Radiotherapy Data Set Overview

Summarised Stocks Data Set Overview

The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient and out-patient stocks for Trauma and Orthopaedics; and in-patient stocks for ordinary admissions for care procedures of CABG, PTCA, Valves and Angiography.The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient and out-patient stocks for Trauma and Orthopaedics; and in-patient stocks for ordinary admissions for care procedures of CABG, PTCA, Valves and Angiography. 

This central information requirement provides performance management measures of waiting times and helps to identify those organisations failing to meet the standards of the NHS Plan.This central information requirement provides performance management measures of waiting times and helps to identify those ORGANISATIONS failing to meet the standards of the NHS Plan.

The Summarised Stocks Data Set is provider or commissioner based depending upon the ORGANISATION submitting the data set. Providers are care ORGANISATIONS providing admitted patient care and treatment for NHS PATIENTS. Commissioners are the ORGANISATIONS commissioning in-patient care for NHS PATIENTS. For commissioner based data sets, the provider is required to supply data to the commissioner.

The Summarised Stocks Data Set contains the admitted PATIENT waiting to be admitted stocks as at the end of the specified REPORTING PERIOD.

• Acute Myocardial Infarction Data Set
• Cancer Registration Data Set
• Diabetes Data Set (Summary Core)
• Genitourinary Medicine Clinic Activity Data Set
• Mental Health Minimum Data Set
• National Cancer Data Set
• National Cancer Waiting Times Monitoring Data Set
• National Joint Registry Data Set
• Radiotherapy Data Set

Clinical Message Schema

• Mental Health Minimum Data Set Message Schema Versions

A Consultant Led Activity is an ACTIVITY where a CONSULTANT retains overall clinical responsibility. The CONSULTANT is not necessarily physically present for each PATIENT's appointment, but he/she takes overall clinical responsibility for PATIENT care. The CONSULTANT is not necessarily physically present for each PATIENT's APPOINTMENT, but he/she takes overall clinical responsibility for PATIENT care.

The MAIN SPECIALTY of the CONSULTANT retaining overall clinical responsibility is recorded using the appropriate MAIN SPECIALTY CODE along with their CONSULTANT CODE. A TREATMENT FUNCTION CODE will be recorded where the ACTIVITY is delivered in a TREATMENT FUNCTION.

The MAIN SPECIALTY CODE is used by the Secondary Uses Service to identify Consultant Led Activity

NHS DATA MODEL AND DICTIONARY

Version 3

What's New: November 2008What's New: December 2008

The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS. The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the NHS Information Standards Board and published as Data Set Change Notices.  Classes are shown in Dark Red Text, Attributes are shown in Purple, Data Elements are shown in Green, Commissioning Data Sets are shown in Dark Green, Central Return Forms are shown in Dark Pink and other pages are shown in Blue. About the NHS Data Model and Dictionary Version 3 and Meta Model

The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS. The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the NHS Information Standards Board and published as Data Set Change Notices.  Classes are shown in Dark Red Text, Attributes are shown in Purple, Data Elements are shown in Green, Data Sets are shown in Aqua Blue, Central Return Forms are shown in Dark Pink and other pages are shown in Blue. About the NHS Data Model and Dictionary Version 3 and Meta Model

• Navigation:
• Advanced Search
• All Items Index
• Changes (including DSCNs)
• Advanced Search
• All Items Index
• Changes (including DSCNs)

• Data Model:
  • Attributes
  • Classes
  • Diagrams
  • Data Dictionary:
  • Data Element
  • NHS Business Definitions
  • Supporting Information
  • Data Collections:
  • Commissioning Data Sets
  • Supporting Data Sets
  • Clinical Data Sets
  • Administrative Data Sets
  • Central Return Data Sets
  • Central Return Forms
• Data Model:
  • Attributes
  • Classes
  • Diagrams
  • Data Dictionary:
  • Data Elements
  • NHS Business Definitions
  • Supporting Information
  • Data Collections:
  • Commissioning Data Sets
  • Supporting Data Sets
  • Clinical Data Sets
  • Administrative Data Sets
  • Central Return Data Sets
  • Central Return Forms

METADATA FILES

1. Files Available

   • Files Available

   • Metadata files are used by the NHS to validate data. The files facilitate data consistency and quality. The files are:
     • 
       
     • Diagnosis (ICD-10)
     • 
       
     • Operation (OPCS-4) Fourth Revision Consolidated Version
     • 
       
     • NHS Postcode Directory
     • 
       
     • Frozen Postcode Directory
     • 
       
     • Country Pseudo Postcodes.
   • Metadata files are used by the NHS to validate data. The files facilitate data consistency and quality. The files are:

   • Diagnosis (ICD-10)
   • 
     
   • Operation (OPCS-4) Fourth Revision Consolidated Version
   • 
     
   • NHS Postcode Directory
   • 
     
   • Frozen Postcode Directory
   • 
     
   • Country Pseudo Postcodes.

