NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1269 |
| Version No: | 1.0 |
| Subject: | October Release Patch |
| Effective Date: | Immediate |
| Reason for Change: | Patch |
| Publication Date: | 24 October 2011 |
Background:
This patch updates the NHS Data Model and Dictionary in preparation for the October 2011 Release and includes:
- What's New amended to include Change Requests incorporated since the last version of the NHS Data Model and Dictionary was published
- Missing hyperlinks added
- Html format corrected.
To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.
Note: if the web page does not open, please copy the link and paste into the web browser.
Summary of changes:
| Date: | 24 October 2011 |
| Sponsor: | Richard Kavanagh, NHS Connecting for Health |
Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.
Click here for a printer friendly view of this page.
Change to Data Set: Changed Description
Improving Access to Psychological Therapies Data Set Overview
The Improving Access to Psychological Therapies Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.
The Improving Access to Psychological Therapies Data Set provides an agreed national standard for data collection for commissioned providers of psychological therapy for anxiety and depression.
| PERSONAL AND DEMOGRAPHIC DETAILS |
|---|
| Patient details: To carry Patient Demographic details. One occurrence of this group is permitted. |
|---|
| Data Set Data Elements |
| NHS NUMBER |
| NHS NUMBER STATUS INDICATOR CODE |
| LOCAL PATIENT IDENTIFIER |
| ORGANISATION CODE (CODE OF PROVIDER) |
| PERSON BIRTH DATE |
| PERSON GENDER CODE CURRENT |
| POSTCODE OF USUAL ADDRESS |
| GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) |
| ETHNIC CATEGORY |
| RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE |
| SEXUAL ORIENTATION (CURRENT) |
| BRITISH ARMED FORCES INDICATOR |
| LONG TERM PHYSICAL HEALTH CONDITION INDICATOR (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES) |
| DISABILITY |
|---|
| Patient Disability details: To carry details of the Patient's Perceived Disability. Many occurrences of this group are permitted (one for each disability). |
|---|
| Data Set Data Elements |
| NHS NUMBER |
| LOCAL PATIENT IDENTIFIER |
| ORGANISATION CODE (CODE OF PROVIDER) |
| DISABILITY CODE |
| REFERRAL DETAILS |
|---|
| Improving Access to Psychological Therapies Referral details: To carry details of the Referral. Many occurrences of this group are permitted (one occurrence for each Referral). |
|---|
| Data Set Data Elements |
| NHS NUMBER |
| LOCAL PATIENT IDENTIFIER |
| ORGANISATION CODE (CODE OF PROVIDER) |
| SERVICE REQUEST IDENTIFIER |
| REFERRAL REQUEST RECEIVED DATE |
| SOURCE OF REFERRAL FOR MENTAL HEALTH |
| SERVICE REQUEST ACCEPTANCE INDICATOR |
| ORGANISATION CODE (CODE OF COMMISSIONER) |
| PROVISIONAL DIAGNOSIS (ICD) |
| YEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES) |
| PREVIOUS SYMPTOM INDICATOR |
| IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE |
| END DATE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES) |
| APPOINTMENT DETAILS |
|---|
Change to Data Set: Changed Description
NHS Health Checks Data Set Overview
The NHS Health Checks Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012.
The Mandatory or Required (M/R) column indicates the recommendation for the inclusion of data:
M = Mandatory - This data element is mandatory, the message will be rejected if this data element is absent
R = Required - This data is required as part of NHS business rules and must be included where available or applicable
| Reporting Period Details: To carry the details of the reporting period and the eligible population. | |
|---|---|
| M/R | Data Set Data Elements |
| M | REPORTING PERIOD START DATE |
| M | REPORTING PERIOD END DATE |
| M | ELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK) |
| Organisation Details: To carry the details of the provider and commissioner organisations for the NHS Health Check. | |
| M/R | Data Set Data Elements |
| M | ORGANISATION CODE (NHS HEALTH CHECK PROVIDER) |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) |
| Person Demographics: To carry the demographic details of the person. | |
| M/R | Data Set Data Elements |
| M | LOWER LAYER SUPER OUTPUT AREA (RESIDENCE) |
| M | AGE AT ATTENDANCE DATE |
| M | PERSON GENDER CODE CURRENT |
| M | ETHNIC CATEGORY |
| Health Check Person Record: To carry the details of the person's NHS Health Check invitation. | |
|---|---|
| M/R | Data Set Data Elements |
| R | INVITATION OFFER SENT INDICATOR (NHS HEALTH CHECK) |
| Health Check Person Assessment: To carry the details of the person's NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| M | ACTIVITY LOCATION TYPE CODE (NHS HEALTH CHECK) |
| M | BODY MASS INDEX |
| M | BLOOD PRESSURE SITTING |
| M | TOTAL CHOLESTEROL HIGH DENSITY LIPOPROTEIN RATIO |
| M | TOTAL CHOLESTEROL LEVEL |
| M | PHYSICAL ACTIVITY LEVEL |
| M | SMOKING STATUS CODE |
| M | CARDIOVASCULAR DISEASE RISK SCORE |
| Health Check Information and Advice: To carry the details of information and advice provided at an NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| R | INFORMATION AND ADVICE PROVIDED INDICATOR (GENERAL LIFESTYLE ADVICE) |
| R | INFORMATION AND ADVICE PROVIDED INDICATOR (STOP SMOKING ADVICE) |
| R | INFORMATION AND ADVICE PROVIDED INDICATOR (WEIGHT MANAGEMENT ADVICE) |
| Health Check Brief Interventions Provided: To carry the details of brief interventions provided at an NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| R | BRIEF INTERVENTION PROVIDED INDICATOR (PHYSICAL ACTIVITY BRIEF) |
| Health Check Signposting: To carry the details of signposting to services provided at an NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| R | SIGNPOSTING TO SERVICE INDICATOR (PHYSICAL ACTIVITY SERVICE) |
| R | SIGNPOSTING TO SERVICE INDICATOR (STOP SMOKING SERVICE) |
| R | SIGNPOSTING TO SERVICE INDICATOR (WEIGHT MANAGEMENT SERVICE) |
| Health Check Referrals: To carry the details of referrals for services made at an NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| R | REFERRAL TO SERVICE ACCEPTANCE INDICATOR (PHYSICAL ACTIVITY SERVICE) |
| R | REFERRAL TO SERVICE ACCEPTANCE INDICATOR (STOP SMOKING SERVICE) |
| R | REFERRAL TO SERVICE ACCEPTANCE INDICATOR (WEIGHT MANAGEMENT SERVICE) |
| Health Check Further Assessments Required: To carry the details of further assessments required following an NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| R | FURTHER ASSESSMENT REQUIRED INDICATOR (DIABETES ASSESSMENT) |
| R | FURTHER ASSESSMENT REQUIRED INDICATOR (SERUM CREATININE ASSESSMENT) |
| R | FURTHER ASSESSMENT REQUIRED INDICATOR (HYPERTENSION ASSESSMENT) |
| R | FURTHER ASSESSMENT REQUIRED INDICATOR (FASTING CHOLESTEROL ASSESSMENT) |
| R | FURTHER ASSESSMENT REQUIRED INDICATOR (IMPAIRED FASTING GLYCAEMIA IMPAIRED GLUCOSE TOLERANCE LIFESTYLE MANAGEMENT) |
| Health Check Prescriptions: To carry the details of the prescriptions provided as a result of an NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| R | PRESCRIPTION PROVIDED INDICATOR (STATINS) |
| R | PRESCRIPTION PROVIDED INDICATOR (ANTI-HYPERTENSIVES) |
| Health Check Diagnosis: To carry the details of the diagnosis provided as a result of an NHS Health Check Assessment. | |
|---|---|
| M/R | Data Set Data Elements |
| R | PATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 3) |
| R | PATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 4) |
| R | PATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 5) |
| R | PATIENT DIAGNOSIS INDICATOR (TYPE 2 DIABETES) |
| R | PATIENT DIAGNOSIS INDICATOR (HYPERTENSION) |
| R | PATIENT DIAGNOSIS INDICATOR (NON DIABETIC HYPERGLYCAEMIA) |
Change to Data Set: Changed Description
Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90) Overview
The Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90) is used to provide the Department of Health with information about the number of uses made of the Mental Health Act 1983 (except for guardianship cases) as amended by the Mental Health Act 2007.
Change to Data Set: Changed Description
Systemic Anti-Cancer Therapy Data Set Overview
The Systemic Anti-Cancer Therapy Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.
The Systemic Anti-Cancer Therapy Data Set is intended to collect clinical management information on PATIENTS undergoing Chemotherapy in (or funded by) the NHS in England.
The Mandatory, Required or Optional (M/R/O) column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent
- R = Required: data is required as part of NHS business rules and must be included where available or applicable
- O = Optional: the flow of this data is optional. It should be included at the discretion of the submitting organisation and their commissioners as required for local purposes.
| DEMOGRAPHICS AND CONSULTANT |
|---|
| To carry personal, organisation and consultant details. One occurrence of this group is required. | |
| M/R/O | Data Set Data Elements |
| M | NHS NUMBER |
| M | PERSON BIRTH DATE |
| R | PERSON GENDER CODE CURRENT |
| R | ETHNIC CATEGORY |
| M | POSTCODE OF USUAL ADDRESS |
| R | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) |
| R | CONSULTANT CODE (INITIATED SYSTEMIC ANTI-CANCER THERAPY) |
| R | CARE PROFESSIONAL MAIN SPECIALTY CODE (START SYSTEMIC ANTI-CANCER THERAPY) |
| M | ORGANISATION CODE (CODE OF PROVIDER) |
| CLINICAL STATUS |
|---|
| To carry the clinical status details. One occurrence of this group is required. | |
| M/R/O | Data Set Data Elements |
| M | PRIMARY DIAGNOSIS (ICD AT START SYSTEMIC ANTI-CANCER THERAPY) and/or MORPHOLOGY (ICD-O AT START SYSTEMIC ANTI-CANCER THERAPY) |
| R | TNM CATEGORY (FINAL PRETREATMENT) |
| PROGRAMME AND REGIMEN |
|---|
| To carry details of the Systemic Anti-Cancer Therapy Programme and Systemic Anti-Cancer Drug Regimen. Multiple occurrences of this group are permitted (at least one must be present). | |
| M/R/O | Data Set Data Elements |
| R | SYSTEMIC ANTI-CANCER THERAPY PROGRAMME NUMBER |
| R | ANTI-CANCER REGIMEN NUMBER |
| R | DRUG TREATMENT INTENT |
| M | DRUG REGIMEN ACRONYM |
| R | PERSON HEIGHT IN METRES |
| R | PERSON WEIGHT |
| R | PERFORMANCE STATUS (ADULT) or PERFORMANCE STATUS (YOUNG PERSON) |
| R | CO-MORBIDITY ADJUSTMENT INDICATOR |
| R | DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) |
| M | START DATE (ANTI-CANCER DRUG REGIMEN) |
| R | CLINICAL TRIAL INDICATOR |
| R | CHEMO-RADIATION INDICATOR |
| R | NUMBER OF SYSTEMIC ANTI-CANCER THERAPY CYCLES PLANNED |
| CYCLE |
|---|
| To carry details of each Systemic Anti-Cancer Therapy Cycle. Multiple occurrences of this group are permitted (at least one must be present). | |
| M/R/O | Data Set Data Elements |
| M | ANTI-CANCER DRUG CYCLE IDENTIFIER |
| R | START DATE (SYSTEMIC ANTI-CANCER DRUG CYCLE) |
| O | PERSON WEIGHT |
| R | PERFORMANCE STATUS (ADULT) or PERFORMANCE STATUS (YOUNG PERSON) |
| R | PRIMARY PROCEDURE (OPCS) |
| DRUG DETAILS |
|---|
| To carry details of the Systemic Anti-Cancer Therapy Drugs. Multiple occurrences of this group are permitted (one occurrence for each Systemic Anti-Cancer Therapy Drug - at least one must be present). | |
| M/R/O | Data Set Data Elements |
| R | SYSTEMIC ANTI-CANCER DRUG NAME |
| R | CHEMOTHERAPY ACTUAL DOSE |
| R | SYSTEMIC ANTI-CANCER THERAPY DRUG ROUTE OF ADMINISTRATION |
| R | SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION DATE |
| R | ORGANISATION CODE (CODE OF PROVIDER) |
| R | PRIMARY PROCEDURE (OPCS) |
| OUTCOME |
|---|
| To carry details of the outcome / summary. One occurrence of this group is permitted. | |
| M/R/O | Data Set Data Elements |
| R | START DATE (FINAL SYSTEMIC ANTI-CANCER THERAPY) |
| R | SYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (DOSE REDUCTION) |
| R | SYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (TIME DELAY) |
| R | SYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (DAYS REDUCED) |
| R | PLANNED TREATMENT CHANGE REASON |
| R | PERSON DEATH DATE |
Change to Central Return Form: Changed Description
KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
Part C1 - First attendances by type of procedure and result of referral
Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.
Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C1 data is collected on the woman's first Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.
Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.
Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.
For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.
The procedures undertaken in the colposcopy clinics are Patient Procedure. Only one Patient Procedure should be counted for each woman's first attendance. If more than one procedure is carried out, the most severe should be recorded for KC65.
Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.
Result of referral smear
Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.
Inadequate (line 0001)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.
Borderline changes (line 0002)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.
Mild dyskaryosis (line 0003)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.
Moderate dyskaryosis (line 0004)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.
Severe dyskaryosis (line 0005)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.
Severe dyskaryosis/invasive carcinoma (line 0006)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.
Glandular neoplasia (line 0007)
A count of the number of women with aCYTOLOGY RESULT TYPEclassification of'?Glandular neoplasia (cat. 6), including adenocarcinoma'.Referral Indication - Clinical indication (lines 0008, 0009)A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Glandular neoplasia (cat. 6), including adenocarcinoma'.
Referral Indication - Clinical indication (lines 0008, 0009)
These columns count first attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.
Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION of classification Clinical indication should be recorded in this line regardless of the result of any smear taken after the referral.
Clinical Indication Urgent (line 0008)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION of classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.
Clinical Indication Non-Urgent (line 0009)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy
Other (line 0010)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'Other'.
Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.
Total (line 0011)
This is the total for all women counted in columns 2 to 8.
No treatment (column 2)
This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.
Procedure Type
Diagnostic biopsy (punch) (column 3)
This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.
Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.
Ablation + No Biopsy taken or biopsy result not yet known (column 5)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.
Ablation + Biopsy (column 6)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available'.
Other (column 7)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.
Number of first attendances (column 8)
This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.
Change to Central Return Form: Changed Description
KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
Part C2 - All attendances by type of procedure and result of referral
Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.
Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C2 data is collected on each Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.
Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.
Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.
For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.
The procedures undertaken in the colposcopy clinics are Patient Procedures. Only one Patient Procedure should be counted for each Clinic Attendance Consultant or Clinic Attendance Nurse. If more than one procedure is carried out, the most severe should be recorded for KC65.
Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.
Result of referral smear
Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.
Inadequate (line 0001)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.
Borderline changes (line 0002)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.
Mild dyskaryosis (line 0003)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.
Moderate dyskaryosis (line 0004)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.
Severe dyskaryosis (line 0005)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.
Severe dyskaryosis/invasive carcinoma (line 0006)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.
Glandular neoplasia (line 0007)
A count of the number of women with aCYTOLOGY RESULT TYPEclassification of'?Glandular neoplasia (cat. 6), including adenocarcinoma'.Referral Indication - Clinical indication (lines 0008, 0009)A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Glandular neoplasia (cat. 6), including adenocarcinoma'.
Referral Indication - Clinical indication (lines 0008, 0009)
These columns count attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.
Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication' should be recorded in this line regardless of the result of any smear taken after the referral.
Clinical Indication Urgent (line 0008)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.
Clinical Indication Non-Urgent (line 0009)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy
Other (line 0010)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Other'.
Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.
Total (line 0011)
This is the total for all women counted in columns 2 to 8.
No treatment (column 2)
This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.
Procedure Type
Diagnostic biopsy (punch) (column 3)
This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.
Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.
Ablation + No Biopsy taken or biopsy result not yet known (column 5)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.
Ablation + Biopsy (column 6)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available.'
Other (column 7)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.
Number of first attendances (column 8)
This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.
Change to Central Return Form: Changed Description
KH03 - Bed Availability and Occupancy
Part 1a Supporting facilities
Details of supporting facilities of the following types that are available at theORGANISATION SITESof the NHSHealth Care Provideron theCENSUS DATE.the total number ofOPERATING THEATRES.the number ofOPERATING THEATRESwhere theOPERATING THEATRE DEDICATED TO DAY CASESis classification 'Dedicated to day cases' on theirOPERATING THEATRE OPERATIONAL PLANS.Details of supporting facilities of the following types that are available at the ORGANISATION SITES of the NHS Health Care Provider on the CENSUS DATE
- the total number of OPERATING THEATRES
- the number of OPERATING THEATRES where the OPERATING THEATRE DEDICATED TO DAY CASES is classification 'Dedicated to day cases' on their OPERATING THEATRE OPERATIONAL PLANS
- whether there is a Pathology Department (Yes/No)
- whether there is a Radiology Department (Yes/No)
- the ACCIDENT AND EMERGENCY DEPARTMENT TYPE.
Where there is more than one ACCIDENT AND EMERGENCY DEPARTMENT TYPE, indicate the ACCIDENT AND EMERGENCY DEPARTMENT TYPE that provides the most comprehensive service.
Part 1b Number of available neonatal intensive care cots at 31 March
Record the total number of cots resourced for the provision of intensive care to a neonate. This is the total of WARD BED AVAILABILITY for AUGMENTED CARE LOCATION CODE National Code 08 'Neonatal Intensive Care Unit' at CENSUS DATE.
Part 1c Number of available paediatric intensive care beds at 31 March
This is the total of WARD BED AVAILABILITY for AUGMENTED CARE LOCATION CODE National Code 06 'Paediatric Intensive Care Unit' at CENSUS DATE.
Part 2 Bed Availability and occupancy: beds in Wards open overnight
Bed Days
This requires a count of the total number of available bed days and occupied bed days in WARDS with a WARD DAY NIGHT INDICATOR classification of 'Only open overnight' or 'Open 24 hours' taken from the DAILY WARD LISTINGS over the course of the year ending 31 March. Available bed days are the sum of the WARD LISTING TOTAL BED OCCUPIED and WARD LISTING TOTAL BED UNOCCUPIED. Unoccupied beds must be available for use. It does not include residential care (covered in Part 3) or WARDS open only during the day (covered in Part 4). Exclude from the bed days available totals any beds designated solely for the use of well babies. Exclude from the bed days occupied totals any bed days of occupation by well babies.
Ward Classification
The totals are further subdivided by ward classification. These classifications are derived as follows from theDAILY WARD LISTINGof aWARDwith aWARD OPERATIONAL PLANwith:Intensive Care - NeonatesaBROAD PATIENT GROUP CODEof National Code 3 'Neonates' and aCLINICAL CARE INTENSITYof National Code 31 'not associated with the maternity ward and in which there are some designated cots for intensive care'.Intensive Care - PaediatricanAGE GROUP INTENDEDof National Code 2 'Children and/or adolescents' and aCLINICAL CARE INTENSITYof National Code 11 'for intensive therapy, including high dependency care'.Intensive Care - Wholly or mainly adultanAGE GROUP INTENDEDof National Code 8 'Any age' and aCLINICAL CARE INTENSITYof National Code 11 'for intensive therapy, including high dependency care'.Terminally ill/palliative care - ChildrenanAGE GROUP INTENDEDof National Code 2 'children and/or adolescents' and aBROAD PATIENT GROUP CODEof National Code 8 'Terminally ill/palliative care'.Terminally ill/palliative care - Wholly or mainly adultanAGE GROUP INTENDEDof National Code 8 'Any age' and aBROAD PATIENT GROUP CODEof National Code 8 'Terminally ill/palliative care'.Younger physically disabledaBROAD PATIENT GROUP CODEof National Code 2 'Younger physically disabled'.Other general and acute - Neonates and childrenThis should be the sum of all available and occupied bed days where theAGE GROUP INTENDEDisChildren and/or adolescentsorNeonatesand theCLINICAL CARE INTENSITYNational Code is one of the following:for neonates: 33 'maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself',for neonates: 32 'non-maternity: not associated with the maternity ward and without designated cots for intensive care',for general patients: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',for general patients: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'.
Other general and acute - Elderly: Normal CareanAGE GROUP INTENDEDof National Code 3 'Elderly' and aCLINICAL CARE INTENSITYof National Code 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy'Other general and acute - Elderly: Limited CareanAGE GROUP INTENDEDof National Code 3 'Elderly' and aCLINICAL CARE INTENSITYof National Code 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'Other general and acute - OtheranAGE GROUP INTENDEDof National Code 8 'Any age' and aCLINICAL CARE INTENSITYNational Code of:for general patients: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',orfor general patients: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'
MaternityaBROAD PATIENT GROUP CODEof National Code 4 'Maternity patients'The totals are further subdivided by ward classification. These classifications are derived as follows from the DAILY WARD LISTING of a WARD with a WARD OPERATIONAL PLAN with:
Intensive Care - Neonates
a BROAD PATIENT GROUP CODE of National Code 3 'Neonates' and a CLINICAL CARE INTENSITY of National Code 31 'not associated with the maternity ward and in which there are some designated cots for intensive care'.Intensive Care - Paediatric
an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents' and a CLINICAL CARE INTENSITY of National Code 11 'for intensive therapy, including high dependency care'.Intensive Care - Wholly or mainly adult
an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY of National Code 11 ' for intensive therapy, including high dependency care'.Terminally ill/palliative care - Children
an AGE GROUP INTENDED of National Code 2 'children and/or adolescents' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.Terminally ill/palliative care - Wholly or mainly adult
an AGE GROUP INTENDED of National Code 8 'Any age' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.Younger physically disabled
a BROAD PATIENT GROUP CODE of National Code 2 'Younger physically disabled'.Other general and acute - Neonates and children
This should be the sum of all available and occupied bed days where the AGE GROUP INTENDED is Children and/or adolescents or Neonates and the CLINICAL CARE INTENSITY National Code is one of the following:- for neonates: 33 'maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself',
- for neonates: 32 'non-maternity: not associated with the maternity ward and without designated cots for intensive care',
- for general PATIENTS: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
- for general PATIENTS: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'.
Other general and acute - Elderly: Normal Care
an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy'Other general and acute - Elderly: Limited Care
an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'Other general and acute - Other
an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY National Code of:- for general PATIENTS: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
or - for general PATIENTS: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'
Maternity
a BROAD PATIENT GROUP CODE of National Code 4 'Maternity patients'- for neonates: 33 'maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself',
Change to Supporting Information: Changed Description
An Anti-Cancer Drug Fraction is a CLINICAL INTERVENTION.
An Anti-Cancer Drug Fraction is the actual administration of one or more anti-cancer drugs to a PATIENT. The fraction usually equates to a single contact with a chemotherapy nurse specialist. The fraction usually equates to a single contact with a Chemotherapy nurse specialist.
References:
National Cancer Dataset
Change to Supporting Information: Changed Description
Attendance Date is an ACTIVITY DATE TIME.An Attendance Date is an ACTIVITY DATE TIME.
The date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Accident and Emergency Department or by a Ward Attender.An Attendance Date is the date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Accident and Emergency Department or by a Ward Attender.
Change to Supporting Information: Changed Description
Body Surface Area is a MEASURED PERSON OBSERVATION.
The surface area of a PERSON's skin, used to calculate doses of chemotherapy drugs.Body Surface Area is the surface area of a PERSON's skin, used to calculate doses of Chemotherapy drugs. The type of measurement is square metres.
References: National Cancer Dataset Version 1.3_ISB October 2002
Change to Supporting Information: Changed Description
Brachytherapy Treatment Course is a CLINICAL INTERVENTION.
A prescribed course of radiotherapy brachytherapy treatment for a PATIENT.A Brachytherapy Treatment Course is a prescribed course of radiotherapy brachytherapy treatment for a PATIENT.
Unsealed Source Treatment Course is a Brachytherapy Treatment Course.
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 (see Department of Health guidance at Cancer Waiting Times Documentation and Links) 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). This is the same as TREATMENT START DATE FOR CANCER.
If the PATIENT receives several different types of treatment within the same Cancer Care Plan (eg 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).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 FOR CANCER.
CANCER CARE SETTING (TREATMENT) is used to derive whether waiting time adjustment between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER) may be recorded in WAITING TIME ADJUSTMENT (TREATMENT).CANCER CARE SETTING (TREATMENT) is used to derive whether a waiting time adjustment between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER may be recorded in WAITING TIME ADJUSTMENT (TREATMENT).
Information recorded for a Cancer Treatment Period includes:
CANCER TREATMENT PERIOD START DATE
TREATMENT START DATE (CANCER)TREATMENT START DATE FOR CANCER
Change to Supporting Information: Changed Description
TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.
The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.
A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).
MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.
For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.
