NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1948
Version No:1.0
Subject:September 2025 Release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:2 September 2025

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
ACCESSIBLE INFORMATION   Changed Description
CANCER TREATMENT PERIOD   Changed Description
CARER   Changed Description
CARE WORKER   Changed Description
CLINICAL COMMISSIONING GROUP   Changed Description
COMMISSIONING DATA SET BUSINESS RULES   Changed Description
COMMUNITY   Changed Description
COUNTY   Changed Description
DATA ALLIANCE PARTNERSHIP BOARD   Changed Description
DATA COORDINATION BOARD   Changed Description
DATA LANDING PORTAL   Changed Description
EDUCATIONAL ESTABLISHMENT   Changed Description
ELECTORAL DIVISION   Changed Description
ENUMERATION DISTRICT   Changed Description
FEMALE GENITAL MUTILATION DATA SET OVERVIEW   Changed Description
GENERAL MEDICAL COUNCIL GP REGISTER   Changed Description
GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS   Changed Description
GENERAL PHARMACEUTICAL COUNCIL   Changed Description
GENERAL PHARMACEUTICAL COUNCIL REGISTER   Changed Description
GET INFORMATION ABOUT SCHOOLS   Changed Description
HEALTHCARE OPERATIONAL DATA FLOWS (ACUTE) DATA SET OVERVIEW   Changed Description
HOSPITAL EPISODE STATISTICS   Changed Description
IMPAIRMENT HARMONISED STANDARD   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET OVERVIEW   Changed Description
KEY WORKER   Changed Description
LOCAL AUTHORITY DISTRICT   Changed Description
LONDON BOROUGH   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE   Changed Description
METROPOLITAN COUNTY   Changed Description
METROPOLITAN DISTRICT   Changed Description
NEONATAL CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
NHS DATA MODEL AND DICTIONARY SERVICE   Changed Description
NHS DICTIONARY OF MEDICINES AND DEVICES   Changed Description
NHS ENGLAND   Changed Description
OFFICE FOR NATIONAL STATISTICS   Changed Description
OTHER STATUTORY AUTHORITY   Changed Description
OUTPUT AREA   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
PARISH   Changed Description
PERSONAL DEMOGRAPHICS SERVICE   Changed Description
PHARMACY PREMISES   Changed Description
REGION   Changed Description
RELEASE HISTORY: SEPTEMBER 2025 renamed from RELEASE HISTORY: AUGUST 2025   Changed Description, Name
REVISED INTERNATIONAL STAGING SYSTEM FOR MULTIPLE MYELOMA   Changed Description
ROYAL MARSDEN   Changed Description
STANDARDISATION COMMITTEE FOR CARE INFORMATION   Changed Description
STOP SMOKING SERVICE   Changed Description
SUB INTEGRATED CARE BOARD LOCATION   Changed Description
SYSTEMIC ANTI-CANCER THERAPY DATA SET OVERVIEW   Changed Description
UNION FOR INTERNATIONAL CANCER CONTROL   Changed Description
UNITARY AUTHORITY   Changed Description
YOUTH DETENTION ACCOMMODATION   Changed Description
 
Class Definitions
OVERSEAS VISITOR STATUS   Changed Description
TISSUE   Changed Description
 
Attribute Definitions
APPOINTMENT SLOT SHORT NOTICE CANCELLATION INDICATOR   Changed Description
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS   Changed Description
CRITICAL CARE ACTIVITY CODE   Changed Description
GENERAL MEDICAL COUNCIL REFERENCE NUMBER   Changed Description
GENERAL MEDICAL PRACTITIONER PPD CODE   Changed Description
GS1 APPLICATION IDENTIFIER FOR INTERNAL   Changed Description
GS1 GLOBAL LOCATION NUMBER   Changed Description
GS1 GLOBAL SERVICE RELATION NUMBER CHECK DIGIT   Changed Description
GS1 SERVICE RELATION INSTANCE NUMBER   Changed Description
GS1 UNIQUE ORGANISATION PREFIX NUMBER   Changed Description
NHS NUMBER   Changed Description
NUMBER OF BABIES IDENTIFICATION CODE   Changed Description
OVERSEAS VISITOR CHARGING CATEGORY   Changed Description
OVERSEAS VISITOR STATUS CLASSIFICATION   Changed Description
REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION DATA SET   Changed Description
 
Data Elements
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)   Changed Description
CODED PROCEDURE TIMESTAMP (CRANIAL ULTRASOUND SCAN)   Changed Description
CODED PROCEDURE TIMESTAMP (NEWBORN HEARING SCREENING)   Changed Description
CODED PROCEDURE TIMESTAMP (SAMPLE COLLECTION)   Changed Description
DATA SET CREATED TIMESTAMP   Changed Description
DATE OF BIRTH (PATIENT IDENTIFICATION)   Changed Description
GS1 APPLICATION IDENTIFIER (GLOBAL)   Changed Description
GS1 APPLICATION IDENTIFIER (INTERNAL)   Changed Description
GS1 GLOBAL LOCATION NUMBER   Changed Description
GS1 GLOBAL SERVICE RELATION NUMBER CHECK DIGIT   Changed Description
GS1 SERVICE RELATION INSTANCE NUMBER   Changed Description
GS1 UNIQUE ORGANISATION PREFIX NUMBER   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER   Changed Description
NHS NUMBER   Changed Description
NUMBER OF BABIES IDENTIFICATION CODE (PATIENT IDENTIFICATION)   Changed Description
OVERSEAS VISITOR CHARGING CATEGORY   Changed Description
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE   Changed Description
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE   Changed Description
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE   Changed Description
OVERSEAS VISITOR STATUS CLASSIFICATION   Changed Description
OVERSEAS VISITOR STATUS CLASSIFICATION AT CDS ACTIVITY DATE   Changed Description
STOP SMOKING SERVICE CUMULATIVE SPEND   Changed Description
STOP SMOKING SERVICE LOCAL AUTHORITY FINANCIAL ALLOCATION   Changed Description
STOP SMOKING SERVICE OTHER FINANCIAL ALLOCATION   Changed Description
STOP SMOKING SERVICE STOP SMOKING AID SPEND   Changed Description
TIME OF BIRTH (PATIENT IDENTIFICATION)   Changed Description
TREATMENT START DATE (CANCER)   Changed Description
WAITING TIME ADJUSTMENT (FIRST SEEN)   Changed Description
WAITING TIME ADJUSTMENT (TREATMENT)   Changed Description
WITHHELD IDENTITY REASON   Changed Description
 

Date:2 September 2025
Sponsor:Tomas Sanchez Lopez, Director Technology and Data Integration, Data and Analytics, 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.

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ACCESSIBLE INFORMATION

Change to Supporting Information: Changed Description

Accessible Information is information which is able to be read or received and understood by the individual or group for which it is intended.

The Equality Act 2010 places a duty on all service providers to take steps or make reasonable adjustments in order to avoid putting a disabled PERSON at a substantial disadvantage when compared to a PERSON who is not disabled.

DCB1605: Accessible Information requires that Health and Social Care ORGANISATIONS identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss.DAPB1605: Accessible Information requires that Health and Social Care ORGANISATIONS identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss. These ORGANISATIONS are also required to take action to ensure that these needs are met.

The information and communication support needs cover four areas:

  • communication support
  • requires specific contact method
  • requires communication professional
  • requires specific information format

For further information on Accessible Information, see the NHS England website at: Accessible Information Standard.

Note: This NHS Business Definition is referenced by the approved Information Standard DCB1605: Accessible Information.Note: This NHS Business Definition is referenced by the approved Information Standard DAPB1605: Accessible Information.

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CANCER TREATMENT PERIOD

Change to Supporting Information: Changed Description

A Cancer Treatment Period is an ACTIVITY GROUP.

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

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

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

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

 

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CARER

Change to Supporting Information: Changed Description

A Carer is a PERSON.

A Carer is a PERSON who is either providing or intending to provide a substantial amount of unpaid care on a regular basis for someone who is disabled, ill or frail.

A Carer is usually a family member, friend or neighbour and does not include Care Workers (Carers (Recognition and Services) Act 1995.)

Note: This NHS Business Definition is referenced by the approved Information Standard SCCI1580: Palliative Care Co-ordination: Core Content (Formerly End of Life Care).Note: This NHS Business Definition is referenced by the approved Information Standard SCCI1580: Palliative Care Co-ordination: Core Content.

 

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CARE WORKER

Change to Supporting Information: Changed Description

A Care Worker is a PERSON.

A Care Worker is employed to support and supervise vulnerable, infirm or disadvantaged people, or those under the care of the state. They can be volunteers who provide care as part of their work for the voluntary organisation or paid workers who are providing care by virtue of a contract of employment or any other contract.

Note: This NHS Business Definition is referenced by the approved Information Standard SCCI1580: Palliative Care Co-ordination: Core Content (Formerly End of Life Care).Note: This NHS Business Definition is referenced by the approved Information Standard SCCI1580: Palliative Care Co-ordination: Core Content (Formerly End of Life Care).

 

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CLINICAL COMMISSIONING GROUP

Change to Supporting Information: Changed Description

All Clinical Commissioning Groups were statutorily abolished on 1 July 2022.

All Organisation Data Service records for Clinical Commissioning Groups were renamed as Sub Integrated Care Board Location on 1 July 2022. These records will remain open to facilitate a transition period.

Further information on the Integrated Care System implementation within the Organisation Data Service is available at: ICS implementation.Further information on the Integrated Care System implementation within the Organisation Data Service is available at: Integrated Care Systems (ICS) implementation.

The definition has been retained for historical reporting.

A Clinical Commissioning Group is an ORGANISATION.

Clinical Commissioning Groups (CCG) are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.

Clinical Commissioning Groups are groups of GP Practices that are responsible for commissioning most health and care SERVICES for PATIENTS.

These groups of GP Practices, working with other healthcare professionals and in partnership with local communities and Local Authorities are responsible for commissioning the majority of NHS SERVICES for PATIENTS within their local communities. They have a duty to work with Local Authorities in relation to health and adult social care, early years services, public health etc.

The Clinical Commissioning Groups are not responsible for commissioning all SERVICES. They have the flexibility to decide which commissioning activities they undertake themselves or choose to buy in commissioning support from external ORGANISATIONS.

NHS England and NHS Improvement:

  • has established a system of Clinical Commissioning Groups with the power to assign GP Practices to Clinical Commissioning Groups if necessary
  • has allocated budgets directly to Clinical Commissioning Groups
  • holds Clinical Commissioning Groups to account.

Clinical Commissioning Groups hold their constituent GP Practices to account for stewardship of resources and the outcomes they achieve. 

For further information on Clinical Commissioning Groups, see the NHS England and NHS Improvement website at Clinical Commissioning Groups (CCGs).

 

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COMMISSIONING DATA SET BUSINESS RULES

Change to Supporting Information: Changed Description

The Commissioning Data Sets have notation to identify the business and/or processing rules which apply to individual Data Elements.  This notation appears in the Rules column of the Commissioning Data Sets details page. 

Population Validation

All Data Elements are subject to length validation.  Some Data Elements are also subject to format and content validation against a list of permitted values defined in the NHS Data Model and Dictionary. The value lists are held on the Attribute which the Data Element is based on, plus default codes which are held on the Data Element itself.