   
   
   

   • The ICD-10 file is issued by NHS Connecting for Health, from whom a specification is available. It is intended to reissue this file in line with the ICD-10 updates.

   • The Operation metadata file is also issued by NHS Connecting for Health on request. No update of this file is currently envisaged.

   • The NHS Postcode Directory (''Gridlink" version) is maintained, on behalf of the Department of Health, by the Office for National Statistics. The full NHS Postcode Directory on CD-ROM and via the NHSnet is provided free to the NHS, every quarter, by the National Administrative Codes Service (NACS). A reduced version of the full NHS Postcode Directory, containing Postcode, Strategic Health Authority Code and Primary Care Group/Trust/Care Trust Code, is provided every quarter on CD-ROM and via NHSnet as part of the standard National Administrative Codes Service (NACS) data issue; see Contact Details.

   • The NHS Postcode Directory (''Gridlink" version) is maintained, on behalf of the Department of Health, by the Office for National Statistics. The full NHS Postcode Directory on CD-ROM and via the NHSnet is provided free to the NHS, every quarter, by the Organisation Data Service. A reduced version of the full NHS Postcode Directory, containing Postcode, Strategic Health Authority Code and Primary Care Group/Trust/Care Trust Code, is provided every quarter on CD-ROM and via NHSnet as part of the standard Organisation Data Service data issue; see Contact Details.

   • A version of the Central Postcode Directory, the 91-based Frozen Postcode Directory, is produced by the ONS to provide a stable base to facilitate time source analysis. Full details are set out in the Central Postcode Directory User Guide available from Office for National Statistics; see Contact Details.

   • Any area within the NHS taking advantage of the supply of metadata by the Office for National Statistics will be expected to abide by any rules and conditions imposed by the Office for National Statistics Section supplying the metadata.

     Media

   • NHS Connecting for Health Metadata files are normally supplied on disk. Potential users should contact the NHS Information Authority Coding and Classification Help Desk on 0121 333 0420 (direct line).

     Format of Metadata Files

   • The following pages give the record layouts and data content for the Operation and Country Pseudo Postcode metadata files.

     Operation File Data Content

   • This file consists of about 7,000 records, one record for each operation (OPCS-4) Fourth Revision Consolidated Version used in the Hospital Episode Statistics processing system. The records are in operation code order. Each record also contains editing parameters used in validation.

     OPERATION FILE RECORD LAYOUT

     Start Position	Size	Occurs	Field Description
     1	11		selection indicators
     12	1		operation prefix
     13	4		operation code
     17	8		filler
     25	55		operation name (3 digit)
     80	5		filler
     85	60		operation name (4 digit)
     145	43		filler
     188	1		sex (absolute)
     189	3		filler
     192	1		sex (scrutiny)
     193	1		filler
     194	2		status of operation
     196	23		filler
     219	1	10	method of delivery
     229	24		filler

     OPERATION FILE FIELD CONTENTS

     Field	Content
     Operation Prefix	space
     Operation Code	4 chars, 1 alphanumeric + 3 numeric
     Sex (absolute)	space = accept any sex code 1 = males not accepted 2 = females not accepted
     	1 = males not accepted
     	2 = females not accepted
     Sex (scrutiny)	space = accept any sex code
     	1 = males not accepted
     	2 = females not accepted
     NB The following relate to primary operation only
     Status of Operation	if status not = 01, reject for scrutiny
     Method of Delivery	10 one character codes representing the DELMETH code values 0 - 9. Check character position corresponding to DELMETH code value space = no check required 1 = reject for scrutiny

     Country Pseudo Postcode File Data Content

   • This file contains about 130 records. The usual country of residence for short term overseas visitors is derived from the country pseudo postcode, these can be found by browsing the National Administrative Codes Service NHSnet website. The codes are also available in electronic format on the NHS Postcode Directory ("Gridlink version").

     For the National Administrative Codes Service contact details, see Contact Details.

   • This file consists of about 7,000 records, one record for each operation (OPCS-4) Fourth Revision Consolidated Version used in the Hospital Episode Statistics processing system. The records are in operation code order. Each record also contains editing parameters used in validation.

     OPERATION FILE RECORD LAYOUT

     Start Position	Size	Occurs	Field Description
     1	11		selection indicators
     12	1		operation prefix
     13	4		operation code
     17	8		filler
     25	55		operation name (3 digit)
     80	5		filler
     85	60		operation name (4 digit)
     145	43		filler
     188	1		sex (absolute)
     189	3		filler
     192	1		sex (scrutiny)
     193	1		filler
     194	2		status of operation
     196	23		filler
     219	1	10	method of delivery
     229	24		filler

     OPERATION FILE FIELD CONTENTS

     Field	Content
     Operation Prefix	space
     Operation Code	4 chars, 1 alphanumeric + 3 numeric
     Sex (absolute)	space = accept any sex code 1 = males not accepted 2 = females not accepted
     	1 = males not accepted
     	2 = females not accepted
     Sex (scrutiny)	space = accept any sex code
     	1 = males not accepted
     	2 = females not accepted
     NB The following relate to primary operation only
     Status of Operation	if status not = 01, reject for scrutiny
     Method of Delivery	10 one character codes representing the DELMETH code values 0 - 9. Check character position corresponding to DELMETH code value space = no check required 1 = reject for scrutiny

       

   Country Pseudo Postcode File Data Content

   • This file contains about 130 records. The usual country of residence for short term overseas visitors is derived from the country pseudo postcode, these can be found by browsing the Organisation Data Service NHSnet website. The codes are also available in electronic format on the NHS Postcode Directory ("Gridlink version").

     For the Organisation Data Service contact details, see Contact Details.

   • The expanded area code field contains the country of birth code in characters 1-4 (a repeat of the characters 3-6 in the pseudo postcode). The remainder of the expanded area code is blank except for codes 993C (UK nos) and 993V (no fixed abode) where characters 5-7 are 9space9.

     COUNTRY PSEUDO FILE RECORD LAYOUT

     Start Pos	Size	Data Type	Field Description
     1	11	X	selection indicators
     12	6	X	6 digit postcode (POSTSIX)
     18	1	A	7th digit
     19	6	X	filler
     25	50	X	name of country
     75	5	X	filler
     80	19	X	area details
     99	154	X	filler

Introduction

The Paediatric Critical Care Minimum Data Set has been specified as a simple data specification but will be carried within the existing framework of the Commissioning Data Set as supported by the Secondary Uses Service.

Note that this enhancement is only intended to be implemented as a new version in the Commissioning Data Set-XML Message and will not be implemented in the current Commissioning Data Set-EDIFACT Message (NHS005).

Scope:

The definition of Paediatric Critical Care is linked to the definition of Paediatric Critical Care Healthcare Resource Groups.

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

If one or more of these items apply to a PATIENT, then the PATIENT would be counted as receiving Paediatric Critical Care at one of the levels of Intensive Care or High Dependency Care depending on the conditions/interventions which apply.

A number of these interventions will only occur in a Paediatric Intensive Care Unit environment where all PATIENTS are covered by the Paediatric Critical Care Minimum Data Set regardless of treatment. Care for PATIENTS outside of a Paediatric Intensive Care Unit will in practice be dealing with a shorter list of interventions. The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with CRITICAL CARE UNIT FUNCTION: The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with  CRITICAL CARE UNIT FUNCTION:

• Paediatric Intensive Care Unit; or
• Ward for children and young people; or
• High Dependency Unit for children and young people; or
• Renal Unit for children and young people; or
• Burns Unit for children and young people; or
• Non standard location using the operating department for children and young people.

The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a CRITICAL CARE UNIT FUNCTION other than those listed above.The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a  CRITICAL CARE UNIT FUNCTION other than those listed above.

The Paediatric Critical Care Minimum Data Set will be carried as part of the following Admitted Patient Care Commissioning Data Set Types:

• The Admitted Patient Care Finished General Episode (Commissioning Data Set TYPE 130)
• The Admitted Patient Care Unfinished General Episode (Commissioning Data Set TYPE 190)
• The Admitted Patient Care Delivery Episode (Commissioning Data SetTYPE 140)
• The Admitted Patient Care Delivery Episode (Commissioning Data Set TYPE 140)
• The Admitted Patient Care Unfinished Delivery Episode (Commissioning Data Set TYPE 200)
• The Admitted Patient Care Finished Birth Episode (Commissioning Data Set TYPE 120)
• The Admitted Patient Care Unfinished Birth Episode (Commissioning Data Set TYPE 180)

1. Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90)

   Contextual Overview

• Contextual Overview

• KP90 is used to provide the Department of Health with information about the number of uses made of the Mental Health Act 1983 legislation (except for guardianship cases under Sections 7 and 37), as amended by the Mental Health Act 2007, and other legislation. This data set return provides a source of briefing on the Act and informs policy development in relation to the Act. It also provides input to the process of needs assessment on hospital accommodation requirements.

