Cancer Registration Data Set Overview

Please note that the Cancer Registration Data Set will be replaced by the Cancer Outcomes and Services Data Set which is planned to be mandated from 1 January 2013. For further details, see the National Cancer Intelligence Network (NCIN) website.

Community Information Data Set Overview

The Community Information Data Set is initially being introduced for local use only, from 1 April 2012. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally, and give further details relating to unique record identifiers and how the data will be handled by the receiving system.  The layout of the data set shown below, and the definition of the Mandatory, Required or Optional column, show the data inclusion requirements which will apply when the data is required to flow nationally, to enable providers and system suppliers to prepare the data for national flow.The Community Information Data Set has been introduced for local use only, from 1 April 2012.

A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally, and give further details relating to unique record identifiers and how the data will be handled by the receiving system.

The layout of the data set shown below, and the definition of the Mandatory, Required or Optional column, show the data inclusion requirements which will apply when the data is required to flow nationally, to enable providers and system suppliers to prepare the data for national flow.

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

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

Note - Items in the M/R/O column which are shown with notation P, have not yet been defined by the NHS Data Model and Dictionary Service, or approved by the Information Standards Board for Health and Social Care, and are included to facilitate piloting and testing of future Department of Health data requirements, prior to formal inclusion in later versions of the data set.  These items have been included in the data set layout because the Community Information Data Set XML Schema Version 1.Note: items in the M/R/O column which are shown with notation P, have not yet been defined by the NHS Data Model and Dictionary Service, or approved by the Information Standards Board for Health and Social Care, and are included to facilitate piloting and testing of future Department of Health data requirements, prior to formal inclusion in later versions of the data set.
These items have been included in the data set layout because the Community Information Data Set XML Schema Version 1.0.0 includes the facility to submit these items to support the piloting activities.  Unless ORGANISATIONS are engaged in these piloting activities, they should NOT submit any data item marked P. Unless ORGANISATIONS are engaged in these piloting activities, they should NOT submit any data item marked P.

Genitourinary Medicine Clinic Activity Data Set Overview

The Opt (Optionality) column indicates the NHS recommendation for the inclusion of data:

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

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

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

National Cancer Data Set Overview

Please note that the National Cancer Data Set will be replaced by the Cancer Outcomes and Services Data Set which is planned to be mandated from 1 January 2013. For further details, see the National Cancer Intelligence Network (NCIN) website.

Site Specific Cancers

Brain and Central Nervous System
Breast Cancer
Colorectal Cancer
Lung Cancer
Head and Neck Cancer
Sarcoma
Skin Cancer
Urological Cancer
Upper GI Cancer
Gynaecological Cancer

Site-Specific Data Elements

Brain and Central Nervous System

Breast Cancer

Colorectal Cancer

Head and Neck Cancer

Lung Cancer

Sarcoma

Skin Cancer

Urological Cancer

Upper GI Cancer

Gynaecological Cancer

Quarterly Bed Availability and Occupancy Data Set Overview

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

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

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

Population Validation

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

Business Rules

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

• Prefix H = Healthcare Resource Group Business Rules.
• Prefix I  = CDS-XML Schema anomalies and issues.
• Prefix N = NHS Data Standards and Policy Rules
• Prefix S = Secondary Uses Service Business Rules

The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures, encompassing Accident and Emergency Attendances, Out-Patient Attendances, Admitted Patient Care and Elective Admission List.

Commissioning Data Set Messages have been defined in specific components known as a CDS TYPE.

Specific notation is used to indicate the requirements of the CDS-XML Message Schema Design conditions for submission of data in the Commissioning Data Sets.

The structure of the Commissioning Data Set message is shown by the use of Data Groups and Sub Groups within those Data Groups.  For each Data Group, Sub Group and individual Data Element, the allowed cardinality at each level is also shown in the "Status" and "Repeats" columns.

The CDS TYPE specifications must therefore be read in this hierarchy, using the Status and Repeat conditions within the Data Groups and Sub Groups, to determine the requirements for the individual Data Elements.

Status Column Notation

The Notation used for the "STATUS" column is as follows:

Repeats Column Notation

The Notation used for the "REPEATS" column is as follows:

Rules Column Notation

An entry in the "Rules" column shows that a specific Rule applies to submission of an individual Data Element.  These meaning of these Rules can be found  in Commissioning Data Set Business Rules.