Table 1 Main Specialty codes
| Code | Main Specialty Title | |
|---|---|---|
| Surgical Specialties | ||
| 100 | GENERAL SURGERY | |
| 101 | UROLOGY | |
| 110 | TRAUMA & ORTHOPAEDICS | |
| 120 | ENT | |
| 130 | OPHTHALMOLOGY | |
| 140 | ORAL SURGERY | |
| 141 | RESTORATIVE DENTISTRY | |
| 142 | PAEDIATRIC DENTISTRY | |
| 143 | ORTHODONTICS | |
| 145 | ORAL & MAXILLO FACIAL SURGERY | |
| 146 | ENDODONTICS | |
| 147 | PERIODONTICS | |
| 148 | PROSTHODONTICS | |
| 149 | SURGICAL DENTISTRY | |
| 150 | NEUROSURGERY | |
| 160 | PLASTIC SURGERY | |
| 170 | CARDIOTHORACIC SURGERY | |
| 171 | PAEDIATRIC SURGERY | |
| 180 | ACCIDENT & EMERGENCY | |
| 191 | Retired | |
| Medical Specialties | ||
| 190 | ANAESTHETICS | |
| 192 | CRITICAL CARE MEDICINE | |
| 300 | GENERAL MEDICINE | |
| 301 | GASTROENTEROLOGY | |
| 302 | ENDOCRINOLOGY | |
| 303 | CLINICAL HAEMATOLOGY | |
| 304 | CLINICAL PHYSIOLOGY | |
| 305 | CLINICAL PHARMACOLOGY | |
| 310 | AUDIOLOGICAL MEDICINE | |
| 311 | CLINICAL GENETICS | |
| * | 312 | CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010) |
| 313 | CLINICAL IMMUNOLOGY and ALLERGY | |
| 314 | REHABILITATION | |
| 315 | PALLIATIVE MEDICINE | |
| 320 | CARDIOLOGY | |
| 321 | PAEDIATRIC CARDIOLOGY | |
| ** | 325 | SPORTS AND EXERCISE MEDICINE |
| ** | 326 | ACUTE INTERNAL MEDICINE |
| 330 | DERMATOLOGY | |
| 340 | RESPIRATORY MEDICINE (also known as thoracic medicine) | |
| 350 | INFECTIOUS DISEASES | |
| 352 | TROPICAL MEDICINE | |
| 360 | GENITOURINARY MEDICINE | |
| 361 | NEPHROLOGY | |
| 370 | MEDICAL ONCOLOGY | |
| 371 | NUCLEAR MEDICINE | |
| 400 | NEUROLOGY | |
| 401 | CLINICAL NEURO-PHYSIOLOGY | |
| 410 | RHEUMATOLOGY | |
| 420 | PAEDIATRICS | |
| 421 | PAEDIATRIC NEUROLOGY | |
| 430 | GERIATRIC MEDICINE | |
| 450 | DENTAL MEDICINE SPECIALTIES | |
| ** | 451 | SPECIAL CARE DENTISTRY |
| 460 | MEDICAL OPHTHALMOLOGY | |
| † | 500 | OBSTETRICS and GYNAECOLOGY |
| 501 | OBSTETRICS | |
| 502 | GYNAECOLOGY | |
| ** | 504 | COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH |
| 510 | Retired | |
| 520 | Retired | |
| 560 | MIDWIFE EPISODE | |
| 600 | GENERAL MEDICAL PRACTICE | |
| 601 | GENERAL DENTAL PRACTICE | |
| 610 | Retired | |
| 620 | Retired | |
| Psychiatry | ||
| 700 | LEARNING DISABILITY | |
| 710 | ADULT MENTAL ILLNESS | |
| 711 | CHILD and ADOLESCENT PSYCHIATRY | |
| 712 | FORENSIC PSYCHIATRY | |
| 713 | PSYCHOTHERAPY | |
| 715 | OLD AGE PSYCHIATRY | |
| Radiology | ||
| 800 | CLINICAL ONCOLOGY (previously RADIOTHERAPY) | |
| 810 | RADIOLOGY | |
| Pathology | ||
| 820 | GENERAL PATHOLOGY | |
| 821 | BLOOD TRANSFUSION | |
| 822 | CHEMICAL PATHOLOGY | |
| 823 | HAEMATOLOGY | |
| 824 | HISTOPATHOLOGY | |
| 830 | IMMUNOPATHOLOGY | |
| 831 | MEDICAL MICROBIOLOGY AND VIROLOGY | |
| 832 | Retired | |
| ** | 833 | MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY) |
| ** | 834 | MEDICAL VIROLOGY |
| Other | ||
| 900 | COMMUNITY MEDICINE | |
| 901 | OCCUPATIONAL MEDICINE | |
| 902 | COMMUNITY HEALTH SERVICES DENTAL | |
| 903 | PUBLIC HEALTH MEDICINE | |
| 904 | PUBLIC HEALTH DENTAL | |
| 950 | NURSING EPISODE | |
| 960 | ALLIED HEALTH PROFESSIONAL EPISODE | |
| 990 | Retired | |
Notes:
| † | Code 500 is not acceptable for Central Returns including Hospital Episode Statistics |
| * | Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010. |
| ** | The functionality to report these MAIN SPECIALTY CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These MAIN SPECIALTY CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1). |
| Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960. | |
| The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice | |
| Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic |
Table 2 Treatment Function codes
| Code | Treatment Function Title | Comments |
|---|---|---|
| Surgical Specialties | ||
| 100 | GENERAL SURGERY | Includes sub-categories not elsewhere listed eg endocrine surgery. |
| 101 | UROLOGY | |
| 102 | TRANSPLANTATION SURGERY | Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts. |
| 103 | BREAST SURGERY | Includes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery. |
| 104 | COLORECTAL SURGERY | Surgical treatment of disorders of the lower intestine (colon, anus and rectum) |
| 105 | HEPATOBILIARY & PANCREATIC SURGERY | Includes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery |
| 106 | UPPER GASTROINTESTINAL SURGERY | |
| 107 | VASCULAR SURGERY | |
| 110 | TRAUMA & ORTHOPAEDICS | |
| 120 | ENT | Ear, nose and throat |
| 130 | OPHTHALMOLOGY | |
| 140 | ORAL SURGERY | |
| 141 | RESTORATIVE DENTISTRY | Endodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry |
| 142 | PAEDIATRIC DENTISTRY | |
| 143 | ORTHODONTICS | |
| 144 | MAXILLO-FACIAL SURGERY | Mouth, jaw and face related surgery. |
| 150 | NEUROSURGERY | |
| 160 | PLASTIC SURGERY | |
| 161 | BURNS CARE | To be used by recognised specialist units and associated outreach services only |
| 170 | CARDIOTHORACIC SURGERY | Should only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery |
| 171 | PAEDIATRIC SURGERY | This is paediatric general surgery |
| 172 | CARDIAC SURGERY | |
| 173 | THORACIC SURGERY | |
| 174 | CARDIOTHORACIC TRANSPLANTATION | To be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services. |
| 180 | ACCIDENT & EMERGENCY | |
| 191 | PAIN MANAGEMENT | Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team |
| Other Children's Specialties | ||
| 211 | PAEDIATRIC UROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 212 | PAEDIATRIC TRANSPLANTATION SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 213 | PAEDIATRIC GASTROINTESTINAL SURGERY | Dedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery. |
| 214 | PAEDIATRIC TRAUMA AND ORTHOPAEDICS | Dedicated services to children with appropriate facilities and support staff. |
| 215 | PAEDIATRIC EAR NOSE AND THROAT | Dedicated services to children with appropriate facilities and support staff |
| 216 | PAEDIATRIC OPHTHALMOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 217 | PAEDIATRIC MAXILLO-FACIAL SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 218 | PAEDIATRIC NEUROSURGERY | Dedicated services to children with appropriate facilities and support staff |
| 219 | PAEDIATRIC PLASTIC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 220 | PAEDIATRIC BURNS CARE | Dedicated services to children with appropriate facilities and support staff |
| 221 | PAEDIATRIC CARDIAC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 222 | PAEDIATRIC THORACIC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 241 | PAEDIATRIC PAIN MANAGEMENT | Dedicated services to children with appropriate facilities and support staff |
| 242 | PAEDIATRIC INTENSIVE CARE | Only to be used by designated Paediatric Intensive Care Units |
| 251 | PAEDIATRIC GASTROENTEROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 252 | PAEDIATRIC ENDOCRINOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 253 | PAEDIATRIC CLINICAL HAEMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 254 | PAEDIATRIC AUDIOLOGICAL MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 255 | PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY | Dedicated services to children with appropriate facilities and support staff |
| 256 | PAEDIATRIC INFECTIOUS DISEASES | Dedicated services to children with appropriate facilities and support staff |
| 257 | PAEDIATRIC DERMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 258 | PAEDIATRIC RESPIRATORY MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 259 | PAEDIATRIC NEPHROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 260 | PAEDIATRIC MEDICAL ONCOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 261 | PAEDIATRIC METABOLIC DISEASE | Dedicated services to children with appropriate facilities and support staff |
| 262 | PAEDIATRIC RHEUMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 263** | PAEDIATRIC DIABETIC MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 264** | PAEDIATRIC CYSTIC FIBROSIS | Dedicated services to children with appropriate facilities and support staff |
| 280 | PAEDIATRIC INTERVENTIONAL RADIOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 290 | COMMUNITY PAEDIATRICS | Includes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability. |
| 291 | PAEDIATRIC NEURO-DISABILITY | Dedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability. |
| Medical Specialties | ||
| 190 | ANAESTHETICS | This can be used in out-patients only. Pain Management should be recorded in 191. |
| 192 | CRITICAL CARE MEDICINE | also known as Intensive Care Medicine |
| 300 | GENERAL MEDICINE | Includes sub-categories not elsewhere listed eg metabolic medicine. |
| 301 | GASTROENTEROLOGY | |
| 302 | ENDOCRINOLOGY | |
| 303 | CLINICAL HAEMATOLOGY | Excludes ANTICOAGULANT SERVICE see 324 |
| 304 | CLINICAL PHYSIOLOGY | Physiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology. |
| 305 | CLINICAL PHARMACOLOGY | |
| 306 | HEPATOLOGY | Also known as liver medicine |
| 307 | DIABETIC MEDICINE | |
| 308 | BLOOD AND MARROW TRANSPLANTATION | Previously in Clinical Haematology. Includes haemopoietic stem cell transplantation. |
| 309 | HAEMOPHILIA | Previously in Clinical Haematology |
| 310 | AUDIOLOGICAL MEDICINE | The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests. |
| 311 | CLINICAL GENETICS | To be used by recognised specialist units and associated outreach services only. |
| 312 | not a Treatment Function | |
| 313 | CLINICAL IMMUNOLOGY and ALLERGY | Should only be used where there are no separate services for Clinical Immunology and Allergy |
| 314 | REHABILITATION | |
| 315 | PALLIATIVE MEDICINE | |
| 316 | CLINICAL IMMUNOLOGY | |
| 317 | ALLERGY | The diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions. |
| 318 | INTERMEDIATE CARE | Intermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury |
| 319 | RESPITE CARE | |
| 320 | CARDIOLOGY | |
| 321 | PAEDIATRIC CARDIOLOGY | |
| 322 | CLINICAL MICROBIOLOGY | |
| 323 | SPINAL INJURIES | To be used by recognised specialist units and associated outreach services only. |
| 324 | ANTICOAGULANT SERVICE | 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. |
| 325** | SPORT AND EXERCISE MEDICINE | The 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. |
| 327** | CARDIAC REHABILITATION | Rehabilitation service for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health. |
| 328** | STROKE MEDICINE | For stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329 |
| 329** | TRANSIENT ISCHAEMIC ATTACK | A multidisciplinary 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. |
| 330 | DERMATOLOGY | |
| 340 | RESPIRATORY MEDICINE | Also known as Thoracic Medicine |
| 341 | RESPIRATORY PHYSIOLOGY | Physiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea). |
| 342** | PROGRAMMED PULMONARY REHABILITATION | A multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy. |
| 343** | ADULT CYSTIC FIBROSIS | Specialised, multidisciplinary service concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only. |
| 350 | INFECTIOUS DISEASES | |
| 352 | TROPICAL MEDICINE | |
| 360 | GENITOURINARY MEDICINE | |
| 361 | NEPHROLOGY | |
| 370 | MEDICAL ONCOLOGY | The diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer. |
| 371 | NUCLEAR MEDICINE | |
| 400 | NEUROLOGY | |
| 401 | CLINICAL NEUROPHYSIOLOGY | The study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG. |
| 410 | RHEUMATOLOGY | |
| 420 | PAEDIATRICS | |
| 421 | PAEDIATRIC NEUROLOGY | |
| 422 | NEONATOLOGY | Special Care, High Dependency and Intensive Care. |
| 424 | WELL BABIES | Care given by the mother/substitute with medical and neonatal nursing advice if needed |
| 430 | GERIATRIC MEDICINE | |
| 450 | DENTAL MEDICINE SPECIALTIES | Includes oral medicine. |
| 460 | MEDICAL OPHTHALMOLOGY | |
| 500 | not a Treatment Function | |
| 501 | OBSTETRICS | The management of pregnancy and childbirth including miscarriages but excluding planned terminations. |
| 502 | GYNAECOLOGY | Disorders of the female reproductive system. Includes planned terminations. |
| 503 | GYNAECOLOGICAL ONCOLOGY | |
| 510 | Retired | Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required |
| 520 | Retired | Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required |
| 560 | MIDWIFE EPISODE | |
| 600 | not a Treatment Function | |
| 610 | Retired | Record as Obstetrics |
| 620 | Retired | Use the appropriate function under which the patient is treated |
| Therapies | ||
| 650 | PHYSIOTHERAPY | The treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing. |
| 651 | OCCUPATIONAL THERAPY | The use of specific activities to limit the effects of disability and promote independence in all aspects of daily life. |
| 652 | SPEECH AND LANGUAGE THERAPY | The assessment, treatment and help to prevent speech, language and swallowing difficulties. |
| 653 | PODIATRY | Also known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet. |
| 654 | DIETETICS | The application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities. |
| 655 | ORTHOPTICS | The diagnosis and treatment of visual problems involving eye movement and alignment. |
| 656 | CLINICAL PSYCHOLOGY | The diagnosis and treatment of emotional and behavioural disorders. |
| 657** | PROSTHETICS | The supply of prosthetics for PATIENTS. |
| 658** | ORTHOTICS | The supply of orthoses for PATIENTS. |
| 659** | DRAMATHERAPY | The use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes. |
| 660** | ART THERAPY | The use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication. |
| 661** | MUSIC THERAPY | The use of music and all of its facets to help clients to improve or maintain their health. |
| 662** | OPTOMETRY | The diagnosis and non-surgical treatment of disorders of the eye and vision care. |
| Psychiatry | ||
| 700 | LEARNING DISABILITY | |
| 710 | ADULT MENTAL ILLNESS | |
| 711 | CHILD and ADOLESCENT PSYCHIATRY | |
| 712 | FORENSIC PSYCHIATRY | |
| 713 | PSYCHOTHERAPY | |
| 715 | OLD AGE PSYCHIATRY | |
| 720 | EATING DISORDERS | A specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. |
| 721 | ADDICTION SERVICES | The psychiatric prevention and treatment of substance misuse including drugs and alcohol |
| 722 | LIAISON PSYCHIATRY | The provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health. |
| 723 | PSYCHIATRIC INTENSIVE CARE | The provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings. |
| 724 | PERINATAL PSYCHIATRY | A specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems. |
| Radiology | ||
| 800 | CLINICAL ONCOLOGY (previously RADIOTHERAPY) | The diagnosis and treatment, typically with radiotherapy, of patients with cancer. |
| 810 | not a Treatment Function | |
| 811 | INTERVENTIONAL RADIOLOGY | Not to be used for diagnostic imaging. |
| 812 | DIAGNOSTIC IMAGING | The production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans. |
| Pathology | ||
| 820 | not a Treatment Function | |
| 821 | not a Treatment Function | |
| 822 | CHEMICAL PATHOLOGY | To be used for clinical management only. |
| 823 | not a Treatment Function | See Clinical Haematology |
| 824 | not a Treatment Function | |
| 830 | not a Treatment Function | See Clinical Immunology |
| 831 | not a Treatment Function | See Clinical Microbiology |
| 832 | Retired | |
| 834** | MEDICAL VIROLOGY | The diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and newly emerging viruses such as SARS and avian flu. |
| 840 | AUDIOLOGY | Physiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss. |
| Other | ||
| 900 | not a Treatment Function | |
| 901 | not a Treatment Function | |
| 950 | not a Treatment Function | Use the appropriate function under which the patient is treated |
| 960 | not a Treatment Function | Use the appropriate function under which the patient is treated |
| 990 | Retired | |
Notes:
| † | Code 500 is not acceptable for Central Returns including Hospital Episode Statistics |
| ** | The functionality to report these TREATMENT FUNCTION CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1) |
| TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg 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 |
Change to Supporting Information: Changed Description
Payment by Results (PbR) is managed by the Department of Health and provides a transparent, rules-based system for paying NHS funded care in England.