• Information on the return is published in the statistical bulletin and the detailed booklet called 'In-patients formally detained in hospital and patients on Supervised Community Treatment under the Mental Health Act 1983, as amended by the Mental Health Act 2007 and other legislation'

• Information on the return is published in the statistical bulletin and the detailed booklet called 'In-patients formally detained in hospital and PATIENTS on Supervised Community Treatment under the Mental Health Act 1983, as amended by the Mental Health Act 2007 and other legislation'

• The KP90 return should be completed to provide information about the uses of the Act, for the REPORTING PERIOD year commencing on 1st April and ending 31 March.

  During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

  Part 1

• This part of the data set records the number of admissions to hospital during the REPORTING PERIOD classified by specified LEGAL STATUS CLASSIFICATION CODE, PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

  In addition, the total number of formal admissions and informal admissions by PERSON GENDER CODE are also recorded

• Part 2

  This part of the data set records the number of changes during the REPORTING PERIOD of specified from/to LEGAL STATUS CLASSIFICATION CODE whilst patients are in hospital or at point of discharge from hospital

• Part 3

  This part of the data set records the number of detained patients resident in hospital as at 31st March classified by PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY and the total number of informal patients resident in hospital as at 31st March classified by PERSON GENDER CODE

  In addition, the total number of patients on Supervised Community Treatment as at 31st March classified by PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY is also recorded

• Part 2

  This part of the data set records the number of changes during the REPORTING PERIOD of specified from/to LEGAL STATUS CLASSIFICATION CODE whilst PATIENTS are in hospital or at point of discharge from hospital

• Part 3

  This part of the data set records the number of detained patients resident in hospital as at 31st March classified by PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY and the total number of informal PATIENTS resident in hospital as at 31st March classified by PERSON GENDER CODE

  In addition, the total number of PATIENTS on Supervised Community Treatment as at 31st March classified by PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY is also recorded

• Part 4

  This part of the data set records the total number of separate periods of Supervised Community Treatment for patients during the REPORTING PERIOD classified by the LEGAL STATUS CLASSIFICATION CODE which was suspended when the Supervised Community Treatment started and PERSON GENDER CODE.

  In addition the following totals classified by PERSON GENDER CODE are recorded; the total number of Supervised Community Treatment Recalls; the total number of revocations of Supervised Community Treatment and the total number of discharges from Supervised Community Treatment.

• Part 5

  This part of the data set records the total number of transfers in i.e. transfer of an admitted patient from another Health Care Provider, and the total number of transfers out i.e. transfer of an admitted patient to another Health Care Provider; during the REPORTING PERIOD and where the LEGAL STATUS CLASSIFICATION CODE is unchanged.

  In addition, free format text can be recorded for any additional information supporting the return made

SECURITY ISSUES AND PATIENT CONFIDENTIALITY

• A. Removal of name and address where the NHS Number is present

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

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

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

  B. Marital Status

• Following the recommendations of the Data Protection Registrar, Providers should not record MARITAL STATUS in any CDS TYPE, except in respect of the psychiatric specialities in the Admitted Patient Care CDS Types, where it will continue to be recorded.

  C. Sensitive data

• The Human Fertilisation and Embryology Act 1990 as amended by the Human Fertilisation and Embryology (Disclosure of Information) Act 1992 imposes statutory restrictions on the disclosure of information about identifiable individuals in connection with certain infertility treatments. A list of the relevant codes is given in Table 1. In these cases the NHS NUMBER, LOCAL PATIENT IDENTIFIER, PATIENT NAMES, POSTCODE OF USUAL ADDRESS and BIRTH DATE should be omitted from the CDS Types.