RULE POPULATION VALIDATION 
F The format is validated, for example the format of a date must comply with the XML standard.
V The Data Element is validated against an explicit list of permitted values as defined in the NHS Data Model and Dictionary.
Note the permitted values differ between CDS-XML schema version 6-2 and CDS-XML version 6-2-0 for CARE PROFESSIONAL MAIN SPECIALTY CODE and ACTIVITY TREATMENT FUNCTION CODE.

Business Rules

Some Data Elements are subject to additional Business Rules as indicated below:

PREFIX BUSINESS RULES: H - Healthcare Resource Group Business Rules 
H4 This Data Element is used by the Secondary Uses Service to derive the Healthcare Resource Group 4.
Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.
For further information, please refer to the NHS England website at: Payment by Results Guidance.

PREFIX BUSINESS RULES: I - CDS-XML Schema Notes, Anomalies and Issues 
I1 This is a known schema anomaly and has been registered for future resolution.
I2 See the specifications in the NHS Data Model and Dictionary for the specific format characteristics of this Data Element.
I3 There is no national requirement to flow Healthcare Resource Group 4 (HRG4) through the Commissioning Data Sets, see DSCN 17/2008.
I3 There is no national requirement to flow Healthcare Resource Group 4 (HRG4) through the Commissioning Data Sets, see ISB 0070: Healthcare Resource Groups (HRGs).
I4From Commissioning Data Set version 6-3 and Emergency Care Data Set V4 onwards, the NHS Data Model and Dictionary data set layout has been updated to correctly represent the existing requirements of the CDS-XML Schema for PERSON NAME STRUCTURED and PERSON NAME UNSTRUCTURED
I5From Commissioning Data Set version 6-3 and Emergency Care Data Set V4 onwards, the NHS Data Model and Dictionary data set layout has been updated to correctly represent the existing requirements of the CDS-XML Schema for ADDRESS STRUCTURED and ADDRESS UNSTRUCTURED

PREFIX BUSINESS RULES: N - NHS Data Standards and Policy Rules 
N1Psychiatric PATIENTS only (Retired January 2021).
N2 Not defined or approved by the Data Assurance Board, Data Alliance Partnership Board, Data Coordination Board, Standardisation Committee for Care Information and Information Standards Board for Health and Social Care.
N3 The definition and value list for this data is under review.
N4 Up to 20 codes per daily activity occurrence may be recorded.
N5 This data should only flow in Commissioning Data Set version 6-1 for PATIENTS detained under the Mental Health Act prior to the Mental Health Act 2007 (Retired June 2015).
N6 This data should only flow in Commissioning Data Set version 6-2 for PATIENTS detained under the Mental Health Act 2007.
N7 From Commissioning Data Set version 6-0 onwards, the use of the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE in the location group is optional as it must be carried in the Episode Characteristics.

PREFIX BUSINESS RULES: S - Secondary Uses Service Business Rules 
S1 This mandatory Commissioning Data Set date is used as the originating date to determine the mandatory CDS ACTIVITY DATE.
S2 The Secondary Uses Service DOES NOT support the use of the CDS TEST INDICATOR. Therefore this Data Element must not be used (Retired June 2015).
S3 See Security Issues and Patient Confidentiality, for further information.
S4 Used to ensure the correct sequencing of multiple and/or subsequent Commissioning Data Set submissions.
S5These ORGANISATION CODES/ORGANISATION IDENTIFIERS must be present and registered with the Secondary Uses Service. The Commissioning Data Set Schema does not validate the content value of this data
S5These ORGANISATION CODES/ORGANISATION IDENTIFIERS must be present and registered with the Secondary Uses Service. The Commissioning Data Set Schema does not validate the content value of this data
S6 All CDS REPORT PERIOD START DATES and CDS REPORT PERIOD END DATES must be consistent in all Commissioning Data Set records contained in a BULK Interchange submission.
The CDS REPORT PERIOD START DATE must be on or before the CDS REPORT PERIOD END DATE.
The CDS ACTIVITY DATE is a mandatory data element and must fall within the period defined.
See the Commissioning Data Set Submission Protocol.
S7 See the Commissioning Data Set Addressing Grid.
S8 These Data Elements are required for correct processing by the Secondary Uses Service. If omitted, the Secondary Uses Service will reject the Commissioning Data Set data.
S9 The CDS UNIQUE IDENTIFIER is a mandatory data item when using the Net Change Protocol. When using the Bulk Update Protocol this data item is optional but it is strongly advised that where it can be correctly generated and maintained it should be used. See the Commissioning Data Set Submission Protocol.
S10 For CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set, the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE.
S11 For the following CDS Types, the CDS ACTIVITY DATE must contain the Date of the Elective Admission List Census which is usually the end of the Period being reported: 
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set 
CDS V6-2 Type 040 - Elective Admission List - End of Period Census (Old) Commissioning Data Set 
CDS V6-2 Type 050 - Elective Admission List - End of Period Census (New) Commissioning Data Set 
S12 These PERSON BIRTH DATE Data Elements must use dates between 01/01/1880 and 31/12/2999 in order to pass validation
S13 Data Elements reporting a date (which is not a PERSON BIRTH DATE Data Element) must use dates between 01/01/1900 and 31/12/2999 in order to pass validation
S14 For Data Elements reporting a time, the hour portion must be between 00 and 23 inclusive in order to pass validation

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COMMUNITY

Change to Supporting Information: Changed Description

A Community is a GEOGRAPHIC AREA.

Community is a very general term referring to the people living in a locality or to the locality itself.

Note: Welsh Communities are subdivisions of Unitary Authorities and their councils are the most local level of government in Wales. They are the equivalent of (civil) Parishes in England, but unlike English Parishes, Communities cover the whole of Wales.

For further information on Communities, see the Office for National Statistics website at: Glossary.For further information on Communities, see the Office for National Statistics website at: Glossary: O - U.

 

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COUNTY

Change to Supporting Information: Changed Description

A County is a GEOGRAPHIC AREA.

Counties were formerly administrative units across the whole of the United Kingdom. However, due to administrative restructurings, the only administrative areas still referred to as Counties are the Non-Metropolitan Counties of England.

For further information on Counties, see the Office for National Statistics website at: Glossary.For further information on Counties, see the Office for National Statistics website at: Glossary: A - G.

 

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DATA ALLIANCE PARTNERSHIP BOARD

Change to Supporting Information: Changed Description

The Data Alliance Partnership Board is an ORGANISATION.

The Data Alliance Partnership Board (DAPB) replaced the Data Coordination Board (DCB) on 20 November 2020.

From May 2024 the Data Assurance Board has been given delegated authority to approve Information Standards Notices on behalf of the Data Alliance Partnership Board, who retain overall responsibility for the assurance and approvals process.

Key national ORGANISATIONS that use health and care data were brought together into a Data Alliance Partnership (DAP). The Data Alliance Partnership member ORGANISATIONS, including the Department of Health and Social Care, NHS England, a wide range of Arm’s Length Bodies and other ORGANISATIONS across health and adult social care, are committed to maximising the benefits from utilising and sharing data already held in health and care systems in order to minimise the burden of collecting more data from frontline service providers.

The Data Alliance Partnership Board (DAPB) supports member ORGANISATIONS achieve their goals and:

  • Promotes consistent and comparable use of data in healthcare through the approval of Information Standards and Data Collections (including Extractions) (ISCEs) by its sub boards
  • Identifies and, wherever possible, reduces duplication of data collections
  • Increases the benefits from data already held by making data accessible for legitimate purposes within existing legislation – the principle of collect once, use many times
  • Increases transparency by making clear what data the health care and adult social care system holds and how it is used - published as a single list of approved data collections
  • Has responsibility for maintaining the overall governance and assurance framework for Information Standards and Data Collections (including Extractions) used in health care and adult social care.

Note: The Data Alliance Partnership Board is supported by the two boards (Data Assurance Board and Data and Outcomes Board) which have devolved responsibility for scrutiny and approval of recommendations made by the Data Governance Assurance Team (DGAT). Both boards review proposals for new and/or changes to existing Information Standards and Data Collections (including Extractions) before making a recommendation for approval (or otherwise) to the Data Assurance Board:

Note: Note; the scope of authority for Information Standards and Data Collections (including Extractions) is confined to England health and adult social care services only

For further information on the Data Alliance Partnership Board, see the NHS England website at: Governance of information standards.For further information on the Data Alliance Partnership Board, see the NHS England website at: Governance of information standards.

 

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DATA COORDINATION BOARD

Change to Supporting Information: Changed Description

The Data Coordination Board (DCB) closed on 19 November 2020.

Responsibility for the approval of Information Standards and Data Collections (including Extractions) has transferred to the Data Alliance Partnership Board (DAPB).

The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standards and Data Collections (including Extractions) that were assured and approved by the Data Coordination Board.

The Data Coordination Board replaced the Standardisation Committee for Care Information (SCCI) on 1 April 2017.

The Data Coordination Board is one of three sub-groups of the Digital Delivery Board, the other two being the Enterprise Architecture Board and the Technology and Data Investment Board.

The Data Coordination Board:

  • has delegated authority from the Secretary of State to approve Information Standard and Collection (including Extractions) (ISCEs) for health and social care
  • provides the authority to publish Information Standards Notices (ISN) under section 250 of the Health and Social Care Act 2012
  • has responsibility for the approval of requests to change, deprecate and retire existing Information Standard and Collection (including Extractions)
  • prioritises the progression of Information Standard and Collection (including Extractions)
  • works to minimise the burden from Data Sets, and maximise the benefit received from available data
  • takes its membership from a wide range of national bodies and ORGANISATIONS involved in the provision and management of health and social care services in England. This ensures a system-wide, joined-up approach to decision-making.

For further information on the Data Coordination Board, see the NHS Digital website at: Data Coordination Board.For further information on the Data Coordination Board, see the NHS Digital website at: Data Coordination Board.

 

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DATA LANDING PORTAL

Change to Supporting Information: Changed Description

The Data Landing Portal (DLP) allows data to be transferred securely between ORGANISATIONS using a centrally managed system.

The Data Landing Portal also facilitates the standardisation of local data transfers nationally.

For further information relating to the submission of data to the Data Landing Portal, see the NHS England website at: Data Landing Portal (DLP).For further information relating to the submission of data to the Data Landing Portal, see the NHS England website at: Data Landing Portal (DLP).

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EDUCATIONAL ESTABLISHMENT

Change to Supporting Information: Changed Description

An Educational Establishment is an ORGANISATION.

An Educational Establishment's main purpose is education. These may be Schools, Colleges or Universities.

An up-to-date list of Educational Establishments in England can be found on the Department for Education part of the gov.uk website at: Get information about schools.uk website at: Get information about Schools.

 

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ELECTORAL DIVISION

Change to Supporting Information: Changed Description

An Electoral Division is a GEOGRAPHIC AREA.

Electoral Divisions are found in Wales, the Isle of Wight and six of the Unitary Authorities created in 2009.

Electoral Divisions are frequently referred to as Wards.

For further information on Electoral Divisions, see the Office for National Statistics website at: Glossary.For further information on Electoral Divisions, see the Office for National Statistics website at: Glossary: V - Z.