It rewards efficiency, supports PATIENT choice and diversity and encourages ACTIVITY for sustainable waiting time reductions.
Payment is linked to ACTIVITY and adjusted for casemix. Importantly, this system ensures a fair and consistent basis for hospital funding rather than being reliant principally on historic budgets and the negotiating skills of individual managers.
For further information on Payment by Results, see the:
Change to Supporting Information: Changed Description, Name
Release: October 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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) - 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:
- CR1105 (1 April 2012) - ISB 1510 Amd 25/2010 Community Information Data Set
Release: July 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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:
- CR1148 (1 July 2012) - ISB 1080 Amd 129/2010 NHS Health Checks Data Set
Release: June 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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:
- CR1050 (1 April 2012) - ISB 1520 Amd 51/2010 Improving Access to Psychological Therapies Data Set
Release: March 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
- CR1224 (1 April 2011) - ISB 0092 Amd 02/20110 Commissioning Data Set Schema Version 6-1-1
- CR1223 (Immediate) - DDCN 1223/2011 Updates to Family Planning References
- CR1225 (Immediate) - DDCN 1225/2011 Practitioners with Special Interests
- CR1216 (1 April 2011) - ISB 0028 Amd 170/2010 Changes to Treatment Function Codes
- CR1203 (1 April 2011) - ISB 0084 Amd 150/2010 Introduction of OPCS Classification of Interventions and Procedures Version 4.6
Release: January 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
- CR1175 (1 April 2011) - ISB 1518 Amd 166/2010 Changes to Sexual and Reproductive Health Activity Data Set
- CR1198 (Immediate) - ISB 1067 Amd 165/2010 National Workforce Data Set
- CR1207 (01 December 2010) - ISB 1573 Amd 168/2010 Mixed-Sex Accommodation
- CR1149 (01 January 2011) - ISB 0139 Amd 99/2010 GUMCAD: Change to Genitourinary (GU) Episode Types
Release: November 2010
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Information Standards Notices and Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- CR1134 (Immediate - ISB 1067/2010 Amd 109/2010 National Workforce Data Set
- CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
- CR1121 (Immediate) - DSCN 17/2010 Retirement of Data Standard KC60 Central Return
Release: May 2010
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services
Release: March 2010
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References
Release: December 2009
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards
Release: June 2009
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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 2011) - 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category
Release: August 2008
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
Data Set Change Notices incorporated into the NHS Data Model and Dictionary:
- 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
For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website
Change to Supporting Information: Changed Description
The World Health Organisation is an ORGANISATION.The World Health Organisation (WHO) is an ORGANISATION.
The World Health Organisation is a specialist agency of the United Nations that acts as a coordinating authority on international public health. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.
Further information can be found at the World Organisation website.The World Health Organisation is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.
Change to Class: Changed Attributes
| A and E INCIDENT LOCATION TYPE | ||
| A and E PATIENT GROUP | ||
| ACTIVITY GROUP TYPE | ||
| ADMISSION METHOD | ||
| AMI ADMISSION DIAGNOSIS | ||
| AMI ADMISSION WARD TYPE | ||
| AMI ADMITTING CONSULTANT TYPE | ||
| AMI CAUSE OF DEATH IN HOSPITAL | ||
| AMI DISCHARGE DIAGNOSIS | ||
| AMI HEART RATE | ||
| BONE SARCOMA LOCATION | ||
| BREASTFEEDING STATUS | ||
| BROAD PATIENT GROUP | ||
| CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS | ||
| CANCER REFERRAL TO TREATMENT PERIOD START DATE | ||
| CANCER TREATMENT INTENT | ||
| CANCER TREATMENT PERIOD START DATE | ||
| CARE PROGRAMME APPROACH LEVEL | ||
| COPD PRESENT | ||
| CORONARY ANGIOGRAPHY PERFORMED | ||
| DELIVERY FACILITIES ONLY USED | ||
| DELIVERY PLACE CHANGE REASON | ||
| DIAGNOSTIC ROUTE | ||
| DISCHARGE DESTINATION | ||
| DISCHARGE FROM MENTAL HEALTH SERVICE REASON | ||
| DISCHARGE METHOD | ||
| DISTRIBUTION OF LESIONS PRESENT | ||
| ECG DETERMINING TREATMENT | ||
| FIRST REGULAR DAY OR NIGHT ADMISSION | ||
| FULL POSTNATAL EXAMINATION DATE | ||
| GENERAL DENTAL SERVICE INDICATOR | ||
| GENETICALLY DETERMINED SKIN CANCER TYPE | ||
| IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE | ||
| INFECTION PROBABLE SOURCE | ||
| INITIAL CONTACT TYPE | ||
| INTENDED DELIVERY PLACE | ||
| INVESTIGATION OR INTERVENTION REFERRAL DATE | ||
| LENGTH OF STAY ADJUSTMENT | ||
| LENGTH OF STAY ADJUSTMENT REASON | ||
| MATERNAL RUBELLA STATUS | ||
| MENSTRUAL STATUS | ||
| MENTAL HEALTH CARE SPELL END CODE | ||
| MIDWIFE EPISODE END REASON | ||
| NEONATAL LEVEL OF CARE | ||
| NURSING EPISODE END REASON | ||
| NUTRITIONAL SUPPORT PROVIDED TYPE | ||
| PATIENT CLASSIFICATION | ||
| POSSUM SCORE (AFTER SURGERY) | ||
| POSSUM SCORE (AT DIAGNOSIS) | ||
| PREGNANCY LEAD PROFESSIONAL TYPE | ||
| PREGNANCY PREVIOUS CAESAREAN SECTIONS | ||
| PREGNANCY PREVIOUS INDUCED ABORTIONS | ||
| PREGNANCY TOTAL LIVE BIRTHS | ||
| PREGNANCY TOTAL NEONATAL DEATHS | ||
| PREGNANCY TOTAL NON-INDUCED ABORTIONS | ||
| PREGNANCY TOTAL PREVIOUS PREGNANCIES | ||
| PREGNANCY TOTAL STILL BIRTHS | ||
| PREVIOUS MATERNAL BLOOD TRANSFUSION | ||
| PREVIOUS TREATMENT ELSEWHERE | ||
| QUALITY OF LIFE | ||
| RADIOTHERAPY INTENT | ||
| REHABILITATION REFERRAL | ||
| RTA FURTHER ADMISSION PLANNED | ||
| SARCOMA CONDITION FIRST SEEN | ||
| SARCOMA LARGEST DIAMETER | ||
| SARCOMA PART SITE | ||
| S CATEGORY FINAL PRETREATMENT | ||
| SERUM TUMOUR MARKER PSA AT DIAGNOSIS | ||
| SKIN TCELL CLINICAL VARIANT | ||
| SKIN TCELL SURFACE AREA | ||
| SOFT TISSUE SARCOMA LOCATION | ||
| SOURCE OF ADMISSION | ||
| SUPERVISED COMMUNITY TREATMENT END REASON | ||
| SUPERVISION REGISTER RISK | ||
| TELEPHONE CONTACT INDICATOR | ||
| TREATMENT START DATE FOR CANCER | ||
| WARD STAY TERMINATION REASON |
Change to Class: Changed Attributes
| K | CARE PLAN NUMBER | |
| CANCER CARE PLAN INTENT | ||
| CARE PLAN AGREED DATE | ||
| CARE PLAN TYPE | ||
| MULTIDISCIPLINARY TEAM DISCUSSION DATE FOR CANCER | ||
| NO CANCER TREATMENT REASON | ||
| PATIENT ON IMMUNOSUPPRESSIVE THERAPY | ||
| PRIMARY CARE COMMUNICATION SENT DATE | ||
| RECURRENCE INDICATOR | ||
| SOCIAL WORKER INVOLVEMENT INDICATOR |
Change to Class: Changed Attributes
| ACCIDENT AND EMERGENCY INVESTIGATION | ||
| ACCIDENT AND EMERGENCY TREATMENT | ||
| ANATOMICAL EXAMINATION SITE | ||
| ANTI CANCER REGIMEN NUMBER | ||
| ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE | ||
| BODY IRRADIATION | ||
| BRACHYTHERAPY ACTUAL FRACTION | ||
| BRACHYTHERAPY DELIVERY TYPE | ||
| BRACHYTHERAPY DOSE RATE | ||
| BRACHYTHERAPY ISOTOPE TYPE | ||
| BRACHYTHERAPY PRESCRIBED FRACTION | ||
| BRACHYTHERAPY TYPE | ||
| BREAST ASSESSMENT OR TEST OUTCOME | ||
| CANCER IMAGING MODALITY | ||
| CANCER TREATMENT MODALITY | ||
| CHEMO RADIATION INDICATOR | ||
| CHEMOTHERAPY ACTUAL DOSE | ||
| CLINICAL EXAMINATION FINDINGS | ||
| CLINICAL INTERVENTION TYPE | ||
| COLONOSCOPY INCOMPLETE REASON | ||
| CO MORBIDITY ADJUSTMENT INDICATOR | ||
| CONTRACEPTION METHOD STATUS | ||
| CORONARY INTERVENTION PERFORMED | ||
| CYTOLOGY SCREENING ACTION TYPE | ||
| DENTAL TREATMENT CLASSIFICATION | ||
| DISCHARGE THERAPY TYPE | ||
| DRUG ADMINISTRATION DURATION | ||
| DRUG ADMINISTRATION STATUS | ||
| DRUG DAYS SUPPLY | ||
| DRUG DOSAGE AND ADMIN SPECIFICATION | ||
| DRUG IDENTIFICATION | ||
| DRUG INFORMATION COMMENT | ||
| DRUG INFORMATION TYPE | ||
| DRUG PROGRAMME RESPONSE | ||
| DRUG QUANTITY SUPPLIED | ||
| DRUG REGIMEN ACRONYM | ||
| DRUG ROUTE OF ADMINISTRATION | ||
| DRUG THERAPY TYPE | ||
| DRUG TREATMENT COST | ||
| DRUG TREATMENT INTENT | ||
| ENDOCRINE THERAPY TYPE | ||
| FIRST DEFINITIVE TREATMENT PROVIDED | ||
| FIRST DIAGNOSTIC TEST | ||
| FRACTION NUMBER | ||
| HIP REPLACEMENT BONEGRAFT | ||
| HIP SURGERY INCISION TYPE | ||
| HIP SURGERY PATIENT POSITION | ||
| HIP SURGERY TROCHANTER INDICATOR | ||
| IMAGE GUIDED SURGERY INDICATOR | ||
| IMAGING EVENT NUMBER | ||
| IMAGING INTERVENTION INDICATOR | ||
| IMAGING MODALITY | ||
| IMMUNITY TEST RESULT | ||
| INTERVENTION SESSION TYPE | ||
| INTERVENTION SETTING | ||
| JOINT REPLACEMENT PRIMARY OR REVISION | ||
| JOINT REPLACEMENT REVISION NUMBER | ||
| KNEE REPLACEMENT CEMENT INDICATOR | ||
| KNEE SURGERY FAT PAD REMOVED | ||
| KNEE SURGERY SKIN INCISION METHOD | ||
| KNEE SURGERY SURGICAL APPROACH | ||
| KNEE SURGERY TOURNIQUET USED | ||
| LABOUR FIRST STAGE LENGTH | ||
| LABOUR OR DELIVERY ONSET METHOD | ||
| LABOUR PROFESSIONAL PRIOR INVOLVEMENT | ||
| LABOUR SECOND STAGE LENGTH | ||
| MINIMALLY INVASIVE SURGERY INDICATOR | ||
| MINOR SURGERY TYPE | ||
| NATURE OF RISK AREA CODE | ||
| NEWBORN HEARING INCOMPLETE REASON CODE | ||
| NEW LESIONS TREATED NUMBER | ||
| NUMBER OF TELETHERAPY FIELDS | ||
| OPERATIVE PROCEDURE INDICATOR | ||
| OPPORTUNISTIC SCREENING TYPE | ||
| PATHOLOGY INVESTIGATION PRIORITY | ||
| PATHOLOGY RESULT REPORTED DATE | ||
| PATHOLOGY SPECIMEN TYPE | ||
| PATIENT PROCEDURE IMPLANT INDICATION | ||
| PATIENT PROCEDURE PERFORMED INDICATOR | ||
| PATIENT PROCEDURE RESULT | ||
| PLANNED TREATMENT CHANGE REASON | ||
| POST MORTEM TYPE | ||
| PRIMARY OR SUBSEQUENT COURSE | ||
| PRIMARY SCREENING | ||
| RADIOTHERAPY ACTUAL DOSE | ||
| RADIOTHERAPY ANAESTHETIC | ||
| RADIOTHERAPY ANATOMICAL TREATMENT SITE | ||
| RADIOTHERAPY PRESCRIBED DOSE | ||
| RADIOTHERAPY PRESCRIBED DURATION | ||
| RADIOTHERAPY TREATMENT COURSE STATUS | ||
| RADIOTHERAPY TREATMENT MODALITY | ||
| RATE OF GMP PAYMENT | ||
| RECURRENT LESIONS TREATED NUMBER | ||
| RESULT SENT DIRECT | ||
| ROUTINE OR EMERGENCY | ||
| SARCOMA SURGICAL MARGIN | ||
| SARCOMA SURGICAL PROCEDURE TYPE | ||
| SCHEDULED SESSION DURING OR OUTSIDE | ||
| SURGICAL DEFAULT TECHNIQUE INDICATOR | ||
| SURGICAL URGENCY | ||
| SYSTEMIC ANTI CANCER THERAPY DRUG ROUTE OF ADMINISTRATION | ||
| SYSTEMIC ANTI CANCER THERAPY PROGRAMME NUMBER | ||
| SYSTEMIC ANTI CANCER THERAPY REGIMEN MODIFICATION INDICATOR | ||
| TELETHERAPY ACTUAL FRACTIONS | ||
| TELETHERAPY BEAM TYPE | ||
| TELETHERAPY COMPLEXITY GROUP | ||
| TELETHERAPY ELECTRON ENERGY | ||
| TELETHERAPY FIELDS | ||
| TELETHERAPY MULTIPLE PLANNING | ||
| TELETHERAPY PHOTON ENERGY | ||
| TELETHERAPY PRESCRIBED FRACTIONS | ||
| THROMBO PROPHYLAXIS REGIME TYPE | ||
| TREATMENT EXPOSURE TYPE | ||
| TYPE OF ANAESTHETIC | ||
| UNSEALED SOURCE ISOTOPE TYPE | ||
| UNSEALED SOURCE PATIENT TYPE | ||
| VACCINATION REASON INDICATOR |
Change to Class: Changed Attributes
| K | REFERRAL DELAY NUMBER | |
| DELAY REASON COMMENT | ||
| DELAY REASON INDICATOR | ||
| DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS | ||
| DELAY REASON TO TREATMENT FOR CANCER | ||
| REFERRAL DELAY TYPE | ||
| WAITING TIME ADJUSTMENT REASON |
Change to Class: Changed Attributes
| K | SAMPLE COLLECTION DATE | |
| K | SAMPLE COLLECTION TIME | |
| AMOUNT OF SAMPLE COLLECTED | ||
| ANATOMICAL ORIGIN OF SAMPLE | ||
| SAMPLE COLLECTION PERIOD END DATE | ||
| SAMPLE COLLECTION PERIOD END TIME | ||
| SAMPLE COLLECTION PROCEDURE | ||
| SAMPLE HANDLING WARNING | ||
| SAMPLE IDENTIFIER FOR PROVIDER | ||
| SAMPLE IDENTIFIER FOR REQUESTER | ||
| SAMPLE RECEIPT DATE | ||
| SAMPLE RECEIPT TIME | ||
| SAMPLE TYPE | ||
| SAMPLE UNIT OF MEASURE | ||
| SPECIMEN TYPE FOR CHLAMYDIA TESTING | ||
| TRANSPORT TYPE FOR SAMPLE COLLECTED |
Change to Attribute: Changed Description
An ACTIVITY may have many dates and times associated with it but may only have one date or time of a particular type.
