PPD CODE and a CONSULTANT CODE simultaneously.

    For further information, see the:

     

    top


    GENERAL DENTAL COUNCIL REGISTRATION NUMBER

    Change to Attribute: Changed Description

    A GENERAL DENTAL COUNCIL REGISTRATION NUMBER is allocated to a GENERAL DENTAL PRACTITIONER by the General Dental Council.

    All GENERAL DENTAL PRACTITIONERS and Dental Care Professionals who practise in the United Kingdom must be registered with the General Dental Council.

    This includes, all Dentists, Dental Nurses, Dental Technicians, Dental Hygienists, Dental Therapists, Clinical Dental Technicians and Orthodontic Therapists

    The General Dental Council Dentists Register lists all Dentists registered with the General Dental Council.

    Note: The General Dental Council also maintains the General Dental Council Dental Care Professionals Register and the General Dental Council Specialist Lists in Distinctive Branches of Dentistry.

    For further information on Dentist registration, see the General Dental Council website at: Search the registers.

    For Commissioning Data Set version 6-2, for GENERAL DENTAL PRACTITIONERS working as a dental CONSULTANT who do not have a GENERAL MEDICAL COUNCIL REFERENCE NUMBER, the GENERAL DENTAL COUNCIL REGISTRATION NUMBER should be used to derive the CONSULTANT CODE, prefixed with "CD".

    Note: GENERAL DENTAL COUNCIL REGISTRATION NUMBERS vary in length. Filling zeros are used between the prefix and GENERAL DENTAL COUNCIL REGISTRATION NUMBER, where required, to maintain total length of eight characters.

    For further information, see the Organisation Data Service pages of the NHS England website at: English Dental Consultants.For further information, see the Organisation Data Service pages of the NHS England website at: English Dental Consultants.

     

    top


    GENERAL MEDICAL PRACTITIONER PPD CODE

    Change to Attribute: Changed Description

    The NHS Prescription Services code to identify a GENERAL MEDICAL PRACTITIONER.

    The GENERAL MEDICAL PRACTITIONER PPD CODE is based on the NHS England issued DOCTOR INDEX NUMBER and is issued by the NHS Prescription Services. The GENERAL MEDICAL PRACTITIONER PPD CODE is the DOCTOR INDEX NUMBER prefixed with a leading character and with a check digit added.

    For England and Wales, in addition to a GENERAL MEDICAL PRACTITIONER PPD CODE, a GENERAL MEDICAL PRACTITIONER may have one or more 'spurious' GENERAL MEDICAL PRACTITIONER Code(s).

    For further information, see the Organisation Data Service pages of the NHS England website at:

     

    top


    INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY TUMOUR LOCAL STAGE

    Change to Attribute: Changed Description

    The local stage of the Tumour as assessed by a Pathologist using the International Society of Paediatric Oncology (SIOP) classification system during a Children Teenagers and Young Adults Cancer Care Spell

    National Codes:

    1Stage I
    2Stage II
    3Stage III
     

    top


    NEOADJUVANT THERAPY INDICATOR

    Change to Attribute: Changed Description

    An indication of whether the pathological stage was recorded after the PATIENT had received Neoadjuvant Therapy during a Cancer Care Spell

    National Codes:

    YYes - the pathological stage was recorded after the PATIENT had received Neoadjuvant Therapy
    NNo - the pathological stage was not recorded after the PATIENT had received Neoadjuvant Therapy
     

    top


    ORGANISATION CODE

    Change to Attribute: Changed Description

    An ORGANISATION CODE is a code which identifies an ORGANISATION uniquely.

    ORGANISATION CODES are managed by:

    Notes:

    All NHS ORGANISATIONS are coded using coding frames, as shown in the tables at: Organisation Coding Frames. 

    top


    ORGANISATION SITE CODE

    Change to Attribute: Changed Description

    An ORGANISATION SITE CODE is a code which identifies an ORGANISATION SITE uniquely.

    Note: Only ORGANISATION SITE CODES which have been notified to and issued by the Organisation Data Service may be used.

    Notes:

    All NHS ORGANISATION SITES are coded using coding frames, as shown in the tables at: Organisation Site Coding Frames.

     

    top


    PATIENT DIAGNOSIS INDICATOR

    Change to Attribute: Changed Description

    An indication of whether a PATIENT DIAGNOSIS has been made. 

    National Codes:

    YYes - PATIENT DIAGNOSIS made
    NNo - PATIENT DIAGNOSIS not made
     

    top


    PRIVATE CONTROLLED DRUG PRESCRIBER CODE

    Change to Attribute: Changed Description

    A PRIVATE CONTROLLED DRUG PRESCRIBER CODE is allocated by the NHS Prescription Services to private prescribers who prescribe schedule 2 and 3 controlled drugs that are intended to be dispensed by registered pharmacies.