 

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ENUMERATION DISTRICT

Change to Supporting Information: Changed Description

An Enumeration District is a GEOGRAPHIC AREA.

An Enumeration District (ED), also known as a Census Enumeration District, is used across the United Kingdom for the purposes of census data collection.

For further information on Enumeration Districts, see the Office for National Statistics website at: Glossary.For further information on Enumeration Districts, see the Office for National Statistics website at: Glossary: A - G.

 

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FEMALE GENITAL MUTILATION DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.

The Female Genital Mutilation Data Set is used:

  • To publish Official Statistics which will inform the Department of Health and Social Care, NHS England, other Government Agencies and the public, about female genital mutilation when it has been identified
  • To identify the potential risk of female genital mutilation to young girls and vulnerable women
  • For better planning and management of female genital mutilation SERVICES at a local level and across England

Data for an individual PATIENT can be entered using a direct input screen on the NHS England Clinical Audit Platform, or an ELECTRONIC HEALTH RECORD EXTRACT can be used to submit bulk data uploads on a monthly basis for each ORGANISATION.

CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload.  This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Emergency Care Attendances, Group TherapyWard Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with the exception of Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to NHS England.

SNOMED CT Refset:

  • Female genital mutilation related findings:
    • Refset FSN: Female genital mutilation related findings simple reference set (foundation metadata concept)
    • Refset Id: 999002041000000103

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

  • Female genital mutilation related procedures:
    • Refset FSN: Female genital mutilation related procedures simple reference set (foundation metadata concept)
    • Refset Id: 999002031000000107

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

Data Extract Specification

Description: The Department of Health and Social Care requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. This requirement is applicable to all CARE PROFESSIONALS in these ORGANISATIONS whenever it has been identified that a woman or young girl has undergone female genital mutilation.

Further information is available on the NHS England website at: Female Genital Mutilation Datasets.Further information is available on the NHS England website at: SCCI2026:Female Genital Mutilation Datasets.

Time period: Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each ORGANISATION.

Format: Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS England Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.

Transmission: Electronic files must be transmitted to NHS England via the Clinical Audit Platform which is a secure web portal.

Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.

Further information about the Clinical Audit Platform and the data upload facility can be found on the NHS England website: at Clinical Audit Platform.

Further guidance on the Female Genital Mutilation Data Set can be found on the NHS England website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.Further guidance on the Female Genital Mutilation Data Set can be found on the NHS England website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

Mandation

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

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

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GENERAL MEDICAL COUNCIL GP REGISTER

Change to Supporting Information: Changed Description

The General Medical Council GP Register is a REGISTER.

The General Medical Council GP Register was introduced on 31 March 2006 by the General Medical Council. It is a REGISTER of doctors who are eligible to work in general practice in the health service in the UK.

From 1 April 2006, all doctors working in general practice in the health service in the UK, other than doctors in training, such as GP Registrars, are required to be on the General Medical Council GP Register.

For further information on the General Medical Council GP Register, see the General Medical Council website at:

 

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GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS

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The General Medical Council List of Registered Medical Practitioners is a REGISTER.

The General Medical Council List of Registered Medical Practitioners (LRMP) is a list of all doctors who are registered to practise in the UK (including GENERAL MEDICAL PRACTITIONERS).

When a doctor is registered to practise medicine in the United Kingdom, their details will appear on the General Medical Council List of Registered Medical Practitioners.
For further information on doctor registration, see the General Medical Council website..

The General Medical Council List of Registered Medical Practitioners provides details of:

  • the doctor's reference number, name, any former name, gender
  • year and place of primary medical degree
  • registration status
  • date of registration
  • entry in the GP/Specialist Register
  • any publicly available fitness to practise history since 20 October 2005

For further information on the General Medical Council List of Registered Medical Practitioners, see the General Medical Council website at: The medical register.For further information on the General Medical Council List of Registered Medical Practitioners, see the General Medical Council website at: A guide to our registers.

 

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GENERAL PHARMACEUTICAL COUNCIL

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The General Pharmaceutical Council is a Regulatory Body.

The General Pharmaceutical Council (GPhC) is responsible for the regulation of PharmacistsPharmacy Technicians and Pharmacy Premises in Great Britain.

The remit of the General Pharmaceutical Council is to protect, promote and maintain the health, safety and wellbeing of PATIENTS, the public and of all those who use pharmaceutical services.

An independent Regulatory Body, the vision of the General Pharmaceutical Council is the provision of proportionate, risk based, efficient and fair regulation of the pharmacy professions and of registered Pharmacy Premises.

For further information on the General Pharmaceutical Council, see the General Pharmaceutical Council website.For further information on the General Pharmaceutical Council, see the General Pharmaceutical Council at: About us - overview.

 

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GENERAL PHARMACEUTICAL COUNCIL REGISTER

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GET INFORMATION ABOUT SCHOOLS

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HEALTHCARE OPERATIONAL DATA FLOWS (ACUTE) DATA SET OVERVIEW

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Introduction

The Healthcare Operational Data Flows (Acute) Data Set has been established by the Faster Data Flows Programme to provide the data definitions for an automated PATIENT-based daily data collection.

The Healthcare Operational Data Flows (Acute) Data Set supports NHS delivery plans for the recovery of elective care and urgent and emergency care in relation to NHS waiting lists, care co-ordination, and the improvement of managing PATIENT flows through the health and social care system.

Scope

All NHS commissioned ACTIVITY provided by NHS Trusts and NHS Foundation Trusts commissioned to provide acute services should be submitted in these 4 collections:

Acute services includes secondary care ACTIVITY undertaken by any NHS Trust or NHS Foundation Trust in England including overseas PATIENTS, but not including PATIENTS receiving private treatment within an NHS Trust or NHS Foundation Trust (i.e. within a Private Patient Unit (PPU)).

Where possible the definitions of data items collected in the Healthcare Operational Data Flows (Acute) Data Set are aligned with those collected in Commissioning Data Set V6.3.

Submission Information

The Healthcare Operational Data Flows (Acute) Data Set is submitted via the Faster Data Flows Application Programme Interface as one CSV file for each collection.

    • Minimum requirement: All new admissions in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
    • Best practice: All new and all newly recorded or changed admissions in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
    • All current bed occupants at 08:00:00 on the day of submission
    • Minimum requirement: All new discharges in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
    • Best practice: All new and all newly recorded or changed discharges in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
    • Minimum requirement: All out-patient appointments in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
    • Best practice: All new and all newly recorded or changed out-patient appointments in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission

NHS commissioned ACTIVITY submitted in the Healthcare Operational Data Flows (Acute) Data Set should include:

Further Guidance

Implementation guidance and Frequently Asked Questions have been produced by NHS England and can be found on Faster Data Flows (FDF) - National Reporting - FutureNHS Collaboration Platform at FutureNHS for You.Implementation guidance and Frequently Asked Questions have been produced by NHS England and can be found on Faster Data Flows (FDF) - National Reporting - FutureNHS Collaboration Platform at Futures for You.

For enquiries regarding the Healthcare Operational Data Flows (Acute) Data Set, please contact england.fdf@nhs.net.

Mandation

The Mandatory or Required (M/R/O) column indicates the recommendation for the inclusion of data.

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

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HOSPITAL EPISODE STATISTICS

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Hospital Episode Statistics is a data warehouse containing details of all Admitted Patient Care, Outpatient Attendances and Urgent and Emergency Care Activities in England.

It includes private PATIENTS treated by the NHS, PATIENTS who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS.

For further information on Hospital Episode Statistics, see the NHS England website at: Hospital Episode Statistics.For further information on Hospital Episode Statistics, see the NHS England website at: Hospital Episode Statistics (HES).

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IMPAIRMENT HARMONISED STANDARD

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The Impairment Harmonised Standard describes the types of physical or mental health impairment affecting a PERSON which significantly impacts their ability to undertake particular functions.

An impairment with significant impact lasting 12 months or more is a DISABILITY.

The Impairment Harmonised Standard is consistent with the definitions and guidelines in UK legislation, including the Equality Act 2010 in Great Britain (GB).

The Impairment Harmonised Standard is utilised to enable visibility of Reasonable Adjustments required to enable a PATIENT to access SERVICES within:

  • Clinical systems
  • Administrative systems
  • NHS Spine (accessible via the Summary Care Record application (SCRa) or through future integrated systems).

This is to indicate DISABILITY and impairment in the systems in relation to (but not limited to) the Equality Act 2010 and the Information Standard DAPB4019: Flagging of Reasonable Adjustment.This is to indicate DISABILITY and impairment in the systems in relation to (but not limited to) the Equality Act 2010 and the Information Standard DAPB4019: Reasonable Adjustment Digital Flag.

For further information on the Reasonable Adjustment Flag functionality on the NHS Spine (utilising Summary Care Record application or future integrated systems), see the NHS England website at: Reasonable Adjustment Flag.

For further information on the Impairment Harmonised Standard, see the Government Statistical Service (GSS) website at: Impairment Harmonised Standard website.For further information on the Impairment Harmonised Standard, see the Government Statistical Service (GSS) website at: Impairment harmonised standard.

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET OVERVIEW

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The Improving Access to Psychological Therapies Data Set will be in included in a future version of the Mental Health Services Data Set.

Improving Access to Psychological Therapies Services are being renamed as NHS Talking Therapies for Anxiety and Depression, see NHS Talking Therapies, for anxiety and depression.

Introduction

The Improving Access to Psychological Therapies Data Set (IAPT) has been developed to support the Adult Improving Access to Psychological Therapies Programme through a regular national return of data. This includes for example: supporting commissioning, service improvement and service design.

The Adult Improving Access to Psychological Therapies Programme is an NHS programme in England, which started in 2008, that has transformed treatment of anxiety disorders and depression through the delivery of interventions approved by the National Institute for Health and Care Excellence (NICE).

The Improving Access to Psychological Therapies Data Set is a PATIENT level, output based, secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable information for PATIENTS accessing NHS-funded Improving Access to Psychological Therapies Services located in England.

As a secondary uses data set, the Improving Access to Psychological Therapies Data Set re-uses clinical and operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets to be extracted or derived from local information systems. These national definitions allow Health Care Providers to extract data from their local systems in a consistent manner, which supports national and local reporting to be undertaken.

The Improving Access to Psychological Therapies Data Set includes information on:

Submission Information

The Improving Access to Psychological Therapies Data Set is submitted centrally on a monthly basis via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS England.

Format Information

Improving Access to Psychological Therapies Data Set submissions are made using the latest MS Access Improving Access to Psychological Therapies Data Set Intermediate Database (IDB) which is available for download from the Technology Reference Update Distribution (TRUD) page at: Improving Access to Psychological Therapies Data Set Intermediate Database.

For guidance on downloading the Intermediate Database (IDB), see the NHS England website at: Intermediate Database (IDB) guidance preparing the IDB for making submissions to the SDCS Cloud.

For enquiries regarding technical support for the Intermediate Database (IDB) files, please contact the National Service Desk at: ssd.nationalservicedesk@nhs.net.

Further Guidance

Further guidance relating to the Improving Access to Psychological Therapies Data Set is available on the NHS England website: at Improving Access to Psychological Therapies Data Set.Further guidance relating to the Improving Access to Psychological Therapies Data Set is available on the NHS England website: at Improving Access to Psychological Therapies (IAPT) Data Set.