The meaning of these Rules can be found in Commissioning Data Set Business Rules.

Notation Examples

The following are examples of some common scenarios.

Community Health Partnerships are ORGANISATIONS in Scotland.A Community Health Partnership is an ORGANISATION in Scotland.

Community Health Partnerships have been established in Scotland as key building blocks in the modernisation of the NHS and joint services in Scotland.Community Health Partnerships have been established in Scotland as key building blocks in the modernisation of the NHS and joint services in Scotland. They have a vital role in partnership, integration and service redesign and are the key mechanism through which all primary and community based services are planned and delivered. They provide an opportunity for partners to work together to improve the lives of the local communities which they serve.

Community Health Partnerships provide a focus for the integration between primary care and specialist services and with social care and ensure that local population health improvement is placed at the heart of service planning and delivery.Community Health Partnerships provide a focus for the integration between primary care and specialist services and with social care and ensure that local population health improvement is placed at the heart of service planning and delivery.

For further information on Community Health Partnerships, see the Community Health Partnerships website.For further information on Community Health Partnerships, see the Community Health Partnerships website.

Background 

• The NHS Postcode Directory is maintained, on behalf of the Department of Health, by the Office for National Statistics. It contains a record for every POSTCODE in the UK, Channel Islands and the Isle of Man, and associates each POSTCODE with a variety of geographic information, including grid references, Primary Care Trusts and Care Trusts (England), Local Health Boards (Wales), Community Health Partnerships (Scotland) and Strategic Health Authority codes. The file also includes pseudo POSTCODES covering defaults and overseas countries.

• The NHS Postcode Directory is maintained, on behalf of the Department of Health, by the Office for National Statistics. It contains a record for every POSTCODE in the UK, Channel Islands and the Isle of Man, and associates each POSTCODE with a variety of geographic information, including grid references, Primary Care Trusts and Care Trusts (England), Local Health Boards (Wales), Community Health Partnerships (Scotland) and Strategic Health Authority codes. The file also includes pseudo POSTCODES covering defaults and overseas countries.

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

• A full description of the NHS Postcode Directory and the Organisation Data Service reduced POSTCODE data files, can be found by browsing the Office for National Statistics Data section of the Organisation Data Service pages on NHSnet at:
  • http://nww.connectingforhealth.nhs.uk/ods/downloads/officenatstats/ (NHS Postcode Directory) and
  • http://nww.connectingforhealth.nhs.uk/ods/downloads/postcode/ (reduced files).

The same descriptions can also be accessed via the Technology Reference Data Update Distribution Service (TRUD).

• The Office for National Statistics will supply, on request and at a cost, copies of the NHS Postcode Directory, on different media, in different formats and for selected extracts. Contact the Office for National Statistics for details and charges; see Contact Details.

Postcodes

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

  POSTCODES are of the general format:

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

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

  The following table gives examples of typical POSTCODES:

  Character Position								Allocated by	Notes
  1	2	3	4	5	6	7	8
  W	9				3	X	X	Royal Mail
  D	A	1			5	P	L	Royal Mail
  M	K	4	5		1	T	E	Royal Mail
  Z	Z	9	9		4	L	Z	ODS	POSTCODES for PATIENTS who are Overseas Visitors
  Z	Z	9	9		3	W	Z	ODS	Pseudo POSTCODES

Related Products

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

• The Organisation Data Service issues the two supporting publications which are updated for and included with each quarterly publication of the postcode directories. This ensures that any new customers receive the necessary information. The "NHSPD User Guide" contains a description of the NHS Postcode Directory and its content along with information about the methodologies used, data quality and limitations. The "NHS PD Version Notes" contains a range of summary statistics and highlights important issues that may affect customers. Electronic copies are provided through the online distribution service Technology Reference Data Update Distribution Service (TRUD) and through the Organisation Data Service pages on NHSnet each quarter, see Contact Details.