National Codes:
Dates
Note: This list is not in alphabetical order.
Times
Note: This list is not in alphabetical order.
Change to Attribute: Changed Description
This is recorded for PATIENT ACTIVITY.
The category 'amenity PATIENT' of the classification is only applicable to PATIENTS using a Hospital Bed.A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.
The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.
If the ADMINISTRATIVE CATEGORY CODE changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).
The category 'amenity PATIENT' is only applicable to PATIENTS using a Hospital Bed.
National Codes:
| 01 | NHS PATIENT, including Overseas Visitors charged under the National Health Service (Charges to Overseas Visitors) Regulations 1989 (as amended by Statutory Instrument) |
| 02 | Private PATIENT, one who uses accommodation or services authorised under the National Health Service Act 2006 |
| 03 | Amenity PATIENT, one who pays for the use of a single room or small ward in accordance with the National Health Service Act 2006 |
| 04 | Category II PATIENT, one for whom work is undertaken by hospital medical or dental staff within category II as defined in paragraph 37 of the Terms and Conditions of Service of Hospital Medical and Dental Staff. |
Change to Attribute: Changed Description
The type of Adult Mental Health Care Team.
National Codes:
| General Mental Health Services | |
| A01 | Day Care Services |
| A02 | Crisis Resolution Team/Home Treatment |
| A03 | Adult Community Mental Health Team |
| A04 | Older People Community Mental Health Team |
| A05 | Assertive Outreach Team |
| A06 | Rehabilitation and Recovery Team |
| A07 | General Psychiatry |
| A08 | Psychiatric Liaison |
| A09 | Psychotherapy Service |
| A10 | Psychological Therapy Service (IAPT) |
| A11 | Psychological Therapy Service (non-IAPT) |
| A12 | Young Onset Dementia |
| A13 | Personality Disorder Service |
| A14 | Early Intervention in Psychosis Team |
| A15 | Primary Care Mental Health Services |
| A16 | Memory Services/Clinic |
| Forensic Services | |
| B01 | Forensic Service |
| B02 | Community Forensic Service |
| Specialist Mental Health Services | |
| C01 | Learning Disability Service |
| C02 | Autistic Spectrum Disorder Service |
| C03 | Peri-Natal Mental Illness |
| C04 | Eating Disorders/Dietetics |
| Other Mental Health Services | |
| D01 | Substance Misuse Team |
| D02 | Criminal Justice Liaison and Diversion Service |
| D03 | Prison Psychiatric Inreach Service |
| D04 | Asylum Service |
| ZZZ | Other Mental Health Service |
Change to Attribute: Changed Description
A classification used to identify the type of imaging procedure used in relation to a Cancer Care Spell.
National Codes:
| 1 | Standard radiography |
| 1A | Chest X-ray |
| 1B | Sinus X-rays |
| 1C | Mastoid views |
| 1D | Orthopantomogram (OPG) |
| 1E | Skull base X-rays |
| 1F | Angiography |
| 1G | Intravenous urography |
| 1H | Retrograde urography |
| 1J | Inferior vena cavography |
| 1K | Bone angiography |
| 1L | Soft TISSUE angiography |
| 2A | CT scan with contrast |
| 2B | CT scan without contrast |
| 3A | MRI scan with contrast |
| 3B | MRI scan without contrast |
| 3C | MRI cholangiography |
| 4 | PET scan |
| 5 | Ultrasound |
| 5A | Transabdominal ultrasound |
| 5B | Transvaginal ultrasound |
| 5C | Doppler ultrasound |
| 5D | Transrectal ultrasound |
| 5E | Endoscopic ultrasound |
| 5F | Laparascopic ultrasound |
| 6 | Nuclear Medicine imaging |
| 6A | Radio-isotope bone scan |
| 6B | Other radio-isotope scan |
| 6C | Ventilation/Perfusion scan |
| 7 | Mammography |
| 8 | Barium |
| 8A | Barium enema |
| 8B | Barium swallow |
| 9 | Lymphoscintigraphy |
| 99 | Other |
References:
National Cancer Dataset Version 1.3_ISB October 2002
Change to Attribute: Changed Description
A classification of the urgency of a referral of a PATIENT to see a cancer specialist, determined by the CARE PROFESSIONAL making the referral.The urgency of a referral of a PATIENT to see a cancer specialist, determined by the CARE PROFESSIONAL making the referral.
National Codes:
| 01 | Urgent referral for suspected cancer from a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER |
| 02 | Other referral source or urgency |
References:
The NHS National Cancer Waiting Times, Department of Health, Data Set Change Notice 22/2002
Change to Attribute: Changed Description
A unique identifier for a CLINICAL CLASSIFICATION, for example this could be an OPCS-4 code, Read code, SNOMED CT®, or defined in the National Interim Clinical Imaging Procedure Code Set.A unique identifier for a CLINICAL CLASSIFICATION, for example this could be an OPCS-4 code, Read code, SNOMED CT® concept, or defined in the National Interim Clinical Imaging Procedure Code Set.
This could also be a PATIENT DIAGNOSIS.
See Clinical Coding for further information about CLINICAL CLASSIFICATIONS.
Notes:
- Diagnoses should be classified where possible using ICD-10 or other classification codes approved centrally for mapping to ICD-10 codes. Clinical Terms (The Read Codes) can be used in addition to ICD-10 codes for PATIENT DIAGNOSIS. However Clinical Terms (The Read Codes) are not accepted for the purposes of central Hospital Episode Statistics data, where ICD-10 is mandatory.
- ICD-10 diagnostic codes are at least four characters in length. The first character is always alphabetic. Where an undivided three character code is used, the fourth character must be filled with 'X'.
- Fifth characters should be used in accordance with the guidance in International Classification of Diseases (ICD). Where they are not used the character must be filled with a '-'. The sixth character of the code is used to designate an asterisk or dagger indicator in ICD-10; it may be an 'A' or 'D'.
Change to Attribute: Changed Description
A classification of a CLINICAL INTERVENTION.
National Codes:
** Note that these codes have not yet been assured by the Information Standards Board for Health and Social Care.
Change to Attribute: Changed Description
National Codes:
| 01 | Fully ready for discharge |
| 02 | Discharge for palliative care |
| 03 | Early discharge due to shortage of critical care beds |
| 04 | Delayed discharge due to shortage of other WARD beds |
| 05 | Current level of care continuing in another location |
| 06 | More specialised care in another location |
| 07 | Self discharge against medical advice |
| 08 | PATIENT died (no organs donated) |
| 09 | PATIENT died (heart beating solid organ donor) |
| 10 | PATIENT died (cadaveric TISSUE donor) |
| 11 | PATIENT died (non heart beating solid organ donor) |
National Code 'PATIENT died (non heart beating solid organ donor)' should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets (Version 6-2) and the associated CDS-XML Schema Release. Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1). Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1-1).
Change to Attribute: Changed Aliases, Name
- Alias Changes
Name Old Value New Value plural DELAY REASONS REFERRAL TO FIRST SEEN (CANCER) DELAY REASONS REFERRAL TO FIRST SEEN FOR CANCER formerly DELAY REASON REFERRAL TO FIRST SEEN (CANCER) - Changed Name from Data_Dictionary.Attributes.D.Dec.DELAY_REASON_REFERRAL_TO_FIRST_SEEN_(CANCER_OR_BREAST_SYMPTOMS) to Data_Dictionary.Attributes.D.Dec.DELAY_REASON_REFERRAL_TO_FIRST_SEEN_FOR_CANCER_OR_BREAST_SYMPTOMS
Change to Attribute: Changed Aliases, Name
- Alias Changes
Name Old Value New Value plural DELAY REASONS TO TREATMENT (CANCER) DELAY REASONS TO TREATMENT FOR CANCER formerly DELAY REASON TO TREATMENT (CANCER) - Changed Name from Data_Dictionary.Attributes.D.Dec.DELAY_REASON_TO_TREATMENT_(CANCER) to Data_Dictionary.Attributes.D.Dec.DELAY_REASON_TO_TREATMENT_FOR_CANCER
Change to Attribute: Changed Description
This is an indicator that the Planned Cancer Treatment is the planned first definitive treatment or intervention to be given which is intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.An indication that the Planned Cancer Treatment is the planned First Definitive Treatment or intervention to be given which is intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.
Classification:
| a. | First Definitive Treatment planned |
| b. | not First Definitive Treatment planned |
References:
The NHS National Cancer Waiting Times, Department of Health, Data Set Change Notice 22/2002.
Change to Attribute: Changed Description
This is an indicator that the Planned Cancer Treatment was provided as the first definitive treatment or intervention which was intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.An indication that the Planned Cancer Treatment was provided as the First Definitive Treatment or intervention which was intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.
Classification:
| a. | First Definitive Treatment provided |
| b. | not First Definitive Treatment provided |
References: The NHS National Cancer Waiting Times, Department of Health, Data Set Change Notice 22/2002.
Change to Attribute: Changed Description
A classification of a Language used by a PERSON.The language used by a PERSON.
National Codes:
| 001 | Akan (Ashanti) |
| 002 | Albanian |
| 003 | Amharic |
| 004 | Arabic |
| 005 | Bengali & Sylheti |
| 006 | Brawa & Somali |
| 007 | British Signing Language |
| 008 | Cantonese |
| 009 | Cantonese and Vietnamese |
| 010 | Creole |
| 011 | Dutch |
| 012 | English |
| 013 | Ethiopian |
| 014 | Farsi (Persian) |
| 015 | Finnish |
| 016 | Flemish |
| 017 | French |
| 018 | French creole |
| 019 | Gaelic |
| 020 | German |
| 021 | Greek |
| 022 | Gujarati |
| 023 | Hakka |
| 024 | Hausa |
| 025 | Hebrew |
| 026 | Hindi |
| 027 | Igbo (Ibo) |
| 028 | Italian |
| 029 | Japanese |
| 030 | Korean |
| 031 | Kurdish |
| 032 | Lingala |
| 033 | Luganda |
| 034 | Makaton (sign language) |
| 035 | Malayalam |
| 036 | Mandarin |
| 037 | Norwegian |
| 038 | Pashto (Pushtoo) |
| 039 | Patois |
| 040 | Polish |
| 041 | Portuguese |
| 042 | Punjabi |
| 043 | Russian |
| 044 | Serbian/Croatian |
| 045 | Sinhala |
| 046 | Somali |
| 048 | Spanish |
| 049 | Swahili |
| 050 | Swedish |
| 051 | Sylheti |
| 052 | Tagalog (Filipino) |
| 053 | Tamil |
| 054 | Thai |
| 055 | Tigrinya |
| 056 | Turkish |
| 057 | Urdu |
| 058 | Vietnamese |
| 059 | Welsh |
| 060 | Yoruba |
| 200 | Other |
References:
National Joint Registry Dataset: v.1: 24th March 2003
Change to Attribute: Changed Aliases, Name
- Alias Changes
Name Old Value New Value plural MULTIDISCIPLINARY TEAM DISCUSSION DATES (CANCER) MULTIDISCIPLINARY TEAM DISCUSSION DATES FOR CANCER formerly MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER) - Changed Name from Data_Dictionary.Attributes.M.MHCS.MULTIDISCIPLINARY_TEAM_DISCUSSION_DATE_(CANCER) to Data_Dictionary.Attributes.M.MHCS.MULTIDISCIPLINARY_TEAM_DISCUSSION_DATE_FOR_CANCER
Change to Attribute: Changed Description
This is the priority of a request for services; in the case of services to be provided by a CONSULTANT, it is as assessed by or on behalf of the CONSULTANT.The priority of a request for SERVICES; in the case of SERVICES to be provided by a CONSULTANT, it is as assessed by or on behalf of the CONSULTANT.
Priority Type 'Urgent' should be used where the request for services is defined as clinically urgent, but it does not fall under the criteria for 'Two Week Wait' (see below).- Priority Type 'Urgent' should be used where the request for SERVICES is defined as clinically urgent, but it does not fall under the criteria for 'Two Week Wait' (see below).
- Priority Type 'Two Week Wait' should be used where either:
- the request for SERVICES meets the criteria for an urgent GENERAL PRACTITIONER referral for suspected cancer. These referrals should be made in accordance with the National Institute for Health and Clinical Excellence (NICE) clinical guidelines on referral for suspected cancer. For further information, see the NICE guidance.
or - the PATIENT has been referred urgently for breast symptoms, but the referral does not meet the criteria for urgent GENERAL PRACTITIONER referrals for suspected cancer.