Mandation

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

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

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

Data Set Constraints

For guidance on the Data Set constraints, see the Improving Access to Psychological Therapies Data Set Constraints.

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KEY WORKER

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A Key Worker is a CARE PROFESSIONAL.

A Key Worker is a CARE PROFESSIONAL who takes a key role in co-ordinating the care of the PATIENT and promoting continuity, ensuring the PATIENT knows who to access for information and advice.

Note: This NHS Business Definition is referenced by the approved Information Standard SCCI1580: Palliative Care Co-ordination: Core Content (Formerly End of Life Care).Note: This NHS Business Definition is referenced by the approved Information Standard SCCI1580: Palliative Care Co-ordination: Core Content (Formerly End of Life Care).

 

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LOCAL AUTHORITY DISTRICT

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A Local Authority District is a GEOGRAPHIC AREA.

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

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

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

 

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LONDON BOROUGH

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A London Borough is a GEOGRAPHIC AREA.

The London Boroughs are the local government areas within Greater London. The Borough Councils are unitary administrations with a status similar to Metropolitan Districts.

For further information on the London Boroughs, see the Office for National Statistics website at: Glossary.For further information on the London Boroughs, see the Office for National Statistics website at: Glossary: H - N.

 

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MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE

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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

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
 504Community Sexual and Reproductive HealthFor further information, see: College of Sexual and Reproductive Healthcare (CoSRH)
 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

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
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
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 Colleges of Physicians Training Board - 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 in a future release of the Information Standard. No new services should use this code in submissions.

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 in a future release of the Information Standard. No new services should use this code in submissions.

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 in a future release of the Information Standard. No new services should use this code in submissions.

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 - specialty level 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)
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: College of Sexual and Reproductive Healthcare (CoSRH)
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

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METROPOLITAN COUNTY

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A Metropolitan County is a GEOGRAPHIC AREA.

The six Metropolitan Counties formed the upper tier of a two-tier local government structure in England between 1974 and 1986, when they were abolished and the district councils became unitary administrations. The Metropolitan County areas are still used for statistical purposes however.

For further information on Metropolitan Counties, see the Office for National Statistics website at: Glossary.For further information on Metropolitan Counties, see the Office for National Statistics website at: Glossary: H - N.

 

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METROPOLITAN DISTRICT

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A Metropolitan District is a GEOGRAPHIC AREA.

The 36 Metropolitan Districts are subdivisions of the 6 Metropolitan County Areas of England.

Since the abolition of the Metropolitan County councils in 1986 the Metropolitan District councils have been unitary administrations.

For further information on Metropolitan Districts, see the Office for National Statistics website at: Glossary.For further information on Metropolitan Districts, see the Office for National Statistics website at: Glossary: H - N.

 

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NEONATAL CRITICAL CARE MINIMUM DATA SET OVERVIEW

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Introduction

The Neonatal Critical Care Minimum Data Set (NCCMDS) provides a record of what happens to a PATIENT when they receive Neonatal Critical Care in a Neonatal Intensive Care Unit, Maternity WARD, or Neonatal Transitional Care WARD.

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

Scope and Uses

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

a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '13 - Neonatal Intensive Care Unit (Neonatal critical care patients predominate)'.

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

  • 14 - Facility for Babies on a Neonatal Transitional Care Ward
  • 15 - Facility for Babies on a Maternity Ward

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

01Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided)
02Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day)
04Exchange Transfusion (PATIENT received exchange transfusion)
05Peritoneal Dialysis (PATIENT received Peritoneal Dialysis)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin)
07Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids))
08Convulsions (PATIENT having convulsions requiring treatment)
09Oxygen Therapy (PATIENT receiving additional oxygen)
10Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome)
11Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain)
12Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion)
13Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))
14Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE)
15Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours)
16Haemofiltration (PATIENT received Haemofiltration)
22Continuous monitoring (PATIENT requiring continuous monitoring (by mechanical monitoring equipment) of respiration or heart rate, or by transcutaneous transducers or by Saturation Monitors. Note: apnoea alarms and monitors are excluded as forms of continuous monitoring)
23Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions)
24Tube-fed (PATIENT being tube-fed)
25Barrier nursed (PATIENT being barrier nursed)
26Phototherapy (PATIENT receiving phototherapy)
27Special monitoring (PATIENT receiving special monitoring of blood glucose or serum bilirubin measurement at a minimum frequency of more than one per calendar day)
28Observations at regular intervals (PATIENT requiring recorded observations for temperature, heart rate, respiratory rate, blood pressure or scoring for neonatal abstinence syndrome. Recorded observations must be at a minimum frequency of 4 hourly)
29Intravenous medication (PATIENT receiving intravenous medication)
80Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT)
81Presence of an umbilical venous line
82Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin)
83Therapeutic hypothermia (PATIENT receiving therapeutic hypothermia)
84PATIENT has a Replogle tube in situ
85PATIENT has an epidural catheter in situ
86PATIENT has an abdominal silo
87Administration of intravenous (IV) blood products
88PATIENT has a central venous or long line (Peripherally Inserted Central Catheter line) in situ
89PATIENT has an indwelling urinary or suprapubic catheter in situ
90PATIENT has a trans-anastomotic tube in situ following oesophageal atresia repair
91PATIENT has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM)
92PATIENT has a ventricular tap via needle or reservoir today
93PATIENT has a stoma

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

Commissioning Data Set Transmission

Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Neonatal Critical Care Minimum Data Set is carried into the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, see SCCI0075:

The Secondary Uses Service groups this data into neonatal critical care Healthcare Resource Groups; these are a mandated currency under the National Tariff Payment System. Further guidance can be found on the NHS England website at: SCCI0075. Further guidance can be found on the NHS England website at: SCCI0075: Neonatal Critical Care Minimum Data Set (version 2).

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NHS DATA MODEL AND DICTIONARY SERVICE

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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:

  • Mailing List:
  • Submitting A Query:
    • For queries submitted to the Information Standards Service Desk, please email support.digitalservices@nhs.net.
    • The subject of the email should read 'NHS Data Model and Dictionary Query'. Please include your:
      • Full name
      • Job title
      • Telephone number
      • Organisation
      • A full description of your query with a suggested resolution.
    • You should expect to receive a response within 6 working days from the day when your request was originally received by the NHS Data Model and Dictionary Service.
    • After receiving a response you will be asked to complete a customer satisfaction survey, this is your opportunity to rate the quality of the NHS Data Model and Dictionary Service and the quality of the response you received.
  • Policies.
  • Submitting A Query:
    • If you would like to ask a question or make a suggestion about any aspect of the NHS Data Model and Dictionary you can do so via one of the following channels:
      • Email support.digitalservices@nhs.net
      • NHS National IT Customer Support Portal:
        • NHS Mail users can log in by selecting Login with NHSmail
        • Non-NHS Mail users can log in or create an account using the Login in with a Portal account section
        • Once logged in:
          • Select Submit a Case
          • Select Standards from the left-hand menu
          • Select NHS Data Model and Dictionary Query from the Standards section
          • Complete the form and select Submit to submit a query relating to the NHS Data Model and Dictionary
      • Phone: 0300 303 5035.

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.Please ensure the following information is included:

  • Full name
  • Job title
  • Telephone number
  • Organisation
  • A full description of your query with a suggested resolution.

After receiving a response you will be asked to complete a customer satisfaction survey, this is your opportunity to rate the quality of the NHS Data Model and Dictionary Service and the quality of the response you received.

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NHS DICTIONARY OF MEDICINES AND DEVICES

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The NHS dictionary of medicines and devices (dm+d) is a dictionary containing unique identifiers and associated textual descriptions for medicines and medical devices. It has been developed for use throughout the NHS as a means of uniquely identifying the specific medicines and devices used in the diagnosis and treatment of PATIENTS.

Data within dm+d is also used to populate the UK Drug Extension; the drug extension then includes relationships into the full UK Edition of SNOMED CT® to items such as products and substances. Further details on these two products can be found on the NHS England website at: Terminology and Classifications.

The codes used to identify dm+d concepts are of the same form as those used in SNOMED CT® and thus conform to the same specification.

For further information on the NHS dictionary of medicines and devices, see the NHS Business Services Authority website at: Dictionary of Medicines and Devices.For further information on the NHS dictionary of medicines and devices, see the NHS Business Services Authority website at: NHS dictionary of medicines and devices (dm+d).

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NHS ENGLAND

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NHS England is an ORGANISATION.

NHS England leads the National Health Service (NHS) in England.

NHS England has responsibility for:

For further information on NHS England, see the NHS England website at: What do we do?.For further information on NHS England, see the NHS England website at: What we do.

 

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OFFICE FOR NATIONAL STATISTICS

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The Office for National Statistics is an ORGANISATION.

The Office for National Statistics (ONS) is the executive office of the UK Statistics Authority, a non-ministerial department which reports directly to Parliament. The Office for National Statistics is the UK Government's single largest statistical producer. It functions as:

  • the office of the National Statistician, who is also the UK Statistics Authority's Chief Executive and principal statistical adviser
  • the UK's National Statistics Institute and
  • the 'Head Office' of the Government Statistical Service (GSS)

For further information on the Office for National Statistics, see the Office for National Statistics website at: Welcome to the Office for National Statistics.For further information on the Office for National Statistics, see the Office for National Statistics website at: About us.

 

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OTHER STATUTORY AUTHORITY

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An Other Statutory Authority is an ORGANISATION.

An Other Statutory Authority (OSA) is directly controlled by Government and any changes or amendments to their name, organisational structure, establishment or dissolution requires ministerial approval and the publication of a Statutory Instrument.An Other Statutory Authority (OSA) is directly controlled by Government and any changes or amendments to their name, organisational structure, establishment or dissolution requires ministerial approval and the publication of a Statutory Instruments (SIs).

 

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OUTPUT AREA

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An Output Area is a GEOGRAPHIC AREA.

Output Areas (OA) are built from clusters of adjacent unit POSTCODES in the United Kingdom and are the base unit for Census data releases. Due to their smaller size, Output Areas allow for a finer resolution of data analysis.

For further information on Output Areas, see the Office for National Statistics website at: Glossary.For further information on Output Areas, see the Office for National Statistics website at: Glossary: O - U.

 

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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW

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Introduction

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

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

Scope and Uses

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

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

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

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

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

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

Notes:

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

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

Commissioning Data Set Transmission

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

The Secondary Uses Service groups this data into paediatric critical care Healthcare Resource Groups. Further guidance can be found on the NHS England website at: SCCI0076. Further guidance can be found on the NHS England website at: SCCI0076: Paediatric Critical Care Minimum Data Set (version 2).

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PARISH

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A Parish is a GEOGRAPHIC AREA.

Parishes are subdivisions of Local Authorities in many parts of England, with their councils being the most local level of government.

For further information on Parishes, see the Office for National Statistics website at: Glossary.For further information on Parishes, see the Office for National Statistics website at: Glossary: O - U.

 

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PERSONAL DEMOGRAPHICS SERVICE

Change to Supporting Information: Changed Description

The Personal Demographics Service (PDS) is the national electronic database of NHS patient demographic details such as name, ADDRESS, date of birth and NHS NUMBER.

For further information on the Personal Demographics Service, see the NHS England website at: Demographics.For further information on the Personal Demographics Service, see the NHS England website at: Personal Demographics Service.