  Changes

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

Release: March 2012

• CR1242 (Immediate) - DDCN 1242/2012 Retirement of Mental Health Minimum Data Set Version 3
• CR1238 and CR1276 (1 April 2012) - ISB 1577 Amd 10/2011 Diagnostic Imaging Data Set and Diagnostic Imaging Data Set Message v 1-0
• CR1290 (Immediate) - DDCN 1290/2012 Data Set Notation
• CR1263 (Immediate) - ISB 0090 Amd 18/2011 Health and Social Care Bill Changes
• CR1255 (31 March 2012) - ISB 1576 Amd 08/2011 Quarterly Bed Availability and Occupancy Data Set
• CR1295 (Immediate) - Retirement of old Commissioning Data Set messages
  The Information Standards Board for Health and Social Care have been involved in the redesign and retirement of the old Commissioning Data Set Pages, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: January 2012

• CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
• CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes

Release: November 2011

• CR1264 (Immediate) - ISB 1077 Amd 144/2010 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
• CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

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

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

Release: October 2011

• CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
• CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code

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

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

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

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

Release: August 2011

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

• 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

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

Release: April 2011

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

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

• 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

• 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
• CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
  The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

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

A subtype of CARE PROFESSIONAL.

A PERSON contracted by a Health Care Provider who has been appointed by a CONSULTANT's appointment committee. He or she must be a member of a Royal College or Faculty.

He or she must be a member of a Royal College or Faculty. This includes GENERAL PRACTITIONERS in cases where a GENERAL PRACTITIONER is responsible for PATIENT care and has an arrangement with the Health Care Provider. The MAIN SPECIALTY of a GENERAL PRACTITIONER will always be General Medical Practice or General Dental Practice.

The MAIN SPECIALTY of a GENERAL PRACTITIONER will always be General Medical Practice or General Dental Practice. For diagnostic departments, this includes a non-medical scientist of equivalent standing (to a CONSULTANT).

A classification of a LANGUAGE used by a PERSON.A classification of a language used by a PERSON.

Subtypes of PERSON PROPERTY include:

• CANCER STAGING
• CARDIAC ARREST
• CATEGORY VALUED PERSON OBSERVATION
• DIABETES ROUTINE REVIEW RESULT
• EDUCATION
• EDUCATIONAL ASSESSMENT
• EMPLOYMENT
• MEASURED PERSON OBSERVATION
• NHS CONTINUING HEALTHCARE
• NHS FUNDED NURSING CARE
• ORGAN DONATION CONSENT
• OTHER PERSON OBSERVATION
• PATIENT DIAGNOSIS
• PERSON SCORE
• REPERFUSION
• SECURE ACCOMMODATION REQUIREMENT
• SKIN CANCER LESION
• TEXT VALUED PERSON OBSERVATION
• THROMBOLYTIC THERAPY
• TOBACCO USAGE
• TREATMENT RELATED MORBIDITY

A condition or state associated with a PERSON. PERSON PROPERTIES are collected as a result of an ACTIVITY.A PERSON PROPERTY is a condition or state associated with a PERSON.

PERSON PROPERTIES are collected as a result of an ACTIVITY.

PERSON PROPERTIES for a PATIENT do not include information about a treatment or intervention. The observation may be a clinical diagnosis. The observer may be a related PERSON or a CARE PROFESSIONAL. Observations may be recorded during, or as a result of, a course of treatment.

• The observation may be a clinical diagnosis
• The observer may be a related PERSON or a CARE PROFESSIONAL
• Observations may be recorded during, or as a result of, a course of treatment.

PERSON PROPERTIES include:

• Blood Pressure
• Blood Pressure
• Body Mass Index
• Lung Capacity

An episode of care, treatment or other service provided by an ORGANISATION which may be chargeable to one or more NHS SERVICE AGREEMENTS. In most cases, the service will be for the direct benefit of a PATIENT. For example a SERVICE may be one or more of the following:

In most cases, the service will be for the direct benefit of a PATIENT.

For example a SERVICE may be one or more of the following:

A SERVICE associated with a Care Spell may be treatment carried out by the ORGANISATION acting as the Health Care Provider as part of a Care Spell for which the lead responsibility is with another ORGANISATION.

CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS is recorded to enable tracking of the status of REFERRAL REQUESTS for PATIENTS referred with a suspected cancer, or referred with breast symptoms with cancer not originally suspected.