National Codes:
| 1 | Routine |
| 2 | Urgent |
| 3 | Two Week Wait |
Change to Attribute: Changed Aliases, Name
- Alias Changes
Name Old Value New Value plural SAMPLE IDENTIFIER (PROVIDER) SAMPLE IDENTIFIERS FOR PROVIDER formerly SAMPLE IDENTIFIER (PROVIDER) - Changed Name from Data_Dictionary.Attributes.S.SAMPLE_IDENTIFIER_(PROVIDER) to Data_Dictionary.Attributes.S.SAMPLE_IDENTIFIER_FOR_PROVIDER
Change to Attribute: Changed Aliases, Name
- Alias Changes
Name Old Value New Value plural SAMPLE IDENTIFIER (REQUESTER) SAMPLE IDENTIFIERS FOR REQUESTER formerly SAMPLE IDENTIFIER (REQUESTER) - Changed Name from Data_Dictionary.Attributes.S.SAMPLE_IDENTIFIER_(REQUESTER) to Data_Dictionary.Attributes.S.SAMPLE_IDENTIFIER_FOR_REQUESTER
Change to Attribute: Changed Description
The type of SERVICE within a Community Health Service that a PATIENT was referred to.
National Codes:
| 01 | Appliances Service - All services relating to the distribution and maintenance of PATIENT appliances such as orthotics, wheelchairs, prosthetics and mattresses |
| 02 | Arts Therapy Service - Art, Drama and Music Therapy |
| 03 | Cancer Service - Direct cancer treatment (excluding Palliative Care), for example the treatment of head and neck cancer, leukaemia and any Chemotherapy provided in the community |
| 04 | Cardiac Service - Directly treated for conditions related to heart disease, including myocardial infarction, angina and cardiac rehabilitation |
| 05 | Community Dental Service - All community dental services (for all ages), excluding personal dental services |
| 06 | Community Paediatrics Service |
| 07 | Continence Service - Treatment of PATIENTS with continence problems, including physiotherapy, pelvic floor treatments and pants and pads service |
| 08 | Contraception and Sexual Health Service - Services associated with prevention and treatment of sexually transmitted diseases and contraceptive services |
| 09 | Counselling Service |
| 10 | Dermatology Service - Treatment of skin, hair and nails, including leg ulcer and wound care treatment, but excluding treatment for skin cancer |
| 11 | Diabetes Service - Direct treatment of PATIENTS with diabetes including type 1 and 2. It includes interventions such as glucose monitoring and training on administering insulin. |
| 12 | District Nursing Service |
| 13 | Ear, Nose and Throat Service |
| 14 | End of Life Care Service - Care of a PATIENT during the last stage of their life (PATIENTS in a progressive state of decline). This includes Palliative Care and Terminal Care |
| 15 | Gastrointestinal Service - Directly treated for conditions relating to the gastrointestinal system |
| 16 | Health Visiting Service |
| 17 | Hearing Service - Hearing tests and maintenance of hearing aids, excludes neonatal screening |
| 18 | Intermediate Care Service |
| 19 | Long Term Conditions Case Management Service - Includes Community Matron-led services |
| 20 | Musculoskeletal Service - Musculoskeletal system including bones, joints and supporting muscles. All PATIENTS receiving treatment for musculoskeletal conditions such as hip replacement, knee replacement and other joint disorders. Includes Musculoskeletal Rehabilitation |
| 21 | Neurology Service - Nervous system, including the brain, spinal cord and nerves. All PATIENTS receiving treatment for stroke, Parkinson's disease and Motor Neurone Disease, including Neurological Rehabilitation |
| 22 | Nutrition and Dietetics Service |
| 23 | Occupational Therapy Service |
| 24 | Orthoptist Service |
| 25 | Pain Management Service - Excluding mobility |
| 26 | Physiotherapy Service |
| 27 | Podiatry Service |
| 28 | Public Health and Lifestyle Service - All discrete Health Protection services such as vaccination programmes. All discrete health prevention/promotion services such as smoking cessation, obesity, falls and health inequalities. Includes drug and alcohol programmes. |
| 29 | Rehabilitation Service |
| 30 | Respiratory Service - Respiratory disease including Chronic Obstructive Pulmonary Disease and asthma |
| 31 | Rheumatology Service - Inflammatory diseases of the muscles and joints including arthritis. |
| 32 | School Nursing Service |
| 33 | Speech and Language Therapy Service - Includes voice rehabilitation e.g. after a stroke, language development and swallowing difficulties |
| 34 | Vulnerable Children's Service - Including Looked After Children services and Safeguarding services |
| 35 | Vulnerable Adult's Service - Including homeless services |
Change to Attribute: Changed Description
A unique identifier for a TREATMENT FUNCTION.
The appropriate TREATMENT FUNCTION CODE should be used to record activity undertaken, irrespective of the type of Healthcare Professional who performs it, even where the name of the TREATMENT FUNCTION CODE suggests it is limited for use by a particular Healthcare Profession.
TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.
The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL e.g. Intermediate Care as the ACTIVITY TREATMENT FUNCTION CODE for a Nursing Episode.
For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.
National Codes:
| Code | Treatment Function Title | Comments |
|---|---|---|
| Surgical Specialties | ||
| 100 | GENERAL SURGERY | Includes sub-categories not elsewhere listed e.g. endocrine surgery. |
| 101 | UROLOGY | |
| 102 | TRANSPLANTATION SURGERY | Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts. |
| 103 | BREAST SURGERY | Includes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery. |
| 104 | COLORECTAL SURGERY | Surgical treatment of disorders of the lower intestine (colon, anus and rectum) |
| 105 | HEPATOBILIARY & PANCREATIC SURGERY | Includes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery |
| 106 | UPPER GASTROINTESTINAL SURGERY | |
| 107 | VASCULAR SURGERY | |
| 110 | TRAUMA & ORTHOPAEDICS | |
| 120 | ENT | Ear, nose and throat |
| 130 | OPHTHALMOLOGY | |
| 140 | ORAL SURGERY | |
| 141 | RESTORATIVE DENTISTRY | Endodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry |
| 142 | PAEDIATRIC DENTISTRY | |
| 143 | ORTHODONTICS | |
| 144 | MAXILLO-FACIAL SURGERY | Mouth, jaw and face related surgery. |
| 150 | NEUROSURGERY | |
| 160 | PLASTIC SURGERY | |
| 161 | BURNS CARE | To be used by recognised specialist units and associated outreach services only |
| 170 | CARDIOTHORACIC SURGERY | Should only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery |
| 171 | PAEDIATRIC SURGERY | This is paediatric general surgery |
| 172 | CARDIAC SURGERY | |
| 173 | THORACIC SURGERY | |
| 174 | CARDIOTHORACIC TRANSPLANTATION | To be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services. |
| 180 | ACCIDENT & EMERGENCY | |
| 191 | PAIN MANAGEMENT | Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team |
| Other Children's Specialties | ||
| 211 | PAEDIATRIC UROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 212 | PAEDIATRIC TRANSPLANTATION SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 213 | PAEDIATRIC GASTROINTESTINAL SURGERY | Dedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery. |
| 214 | PAEDIATRIC TRAUMA AND ORTHOPAEDICS | Dedicated services to children with appropriate facilities and support staff. |
| 215 | PAEDIATRIC EAR NOSE AND THROAT | Dedicated services to children with appropriate facilities and support staff |
| 216 | PAEDIATRIC OPHTHALMOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 217 | PAEDIATRIC MAXILLO-FACIAL SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 218 | PAEDIATRIC NEUROSURGERY | Dedicated services to children with appropriate facilities and support staff |
| 219 | PAEDIATRIC PLASTIC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 220 | PAEDIATRIC BURNS CARE | Dedicated services to children with appropriate facilities and support staff |
| 221 | PAEDIATRIC CARDIAC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 222 | PAEDIATRIC THORACIC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 241 | PAEDIATRIC PAIN MANAGEMENT | Dedicated services to children with appropriate facilities and support staff |
| 242 | PAEDIATRIC INTENSIVE CARE | Only to be used by designated Paediatric Intensive Care Units |
| 251 | PAEDIATRIC GASTROENTEROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 252 | PAEDIATRIC ENDOCRINOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 253 | PAEDIATRIC CLINICAL HAEMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 254 | PAEDIATRIC AUDIOLOGICAL MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 255 | PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY | Dedicated services to children with appropriate facilities and support staff |
| 256 | PAEDIATRIC INFECTIOUS DISEASES | Dedicated services to children with appropriate facilities and support staff |
| 257 | PAEDIATRIC DERMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 258 | PAEDIATRIC RESPIRATORY MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 259 | PAEDIATRIC NEPHROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 260 | PAEDIATRIC MEDICAL ONCOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 261 | PAEDIATRIC METABOLIC DISEASE | Dedicated services to children with appropriate facilities and support staff |
| 262 | PAEDIATRIC RHEUMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 263** | PAEDIATRIC DIABETIC MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 264** | PAEDIATRIC CYSTIC FIBROSIS | Dedicated services to children with appropriate facilities and support staff |
| 280 | PAEDIATRIC INTERVENTIONAL RADIOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 290 | COMMUNITY PAEDIATRICS | Includes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability. |
| 291 | PAEDIATRIC NEURO-DISABILITY | Dedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability. |
| Medical Specialties | ||
| 190 | ANAESTHETICS | This can be used in out-patients only. Pain Management should be recorded in 191. |
| 192 | CRITICAL CARE MEDICINE | also known as Intensive Care Medicine |
| 300 | GENERAL MEDICINE | Includes sub-categories not elsewhere listed e.g. metabolic medicine. |
| 301 | GASTROENTEROLOGY | |
| 302 | ENDOCRINOLOGY | |
| 303 | CLINICAL HAEMATOLOGY | Excludes ANTICOAGULANT SERVICE see 324 |
| 304 | CLINICAL PHYSIOLOGY | Physiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology. |
| 305 | CLINICAL PHARMACOLOGY | |
| 306 | HEPATOLOGY | Also known as liver medicine |
| 307 | DIABETIC MEDICINE | |
| 308 | BLOOD AND MARROW TRANSPLANTATION | Previously in Clinical Haematology. Includes haemopoietic stem cell transplantation. |
| 309 | HAEMOPHILIA | Previously in Clinical Haematology |
| 310 | AUDIOLOGICAL MEDICINE | The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests. |
| 311 | CLINICAL GENETICS | To be used by recognised specialist units and associated outreach services only. |
| 312 | not a Treatment Function | |
| 313 | CLINICAL IMMUNOLOGY and ALLERGY | Should only be used where there are no separate services for Clinical Immunology and Allergy |
| 314 | REHABILITATION | |
| 315 | PALLIATIVE MEDICINE | |
| 316 | CLINICAL IMMUNOLOGY | |
| 317 | ALLERGY | The diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions. |
| 318 | INTERMEDIATE CARE | Intermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury |
| 319 | RESPITE CARE | |
| 320 | CARDIOLOGY | |
| 321 | PAEDIATRIC CARDIOLOGY | |
| 322 | CLINICAL MICROBIOLOGY | |
| 323 | SPINAL INJURIES | To be used by recognised specialist units and associated outreach services only. |
| 324 | ANTICOAGULANT SERVICE | 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. |
| 325** | SPORT AND EXERCISE MEDICINE | The 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. |
| 327** | CARDIAC REHABILITATION | Rehabilitation service for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health. |
| 328** | STROKE MEDICINE | For stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329 |
| 329** | TRANSIENT ISCHAEMIC ATTACK | A multidisciplinary 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. |
| 330 | DERMATOLOGY | |
| 340 | RESPIRATORY MEDICINE | Also known as Thoracic Medicine |
| 341 | RESPIRATORY PHYSIOLOGY | Physiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea). |
| 342** | PROGRAMMED PULMONARY REHABILITATION | A multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy. |
| 343** | ADULT CYSTIC FIBROSIS | Specialised, multidisciplinary service concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only. |
| 350 | INFECTIOUS DISEASES | |
| 352 | TROPICAL MEDICINE | |
| 360 | GENITOURINARY MEDICINE | |
| 361 | NEPHROLOGY | |
| 370 | MEDICAL ONCOLOGY | The diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer. |
| 371 | NUCLEAR MEDICINE | |
| 400 | NEUROLOGY | |
| 401 | CLINICAL NEUROPHYSIOLOGY | The study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG. |
| 410 | RHEUMATOLOGY | |
| 420 | PAEDIATRICS | |
| 421 | PAEDIATRIC NEUROLOGY | |
| 422 | NEONATOLOGY | Special Care, High Dependency and Intensive Care. |
| 424 | WELL BABIES | Care given by the mother/substitute with medical and neonatal nursing advice if needed |
| 430 | GERIATRIC MEDICINE | |
| 450 | DENTAL MEDICINE SPECIALTIES | Includes oral medicine. |
| 460 | MEDICAL OPHTHALMOLOGY | |
| 500 | not a Treatment Function | |
| 501 | OBSTETRICS | The management of pregnancy and childbirth including miscarriages but excluding planned terminations. |
| 502 | GYNAECOLOGY | Disorders of the female reproductive system. Includes planned terminations. |
| 503 | GYNAECOLOGICAL ONCOLOGY | |
| 510 | Retired | Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required |
| 520 | Retired | Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required |
| 560 | MIDWIFE EPISODE | |
| 600 | not a Treatment Function | |
| 610 | Retired | Record as Obstetrics |
| 620 | Retired | Use the appropriate function under which the patient is treated |
| Therapies | ||
| 650 | PHYSIOTHERAPY | The treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing. |
| 651 | OCCUPATIONAL THERAPY | The use of specific activities to limit the effects of disability and promote independence in all aspects of daily life. |
| 652 | SPEECH AND LANGUAGE THERAPY | The assessment, treatment and help to prevent speech, language and swallowing difficulties. |
| 653 | PODIATRY | Also known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet. |
| 654 | DIETETICS | The application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities. |
| 655 | ORTHOPTICS | The diagnosis and treatment of visual problems involving eye movement and alignment. |
| 656 | CLINICAL PSYCHOLOGY | The diagnosis and treatment of emotional and behavioural disorders. |
| 657** | PROSTHETICS | The supply of prosthetics for PATIENTS. |
| 658** | ORTHOTICS | The supply of orthoses for PATIENTS. |
| 659** | DRAMATHERAPY | The use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes. |
| 660** | ART THERAPY | The use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication. |
| 661** | MUSIC THERAPY | The use of music and all of its facets to help clients to improve or maintain their health. |
| 662** | OPTOMETRY | The diagnosis and non-surgical treatment of disorders of the eye and vision care. |
| Psychiatry | ||
| 700 | LEARNING DISABILITY | |
| 710 | ADULT MENTAL ILLNESS | |
| 711 | CHILD and ADOLESCENT PSYCHIATRY | |
| 712 | FORENSIC PSYCHIATRY | |
| 713 | PSYCHOTHERAPY | |
| 715 | OLD AGE PSYCHIATRY | |
| 720 | EATING DISORDERS | A specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. |
| 721 | ADDICTION SERVICES | The psychiatric prevention and treatment of substance misuse including drugs and alcohol |
| 722 | LIAISON PSYCHIATRY | The provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health. |
| 723 | PSYCHIATRIC INTENSIVE CARE | The provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings. |
| 724 | PERINATAL PSYCHIATRY | A specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems. |
| Radiology | ||
| 800 | CLINICAL ONCOLOGY (previously RADIOTHERAPY) | The diagnosis and treatment, typically with radiotherapy, of patients with cancer. |
| 810 | not a Treatment Function | |
| 811 | INTERVENTIONAL RADIOLOGY | Not to be used for diagnostic imaging. |
| 812 | DIAGNOSTIC IMAGING | The production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans. |
| Pathology | ||
| 820 | not a Treatment Function | |
| 821 | not a Treatment Function | |
| 822 | CHEMICAL PATHOLOGY | To be used for clinical management only. |
| 823 | not a Treatment Function | See Clinical Haematology |
| 824 | not a Treatment Function | |
| 830 | not a Treatment Function | See Clinical Immunology |
| 831 | not a Treatment Function | See Clinical Microbiology |
| 832 | Retired | |
| 834** | MEDICAL VIROLOGY | The diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and newly emerging viruses such as SARS and avian flu. |
| 840 | AUDIOLOGY | Physiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss. |
| Other | ||
| 900 | not a Treatment Function | |
| 901 | not a Treatment Function | |
| 950 | not a Treatment Function | Use the appropriate function under which the patient is treated |
| 960 | not a Treatment Function | Use the appropriate function under which the patient is treated |
| 990 | Retired | |
Notes:
| † | Code 500 is not acceptable for Central Returns including Hospital Episode Statistics |
| ** | The functionality to report these TREATMENT FUNCTION CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1) |
| TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg 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 |
Change to Attribute: Changed Description, Aliases, Name
This is the Start Date of the first, second or subsequent cancer treatment given to a PATIENT who is receiving care for a cancer condition, with a PRIMARY DIAGNOSIS (ICD) code within the range C00 to C97 or D05 as defined by the Department of Health (see Department of Health guidance at Cancer Waiting Times Documentation and Links).The Start Date of the first, second or subsequent cancer treatment given to a PATIENT who is receiving care for a cancer condition, with a PRIMARY DIAGNOSIS (ICD) code within the range C00 to C97 or D05 as defined by the Department of Health (see Department of Health guidance at Cancer Waiting Times Documentation and Links).