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

  TABLE 1: TREATMENTS PROVIDED UNDER THE LICENCE OF THE HUMAN FERTILISATION AND EMBRYOLOGY AUTHORITY

  Description	OPCS-4	ICD-10
  Standard In Vitro Fertilisation (IVF)	Q13.-1 Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  IVF with donor sperm	Q13.- 1 Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  IVF with donor eggs	Q13.-1 Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  Donor insemination (DI)	Q13.3 Intrauterine artificial insemination, or Q13.2 Intracervical artificial insemination	Z31.1 Artificial insemination
  Gamete intrafallopian transfer (GIFT) with donor sperm	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.3 Other assisted fertilization methods
  Gamete intrafallopian transfer (GIFT) with donor eggs	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.3Other assisted fertilization methods
  Intracytoplasmic sperm injection (ICSI)
  Sub-zonal insemination (SUZI)
  Zygote intrafallopian transfer (ZIFT)	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  Partial Zona Dissection (PZD)
  Zona drilling
  Hamster- egg penetration test
  Assisted hatching
  Pre-implantation Genetic Diagnosis (PGD)
  Storage of sperm
  Storage of embryos
  Use and storage of testicular tissue
  Transport/satellite IVF/ICSI
  Embryo donation		Z31.8 Other procreative management
  Research

  ¹.- means all fourth characters of this rubric should be included.

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

  TABLE 1: TREATMENTS PROVIDED UNDER THE LICENCE OF THE HUMAN FERTILISATION AND EMBRYOLOGY AUTHORITY

  Description	OPCS-4	ICD-10
  Standard In Vitro Fertilisation (IVF)	Q13.-1 Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  In Vitro Fertilisation (IVF) with donor sperm	Q13.- 1 Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  In Vitro Fertilisation (IVF) with donor eggs	Q13.-1 Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  Donor insemination (DI)	Q13.3 Intrauterine artificial insemination, or Q13.2 Intracervical artificial insemination	Z31.1 Artificial insemination
  Gamete intrafallopian transfer (GIFT) with donor sperm	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.3 Other assisted fertilization methods
  Gamete intrafallopian transfer (GIFT) with donor eggs	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.3Other assisted fertilization methods
  Intracytoplasmic sperm injection (ICSI)
  Sub-zonal insemination (SUZI)
  Zygote intrafallopian transfer (ZIFT)	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
  Partial Zona Dissection (PZD)
  Zona drilling
  Hamster- egg penetration test
  Assisted hatching
  Pre-implantation Genetic Diagnosis (PGD)
  Storage of sperm
  Storage of embryos
  Use and storage of testicular tissue
  Transport/satellite In Vitro Fertilisation (IVF) / Intracytoplasmic sperm injection (ICSI)
  Embryo donation		Z31.8 Other procreative management
  Research

  ¹.- means all fourth characters of this rubric should be included.

• All records containing patient identifiable information, other than those covered by the Human Fertilisation & Embryology Acts, as outlined in the Table above, should be treated as sensitive. Organisations may continue to exchange records containing NHS NUMBER, POSTCODE OF USUAL ADDRESS and BIRTH DATE in these cases, but receiving organisations must ensure that only those staff with legitimate need have access to this information, e.g. public health departments, and strictly on a need to know basis. No-one should have unrestricted access unless fully justified in accordance with the principles of the Caldicott Committee Report.

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

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

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

Release: December 2008

DSCNs published but not yet incorporated into the NHS Data Model and Dictionary:DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP1002 (1 April 2009) - DSCN 24/2008 Data Standards: Commissioning Data Set Version 6-1 Tables
• CP1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
• CP901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
• CP843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
• CP1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
• CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
• CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
• CP861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
• CP964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
• CP965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
• CP879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
• CP910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
• CP900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
• CP934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
• CP935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
• CP925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
• CP942 (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)
• CP942 (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

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
• CP881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
• CP904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
• CP824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
• CP814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
• CP930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
• CP834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
• CP875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
• CP880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
• CP831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
• CP825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
• CP833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
• CP801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
• CP856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
• CP869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
• CP827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
• CP817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
• CP849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
• CP822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
• CP850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
• CP786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
• CP826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
• CP813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
• CP768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
• CP798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema

Release: September 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
• CP792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
• CP719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
• CP791 (1 April 2007) - DSCN 13/2006 Priority Type
• CP774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP764 (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

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
• CP756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
• CP724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
• CP754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
• CP763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
• CP767 (Immediate) - DSCN 02/2006 Referral Request Received Date
• CP690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

DSCNs Incorporated into the NHS Data Model and Dictionary:

• CP555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
• CP715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
• CP706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
• CP691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

NHS Data Model and Dictionary: Change Menu

Data Set Change Notice (DSCN) Website

One of the business definitions listed in the CATEGORY VALUED PERSON OBSERVATION description as a type of this class or one of the related classification classes.