Where a diagnosis of cancer is subsequently made, data on First Definitive Treatment and subsequent treatments should be recorded for PATIENTS receiving treatment within the NHS in England.  English NHS in this context refers to Health Care Provider ORGANISATIONS within England who are treating PATIENTS with cancer (where the PATIENTS have NHS NUMBERS which exist on the Patient Demographic Service database, and which can be used within the National Cancer Waiting Times Monitoring Data Set for transmission purposes) who may have been referred from outside England.  Further details can be found in Department of Health guidance at  Cancer Waiting Times Documentation and Links.

English NHS in this context refers toHealth Care Provider ORGANISATIONS within England who are treating PATIENTS with cancer (where the PATIENTS have NHS NUMBERS which exist on the Patient Demographic Service database, and which can be used within the National Cancer Waiting Times Monitoring Data Set for transmission purposes) who may have been referred from outside England.

Further details can be found in Department of Health guidance at Cancer Waiting Times Documentation and Links.

Where PATIENTS with a diagnosis of cancer do NOT receive treatment within the NHS in England, or where the diagnosed condition is not within the Department of Health list of cancer conditions (see Department of Health  guidance at Cancer Waiting Times Documentation and Links), further data need not be collected.

The classification has been listed in logical sequence rather than numeric order.

National Codes:

Note 1:  National Code 09 - Under investigation following symptomatic referral, cancer not suspected (breast referrals only) should only be used when the TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE is National Code 16 - Exhibited (non-cancer) breast symptoms - cancer not initially suspected.Note 1*:  National Code 09 - 'Under investigation following symptomatic referral, cancer not suspected (breast referrals only)' should only be used when the TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE is National Code 16 - 'Exhibited (non-cancer) breast symptoms - cancer not initially suspected.'

The language used by a PERSON.

National Codes:

References:
National Joint Registry Dataset: v.1: 24th March 2003

A classification of OVERSEAS VISITOR STATUS.

National Codes:

This is a specific type of the attribute ACTIVITY DATE.

REFERRAL TO TREATMENT PERIOD END DATE will be one of the following:

the ACTIVITY DATE when the PATIENT is admitted for First Definitive Treatment.
If the start of a PATIENT's treatment is cancelled (by the Health Care Provider or PATIENT) after admission, the REFERRAL TO TREATMENT PERIOD will continue.
or

• the ACTIVITY DATE for First Definitive Treatment undertaken in an outpatient setting.
  or
  
• the ACTIVITY DATE for First Definitive Treatment undertaken by an NHS Allied Health Professional Service (Referral To Treatment Measurement).
  or
  
• the ACTIVITY DATE when the decision not to treat is made, with no further action at this time communicated to the PATIENT.
  
  This will include Discharge After Patient Did Not Attend and discharge back to primary care for treatment.
  or
  
• the ACTIVITY DATE when the PATIENT declines offered treatment.
  or
  
• the ACTIVITY DATE when the PATIENT did not attend for the first ACTIVITY during a REFERRAL TO TREATMENT PERIOD. See REFERRAL TO TREATMENT PERIOD for guidance on PATIENTS who do not attend.
  or
  
• the ACTIVITY DATE the clinical decision is made (and agreed with the PATIENT) that Active Monitoring will begin. If a PATIENT subsequently requires further treatment this decision would start a new REFERRAL TO TREATMENT PERIOD as part of the same PATIENT PATHWAY. This includes any treatment that is planned for a specific date in the future as ongoing monitoring.
  or
  
• the ACTIVITY DATE a clinical decision is made and has been communicated to the PATIENT, and subsequently their GENERAL PRACTITIONER and/or other referring CARE PROFESSIONAL without undue delay, to add the PATIENT to a transplant list.
  or
  
• the ACTIVITY DATE:
  • when the PATIENT is admitted for First Definitive Treatment. If the start of a PATIENT's treatment is cancelled (by the Health Care Provider or PATIENT) after admission, the REFERRAL TO TREATMENT PERIOD will continue.
  • for First Definitive Treatment undertaken in an outpatient setting.
  • for First Definitive Treatment undertaken by an NHS Allied Health Professional Service (Referral To Treatment Measurement).
  • when the decision not to treat is made, with no further action at this time communicated to the PATIENT. This will include Discharge After Patient Did Not Attend and discharge back to primary care for treatment.
  • when the PATIENT declines offered treatment.
  • when the PATIENT did not attend for the first ACTIVITY during a REFERRAL TO TREATMENT PERIOD. See REFERRAL TO TREATMENT PERIOD for guidance on PATIENTS who do not attend.
  • the clinical decision is made (and agreed with the PATIENT) that Active Monitoring will begin. If a PATIENT subsequently requires further treatment this decision would start a new REFERRAL TO TREATMENT PERIOD as part of the same PATIENT PATHWAY. This includes any treatment that is planned for a specific date in the future as ongoing monitoring.
  • a clinical decision is made and has been communicated to the PATIENT, and subsequently their GENERAL PRACTITIONER and/or other referring CARE PROFESSIONAL without undue delay, to add the PATIENT to a transplant list.

or

• the PERSON DEATH DATE.