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PHARMACY PREMISES

Change to Supporting Information: Changed Description

A Pharmacy Premises can be an ORGANISATION or an ORGANISATION SITE.

A Pharmacy Premises is a location where medicinal drugs are dispensed and sold.

General Pharmaceutical Council Registration of Pharmacy Premises:

The General Pharmaceutical Council (GPhC) maintains a register of Pharmacy Premises if the principal activity at the premises is the retail sale or supply of Pharmacy (P) medicines and / or Prescription Only Medicines (POMs). They are not primarily concerned with NHS Prescriptions.

Once a Pharmacy Premises is registered with the General Pharmaceutical Council it is allocated a registration number which uniquely identifies each registered Pharmacy Premises. This registration number is a 7 digit number starting with the number 1.

All Pharmacy Premises that are currently registered with the General Pharmaceutical Council are listed on the General Pharmaceutical Council Register.

For further information on General Pharmaceutical Council Pharmacy Premises registration, see the General Pharmaceutical Council website.For further information on General Pharmaceutical Council Pharmacy Premises registration, see the General Pharmaceutical Council website at: Pharmacy premises registration.

Organisation Data Service (ODS) Codes:

To be able to dispense NHS Prescriptions, the Pharmacy Premises requires an Organisation Data Service code in addition to the General Pharmaceutical Council registration number.

The Organisation Data Service allocates the following codes:

  • Pharmacy
  • Pharmacy HQ.

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REGION

Change to Supporting Information: Changed Description

A Region is a GEOGRAPHIC AREA.

After the Comprehensive Spending Review, it was confirmed that the Government Office Regions (GORs) would close at 31 March 2011, shifting focus away from regions to local areas.

From 1 April 2011, the areas covered by the Government Office Regions (GORs) are referred to as 'Regions' for statistical purposes only.

Note: Government Office Regions (GORs) were the primary classification for the presentation of regional statistics.

For further information on Regions, see the Office for National Statistics website at: Glossary.For further information on Regions, see the Office for National Statistics website at: Glossary: A - G.

 

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RELEASE HISTORY: SEPTEMBER 2025  renamed from RELEASE HISTORY: AUGUST 2025

Change to Supporting Information: Changed Description, Name

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

September 2025

  • CR1914 (Immediate) - DDCN 1914/2025 Learning Disability NHS Business Definition Update

August 2025

  • CR1935 (Immediate) - DDCN 1935/2025 Introduction of the Data Assurance Board

March 2025

November 2024

  • CR1927 (Immediate) - DDCN 1927/2024 Amendment to Electronic Prescribing and Medicine Administration Data Sets

August 2024

  • CR1883 (1 April 2024) - DCB1055 Stop Smoking Services Quarterly Data Set

July 2024

  • CR1910 (30 June 2024) - DAPB1067 National Workforce Data Set Version 3.5
  • CR1918 (Immediate) - DDCN 1918/2024 Emergency Care Attendance guidance for Admitted Patients
  • CR1903 (Immediate) - DAPB4094 Healthcare Operational Data Flows (Acute) Data Set

May 2024

  • CR1917 (1 April 2024) - DAPB1521 Cancer Outcomes and Services Data Set Version 10 and Pathology version 5 Update
  • CR1911 (Immediate) - DDCN 1911/2024 Note added to Priority Type Attribute
  • CR1912 (Immediate) - DDCN 1912/2024 Update to DAPB0090: Health and Social Care Organisation Reference Data
  • CR1916 (Immediate) - DDCN 1916/2024 Retirement of Venous Thromboembolism (VTE) Risk Assessment Data Set

March 2024

  • CR1880 (1 April 2024) - DAPB1521 Cancer Outcomes and Services Data Set Version 10 and Pathology Version 5
  • CR1872 (1 April 2024) - DAPB0011 Mental Health Services Data Set (MHSDS) Version 6
  • CR1895 (1 April 2024) - DAPB0092 EMED3 Fit Note Issuer: Commissioning Data Set
  • CR1896 (1 April 2024) - DAPB0092-2062 EMED3 Fit Note Issuer: Emergency Care Data Set
  • CR1902 (Immediate) - DDCN 1902/2024 Retirement of Patient Level Information Costing System (PLICS) Data Sets

November 2023

  • CR1871 (Immediate) - DDCN 1871/2023 NHS Service Agreement renamed to NHS Service Contract
  • CR1899 (Immediate) - DDCN 1899/2023 Professional Registration Entry Identifier
  • CR1900 (Immediate) - DDCN 1900/2023 Update to Urgent and Emergency Care Extended Care Episode
  • CR1904 (Immediate) - DDCN 1904/2023 Continued Usage of Rehabilitation Service Treatment Function Codes 344, 345 and 346

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 (13 January 2025) - DAPB4005 Electronic Prescribing and Medicines Administration Data Sets

April 2022

  • CR1855 (Immediate) - 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) - DAPB0092-2062 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) - DAPB0092-2062 Update to Commissioning Data Set Type 011 Emergency Care
  • CR1715 (1 April 2019) - DAPB0092-2062 Corrigendum to Commissioning Data Set V6-2-2 Type 011 Emergency Care
  • CR1717 (1 April 2019) - DAPB0092-2062 Corrigendum to Commissioning Data Set V6-2-1 Type 011 Emergency Care
  • CR1695 (Immediate) - DDCN 1695/2019 Emergency Care Department Type - Urgent Treatment Centres
  • CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update

Release: December 2018

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

Release: November 2018

  • CR1631 (Immediate) - DCB3017 Overseas Visitor Charging Category

Release: October 2018

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

Release: September 2018

Release: July 2018

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

Release: May 2018

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

Release: April 2018

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

Release: March 2018

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

Release: January 2018

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

Release: November 2017

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

Release: October 2017

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

Release: September 2017

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

Release: July 2017

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

Release: June 2017

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

Release: April 2017

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

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

Release: March 2017

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

Release: December 2016

Release: November 2016

Release: October 2016

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

Release: September 2016

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

Release: August 2016

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

Release: July 2016

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

Release: March 2016

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

Release: February 2016

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

Release: December 2015

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

Release: November 2015

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

Release: October 2015

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

Release: September 2015

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

Release: August 2015

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

Release: July 2015

  • CR1475 (Immediate) - SCCI1605 Accessible Information

Release: June 2015

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

Release: May 2015

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

Release: April 2015

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

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

Release: March 2015

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

Release: February 2015

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

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

Release: January 2015

Release: December 2014

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

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

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

Release: November 2014

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

Release: October 2014

Release: September 2014

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

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

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

Release: August 2014

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

Release: July 2014

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

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

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

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

Release: June 2014

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

Release: May 2014

Release: April 2014

Release: March 2014

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

Release: February 2014

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

Release: January 2014

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

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

Release: November 2013

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

Release: September 2013

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

Release: July 2013

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

Release: May 2013

Release: April 2013

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

Release: March 2013

Release: February 2013

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

Release: December 2012

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

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

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

Release: November 2012

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

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

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

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

Release: September 2012

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

Release: August 2012

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

Release: June 2012

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

Release: May 2012

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

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

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

Release: March 2012

Release: January 2012

Release: November 2011

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

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

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

Release: October 2011

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

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

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

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

Release: August 2011

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

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

Release: July 2011

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

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

Release: June 2011

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

Release: April 2011

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

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

Release: March 2011

Release: January 2011

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

Release: December 2010

Release: November 2010

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

Release: September 2010

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

Release: August 2010

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

Release: July 2010

Release: May 2010

Release: March 2010

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

Release: January 2010

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

Release: December 2009

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

Release: November 2009

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

Release: September 2009

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

Release: June 2009

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

Release: March 2009

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

Release: December 2008

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

Release: November 2008

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

Release: August 2008

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

Release: May 2008

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

Release: February 2008

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

Release: November 2007

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

Release: August 2007

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

Release: June 2007

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

Release: May 2007

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

Release: February 2007

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

Release: September 2006

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

Release: May 2006

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

Release: April 2006

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

Release: August 2005

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

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ROYAL MARSDEN

Change to Supporting Information: Changed Description

The Royal Marsden is an ORGANISATION.

The Royal Marsden is a world-leading cancer centre specialising in cancer diagnosis, treatment, research and education. For further information on The Royal Marsden, see the Royal Marsden website. For further information on The Royal Marsden, see The Royal Marsden website at: About The Royal Marsden.

 

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STANDARDISATION COMMITTEE FOR CARE INFORMATION

Change to Supporting Information: Changed Description

The Standardisation Committee for Care Information (SCCI) closed on 31 March 2017.

Responsibility for the approval of Information Standards has transferred to the Data Alliance Partnership Board (DAPB).

The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standards that were assured and approved by the Standardisation Committee for Care Information between 1 April 2014 and 31 March 2017.

The Standardisation Committee for Care Information replaced the Information Standards Board for Health and Social Care (ISB) on 1 April 2014.

The Standardisation Committee for Care Information:
  • has delegated authority from the National Information Board (NIB) to accept Information Standards and Collections (including Extractions) (ISCEs) for health and social care
  • is responsible for the need to change, deprecate and retire existing approved Information Standards and Collections (including Extractions) Notices
  • takes its membership from a wide range of national bodies and Organisations involved in the provision and management of health and social care services in England. This ensures a system-wide, joined-up approach to decision-making

For further information on the Standardisation Committee for Care Information, see the NHS Digital website at: Information Standards and Collections (Including Extractions) - National Governance.For further information on the Standardisation Committee for Care Information, see the NHS Digital website at: Information Standards and Collections (Including Extractions) - National Governance.

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STOP SMOKING SERVICE

Change to Supporting Information: Changed Description

A Stop Smoking Service is a SERVICE.

A Stop Smoking Service is commissioned by a Local Authority to help people give up smoking.

Further information on the NHS Stop Smoking Services and the monitoring guidance can be found on the National Centre for Smoking Cessation and Training website at Local Stop Smoking Services: Service and Delivery Guidance 2014.Further information on the NHS Stop Smoking Services and the monitoring guidance can be found on the National Centre for Smoking Cessation and Training website at  Local Stop Smoking Services: Service and Delivery Guidance 2014.

 

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SUB INTEGRATED CARE BOARD LOCATION

Change to Supporting Information: Changed Description

A Sub Integrated Care Board Location is a sub-division of an Integrated Care Board’s total GEOGRAPHIC AREA, required for data disaggregation purposes and in other instances to support the ELECTRONIC HEALTH RECORD.

Sub Integrated Care Board Location ORGANISATION IDENTIFIERS are Health and Social Care Organisation Reference Data artefacts and do not represent any legally defined organisational entity in their own right; rather they are intended to be used as proxies for the Integrated Care Board of which they form a component part.

Sub Integrated Care Board Locations were intended as a temporary measure for a period of time to allow Integrated Care System legislation to be enacted, while minimising impacts on downstream systems and processes by allowing more time for the completion of planning and design activities. These activities have been postponed.

Further information on the Integrated Care System implementation within the Organisation Data Service is available at: ICS implementation.Further information on the Integrated Care System implementation within the Organisation Data Service is available at: Integrated Care Systems (ICS) implementation.

Note: the Organisation Data Service (ODS) ORGANISATION IDENTIFIER for Clinical Commissioning Groups at the point of their dissolution were retained, and their names changed to reflect their new status as Sub Integrated Care Board Locations. Each Sub Integrated Care Board Location inherited the geographical boundary and GP Practices from the Clinical Commissioning Group they displaced, adjusted in line with any geographical boundary changes and accompanying GP Practice movements.

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SYSTEMIC ANTI-CANCER THERAPY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Systemic Anti-Cancer Therapy Data Set collects clinical management information on PATIENTS undergoing Systemic Anti-Cancer Therapy in (or funded by) the NHS in England.

In the clinical setting its primary use is in prescribing and administering Systemic Anti-Cancer Therapy. The standard also specifies secondary uses information about Systemic Anti-Cancer Therapy which is required to assist in achieving, supporting and monitoring the NHS Operating Framework, specialised commissioning and related policy.

Details of Standard

The Systemic Anti-Cancer Therapy Data Set relates to all cancer PATIENTS, both adult and paediatric, in both admitted PATIENT care and outpatient and community settings, who are receiving Systemic Anti-Cancer Therapy for all solid Tumour and haematological malignancies, including those treated in CLINICAL TRIALS.

The Systemic Anti-Cancer Therapy Data Set covers the period from the Start Date of the Systemic Anti-Cancer Therapy Drug Regimen to the Start Date of the last Systemic Anti-Cancer Therapy Drug Cycle.

Note: PATIENTS may end their treatment with an oral or other component taken at home. Although the dispensing of this will be recorded in the final Systemic Anti-Cancer Therapy Drug Cycle, it is not possible to confirm that the PATIENT has taken the medication.

Data Set Structure and Transmission

Systemic Anti-Cancer Therapy is given over a prolonged period of time, often months or years, comprising repeating and sequential elements.  The PATIENT may attend two or more Health Care Providers during the course of treatment.

In order to track the PATIENT during treatment, the data set must be capable of linking all the elements of care in a consistent and ordered way. In order to achieve this, the Systemic Anti-Cancer Therapy Data Set has a branching structure which links the initial data fields, which will remain constant during the treatment, with detail of each Systemic Anti-Cancer Therapy Drug Regimen, Systemic Anti-Cancer Therapy Drug Cycle and Systemic Anti-Cancer Therapy Drug Administration.  At the completion or cessation of a Systemic Anti-Cancer Therapy Drug Regimen, the outcome section must link back to all previous fields. It must be possible to reconstitute details of each PATIENT’s sequential management from the serial downloads received.

All NHS Trusts and NHS Foundation Trusts providing Systemic Anti-Cancer Therapy Services are required to submit monthly data downloads to an agreed timetable, two months in arrears. These data must represent all treatment activity in the month period, including Systemic Anti-Cancer Therapy Drug Regimens started and completed or ceased in the REPORTING PERIOD.

The data repository is hosted by the National Cancer Registration and Analysis Service (NCRAS) and the data is held under their section 251 of the National Health Service Act 2006.

Data downloads is by csv and will uniquely identify the Health Care Provider.

Further Guidance

Detailed technical guidance on the processes required, and any required updates, is available from the National Disease Registration Service in the Downloads and guides supporting the programme.Detailed technical guidance on the processes required, and any required updates, is available from the National Disease Registration Service in the Systemic Anti-Cancer Therapy (SACT) data set: Downloads supporting the programme.

Mandation

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

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

Data Set Constraints

For guidance on the Data Set constraints, see the Systemic Anti-Cancer Therapy Data Set Constraints.

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UNION FOR INTERNATIONAL CANCER CONTROL

Change to Supporting Information: Changed Description

The Union for International Cancer Control is an ORGANISATION based in Switzerland.

The Union for International Cancer Control (UICC), also known as the International Union Against Cancer, is the only non-governmental ORGANISATION dedicated exclusively to the global control of cancer.

For further information on the Union for International Cancer Control, see the Union for International Cancer Control website at: About us.For further information on the Union for International Cancer Control, see the Union for International Cancer Control website at: About UICC.

 

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UNITARY AUTHORITY

Change to Supporting Information: Changed Description

A Unitary Authority (UA) is a GEOGRAPHIC AREA.

Unitary Authorities are areas with a single tier of local government (as opposed to the two-tier County:District structure). They are found wholly in Wales and parts of England.

For further information on Unitary Authorities, see the Office for National Statistics website at: Glossary.For further information on Unitary Authorities, see the Office for National Statistics website at: Glossary: O - U.

 

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YOUTH DETENTION ACCOMMODATION

Change to Supporting Information: Changed Description

Youth Detention Accommodation is a type of ACCOMMODATION.

Youth Detention Accommodation provides ACCOMMODATION and care for children and young people who have been detained or sentenced by the Youth Justice Board (YJB).

Types of Youth Detention Accommodation include:

For further information on Youth Detention Accommodation, see the :

 

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OVERSEAS VISITOR STATUS

Change to Class: Changed Description

The status of a PATIENT who is an Overseas Visitor.

Notes:

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC).

 

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TISSUE

Change to Class: Changed Description

A group of similar CELLS which unite to perform a specific function.

For further information regarding materials considered to be ‘relevant material’ under the Human Tissue Act, see the:

 

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APPOINTMENT SLOT SHORT NOTICE CANCELLATION INDICATOR

Change to Attribute: Changed Description

An indication of whether the APPOINTMENT SLOT could be reallocated, where the ATTENDED OR DID NOT ATTEND National Code is 'APPOINTMENT cancelled by, or on behalf of, the PATIENT', where the APPOINTMENT was cancelled at short notice.

Note: For the Improving Access to Psychological Therapies Data Set, short notice is determined locally. See the NHS England website at: Improving Access to Psychological Therapies Data Set for further guidance. See the NHS England website at: Improving Access to Psychological Therapies (IAPT) Data Set for further guidance.

National Codes:

YYes - APPOINTMENT SLOT could be reallocated
NNo - APPOINTMENT SLOT could not be reallocated
 

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CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS

Change to Attribute: Changed Description

The status of a REFERRAL REQUEST for a PATIENT referred with a suspected cancer, or referred with breast symptoms with cancer not originally suspected.

For the Cancer Outcomes and Services Data Set, CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS can be recorded for all PATIENTS (regardless of the referral route).

National Codes:

14Suspected Primary Cancer
09Under investigation following symptomatic referral, cancer not suspected (breast referrals only). This National Code should only be used when the TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE is National Code 'Exhibited (non-cancer) breast symptoms - cancer not initially suspected.'
03No new cancer diagnosis identified by the Health Care Provider 
10Diagnosis of new cancer confirmed - NHS funded first treatment not yet planned
11Diagnosis of new cancer confirmed - NHS funded first treatment planned
07Diagnosis of new cancer confirmed - no NHS funded treatment planned
08First NHS funded treatment commenced
12Diagnosis of new cancer confirmed - subsequent NHS funded treatment not yet planned
13Diagnosis of new cancer confirmed - subsequent NHS funded treatment planned
21Subsequent NHS funded treatment commenced
15Suspected Recurrent Cancer
16Diagnosis of Recurrent Cancer confirmed - first NHS funded treatment not yet planned
17Diagnosis of Recurrent Cancer confirmed - NHS funded first treatment planned
18Diagnosis of Recurrent Cancer confirmed - no NHS funded treatment planned
19Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment not yet planned
20Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment planned
22Recurrent Cancer NHS funded treatment commenced
23Suspected Cancer Transformation
24Diagnosis of Cancer Transformation confirmed - NHS funded first treatment not yet planned
25Diagnosis of Cancer Transformation confirmed - NHS funded first treatment planned
26Diagnosis of Cancer Transformation confirmed - no NHS funded treatment planned
27Diagnosis of Cancer Transformation confirmed - subsequent NHS funded treatment not yet planned
28Diagnosis of Cancer Transformation confirmed - subsequent NHS funded treatment planned
29Cancer Transformation NHS funded treatment commenced
30Suspected Cancer Progression
31Diagnosis of Cancer Progression confirmed - NHS funded first treatment not yet planned
32Diagnosis of Cancer Progression confirmed - NHS funded first treatment planned
33Diagnosis of Cancer Progression confirmed - no NHS funded treatment planned
34Diagnosis of Cancer Progression confirmed - subsequent NHS funded treatment not yet planned
35Diagnosis of Cancer Progression confirmed - subsequent NHS funded treatment planned
36Cancer Progression NHS funded treatment commenced
 

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CRITICAL CARE ACTIVITY CODE

Change to Attribute: Changed Description

A type of CRITICAL CARE ACTIVITY provided to a PATIENT during a CRITICAL CARE PERIOD.

Note:

National Codes:

01Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided)
02Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day)
03Surgery (PATIENT received surgery)
04Exchange Transfusion (PATIENT received exchange transfusion)
05Peritoneal Dialysis (PATIENT received Peritoneal Dialysis)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin)
07Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids))
08Convulsions (PATIENT having convulsions requiring treatment)
09Oxygen Therapy (PATIENT receiving additional oxygen)
10Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome)
11Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain)
12Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion)
13Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))
14Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE)
15Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours)
16Haemofiltration (PATIENT received Haemofiltration)
21Carer Resident - Caring for Baby (External Carer (for example, parent) resident with the baby and reducing nursing required by caring for the baby)
22Continuous monitoring (PATIENT requiring continuous monitoring (by mechanical monitoring equipment) of respiration or heart rate, or by transcutaneous transducers or by Saturation Monitors. Note: apnoea alarms and monitors are excluded as forms of continuous monitoring)
23Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions)
24Tube-fed (PATIENT being tube-fed)
25Barrier nursed (PATIENT being barrier nursed)
26Phototherapy (PATIENT receiving phototherapy)
27Special monitoring (PATIENT receiving special monitoring of blood glucose or serum bilirubin measurement at a minimum frequency of more than one per calendar day)
28Observations at regular intervals (PATIENT requiring recorded observations for Temperature, Heart Rate, Respiratory Rate, Blood Pressure or scoring for neonatal abstinence syndrome. Recorded observations must be at a minimum frequency of 4 hourly)
29Intravenous medication (PATIENT receiving intravenous medication)
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute PATIENTS only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS)
73Continuous pulse oximetry
74PATIENT nursed in single occupancy cubicle
80Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT)
81Presence of an umbilical venous line
82Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin)
83Therapeutic hypothermia (PATIENT receiving therapeutic hypothermia)
84PATIENT has a Replogle tube in situ
85PATIENT has an epidural catheter in situ
86PATIENT has an abdominal silo
87Administration of intravenous (IV) blood products
88PATIENT has a central venous or long line (Peripherally Inserted Central Catheter line) in situ
89PATIENT has an indwelling urinary or suprapubic catheter in situ
90PATIENT has a trans-anastomotic tube in situ following oesophageal atresia repair
91PATIENT has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM)
92PATIENT has a ventricular tap via needle or reservoir today
93PATIENT has a stoma
94PATIENT has arrhythmia requiring intravenous anti-arrhythmic therapy
95PATIENT has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring
96Intravenous infusion of sedative agent (PATIENT receiving continuous intravenous infusion of sedative agent)
97PATIENT has status epilepticus requiring treatment with continuous intravenous infusion
99No Defined Critical Care Activity (PATIENT is not receiving any of the critical care interventions listed above (Excluding code 21). For example, PATIENT is on the Intensive Care Unit ready for discharge and is receiving normal care. This is the default code.
 