National Codes:

Notes:

The total number of Fractions or hyperfraction delivered as part of a Radiotherapy Treatment Course.

Notes:

Definition:
CDS COPY RECIPIENT IDENTITY is the 5-character NHS ORGANISATION CODE (or valid default code) for an ORGANISATION indicated as a CDS COPY RECIPIENT IDENTITY of the Commissioning data.

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

Default codes for CDS COPY RECIPIENT IDENTITIES are detailed in the CDS Addressing Grid.

Notes:

This is the DATE that a decision was taken to treat a PATIENT's condition with a RADIOTHERAPY TREATMENT MODALITY.

Where the treatment is being undertaken as part of a Cancer Treatment Period, where the CANCER TREATMENT MODALITY is National Code 05 'Teletherapy' or 06 'Brachytherapy', the DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE) is the same as the CANCER TREATMENT PERIOD START DATE.

Notes:
DECISION TO TREAT DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as the attribute DECISION TO TREAT DATE.

This data item is only mandatory when applicable in the National Cancer Data Set which is when the planned first definitive treatment is specialist palliative care.This data element is only mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set which is when the planned first definitive treatment is specialist palliative care.

It is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE National Code 05 'Specialist Palliative Care' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification a. 'first definitive treatment planned'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Planned Cancer Treatment is a PLANNED ACTIVITY where PLANNED ACTIVITY TYPE is National Code 02 'Cancer Treatment'.

Notes:
This is the same as attribute OCCUPATION CODE.

The standard national NHS Occupation Code for an EMPLOYEE filling a POSITION through an ASSIGNMENT.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

Notes:
OCCUPATION CODE (CLINICAL SECOND SPECIALTY) is the same as attribute OCCUPATION CODE.

This is the secondary specialty OCCUPATION CODE of a CONSULTANT, Specialist Registrar or Senior Registrar.

The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

Please note these codes are not the same as those used for MAIN SPECIALTY CODE.

A second clinical specialty OCCUPATION CODE is added to a CONSULTANT or Specialist's record where the doctor's primary (main) specialty is 'General Medicine'.

Note that Specialty codes for a doctor with an OCCUPATION CODE of 021 General Surgery, or in the OCCUPATION CODE range of 920 to 980 Community and Public Health Medicine/Dentistry, are not valid as a second clinical specialty.

Notes:
OCCUPATION CODE (CLINICAL SPECIALTY) is the same as attribute OCCUPATION CODE.

This is the primary (main) specialty OCCUPATION CODE of a doctor or dentist.

The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

Notes:
This is the same as attribute OCCUPATION CODE DESCRIPTION.

A description or name corresponding to a specific NHS OCCUPATION CODE.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

Notes:
The age in years of the PERSON as at the REPORTING PERIOD END DATE, it is calculated as follows:

The format of a date, see DATE, is ccmm-dd-yy and for calculation purposes only the ccmm elements should be used.

Notes:

The total number of Fractions or hyperfraction delivered as part of a Radiotherapy Treatment Course.

Notes:

These are the time bands of the number of weeks until a PATIENT's wait for treatment would exceed 18 weeks.

This is expressed as below:

Guidance for calculating days until 18 weeks wait for treatment is exceeded:

The REFERRAL REQUEST RECEIVED DATE is day zero in the REFERRAL TO TREATMENT PERIOD. Therefore:

Patients who are reported in the >6-8 weeks time band are those who have 43 to 56 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >6-8 weeks time band are those who have 43 to 56 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the >4-6 weeks time band are those who have 29 to 42 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >4-6 weeks time band are those who have 29 to 42 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the >2-4 weeks time band are those who have 15 to 28 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >2-4 weeks time band are those who have 15 to 28 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the >1-2 weeks time band are those who have 8 to 14 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >1-2 weeks time band are those who have 8 to 14 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the 0-1 weeks time band are those who have 0 to 7 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the 0-1 weeks time band are those who have 0 to 7 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Notes:

This is the DATE that treatment for a PATIENT's condition using a RADIOTHERAPY TREATMENT MODALITY started.

Where the treatment is being undertaken as part of a Cancer Treatment Period, where the CANCER TREATMENT MODALITY is National Code 05 'Teletherapy' or 06 'Brachytherapy', the TREATMENT START DATE (RADIOTHERAPY TREATMENT COURSE) is the same as the TREATMENT START DATE (CANCER).