In the unfortunate event that a PATIENT is booked into the wrong clinic and needs to be re-referred to the right one, this will not end the REFERRAL TO TREATMENT PERIOD or restart it.In the event that a PATIENT is booked into the wrong clinic and needs to be re-referred to the right one, this will not end the REFERRAL TO TREATMENT PERIOD or restart it. The start of the REFERRAL TO TREATMENT PERIOD is still the original REFERRAL REQUEST RECEIVED DATE.

The start date of a REFERRAL TO TREATMENT PERIOD.

This is a specific type of the attribute ACTIVITY DATE.

A REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:

• Initial Referral
• the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST for a particular condition.
  
  This will include a PATIENT being re-referred in to a Consultant Led Service or an Interface Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) as a new referral including after a Discharge After Patient Did Not Attend. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity';
  or
  
  Following an APPOINTMENT that the PATIENT did not attend
• the APPOINTMENT ACCEPTED DATE (or the INVITATION OFFER DATE SENT of the first APPOINTMENT OFFER where the APPOINTMENT OFFER is sent) for the first APPOINTMENT following the PATIENT not attending an APPOINTMENT or elective admission. See REFERRAL TO TREATMENT PERIOD and Discharge After Patient Did Not Attend for guidance on PATIENTS who do not attend.
  
  The APPOINTMENT DATE of the APPOINTMENT that the PATIENT did not attend should be used where it is not possible to identify the APPOINTMENT ACCEPTED DATE or the INVITATION OFFER DATE SENT. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity'
  or
  
  Following active monitoring
• the ACTIVITY DATE of a CARE ACTIVITY when a decision to treat was made following Active Monitoring and the REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 11 - active monitoring end'
  
  This will include a decision to start a substantively new or different treatment that does not already form part of that PATIENT's agreed CARE PLAN.
  or
  
  On identifying a separate condition
• the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST when a decision has been made to refer the PATIENT directly to a Consultant Led Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition (the REFERRAL TO TREATMENT PERIOD STATUS for the first CARE ACTIVITY with the new CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) is 'National Code 12 - consultant or NHS Allied Health Professional Service (Referral To Treatment) referral').
• Initial Referral:
  • the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST for a particular condition.
  • This will include a PATIENT being re-referred in to a Consultant Led Service or an Interface Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) as a new referral including after a Discharge After Patient Did Not Attend. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity'
• Following an APPOINTMENT that the PATIENT did not attend:
  • the APPOINTMENT ACCEPTED DATE (or the INVITATION OFFER DATE SENT of the first APPOINTMENT OFFER where the APPOINTMENT OFFER is sent) for the first APPOINTMENT following the PATIENT not attending an APPOINTMENT or elective admission. See REFERRAL TO TREATMENT PERIOD and Discharge After Patient Did Not Attend for guidance on PATIENTS who do not attend
  • The APPOINTMENT DATE of the APPOINTMENT that the PATIENT did not attend should be used where it is not possible to identify the APPOINTMENT ACCEPTED DATE or the INVITATION OFFER DATE SENT. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity'
• Following active monitoring:
  • the ACTIVITY DATE of a CARE ACTIVITY when a decision to treat was made following Active Monitoring and the REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 11 - active monitoring end'
  • This will include a decision to start a substantively new or different treatment that does not already form part of that PATIENT's agreed CARE PLAN.  
• On identifying a separate condition:
  • the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST when a decision has been made to refer the PATIENT directly to a Consultant Led Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition (the REFERRAL TO TREATMENT PERIOD STATUS for the first CARE ACTIVITY with the new CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) is 'National Code 12 - consultant or NHS Allied Health Professional Service (Referral To Treatment) referral'). 