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GENERAL MEDICAL COUNCIL REFERENCE NUMBER

Change to Attribute: Changed Description

A GENERAL MEDICAL COUNCIL REFERENCE NUMBER is allocated to all doctors on their first contact with the General Medical Council, see the General Medical Council website at: GMC reference numbers.

Note: when a doctor is registered to practise medicine in the United Kingdom, their details will appear on the "General Medical Council List of Registered Medical Practitioners" (LRMP).

For further information on doctor registration, see the General Medical Council website at: The medical register.For further information on doctor registration, see the General Medical Council website at: Our registers.

 

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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).

See the Organisation Data Service pages of the NHS England website at:

 

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GS1 APPLICATION IDENTIFIER FOR INTERNAL

Change to Attribute: Changed Description

A number used to identify the meaning (or status) of the data which immediately follows the GS1 Application Identifier (Internal).

Notes:

The explanation of the National Code descriptions are:

National Codes:

91Hospital Identifiers
92Baby Details
93PATIENT Descriptive Data
94General Data

Notes:
Codes 95-97 have been reserved for national use only, and are not to be allocated by the NHS locally. Codes 98 and 99 can be allocated by the NHS for local use.

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

 

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GS1 GLOBAL LOCATION NUMBER

Change to Attribute: Changed Description

A unique number which identifies a LOCATION within an ORGANISATION, for the purposes of GS1 Standards.

The GS1 GLOBAL LOCATION NUMBER is allocated by the Health Care Provider from the GS1 UNIQUE ORGANISATION PREFIX NUMBER.

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

 

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GS1 GLOBAL SERVICE RELATION NUMBER CHECK DIGIT

Change to Attribute: Changed Description

A check digit, using the Modulo-10 algorithm, to validate the GS1 Global Service Relation Number.

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

 

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GS1 SERVICE RELATION INSTANCE NUMBER

Change to Attribute: Changed Description

A unique number to identify each ACTIVITY within the Health Care Provider episode of care for the purposes of GS1 Standards.

The GS1 SERVICE RELATION INSTANCE NUMBER is allocated by the Health Care Provider.

A GS1 SERVICE RELATION INSTANCE NUMBER must occur in combination with:

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

 

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GS1 UNIQUE ORGANISATION PREFIX NUMBER

Change to Attribute: Changed Description

A unique number which forms the basis of an identification key, for the purposes of GS1 Standards.

The GS1 UNIQUE ORGANISATION PREFIX NUMBER is assigned to an ORGANISATION by GS1.

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

 

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NHS NUMBER

Change to Attribute: Changed Description

The NHS NUMBER, the primary identifier of a PERSON, is a unique identifier for a PATIENT within the NHS in England and Wales.

This will not vary by any ORGANISATION of which a PERSON is a PATIENT.

It is mandatory to record the NHS NUMBER. There are exceptions, such as emergency care, sexual health and major incidents, as defined in existing national policies.

The NHS NUMBER is 10 numeric digits in length. The tenth digit is a check digit used to confirm its validity. The check digit is validated using the Modulus 11 algorithm and the use of this algorithm is mandatory. There are 5 steps in the validation of the check digit:

Step 1 Multiply each of the first nine digits by a weighting factor as follows:

Digit Position
(starting from the left) Factor:

110
29
38
47
56
65
74
83
92

Step 2 Add the results of each multiplication together.

Step 3 Divide the total by 11 and establish the remainder.

Step 4 Subtract the remainder from 11 to give the check digit.

If the result is 11 then a check digit of 0 is used. If the result is 10 then the NHS NUMBER is invalid and not used.

Step 5 Check the remainder matches the check digit. If it does not, the NHS NUMBER is invalid.

Further guidance is available from the NHS England website at: NHS number.Further guidance is available from the NHS England website at: NHS numbers for health and social care organisations.

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

 

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NUMBER OF BABIES IDENTIFICATION CODE

Change to Attribute: Changed Description

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

National Codes:

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

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

 

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OVERSEAS VISITOR CHARGING CATEGORY

Change to Attribute: Changed Description

The charging category relating to an OVERSEAS VISITOR STATUS.

See Overseas Visitor Charging Category for more information.

National Codes:

AStandard NHS-funded PATIENT
BImmigration Health Surcharge payee
CCharge-exempt Overseas Visitor (European Economic Area)
DChargeable European Economic Area PATIENT
ECharge-exempt Overseas Visitor (non-European Economic Area)
FChargeable non-European Economic Area PATIENT
PDecision Pending on OVERSEAS VISITOR CHARGING CATEGORY

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC).

 

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OVERSEAS VISITOR STATUS CLASSIFICATION

Change to Attribute: Changed Description

A classification of OVERSEAS VISITOR STATUS.

National Codes:

1Exempt from payment - subject to Reciprocal Healthcare Agreement
2Exempt from payment - other
3To pay hotel fees only
4To pay all fees

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC).

 

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REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION DATA SET

Change to Attribute: Changed Description

The code for the region of the COUNTRY as specified for the Female Genital Mutilation Data Set.

Details of the National Codes for use in the Female Genital Mutilation Data Set, which are allocated to the regions can be found in the Female Genital Mutilation Data Set Information Standards Notice (ISN) on the NHS England website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.Details of the National Codes for use in the Female Genital Mutilation Data Set, which are allocated to the regions can be found in the Female Genital Mutilation Data Set Information Standards Notice (ISN) on the NHS England website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

 

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ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)

Change to Data Element: Changed Description

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

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

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

SNOMED CT Refset:

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

For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Accessible information - communication support simple reference set (foundation metadata concept).

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

 

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ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)

Change to Data Element: Changed Description

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

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

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

SNOMED CT Refset:

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

For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Accessible information - requires specific contact method simple reference set (foundation metadata concept) .

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

 

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ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)

Change to Data Element: Changed Description

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

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

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

SNOMED CT Refset:

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

For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Accessible information - requires specific information format simple reference set (foundation metadata concept).

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

 

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CODED PROCEDURE TIMESTAMP (CRANIAL ULTRASOUND SCAN)

Change to Data Element: Changed Description

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

Notes:
CODED PROCEDURE TIMESTAMP (ABDOMINAL X-RAY) is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Procedure Date' and 'Procedure Time'.CODED PROCEDURE TIMESTAMP (CRANIAL ULTRASOUND SCAN) is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Procedure Date' and 'Procedure Time'.

CODED PROCEDURE TIMESTAMP (ABDOMINAL X-RAY) is the date, time and time zone of when a cranial Ultrasound Scan was performed.CODED PROCEDURE TIMESTAMP (CRANIAL ULTRASOUND SCAN) is the date, time and time zone of when a cranial Ultrasound Scan was performed.

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

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

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

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CODED PROCEDURE TIMESTAMP (NEWBORN HEARING SCREENING)

Change to Data Element: Changed Description

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

Notes:
CODED PROCEDURE TIMESTAMP (DURING NEONATAL CRITICAL CARE PERIOD) is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Procedure Date' and 'Procedure Time'.CODED PROCEDURE TIMESTAMP (NEWBORN HEARING SCREENING) is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Procedure Date' and 'Procedure Time'.

CODED PROCEDURE TIMESTAMP (DURING NEONATAL CRITICAL CARE PERIOD) is the date, time and time zone of the Newborn Hearing Screening.CODED PROCEDURE TIMESTAMP (NEWBORN HEARING SCREENING) is the date, time and time zone of the Newborn Hearing Screening.

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

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

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

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CODED PROCEDURE TIMESTAMP (SAMPLE COLLECTION)

Change to Data Element: Changed Description

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

Notes:
CODED PROCEDURE TIMESTAMP (DURING NEONATAL CRITICAL CARE PERIOD) is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Procedure Date' and 'Procedure Time'.CODED PROCEDURE TIMESTAMP (SAMPLE COLLECTION) is the same as attribute ACTIVITY DATE and ACTIVITY TIME for the 'Procedure Date' and 'Procedure Time'.

CODED PROCEDURE TIMESTAMP (DURING NEONATAL CRITICAL CARE PERIOD) is the date, time and time zone that a SAMPLE collection takes place or the start of a period for SAMPLE collection.CODED PROCEDURE TIMESTAMP (SAMPLE COLLECTION) is the date, time and time zone that a SAMPLE collection takes place or the start of a period for SAMPLE collection.

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

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

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

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DATA SET CREATED TIMESTAMP

Change to Data Element: Changed Description

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

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

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

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

In most cases offset time is restricted to:

  • +01:00
  • +00:00
  • -00:00

Examples of valid formats are:

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

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DATE OF BIRTH (PATIENT IDENTIFICATION)

Change to Data Element: Changed Description

Format/Length:an11 (DD-Mmm-CCYY)
National Codes: 
Default Codes: 

Notes:
DATE OF BIRTH (PATIENT IDENTIFICATION) is the PERSON BIRTH DATE of the PATIENT, for the purposes of the AIDC for Patient Identification Data Set.

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

 

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GS1 APPLICATION IDENTIFIER (GLOBAL)

Change to Data Element: Changed Description

Format/Length:an4
National Codes: 
Default Codes: 

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

The two types of GS1 APPLICATION IDENTIFIER FOR GLOBAL are Global Service Relation Number (8018) and Service Relation Instance Number (8019).

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

 

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GS1 APPLICATION IDENTIFIER (INTERNAL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

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

Permitted National Codes:

91Hospital Identifiers
92Baby Details
93PATIENT Descriptive Data

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

 

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GS1 GLOBAL LOCATION NUMBER

Change to Data Element: Changed Description

Format/Length:an13
National Codes: 
Default Codes: 

Notes:
GS1 GLOBAL LOCATION NUMBER is the same as attribute GS1 GLOBAL LOCATION NUMBER.

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

 

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GS1 GLOBAL SERVICE RELATION NUMBER CHECK DIGIT

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes:
GS1 GLOBAL SERVICE RELATION NUMBER CHECK DIGIT is the same as attribute GS1 GLOBAL SERVICE RELATION NUMBER CHECK DIGIT.

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

 

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GS1 SERVICE RELATION INSTANCE NUMBER

Change to Data Element: Changed Description

Format/Length:max an10
National Codes: 
Default Codes: 

Notes:
GS1 SERVICE RELATION INSTANCE NUMBER is the same as attribute GS1 SERVICE RELATION INSTANCE NUMBER.

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

 

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GS1 UNIQUE ORGANISATION PREFIX NUMBER

Change to Data Element: Changed Description

Format/Length:an7
National Codes: 
Default Codes: 

Notes:
GS1 UNIQUE ORGANISATION PREFIX NUMBER is the same as attribute GS1 UNIQUE ORGANISATION PREFIX NUMBER.

The National Code value for NHS Digital is 5050898.

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

 

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER

Change to Data Element: Changed Description

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

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

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

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

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

 

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NHS NUMBER

Change to Data Element: Changed Description

Format/Length:n10
National Codes: 
Default Codes: 

Notes:
NHS NUMBER is the same as attribute NHS NUMBER.