If the CANCER TREATMENT MODALITY given is National Code 01 - Surgery, the TREATMENT START DATE (CANCER) is the same as START DATE (HOSPITAL PROVIDER SPELL) of the related admission.If the CANCER TREATMENT MODALITY given is National Code 01 - Surgery, the TREATMENT START DATE FOR 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 Treatment Period.TREATMENT START DATE FOR CANCER is also the END DATE of a Cancer 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).A Cancer Referral To Treatment Period will end on the same date as the TREATMENT START DATE FOR 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 (CANCER TREATMENT MODALITY is recorded as National Code 98 - All treatment declined) then the TREATMENT START DATE (CANCER) should be recorded as the DATE upon which the PATIENT made this decision.If a PATIENT declines all treatment (CANCER TREATMENT MODALITY is recorded as National Code 98 - All treatment declined) then the TREATMENT START DATE FOR CANCER should be recorded as the DATE upon which the PATIENT made this decision.
Change to Attribute: Changed Description, Aliases, Name
- Changed Description
- Alias Changes
Name Old Value New Value plural TREATMENT START DATES (CANCER) TREATMENT START DATES FOR CANCER formerly TREATMENT START DATES (CANCER) - Changed Name from Data_Dictionary.Attributes.T.Tran.TREATMENT_START_DATE_(CANCER) to Data_Dictionary.Attributes.T.Tran.TREATMENT_START_DATE_FOR_CANCER
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | ADMINCAT |
| National Codes: | See ADMINISTRATIVE CATEGORY CODE |
| Default Codes: | 98 - Not applicable |
| 99 - Not known: a validation error |
Notes:
ADMINISTRATIVE CATEGORY is the same as ADMINISTRATIVE CATEGORY CODE.
A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.
The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.
If the ADMINISTRATIVE CATEGORY changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).
ADMINISTRATIVE CATEGORY will be replaced with ADMINISTRATIVE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | ADMINCAT |
| National Codes: | See ADMINISTRATIVE CATEGORY CODE |
| Default Codes: | 98 - Not applicable |
| 99 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ADMINISTRATIVE CATEGORY CODE is the same as ADMINISTRATIVE CATEGORY CODE.
A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.
The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.
If the ADMINISTRATIVE CATEGORY CODE changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).
ADMINISTRATIVE CATEGORY CODE replaces ADMINISTRATIVE CATEGORY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | n3 |
| HES Item: | |
| National Codes: | |
| Default Codes: | 999 - Not known i.e. date of birth not known and age cannot be estimated. Note that this code is NOT valid for the NHS Health Checks Data Set |
Notes:
Note that default code 999 is NOT valid for the NHS Health Checks Data Set.
Change to Data Element: Changed Description
| Format/Length: | n3 |
| HES Item: | |
| National Codes: | |
| Default Codes: | 999 - Not known i.e. date of birth not known and age cannot be estimated |
Notes:
Change to Data Element: Changed Description
| Format/Length: | n3 |
| HES Item: | CENSAGE |
| National Codes: | |
| Default Codes: | 999 - Not known i.e. date of birth not known and age cannot be estimated |
Notes:
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | |
| National Codes: | |
| Default Codes: | 99 - Not known i.e. date of birth not known |
Notes:
Permitted National Codes:
| 01 | Under 18 years of age |
| 02 | 18 to 34 years of age |
| 03 | 35 - 44 years of age |
| 04 | 45 - 59 years of age |
| 05 | 60 and over years of age |
Change to Data Element: Changed Description
| Format/Length: | n1 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.
Based on the classifications of attribute AGE GROUP INTENDED, with the addition of Home Leave:
Permitted National Codes:
| 1 | Neonates |
| 2 | Children and /or adolescents |
| 3 | Elderly |
| 8 | Any age |
| 9 | Home Leave |
AGE GROUP INTENDED will be replaced with INTENDED AGE GROUP, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | n3 |
| HES Item: | |
| National Codes: | |
| Default Codes: | 999 - Not known i.e. date of birth not known and age cannot be estimated |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | DELPREAN |
| National Codes: | See ANAESTHETIC OR ANALGESIC CATEGORY |
| Default Codes: | 8 - Not applicable, i.e. no analgesic or anaesthetic administered |
| 9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given during labour/delivery, and the type used.
The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/length: | see DATE |
| HES item: | |
| National Codes: | |
| Default Codes: |
Notes:APPOINTMENT DATE is the same as APPOINTMENT DATE.
Usage in the CDS:
The Outpatient and Future Outpatient CDS Types use the APPOINTMENT DATE as the "CDS ORIGINATING DATE" as a mandatory requirement of the CDS Exchange Protocol, see CDS ACTIVITY DATE.
For the Future Outpatient CDS where no APPOINTMENT DATE is available from the healthcare system, a default date value of 2999-12-31 may be applied.
Care must be taken to generate the correct CDS Exchange Protocol when using this default value.
When submitting a Referral To Treatment Clock Stop Administrative Event via the CDS V6 TYPE 020 - OUTPATIENT CDS, APPOINTMENT DATE is equivalent to the REFERRAL TO TREATMENT PERIOD END DATE carried in the record.
Change to Data Element: Changed Description
| Format/Length: | see DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
ARRIVAL DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Arrival Date'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The date of an attendance, for example at a Consultant Clinic, Nurse Clinic, Accident and Emergency Department or by a Ward Attender.
Consultant Clinic is a CLINIC OR FACILITY where the CLINIC OR FACILITY PURPOSE CODE is National Code 01 'Clinic', and where the care professional responsible for the clinic is a CONSULTANT.
Nurse Clinic is a CLINIC OR FACILITY where the CLINIC OR FACILITY PURPOSE CODE is National Code 01 'Clinic', and where the care professional responsible for the clinic is a NURSE.
ATTENDANCE DATE is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.ATTENDANCE DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | |
| Default Codes: | 99 - unknown |
Notes:
Where the care is delivered during a Hospital Provider Spell, distinction is made between care delivered as part of an ordinary admission (where the PATIENT CLASSIFICATION is National Code 1 - Ordinary Admission) and a day case admission (where PATIENT CLASSIFICATION is National Code 2 - Day case admission).Where the care is delivered during a Hospital Provider Spell, distinction is made between care delivered as part of an ordinary admission (where the PATIENT CLASSIFICATION is National Code 1 'Ordinary Admission') and a day case admission (where PATIENT CLASSIFICATION is National Code 2 'Day case admission').
Permitted National Codes:
| 01 | Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 'Ordinary admission') |
| 02 | Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 'Day case admission') |
| 03 | Cancer treatment delivered in an Out-patient setting |
| 04 | Cancer treatment delivered in another care setting |
Change to Data Element: Changed Description
| Format/Length: | nnnn.nn |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:Creatinine Clearance is a MEASURED PERSON OBSERVATION.
The measurement of a PERSON's renal function, in terms of expulsion of creatinine, measured in millilitres per minute. This is recorded when certain Chemotherapy drugs, for example, carboplatin, are administered.CREATININE CLEARANCE is the measurement of a PERSON's renal function, in terms of expulsion of creatinine, measured in millilitres per minute. This is recorded when certain Chemotherapy drugs, for example, carboplatin, are administered.
References:
National Cancer Data Set Version 1.3_ISB October 2002
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) is the same as attribute DECISION TO TREAT DATE.
DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE of National Code 'Chemotherapy' or 'Hormone Therapy' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification a. 'first definitive treatment planned'.DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE of National Code 'Chemotherapy' or 'Hormone Therapy' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification '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.
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | |
| National Codes | See DELAY REASON TO TREATMENT FOR CANCER |
| Default Codes |
Notes:
A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT (CANCER) exists. A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER exists.
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | |
| National Codes | See DELAY REASON TO TREATMENT FOR CANCER |
| Default Codes |
Notes:
A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT (CANCER) exists.A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER exists.
This data can also be recorded locally for prospective PATIENTS where a full histological diagnosis confirming cancer is not yet available.
Change to Data Element: Changed Description
| Format/Length: | an255 |
| HES Item: | |
| National Codes | |
| Default Codes |
Notes:
DELAY REASON COMMENT (CONSULTANT UPGRADE) is the same as attribute DELAY REASON COMMENT.
This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing 62 day standard (for referral to treatment) has been breached (after any days adjustments allowed in WAITING TIME ADJUSTMENT (TREATMENT) have been removed). It is the free text comment that describes why there was a delay experienced between the Consultant Upgrade Date and the TREATMENT START DATE (CANCER). It is the free text comment that describes why there was a delay experienced between the Consultant Upgrade Date and the TREATMENT START DATE FOR CANCER.
If DELAY REASON (CONSULTANT UPGRADE) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (CONSULTANT UPGRADE) must explain the full reason for the delay.
Change to Data Element: Changed Description
| Format/Length: | an255 |
| HES Item: | |
| National Codes | |
| Default Codes |
Notes:
DELAY REASON COMMENT (DECISION TO TREATMENT) is the same as the attribute DELAY REASON COMMENT.
This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing 31-day standard (for referral to treatment) has been breached (after any days adjustments allowed in WAITING TIME ADJUSTMENT (TREATMENT) have been removed). It is the free text comment that describes why the maximum 31 day wait from CANCER TREATMENT PERIOD START DATE to TREATMENT START DATE (CANCER) could not be met. It is the free text comment that describes why the maximum 31 day wait from CANCER TREATMENT PERIOD START DATE to TREATMENT START DATE FOR CANCER could not be met.
If DELAY REASON (DECISION TO TREATMENT) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (DECISION TO TREATMENT) must explain the full reason for the delay.
Change to Data Element: Changed Description
| Format/Length: | an255 |
| HES Item: | |
| National Codes | |
| Default Codes |
Notes:
DELAY REASON COMMENT (FIRST SEEN) is the same as the attribute DELAY REASON COMMENT.
This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).
It is the free text comment that describes why the maximum two week wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to DATE FIRST SEEN (less WAITING TIME ADJUSTMENT (FIRST SEEN)) could not be met.
See DATE FIRST SEEN for guidance on determining the appropriate first seen date.
If DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.If DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.
Change to Data Element: Changed Description
| Format/Length: | an255 |
| HES Item: | |
| National Codes | |
| Default Codes |
Notes:
DELAY REASON COMMENT (REFERRAL TO TREATMENT) is the same as the attribute DELAY REASON COMMENT.
This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).
It is the free text comment that describes why the specified maximum 62 day wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to the TREATMENT START DATE (CANCER), less any adjustments recorded by WAITING TIME ADJUSTMENT (FIRST SEEN) and WAITING TIME ADJUSTMENT (DECISION TO TREAT) and WAITING TIME ADJUSTMENT (TREATMENT), could not be met.It is the free text comment that describes why the specified maximum 62 day wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to the TREATMENT START DATE FOR CANCER, less any adjustments recorded by WAITING TIME ADJUSTMENT (FIRST SEEN) and WAITING TIME ADJUSTMENT (DECISION TO TREAT) and WAITING TIME ADJUSTMENT (TREATMENT), could not be met.