Referral To Treatment Consultant Led Waiting Times: 

For most PATIENTS, the start of the REFERRAL TO TREATMENT PERIOD begins with a SERVICE REQUEST from a GENERAL MEDICAL PRACTITIONER to a CONSULTANT.

SERVICE REQUESTS to CONSULTANTS who provide care services in community settings (for example in outreach clinics, directly employed by a Primary Care Trust or working in a community hospital) also start REFERRAL TO TREATMENT PERIODS and the REFERRAL REQUEST RECEIVED DATE will be the start of the  REFERRAL TO TREATMENT PERIOD.

A REFERRAL TO TREATMENT PERIOD may also start from SERVICE REQUESTS to CONSULTANTS from GENERAL DENTAL PRACTITIONERS, Practitioners with Special Interests, OPTOMETRISTS and Orthoptists, National Screening Programmes, Specialist NURSES, other CARE PROFESSIONALS where Primary Care Trusts have approved these mechanisms locally.

An 18-week clock also starts upon a self referral by a PATIENT to the above services, where these pathways have been agreed locally by commissioners and providers and once the referral is ratified by a CARE PROFESSIONAL.

A REFERRAL TO TREATMENT PERIOD will also start where PATIENTS are transferred to an elective Consultant Led Service through SERVICE REQUESTS from Accident and Emergency Departments including Minor injuries units and Walk In Centres.

Allied Health Professional Referral To Treatment Measurement:

Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found at the Department of Health Publications website.

 

Notes:
The PERSON PROPERTY OBSERVED DATE when the ACCOMMODATION STATUS CODE was recorded.

This data element is mandatory for PATIENTS referred urgently by their GENERAL PRACTITIONER for suspected cancer but can also be applied to other PATIENTS.

The date will be one of the following, whichever is the earliest SERVICE relating to the REFERRAL REQUEST:

• first Out-Patient Appointment; this is the Attendance Date of the first Out-Patient Attendance Consultant
• first diagnostic procedure if this precedes the first Out-Patient Appointment; this is the first Clinical Intervention Date of the Imaging or Radiodiagnostic Event or CLINICAL INTERVENTION
• first seen as an emergency; this is the Start Date of the Hospital Provider Spell or the Arrival Date of the Accident and Emergency Attendance
• the date the PATIENT was first seen following referral (or recall) from (or by) a Screening Unit

Date First Seen may not be the same as FIRST SEEN BY SPECIALIST DATE (CANCER) which records the first time the PATIENT sees an appropriate specialist in cancer care.

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:
DEATH CAUSE ICD CODE (CONDITION) is the same as attribute DEATH CAUSE CODE.

DEATH CAUSE ICD CODE (CONDITION) is the ICD code of the condition giving rise to death as recorded on the death certificate.

DEATH CAUSE ICD CODE (CONDITION) replaces DEATH CAUSE CODE (CONDITION) and should be used for all new and developing data sets and for XML messages.

DECISION TO TREAT DATE (TELETHERAPY TREATMENT COURSE) is only mandatory when applicable in the National Cancer Data Set which is when the planned First Definitive Treatment is teletherapy. 

DECISION TO TREAT DATE (TELETHERAPY TREATMENT COURSE) is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE National Code 'Teletherapy' 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.

IMAGING CODE (NICIP) is the National Interim Clinical Imaging Procedure Code Set code which is used to identify both the test modality and body site of the test.

IMAGING CODE (SNOMED-CT) is the SNOMED CT concept ID which is used to identify the Diagnostic Imaging test.

The SNOMED CT Subset:

• original ID is 611000000135
• name is 'UK Diagnostic Imaging Procedure Concepts'.

Permitted National Codes:

NHS NUMBER STATUS INDICATOR will be replaced with NHS NUMBER STATUS INDICATOR CODE, which should be used for all new and developing data sets and for XML messages.

Notes:
The NHS NUMBER STATUS INDICATOR of the NHS NUMBER (BABY) within the Commissioning Data Set Delivery Episode and Commissioning Data Set Home Delivery.

Permitted National Codes:

NHS NUMBER STATUS INDICATOR (BABY) will be replaced with NHS NUMBER STATUS INDICATOR CODE (BABY), which should be used for all new and developing data sets and for XML messages.

Permitted National Codes: