This is the main diagram in the model and it depicts the core information in the new Generic Dictionary. The ACTIVITY class encompasses all the spells, episodes, stays, contacts and interventions that a PATIENT is subject to. It shows the CARE PROFESSIONALS and ORGANISATIONS involved, the roles that they perform and the sites and locations at which they happen.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This shows how ADDRESSES and COMMUNICATION CONTACT INFORMATION relates to people and ORGANISATIONS. It also shows how GEOGRAPHIC AREAS relate to ADDRESSES and ORGANISATIONS.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This shows the APPOINTMENTS in relation to the ACTIVITIES and the SESSIONS within the clinics at which they may occur.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This shows the CARE PROFESSIONALS and their employment within ORGANISATIONS. The different types of CARE PROFESSIONALS are shown.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEWDIAGRAM OVERVIEW Person_

This shows the subtype of PERSON PROPERTY with the set of predetermined values. See BAD_REFERENCE diagram for fuller explanation. See Person and Person Property diagram for a fuller explanation.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This shows the HEALTH PROGRAMME and its relation to PATIENTS and ACTIVITIES.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

This shows WAITING LISTS and PRIOR NOTIFICATION LISTS FOR CYTOLOGIES and their relationships to ORGANISATIONS, PATIENTS and ACTIVITIES.

DIAGRAMMING CONVENTIONS

METADATA FILES

• Files Available

• Metadata files are used by the NHS to validate data. The files facilitate data consistency and quality. The files are:

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.

• 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 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

• The full and reduced versions of the NHS Postcode Directory are issued every quarter by the Organisation Data Service. Named recipients both inside the NHS and other recipients licensed to use this data in support of the NHS are able to access it through the online distribution service, TRUD (Terminology Reference Data Update Distribution Service) and through the Organisation Data Service pages on NHSnet; see Contact Details.

• A full description of the NHS Postcode Directory and the Organisation Data Service reduced postcode data files, can be found by browsing the Office for National Statistics Data section of the Organisation Data Service pages on NHSnet at http://nww.connectingforhealth.nhs.uk/ods/downloads/officenatstats/ (NHS Postcode Directory) and http://nww.connectingforhealth.nhs.uk/ods/downloads/postcode/ (reduced files). The same descriptions can also be accessed via TRUD (Terminology Reference Data Update Distribution Service). 

• 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 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.

• This file contains about 130 records. The usual country of residence for short term overseas visitors is derived from the country pseudo postcode. The codes are  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

NHS POSTCODE DIRECTORY

1. The NHS Postcode Directory is maintained, on behalf of the Department of Health, by the Office for National Statistics. It contains a record for every postcode in the UK, Channel Islands and the Isle of Man, and associates each postcode with a variety of geographic information, including grid references, Primary Care Trust and Strategic Health Authority codes. The file also includes pseudo postcodes covering defaults and overseas countries.

2. The full and reduced versions of the NHS Postcode Directory are issued every quarter by the Organisation Data Service. Named recipients both inside the NHS and other recipients licensed to use this data in support of the NHS are able to access it through the online distribution service, TRUD (Terminology Reference Data Update Distribution Service) and through the Organisation Data Service pages on NHSnet; see Contact Details.

3. A full description of the NHS Postcode Directory and the Organisation Data Service reduced postcode data files, can be found by browsing the Office for National Statistics Data section of the Organisation Data Service pages on NHSnet at http://nww.connectingforhealth.nhs.uk/ods/downloads/officenatstats/ (NHS Postcode Directory) and http://nww.connectingforhealth.nhs.uk/ods/downloads/postcode/ (reduced files). The same descriptions can also be accessed via TRUD (Terminology Reference Data Update Distribution Service).
5. 
   
4. The Office for National Statistics will supply, on request and at a cost, copies of the NHS Postcode Directory, on different media, in different formats and for selected extracts. Contact the Office for National Statistics for details and charges; see Contact Details.

Postcodes

5. All postcodes made available via the Organisation Data Service postcode files have been standardised to the eight character postcode format as used by the Royal Mail's Postal Address File (PAF). All NHS ORGANISATIONS should ensure that they conform to the postcode format.

6. Postcodes are of the general format:

   Character Position	1	2	3	4	5	6	7	8
   Format	a	a/n	a/n	a/n	space	n	a	a
   Coding Frame	Outward Code				space	Inward Code

7. 
   
7. The coding frame allows the use of digits 0 (zero) to 9 and the use of upper-case alpha characters; no special characters are allowed.
8. 
   