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | |
| National Codes | See DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS |
| Default Codes |
Notes:
If National Code 99 - Other reason is recorded, further detail must be given for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN).If National Code 99 'Other reason' is recorded, further detail must be given for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN).
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | |
| National Codes | See DELAY REASON TO TREATMENT FOR CANCER |
| Default Codes |
Notes:DELAY REASON REFERRAL TO TREATMENT (CANCER) is the same as attribute DELAY REASON TO TREATMENT (CANCER).
It is an optional data element and should only be present if a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT (CANCER) has been recorded where the DELAY REASON INDICATOR is classification b. 'delay between urgent GP referral and date of first definitive treatment'.DELAY REASON REFERRAL TO TREATMENT (CANCER) is an optional data element and should only be present in the National Cancer Waiting Times Monitoring Data Set if a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER has been recorded where the DELAY REASON INDICATOR is classification b. 'delay between urgent GP referral and date of First Definitive Treatment'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of an Adult Mental Health Care Team Episode for a PATIENT.
END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Adult Mental Health Care Team Episode.END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Adult Mental Health Care Team Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Consultant Out-Patient Episode for a PATIENT.END DATE (CONSULTANT OUT-PATIENT EPISODE) is the End Date of a Consultant Out-Patient Episode for a PATIENT. END DATE (CONSULTANT OUT-PATIENT EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Consultant Out-Patient Episode.
END DATE (CONSULTANT OUT-PATIENT EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Consultant Out-Patient Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | EPIEND |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (EPISODE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'End Date'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Home Leave for a PATIENT.
END DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Home Leave.END DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Home Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The date the PATIENT is deemed by the CARE PROFESSIONAL to have completed the current Improving Access to Psychological Therapies Care Spell, this will be the last Improving Access to Psychological Therapies Contact.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Mental Health Absence Without Leave for a PATIENT.
END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Absence Without Leave.END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Absence Without Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the End Date of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT.
END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The PERSON PROPERTY EFFECTIVE END DATE of a Mental Health Care Cluster Assignment Period for a PATIENT.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Mental Health Care Coordinator Assignment for a PATIENT.END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is the End Date of a Mental Health Care Coordinator Assignment for a PATIENT. END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Coordinator Assignment.
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Coordinator Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Mental Health Care Professional Episode (Acute Home-Based) for a PATIENT.
END DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Professional Episode (Acute Home-Based).END DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Professional Episode (Acute Home-Based).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Mental Health Delayed Discharge Period for a PATIENT.END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is the End Date of a Mental Health Delayed Discharge Period for a PATIENT. This is the date where the clinical decision is taken that the PATIENT is no longer fit for discharge, and further inpatient care is required.
END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Delayed Discharge Period.END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Delayed Discharge Period.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Mental Health Leave Of Absence for a PATIENT.
END DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Leave Of Absence.END DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Leave Of Absence.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:END DATE (MENTAL HEALTH NHS CARE HOME STAY) is the End Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:
A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.
END DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).END DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Mental Health NHS Day Care Episode for a PATIENT.
END DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health NHS Day Care Episode.END DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health NHS Day Care Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of a Mental Health Responsible Clinician Assignment for a PATIENT.END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is the End Date of a Mental Health Responsible Clinician Assignment for a PATIENT. END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Responsible Clinician Assignment.
END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Responsible Clinician Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of Supervised Community Treatment for a PATIENT.
END DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment.END DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Date of Supervised Community Treatment Recall for a PATIENT.
END DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment Recall.END DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (WARD STAY) is the End Date of a Ward Stay.
END DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Ward Stay.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END TIME has a generalised definition which can be applied to the start of a stay, episode, period covered by a plan or other time period.
This is the ACTIVITY TIME where the ACTIVITY DATE TIME TYPE of National Code 'End Time'.END TIME is the ACTIVITY TIME where the ACTIVITY DATE TIME TYPE of National Code 'End Time'.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the End Time of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT.
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'End Time' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The End Time of Supervised Community Treatment Recall for a PATIENT.END TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is the End Time of Supervised Community Treatment Recall for a PATIENT. END TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'End Time' of the Supervised Community Treatment Recall.
END TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'End Time' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The DATE when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The date when Supervised Community Treatment for a PATIENT expires.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
The TIME when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires.Notes:
Change to Data Element: Changed Description
| Format/Length: | an3 |
| HES Item: | |
| National Codes: | See ORGANISATION CODE |
| ODS Default Codes: | Q99 - Primary Care Trust of residence not known |
| X98 - Primary Care Trust code not applicable (e.g. Overseas Visitors, Wales, Scotland or Northern Ireland) |
Notes:
This covers any children for whom the Primary Care Trust is the Responsible Primary Care Trust plus, for a Schools based programme, all children at Educational Establishments within its boundary.
Change to Data Element: Changed Description
| Format/Length: | an3 |
| HES Item: | |
| National Codes: | See ORGANISATION CODE |
| ODS Default Codes: | Q99 - Primary Care Trust of residence not known |
| X98 - Primary Care Trust code not applicable (e.g. Overseas Visitors, Wales, Scotland or Northern Ireland) |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an5 |
| HES Item: | |
| National Codes: | See ORGANISATION SITE CODE |
| ODS Default Codes: | 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:
SITE CODE (EMPLOYING ORGANISATION) is the same as attribute ORGANISATION SITE CODE.
The ORGANISATION SITE CODE of the ORGANISATION SITE of the employing ORGANISATION where the EMPLOYEE is employed or based from.SITE CODE (EMPLOYING ORGANISATION) is the ORGANISATION SITE CODE of the ORGANISATION SITE of the employing ORGANISATION where the EMPLOYEE is employed or based from.
Change to Data Element: Changed Description
| Format/Length: | See ORGANISATION SITE CODE |
| HES Item: | |
| National Codes: | See ORGANISATION SITE CODE |
| ODS Default Codes: | 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:
SITE CODE (OF BRACHYTHERAPY) is the same as attribute ORGANISATION SITE CODE.
The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the brachytherapy took place.SITE CODE (OF BRACHYTHERAPY) is the ORGANISATION SITE CODE where the brachytherapy took place.
Change to Data Element: Changed Description
| Format/Length: | See ORGANISATION SITE CODE |
| HES Item: | |
| National Codes: | See ORGANISATION SITE CODE |
| ODS Default Codes: | 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:
SITE CODE (OF CANCER DRUG TREATMENT) is the same as attribute ORGANISATION SITE CODE.
The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the Drug Treatment took place.SITE CODE (OF CANCER DRUG TREATMENT) is the ORGANISATION SITE CODE where the Drug Treatment took place.
Change to Data Element: Changed Description
| Format/Length: | See ORGANISATION SITE CODE |
| HES Item: | |
| National Codes: | See ORGANISATION SITE CODE |
| ODS Default Codes: | 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:
SITE CODE (OF IMAGING) is the same as attribute ORGANISATION SITE CODE.
SITE CODE (OF IMAGING) is the ORGANISATION SITE CODE of the ORGANISATION at which the imaging took place.SITE CODE (OF IMAGING) is the ORGANISATION SITE CODE where the imaging took place.
Change to Data Element: Changed Description
| Format/Length: | See ORGANISATION SITE CODE |
| HES Item: | |
| National Codes: | See ORGANISATION SITE CODE |
| ODS Default Codes: | 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:
SITE CODE (OF SURGERY) is the same as attribute ORGANISATION SITE CODE.
The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the surgery took place.SITE CODE (OF SURGERY) is the ORGANISATION SITE CODE where the surgery took place.
Change to Data Element: Changed Description
| Format/Length: | See ORGANISATION SITE CODE |
| HES Item: | |
| National Codes: | See ORGANISATION SITE CODE |
| ODS Default Codes: | 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:
SITE CODE (OF TELETHERAPY) is the same as attribute ORGANISATION SITE CODE.
The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the teletherapy took place.SITE CODE (OF TELETHERAPY) is the ORGANISATION SITE CODE where the teletherapy took place.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE has a generalised definition which can be applied to the start of a stay, episode, period covered by a plan or other time period.
This is the ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE is the ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (ANTI-CANCER DRUG REGIMEN) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Regimen.
This should be recorded if the First Definitive Treatment is Chemotherapy and/or other anti-cancer drug treatments.
START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Chemotherapy' or 'Hormone Therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Chemotherapy' or 'Hormone Therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification '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.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Home Leave for a PATIENT.
START DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Home Leave.START DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Home Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Mental Health Absence Without Leave for a PATIENT.
START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Absence Without Leave.START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Absence Without Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the Start Date of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT.
START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The PERSON PROPERTY EFFECTIVE DATE of a Mental Health Care Cluster Assignment Period for a PATIENT.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Mental Health Care Coordinator Assignment for a PATIENT.
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Coordinator Assignment.START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Coordinator Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Mental Health Care Professional Episode (Acute Home-Based) for a PATIENT.
START DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Professional Episode (Acute Home-Based).START DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Professional Episode (Acute Home-Based).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:START DATE (MENTAL HEALTH CARE SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Mental Health Care Spell.
For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Adult Mental Health Care Spells, it is the function of the assembler process itself to assemble the Adult Mental Health Care Spell and provide the appropriate date to be used for the START DATE (MENTAL HEALTH CARE SPELL). The assembler process derives the appropriate date from the first recorded ACTIVITY which lies within an uninterrupted sequence starting in, or continuing into, the REPORTING PERIOD.
The NHS Trust may override the assembler's derived date in the case of PATIENTS cared for continuously longer than the period for which electronic activity records are available to the assembler process.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Mental Health Delayed Discharge Period for a PATIENT.START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is the Start Date of a Mental Health Delayed Discharge Period for a PATIENT. This is the date that the clinical decision was taken that the PATIENT is fit and ready for discharge, but external factors prevent the discharge taking place.
START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Delayed Discharge Period.START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Delayed Discharge Period.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Mental Health Leave Of Absence for a PATIENT.
START DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Leave Of Absence.START DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Leave Of Absence.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:
- the BROAD PATIENT GROUP CODE is National Code 'Patients with Mental Illness', and
A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.
START DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).START DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of an Mental Health NHS Day Care Episode for a PATIENT.
START DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health NHS Day Care Episode.START DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health NHS Day Care Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of a Mental Health Responsible Clinician Assignment for a PATIENT.
START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Responsible Clinician Assignment.START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Responsible Clinician Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of Supervised Community Treatment for a PATIENT.
START DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment.START DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Date of Supervised Community Treatment Recall for a PATIENT.
START DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment Recall.START DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the First Definitive Treatment is surgery.
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the Start Date of the Hospital Provider Spell the PATIENT was admitted to for the anti-cancer surgery to be performed and where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.
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.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (WARD STAY) is the Start Date of a Ward Stay.
START DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Ward Stay.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The Start Time of Supervised Community Treatment Recall for a PATIENT.
START TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'Start Time' of the Supervised Community Treatment Recall.START TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'Start Time' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | n3 |
| HES Item: | |
| National Codes | |
| Default Codes |
Notes:
This records the number of days that should be removed from the derived waiting time between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and DATE FIRST SEEN.
Adjustments are only permissible when a PATIENT does not attend an Out-Patient 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 in Department of Health guidance at Cancer Waiting Times Documentation and Links.
Change to Data Element: Changed Description
| Format/Length: | n3 |
| HES Item: | |
| National Codes | |
| Default Codes |
Notes:
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 (TREATMENT) is:
National Code 01 -Cancer treatment delivered as part of a Hospital Provider Spell (wherePATIENT CLASSIFICATIONis National Code - 1 Ordinary admission)orNational Code 02 -Cancer treatment delivered as part of a Hospital Provider Spell (wherePATIENT CLASSIFICATIONis National Code 2 - Day case admission).- National Code 01 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 'Ordinary admission') or
- National Code 02 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 'Day case admission').
Guidance on calculating the number of days which may be removed from the waiting time is available in Department of Health guidance at Cancer Waiting Times Documentation and Links.
Change to Data Element: Changed Description
| Format/Length: | n1 |
| HES Item: | |
| National Codes: | See WAITING TIME ADJUSTMENT REASON |
| Default Codes: |
Notes:
WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT) is the same as the attribute WAITING TIME ADJUSTMENT REASON.
This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT)). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.
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.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes | See WAITING TIME ADJUSTMENT REASON |
| Default Codes | 9 - No adjustment to waiting time |
Notes:
WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is the same as the attribute WAITING TIME ADJUSTMENT REASON.
This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (FIRST SEEN). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes | See WAITING TIME ADJUSTMENT REASON |
| Default Codes | 9 - No adjustment to waiting time |
Notes:
WAITING TIME ADJUSTMENT REASON (TREATMENT) is the same as the attribute WAITING TIME ADJUSTMENT REASON.
This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (TREATMENT). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.
WAITING TIME ADJUSTMENT REASON (TREATMENT) should only be recorded where CANCER CARE SETTING (TREATMENT) is National Code 01 - Cancer treatment delivered as part of an Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 - Ordinary admission) or National Code 02 - Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 - Day case admission).WAITING TIME ADJUSTMENT REASON (TREATMENT) should only be recorded where CANCER CARE SETTING (TREATMENT) is National Code 01 'Cancer treatment delivered as part of an Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 'Ordinary admission) or National Code 02 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 'Day case admission').
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | See WAITING TIME MEASUREMENT TYPE |
| Default Codes: |
Notes:
WAITING TIME MEASUREMENT TYPE is the same as attribute WAITING TIME MEASUREMENT TYPE.
Change to Data Element: Changed Description
| Format/Length: | See YEAR AND MONTH |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
YEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES) is the same as attribute YEAR AND MONTH OF SYMPTOMS ONSET FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES.
For the Improving Access to Psychological Therapies Data Set, it is expected that the PATIENT will always know the year and month that the current mental health problem was first experienced, therefore there is no default code.
For enquiries, please email datastandards@nhs.net