    Note: A registered pharmacy means Pharmacy Premises registered with the General Pharmaceutical Council and listed on the General Pharmaceutical Council Register.

    For information on Controlled Drugs, see the NHS Business Services Authority Prescription Pricing Division website.

    Private Controlled Drug Prescribers fall into one of the following types:

    • Private General Practitioners
    • Private Nurses
    • Private Pharmacists
    • Private Optometrists
    • Private Physiotherapists
    • Private Radiographers
    • Private Podiatrists.

    Each Private Controlled Drug Prescriber is linked to one Integrated Care Board. This is the Integrated Care Board that is responsible for the Private Controlled Drug Prescriber and may not necessarily be the geographic Integrated Care Board.

    For further information, see the Organisation Data Service pages of the NHS England website at:

     

    top


    ROYAL COLLEGE OF RADIOLOGISTS PATIENT CATEGORY

    Change to Attribute: Changed Description

    The category of the PATIENT, as defined by the Royal College of Radiologists document 'The timely delivery of radical radiotherapy: guidelines for the management of unscheduled treatment interruptions, Fourth Edition'.The category of the PATIENT, as defined by the Royal College of Radiologists document 'The timely delivery of radical radiotherapy: guidelines for the management of unscheduled treatment interruptions, Fourth Edition'.

    National Codes:

    1PATIENTS whom the Royal College of Radiologists defines as having the Tumour types for which there is evidence that prolongation of treatment affects outcome, and who are being treated radically with curative intent
    2PATIENTS whom the Royal College of Radiologists defines as having slower growing Tumour types, who are being treated radically, where interruptions in Radiotherapy leading to an extension of overall treatment time of more than five days are detrimental to both local control and survival
    3PATIENTS being treated palliatively
     

    top


    SATELLITE TUMOUR NODULES LOCATION

    Change to Attribute: Changed Description

    The most distant location of separate Tumour nodules.

    National Codes:

    1Separate Tumour nodules in same lobe
    2Separate Tumour nodules in a different ipsilateral lobe
    3Separate Tumour nodules in a contralateral lobe
    4No separate Tumour nodules
     

    top


    SUBMISSION IDENTIFIER

    Change to Attribute: Changed Description

    The unique identifier to identify each data set submission.  

    top


    CDS COPY RECIPIENT IDENTITY

    Change to Data Element: Changed Description

    Format/Length:an3 or an5
    National Codes: 
    Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charges
     YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

    Notes:
    CDS COPY RECIPIENT IDENTITY is the same as attribute ORGANISATION CODE.

    CDS COPY RECIPIENT IDENTITY is the NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) for an ORGANISATION indicated as a CDS COPY RECIPIENT IDENTITY of the Commissioning data.

    Usage:
    A Recipient may be an agency or SERVICE provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple recipients for Commissioning data.

    Organisation Data Service Default Codes for CDS COPY RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid.

    Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

    The NHS England website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping. The mapping can be found on the Organisation Data Service web pages at: Provider to commissioning hub mapping.

    CDS COPY RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), which is the most recent approved national information standard to describe the required definition.

     

    top


    CODED FINDING (CODED CLINICAL ENTRY)

    Change to Data Element: Changed Description

    Format/Length:min an4 max an18
    National Codes: 
    Default Codes: 

    Notes:
    CODED FINDING (CODED CLINICAL ENTRY) is the same as attribute CLINICAL CLASSIFICATION CODE or CLINICAL TERMINOLOGY CODE.

    CODED FINDING (CODED CLINICAL ENTRY) is the CODED CLINICAL ENTRY which is used to identify a Finding.

    For further information on Findings, see the SNOMED CT® information at: SNOMED CT Fact Sheet.For further information on Findings, see the:

     
  •  

    top


    CODED FINDING (SNOMED CT)

    Change to Data Element: Changed Description

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

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

    CODED FINDING (SNOMED CT) is the SNOMED CT® concept ID which is used to identify a Finding.

    For further information on Findings, see the SNOMED CT® information at: SNOMED CT Fact Sheet.For further information on Findings, see the:

     
  •  

    top


    CODED OBSERVATION (CLINICAL TERMINOLOGY)

    Change to Data Element: Changed Description

    Format/Length:min an5 max an18
    National Codes: 
    Default Codes: 

    Notes:
    CODED OBSERVATION (CLINICAL TERMINOLOGY) is the same as attribute CLINICAL TERMINOLOGY CODE.

    CODED OBSERVATION (CLINICAL TERMINOLOGY) is the CLINICAL TERMINOLOGY CODE which is used to identify an Observable Entity.