For the AIDC for Patient Identification Data Set further guidance can be found on the NHS England website at: DCB1077: AIDC for Patient Identification.For the AIDC for Patient Identification Data Set further guidance can be found on the NHS England website at: DCB1077: AIDC for Patient Identification.

 

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NUMBER OF BABIES IDENTIFICATION CODE (PATIENT IDENTIFICATION)

Change to Data Element: Changed Description

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OVERSEAS VISITOR CHARGING CATEGORY

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See OVERSEAS VISITOR CHARGING CATEGORY
Default Codes:9 - OVERSEAS VISITOR CHARGING CATEGORY Not Known (Not Recorded)

Notes:
OVERSEAS VISITOR CHARGING CATEGORY is the same as attribute OVERSEAS VISITOR CHARGING CATEGORY.

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC).

 

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OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE

Change to Data Element: Changed Description

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

Notes:
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE is the same as attribute PERSON PROPERTY EFFECTIVE END DATE.

OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE is the date the OVERSEAS VISITOR CHARGING CATEGORY was applicable until.

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017: NHS Trusts and NHS Foundation Trusts are required to record on a PATIENT’s NHS Record the date on which the assessment of their OVERSEAS VISITOR CHARGING CATEGORY took place.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC). NHS Trusts and NHS Foundation Trusts are required to record on a PATIENT’s NHS Record the date on which the assessment of their OVERSEAS VISITOR CHARGING CATEGORY took place.

 

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OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE

Change to Data Element: Changed Description

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

Notes:
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE is the same as attribute PERSON PROPERTY EFFECTIVE START DATE.

OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE is the date when the OVERSEAS VISITOR CHARGING CATEGORY was applicable from.

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017: NHS Trusts and NHS Foundation Trusts are required to record on a PATIENT’s NHS Record the date on which the assessment of their OVERSEAS VISITOR CHARGING CATEGORY took place.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC). NHS Trusts and NHS Foundation Trusts are required to record on a PATIENT’s NHS Record the date on which the assessment of their OVERSEAS VISITOR CHARGING CATEGORY took place.

OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE DATE will be replaced with OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE, which is the most recent approved national information standard to describe the required definition.

 

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OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See OVERSEAS VISITOR CHARGING CATEGORY
Default Codes:9 - OVERSEAS VISITOR CHARGING CATEGORY Not Known (Not Recorded)
 X - Not Known (Decision pending on OVERSEAS VISITOR CHARGING CATEGORY): only valid for CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set (Retired March 2022)

Notes:
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE is the same as attribute OVERSEAS VISITOR CHARGING CATEGORY, recorded at the CDS ACTIVITY DATE.

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC).

 

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OVERSEAS VISITOR STATUS CLASSIFICATION

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See OVERSEAS VISITOR STATUS CLASSIFICATION 
Default Codes:8 - Not applicable (not an Overseas Visitor)
 9 - Charging rate not known

Notes:
OVERSEAS VISITOR STATUS CLASSIFICATION is the same as attribute OVERSEAS VISITOR STATUS CLASSIFICATION.

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC).

 

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OVERSEAS VISITOR STATUS CLASSIFICATION AT CDS ACTIVITY DATE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See OVERSEAS VISITOR STATUS CLASSIFICATION 
Default Codes:8 - Not applicable (not an Overseas Visitor)
 9 - Charging rate not known

Notes:
OVERSEAS VISITOR STATUS CLASSIFICATION AT CDS ACTIVITY DATE is the same as attribute OVERSEAS VISITOR STATUS CLASSIFICATION, recorded at the CDS ACTIVITY DATE.

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.OVERSEAS VISITOR STATUS information must be collected in accordance with: DCB3017: Overseas Visitor Charging Category (OVCC).

 

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STOP SMOKING SERVICE CUMULATIVE SPEND

Change to Data Element: Changed Description

Format/Length:max n8
National Codes: 
Default Codes: 

Notes:
STOP SMOKING SERVICE CUMULATIVE SPEND  is the same as attribute FINANCIAL AMOUNT, where the FINANCIAL ALLOCATION OR SPEND TYPE FOR STOP SMOKING is National Code 'Cumulative spend for the financial year (excluding stop smoking aids)'.

For further guidance, see the NHS England website at: Statistics on NHS Stop Smoking Services in England.For further guidance, see the NHS England website at: Statistics on Local Stop Smoking Services in England.

 

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STOP SMOKING SERVICE LOCAL AUTHORITY FINANCIAL ALLOCATION

Change to Data Element: Changed Description

Format/Length:max n8
National Codes: 
Default Codes: 

Notes:
STOP SMOKING SERVICE LOCAL AUTHORITY FINANCIAL ALLOCATION is the same as attribute FINANCIAL AMOUNT, where the FINANCIAL ALLOCATION OR SPEND TYPE FOR STOP SMOKING is National Code 'Total financial allocation to Local Authorities for the financial year (excluding pharmacotherapies)'.

For further guidance, see the NHS England website at: Statistics on NHS Stop Smoking Services in England.For further guidance, see the NHS England website at: Statistics on Local Stop Smoking Services in England.

 

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STOP SMOKING SERVICE OTHER FINANCIAL ALLOCATION

Change to Data Element: Changed Description

Format/Length:max n8
National Codes: 
Default Codes: 

Notes:
STOP SMOKING SERVICE OTHER FINANCIAL ALLOCATION  is the same as attribute FINANCIAL AMOUNT, where the FINANCIAL ALLOCATION OR SPEND TYPE FOR STOP SMOKING is National Code 'Other financial allocation including any underspend carried over from the previous financial year'.

For further guidance, see the NHS England website at: Statistics on NHS Stop Smoking Services in England.For further guidance, see the NHS England website at: Statistics on Local Stop Smoking Services in England.

 

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STOP SMOKING SERVICE STOP SMOKING AID SPEND

Change to Data Element: Changed Description

Format/Length:max n8
National Codes: 
Default Codes: 

Notes:
STOP SMOKING SERVICE STOP SMOKING AID SPEND is the same as attribute FINANCIAL AMOUNT, where the FINANCIAL ALLOCATION OR SPEND TYPE FOR STOP SMOKING is National Code 'Total cost of stop smoking aids for the financial year'.

For further guidance, see the NHS England website at: Statistics on NHS Stop Smoking Services in England.For further guidance, see the NHS England website at: Statistics on Local Stop Smoking Services in England.

 

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TIME OF BIRTH (PATIENT IDENTIFICATION)

Change to Data Element: Changed Description

Format/Length:an5 (HH:mm)
National Codes: 
Default Codes: 

Notes:
TIME OF BIRTH (PATIENT IDENTIFICATION) is the same as attribute PERSON BIRTH TIME.

TIME OF BIRTH (PATIENT IDENTIFICATION) is the PERSON BIRTH TIME of the PATIENT, where the PATIENT is a Neonate, for the purposes of the AIDC for Patient Identification Data Set.

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

 

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TREATMENT START DATE (CANCER)

Change to Data Element: Changed Description

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

Notes:
TREATMENT START DATE (CANCER) is the same as attribute ACTIVITY DATE.

TREATMENT START DATE (CANCER) is the Start Date of the first, second or subsequent cancer treatment given to a PATIENT who is receiving care for a cancer condition.

If the CANCER TREATMENT MODALITY is recorded as National Code 'Surgery', the TREATMENT START DATE (CANCER) is the same as START DATE (HOSPITAL PROVIDER SPELL) of the related admission.

TREATMENT START DATE (CANCER) is also the End Date of a Cancer Referral To Treatment Period.

A Cancer Referral To Treatment Period will end on the same date as the TREATMENT START DATE (CANCER) where First Definitive Treatment is given, unless cancer was discounted when the PATIENT was first seen (in which case the Cancer Referral To Treatment Period is ended at DATE FIRST SEEN).

If a PATIENT declines all treatment and the CANCER TREATMENT MODALITY is recorded as National Code 'All treatment declined', then the TREATMENT START DATE (CANCER) should be recorded as the date upon which the PATIENT made this decision.

For the National Cancer Waiting Times Monitoring Data Set, TREATMENT START DATE (CANCER) is for a cancer condition with a PRIMARY DIAGNOSIS (ICD) code defined by NHS England. The full list of diagnosis codes can be found on the NHS England website at: Cancer Waiting Times. The full list of diagnosis codes can be found on the NHS England website at: Cancer Waiting Times Data Collection (CWT).

 

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WAITING TIME ADJUSTMENT (FIRST SEEN)

Change to Data Element: Changed Description

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

Notes:
WAITING TIME ADJUSTMENT (FIRST SEEN) is the same as attribute ACTIVITY DURATION.

WAITING TIME ADJUSTMENT (FIRST SEEN) records the number of days that should be removed from the calculated waiting time for the two week wait period, the 28 day period and potentially the 62 day period (if cancer is confirmed), i.e. between receipt of the referral or decision of Consultant Upgrade (recorded as CANCER REFERRAL TO TREATMENT PERIOD START DATE or CONSULTANT UPGRADE DATE) and the DATE FIRST SEEN.

Adjustments are only permissible when a PATIENT does not attend an APPOINTMENT or arrives late and could not be seen.

Guidance on calculating the number of days which may be deducted from the waiting time is available on the NHS England website at: Cancer Waiting Times.Guidance on calculating the number of days which may be deducted from the waiting time is available on the NHS England website at: Cancer Waiting Times Data Collection (CWT).

 

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WAITING TIME ADJUSTMENT (TREATMENT)

Change to Data Element: Changed Description

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

Notes:
WAITING TIME ADJUSTMENT (TREATMENT) as the same as attribute ACTIVITY DURATION.

WAITING TIME ADJUSTMENT (TREATMENT) records the number of days that should be removed from the derived waiting time between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER).

The recording of this data item is mandatory for all Tumours, regardless of whether a national service standard is in place.

Adjustments are allowed in the following circumstances:

  • When a patient pause is initiated because the PATIENT is unavailable for treatment for a specified period because of family commitments, holidays, or other (non-clinical) reasons

WAITING TIME ADJUSTMENT (TREATMENT) should only be recorded where CANCER CARE SETTING FOR TREATMENT is:

Guidance on calculating the number of days which may be removed from the waiting time is available on the NHS England website at: Cancer Waiting Times.Guidance on calculating the number of days which may be removed from the waiting time is available on the NHS England website at: Cancer Waiting Times Data Collection (CWT).

 

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WITHHELD IDENTITY REASON

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See WITHHELD IDENTITY REASON
Default Codes:99 - Identity withheld but reason not known

Notes:
WITHHELD IDENTITY REASON is the same as attribute WITHHELD IDENTITY REASON.

For the Commissioning Data Sets, WITHHELD IDENTITY REASON is used in the Withheld Identity Structure in the PATIENT Identity data group, for PATIENT records where the submitter has withheld the PATIENT identity.

For the Healthcare Operational Data Flows (Acute) Data Sets the WITHHELD IDENTITY REASON is submitted in PATIENT records where the submitter has withheld PATIENT-identifiable data elements within the PATIENT record.

Further information can be found at Faster Data Flows (FDF) - National Reporting - FutureNHS Collaboration Platform at FutureNHS for You.Further information can be found at Faster Data Flows (FDF) - National Reporting - FutureNHS Collaboration Platform at Futures for You.

 

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For enquiries about this Change Request, please email support.digitalservices@nhs.net