8. The fifth character of all standard format postcodes is always a space, and separates the outward and inward parts of the postcode. The outward part of the postcode is left-justified and can contain 2, 3 or 4 characters, and is space-filled in character positions 3 and 4 where required. The inward part of the postcode is always 3 characters.

   The following table gives examples of typical postcodes:

   Character Position								Allocated by	Notes
   1	2	3	4	5	6	7	8
   1	2	3	4	5	6	7	8
   W	9				3	X	X	Royal Mail
   D	A	1			5	P	L	Royal Mail
   M	K	4	5		1	T	E	Royal Mail
   Z	Z	9	9		4	L	Z	NACS	Pseudo Postcodes, Defaults and Overseas

9.  

9. The "Scottish split postcode indicator" field was discontinued from the 1996/1 version of the NHS Postcode Directory. This value used to appear in the 8th character position of the postcode (the postcode field was then only 7 characters in length). The ‘Alternative’ version of the NHS Postcode Directory, showing postcodes containing this field, is available from the Office for National Statistics.

10. Strategic Health Authorities in England are indicated by their standard Organisation Data Service codes (Q codes). Local Health Boards in Wales use five character codes commencing with a '6', and with the last two characters '00'. Health Boards in Scotland use a three character version of the Health Board code (range SA9 - SZ9). The four Northern Ireland Health Boards are indicated by their standard codes - ZE0, ZN0, ZS0, ZW0.

11. No Strategic Health Authority exist for the Channel Islands and the Isle of Man so notional (or dummy) Strategic Health Authority codes are used to identify postcodes from these locations. The default Pseudo health authority code of X98 is used to indicate pseudo postcodes (defaults and overseas).

12. For further information on Strategic Health Authority, Local Health Board, and Health Board codes and their values, See ADMINISTRATIVE CODES.

    Related Products

13. The Office for National Statistics produce annually two related publications : ONS Geography User Guide 9 (The Area of Residence Classification) and ONS Geography User Guide 10 (The NHS Organisation Manual). These show a breakdown of Strategic Health Authorities by Local Government authorities and Electoral Wards. Copies are available from the Office for National Statistics. Electronic copies are also provided by the Organisation Data Service through the online distribution service, TRUD (Terminology Reference Data Update Distribution Service) and through the Organisation Data Service pages on NHSnet, see Contact Details.

14. The Office for National Statistics produce a version of the Postcode Directory that is based on a stable area base to facilitate time series analysis - the 1991-based Frozen Postcode Directory. This is available from the Office for National Statistics.

15. The Organisation Data Service issues the full manuals through the online distribution service, TRUD (Terminology Reference Data Update Distribution Service) and through the Organisation Data Service pages on NHSnet each quarter; see Contact Details. This ensures that any new customers receive the necessary information.  See Contact Details

    Changes

16. The Office for National Statistics should be notified of any queries relating to the allocation of postcodes to Strategic Health Authorities or Primary Care Trusts. All such queries are investigated by Office for National Statistics, and any agreed changes are included in the following edition of the NHS Postcode Directory. The monthly postcode corrections are also included on the NHSnet, see Contact Details.

17. Requests and suggestions for improvements to the NHS Postcode Directory or queries relating to its use should be directed to the Organisation Data Service, who are taking the lead on this product on behalf of the NHS; see Contact Details.

DIAGRAM OVERVIEW

This shows ORGANISATION, ORGANISATION SITE, SERVICE POINT and all other sorts of location. It shows the relationship of these classes to each other and CARE PROFESSIONALS and PATIENTS.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This shows the PATIENT PATHWAYS covered by the 18 week referral to treatment target.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This shows some basic information about a PERSON and is a record of a whole variety of medical data that may apply to a PERSON. If it does, the dates during which the information is effective and when it was observed are recorded. A PERSON PROPERTY may be recorded as text, one in a set of predetermined values or may be a numerical measurement.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This shows the information relative to the Prescription and Dispensing of items.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

CONTACT DETAILS

1. General Enquiries about the NHS Data Model and Dictionary:

   NHS Data Model and Dictionary Service
   NHS Connecting for Health
   Princes Exchange
   Princes Square
   Leeds
   LS1 4HY

   Email: datastandards@nhs.net

2. General Enquiries about the NHS Data Model and Dictionary:

   NHS Data Model and Dictionary Service
   NHS Connecting for Health
   Princes Exchange
   Princes Square
   Leeds
   LS1 4HY

   Email: datastandards@nhs.net

   NHS Data Model and Dictionary Service Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary
3. 
   