    For further information on observations, see the see the: SNOMED CT Fact Sheet.For further information on observations, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

     

    top


    CODED OBSERVATION (SNOMED CT)

    Change to Data Element: Changed Description

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

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

    CODED OBSERVATION (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an Observable Entity.

    For further information on observations, see the see the: SNOMED CT Fact Sheet.For further information on observations, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

     

    top


    CODED PROCEDURE (CLINICAL TERMINOLOGY)

    Change to Data Element: Changed Description

    Format/Length:min an5 max an18
    National Codes: 
    Default Codes: 

    Notes:
    CODED PROCEDURE (CLINICAL TERMINOLOGY) is the same as attribute CLINICAL TERMINOLOGY CODE.

    CODED PROCEDURE (CLINICAL TERMINOLOGY) is the CLINICAL TERMINOLOGY CODE which is used to identify a Patient Procedure.

    For further information on Patient Procedures, see the SNOMED CT Fact Sheet.For further information on Patient Procedures, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

     

    top


    CODED SITUATION (CLINICAL TERMINOLOGY)

    Change to Data Element: Changed Description

    Format/Length:min an4 max an18
    National Codes: 
    Default Codes: 

    Notes:
    CODED SITUATION (CLINICAL TERMINOLOGY) is the same as attribute CLINICAL TERMINOLOGY CODE.

    CODED SITUATION (CLINICAL TERMINOLOGY) is the CLINICAL TERMINOLOGY CODE which is used to identify the situation of a PERSON.

    For further information on Situations, see the SNOMED CT® information at:

     

    top


    DISEASE OUTBREAK NOTIFICATION (RETIRED)

    Change to Data Element: Changed linked Attribute

    DISEASE OUTBREAK NOTIFICATION (retired)
     
    Attribute:
    PERSON OBSERVATION TEXT STRING

    top


    DISTANCE TO MARGIN

    Change to Data Element: Changed Description

    Format/Length:max n2.max n1
    National Codes: 
    Default Codes: 

    Notes:
    DISTANCE TO MARGIN is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

    DISTANCE TO MARGIN is the distance of the Tumour to the closest relevant margin (the rim of TISSUE around the Tumour or lesion which has been removed) whether the Tumour is invasive or non invasive, where the UNIT OF MEASUREMENT is 'Millimetres (mm)'.  

    top


    FINDING (SNOMED CT EXPRESSION)

    Change to Data Element: Changed Description

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

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

    FINDING (SNOMED CT EXPRESSION) is a structured combination of one or more SNOMED CT® concept identifiers which are used to describe a Finding.

    For further information on Findings, see the see the: SNOMED CT Fact Sheet.For further information on Findings, see the:

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

    top


    FINDING DATE

    Change to Data Element: Changed Description

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

    Notes:
    FINDING DATE is the same as attribute PERSON PROPERTY RECORDED DATE.

    FINDING DATE is the date when the Finding was recorded.

    For further information on Findings, see the: SNOMED CT Fact Sheet.For further information on Findings, see the:

     
  •  

    top


    OBSERVATION (SNOMED CT EXPRESSION)

    Change to Data Element: Changed Description

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

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

    OBSERVATION (SNOMED CT EXPRESSION) is a structured combination of one or more SNOMED CT® concept identifiers which are used to describe an Observable Entity.

    For further information on Observable Entities, see the see the: SNOMED CT Fact Sheet.For further information on Observable Entities, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

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

    top


    OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)

    Change to Data Element: Changed Description

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

    Notes:
    OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE) is the same as attribute PERSON PROPERTY OBSERVED DATE.

    OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)) is the date that evidence of current substance misuse by a PATIENT was observed by a CARE PROFESSIONAL.OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE) is the date that evidence of current substance misuse by a PATIENT was observed by a CARE PROFESSIONAL.

    For the Mental Health Services Data SetOBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE) is recorded within a Ward Stay.

     

    top


    OESOPHAGECTOMY SURGICAL APPROACH TYPE

    Change to Data Element: Changed Description

    Format/Length:an1
    National Codes:See OESOPHAGECTOMY SURGICAL APPROACH TYPE
    Default Codes:9 - Not Known (Not Recorded)

    Notes:
    OESOPHAGECTOMY SURGICAL APPROACH TYPE is the same as attribute  OESOPHAGECTOMY SURGICAL APPROACH TYPE

    top


    ORGANISATION CODE (CODE OF COMMISSIONER)

    Change to Data Element: Changed Description

    Format/Length:an3 or an5
    National Codes: 
    Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charge
     XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
     YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

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

    ORGANISATION CODE (CODE OF COMMISSIONER) is the ORGANISATION CODE of the ORGANISATION commissioning health care.

    For Commissioning Data Sets, the ORGANISATION CODE (CODE OF COMMISSIONER) should always be the ORGANISATION CODE of the original commissioner to support the National Tariff Payment System.

    The NHS England document "Who Pays? Determining responsibility for NHS payments to providers" sets out a framework for establishing responsibility for commissioning and paying for a PATIENT’s care within the NHS.

    The document includes information on the following:

    For further information on this document contact: england.responsiblecommissioner@nhs.net.

    Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

    The NHS England website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping. The mapping can be found on the Organisation Data Service web pages at: Provider to commissioning hub mapping.

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

     

    top


    ORGANISATION CODE (RESIDENCE RESPONSIBILITY)

    Change to Data Element: Changed Description

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

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

    ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS.

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

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

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

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

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

     

    top


    ORGANISATION IDENTIFIER (CDS RECIPIENT)

    Change to Data Element: Changed Description

    Format/Length:min an3 max an5
    National Codes: 
    Default Codes:TDH00 - Overseas Visitor exempt from charges
     VPP00 - Private PATIENTS / Overseas Visitor liable for charges

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

    ORGANISATION IDENTIFIER (CDS RECIPIENT) is the NHS ORGANISATION IDENTIFIER (or valid Organisation Data Service Default Code) for an ORGANISATION identified as a recipient of the commissioning data set data.

    Usage:
    A maximum of 7 ORGANISATION IDENTIFIERS (CDS RECIPIENT) may be submitted. The submission order does not infer the primacy of one recipient over another.

    A Recipient may be an agency or SERVICE provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data.

    Where NHS England is the responsible Commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION IDENTIFIERS should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

    The NHS England website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping. The mapping can be found on the Organisation Data Service web pages at: Provider to commissioning hub mapping.

    Please note that the following Organisation Data Service Default Codes must not be used in the Commissioning Data Set (CDS) header because they are not default Commissioner codes:

    CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), which is the most recent approved national information standard to describe the required definition.

     

    top


    ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

    Change to Data Element: Changed Description

    Format/Length:min an3 max an5
    National Codes: 
    Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charge
     XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
     YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

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

    ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) is the ORGANISATION IDENTIFIER of the ORGANISATION commissioning health care.

    For Commissioning Data Sets, the ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) should always be the ORGANISATION IDENTIFIER of the original commissioner to support the National Tariff Payment System.

    The NHS England document "Who Pays? Determining responsibility for NHS payments to providers" sets out a framework for establishing responsibility for commissioning and paying for a PATIENT’s care within the NHS.

    The document includes information on the following:

    For further information on this document contact: england.responsiblecommissioner@nhs.net.

    Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION IDENTIFIERS should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

    The NHS England website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping. The mapping can be found on the Organisation Data Service web pages at: Provider to commissioning hub mapping.

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

     

    top


    ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)

    Change to Data Element: Changed Description

    Format/Length:min an5 max an9
    National Codes: 
    Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
     89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

    Notes:
    ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS) is the same as attribute ORGANISATION SITE IDENTIFIER.ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE) is the same as attribute ORGANISATION SITE IDENTIFIER.

    ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Diagnostic Procedure took place.ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Diagnostic Procedure took place.

     

    top


    PATHOLOGY OBSERVATION REPORT IDENTIFIER

    Change to Data Element: Changed Description

    Format/Length:min an1 max an36
    National Codes: 
    Default Codes: 

    Notes:
    PATHOLOGY OBSERVATION REPORT IDENTIFIER is the same as attribute SERVICE REPORT IDENTIFIER.

    PATHOLOGY OBSERVATION REPORT IDENTIFIER identifies the specific Royal College of Pathologists (RCPath) form used.

    Multiple PATHOLOGY OBSERVATION REPORT IDENTIFIERS can be contained within a SERVICE REPORT, where there are multiple Tumours.

     

    top


    POSTCODE

    Change to Data Element: Changed Description

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

    Notes:
    POSTCODE is the same as attribute POSTCODE.

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

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

    For further information on POSTCODES, see:

     

    top


    PROCEDURE (SNOMED CT)

    Change to Data Element: Changed Description

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

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

    PROCEDURE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify a Patient Procedure.

    For further information on Patient Procedures, see the SNOMED CT Fact Sheet.For further information on Patient Procedures, see the: SNOMED CT Fact Sheet: Structure of SNOMED CT.

     

    top


    PROFESSIONAL REGISTRATION ISSUER CODE (MULTIDISCIPLINARY TEAM LEAD)

    Change to Data Element: Changed Description

    top


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

    ISO 9001 CERTIFICATION EUROPE