4. The NHS Information Standards Board:

   The NHS Information Standards Board
   Princes Exchange 
   Princes Square
   Leeds
   LS1 4HY

   Internet: http://www.isb.nhs.uk/

5. Hospital Episode Statistics (HES):

   Website: HES online

6. Hospital Episode Statistics (HES):

   Website: HES online

   Queries: HES queries

7. Clinical Coding general enquiries:

   International Classification of Diseases (ICD-10)
   Classification of Surgical Operations and Procedures Fourth Revision Consolidated Version (OPCS-4);
   Clinical Terms (The Read Codes);
   SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms)

   For all general enquiries, contact:

   NHS Connecting for Health
   Data Standards and Products Help Desk
   E-mail: datastandards@nhs.net

   • Electronic copies of International Classification of Diseases (ICD-10) Volumes 1, 2 and 3
     • The ICD-10 metadata file and its specification;
     • The ICD-10 Codes and Titles (on diskette);
     • The ICD-10 Tables of Equivalence (on diskette);
   • The Alphabetical Index of Classification of Surgical Operations and Procedures (Fourth Revision Consolidated Version (OPCS-4) in hard copy;
     • Electronic format of Index and Tabular List of OPCS-4;
     • OPCS-4 metadata file and its specification;
   • Clinical Terms (The Read Codes) and SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms) are released to licensees every six months (March and September) via the Terminology Reference Data Update Distribution Service (TRUD).

     Information on the Terminology Reference Data Update Distribution Service (TRUD) can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/

     Hard copy versions of ICD-10 and the Tabular List of OPCS-4 are available from The Stationery Office (formerly HMSO).

8. Organisation Data Service Queries:

   Organisation Data Service
   Hexagon House
   Pynes Hill
   Rydon Lane
   Exeter
   Devon EX2 5SE

   exeter.helpdesk@nhs.net
   Tel: 01392 251 289

   Link ODS Organisation Data Service website pages:

   • NHSnet pages where data is published: http://nww.connectingforhealth.nhs.uk/ods/
   • Public domain pages: http://www.nhs.uk/ods/
   • Information pages on the NHS Connecting for Health website:
     http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html

   Information on the Terminology Reference Data Update Distribution Service can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/

9. Postcodes:

   Postcode and Geographic Area Queries
   All Fields Postcode Directory
   Areas of Residence Classification
   NHS Organisation Manual
   1991 Frozen Postcode File
   Communal Establishment File

   Office for National Statistics Geography Customer Services Unit
   Office for National Statistics
   Segensworth Road
   Titchfield
   Fareham
   Hants
   PO15 5RR

   1991 Frozen Postcode File
   Communal Establishment File

   Tel: 01329 813243 or 813477
   Fax: 01329 813383
   e-mail: ons.geography@ons.gov.uk
   Internet: http://www.statistics.gov.uk

DIAGRAM OVERVIEW

This shows the information relative to the PRESCRIPTION and ACTIVITY of a Radiotherapy Treatment Course.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

DIAGRAM OVERVIEW

This Shows REFERRAL REQUESTS and their relationships to APPOINTMENTS, ACTIVITIES, DIAGNOSTIC TEST REQUESTS, PATIENTS and CARE PROFESSIONALS.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

The HRG DOMINANT GROUPING VARIABLE-PROCEDURES is a field derived by the HRG Acute Inpatient Grouper. It represents the procedure that the HRG grouping algorithm has identified as having the greatest effect upon the resources consumed by a PATIENT.The HRG DOMINANT GROUPING VARIABLE-PROCEDURES is a field derived by the Healthcare Resource Group Acute Inpatient Grouper. It represents the procedure that the Healthcare Resource Group grouping algorithm has identified as having the greatest effect upon the resources consumed by a PATIENT. It is required for the production of the National Schedule of Reference Costs reports.

The HRG DOMINANT GROUPING VARIABLE-PROCEDURES have the same data format, rules and attributes as OPCS-4 codes for Patient Procedure, see also PROCEDURE CODING.

DSCN 08/2000 includes HRG DOMINANT GROUPING VARIABLE-PROCEDURES in the Commissioning Data Set to standardise the handling of this data item within the Commissioning Data Set and the Secondary Uses Service database. It is mandatory from 01/10/2001.

Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.