Acute Myocardial Infarction Data Set Overview

Cancer Registration Data Set Overview

Diabetes Data Set (Summary Core) Overview

The Diabetes Data Set (Summary Core) is developed to ensure people with diabetes have up to date records of their risk factors, current management, treatment target achievements and arrangements and outcomes of regular surveillance for complications, to help them monitor their care and make informed choices about their management.

The Diabetes Data Set (Summary Core) will also ensure that when people with diabetes meet health care professionals the consultation is fully informed by comprehensive, up to date and accurate information.

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, the message will be rejected by the Health Protection Agency if this data element is absent

R = Required - data must be included where available

The Genitourinary Medicine Clinic Activity Data Set provides essential public health information about sexually transmitted infection diagnoses, treatments and services provided by genitourinary medicine services.

Please note: A PATIENT may have more than one diagnosis, treatment and service per attendance, therefore a row should be transmitted for each GENITOURINARY EPISODE TYPE.

Mental Health Minimum Data Set Overview

The Mental Health Minimum Data Set concerns adult PATIENTS (including elderly) who receive care in NHS specialist mental health services. This care is delivered within a Mental Health Care Spell. For some PATIENTS, care will comprise a small number of Out-Patient Appointments over a few weeks. For others, it may extend over many years and include hospital, community, out-patient and day care attendances which may commonly overlap.

The Mental Health Minimum Data Set is assembled and produced for a defined period of time known as the REPORTING PERIOD (which may be monthly, quarterly or annually) and comprises a data set record for each Mental Health Care Spell which occurs wholly or partially within the REPORTING PERIOD.

National Cancer Data Set Overview

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

National Cancer Waiting Times Monitoring Data Set Overview

The National Cancer Waiting Times Monitoring Data Set contains the data required for monitoring the cancer waiting time standards introduced by Data Set Change Notice 22/2002, and has been updated to include those introduced by the Cancer Reform Strategy (2007).

The data items are presented in the same order as the Comma Separated Values (.csv) file which can be exported from Provider-based systems and uploaded to the Cancer Waiting Times system. This system is hosted nationally on NHSnet.

The seven columns show whether the data item is Mandatory or Optional for:

• M = Mandatory - the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis.  The Department of Health require the data to be submitted 25 working days after the end of each month or quarter.
• 
  
• M* = Mandatory if applicable - the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis, where collection of the item was applicable to them.  The Department of Health require the data to be submitted 25 working days after the end of each month or quarter.
• 
  
• O = Optional
• 
  
• O* = Optional if applicable
• 
  
• N/A = Not Applicable
• 
  

National Joint Registry Data Set Overview

Operations to be included in the National Joint Registry database

Note:
"Re-operations excluding Revisions" - e.g. for dislocation, infection - are not specifically captured in Version Live MDS_v1 of the Data Set. Relevant procedures will be included in Live MDS_v2 following consultation with the National Joint Registry Steering Committee and the Regional Clinical Co-ordinators' Network.

National Joint Registry Data Set - Data Element List

Radiotherapy Data Set Overview

Sexual and Reproductive Health Activity Data Set Overview

Responsible AgenciesResponsible Agencies

Organisation Data Service:

The Organisation Data Service is responsible for allocating codes to the following ORGANISATIONS in England and Wales:

• Strategic Health Authorities (SHAs)
• NHS Trusts
• Primary Care Trusts (PCTs)
• Care Trusts (CTs)
• Special Health Authorities (SpHAs)
• Independent Providers (Care Homes, private hospitals etc.)
• Pathology Laboratories
• Cancer Registries
• Other NHS Administration Units

Administrative codes are used to identify:

• Individual healthcare ORGANISATIONS including independent providers;
• Independent Sector Healthcare Providers;
• Dental and Medical Practices;
• Practitioners, such as GENERAL PRACTITIONERS, and Hospital CONSULTANTS;
• the identification of information returned to the Department of Health;
• the identification of the ORGANISATIONS involved in the electronic exchange of information within the NHS;
• the identification of the parties involved in the commissioning and administration of an episode of care.

The current coding standards were introduced in 1996 by the Organisation Codes Service (OCS), now the Organisation Data Service. Subsequent revisions to the structure and format of ORGANISATION CODES have given these codes a consistent and stable format. This both reflects the organisational changes in the NHS and protects the codes against future changes to the structure of the NHS.

Codes used in England and Wales to identify ORGANISATIONS in Scotland and Northern Ireland are allocated by agencies working on behalf of the Information Standards Division (Scotland) and the Northern Ireland Department of Health, Social Services and Public Safety. These codes meet NHS coding standards and are included on the Organisation Data Service data set, issued quarterly to NHS users via the online distribution service, Terminology Reference Data Update Distribution Service (TRUD) and through the Organisation Data Service pages on NHSnet.

Code allocation by other agencies:

Several other UK agencies are responsible for issuing or publishing codes (to NHS standards) for the following healthcare ORGANISATIONS and CARE PROFESSIONALS and for maintaining their details. These details are made available in the Organisation Data Service data set, issued quarterly to NHS users via online distribution service, TRUD (Terminology Reference Data Update Distribution Service) and through the Organisation Data Service pages on the NHSnet.

• NHS Prescription Services:
  • GENERAL MEDICAL PRACTITIONERS in England, Wales, Isle of Man and Channel Islands
  • GP Practices in England, Isle of Man and Channel Islands
  • Pharmacy and appliance dispensers in England, Isle of Man and Channel Islands
• NHS Dental Services:
  • GENERAL DENTAL PRACTITIONERS in England, Wales and Isle of Man
  • General Dental Practices in England, Wales and Isle of Man
• Health Solutions Wales (HSW):
  • Maintain GP Practice details by way of receiving notification from the British Safety Council of a new GP Practice and then generating an internal code and passing on to the NHS Prescription Services for allocation of the W (Welsh) GP Practice
• NHS in Scotland:
  • All healthcare ORGANISATIONS and practitioners in Scotland
• Department of Health, Social Services and Public Safety (DHSSPS), Northern Ireland:
  • All healthcare ORGANISATIONS and practitioners in Northern Ireland
• Office for National Statistics (ONS):
  • Responsible for the formal definition of the geographical area covered by each Primary Care Trust and Strategic Health Authority (England), in terms of their component postcodes.

Where treatment for a NHS PATIENT is sub-commissioned to a non-NHS UK provider healthcare ORGANISATION (independent provider and/or Independent Sector Healthcare Provider) but that non-NHS UK provider does not have an ORGANISATION CODE or sites registered with a responsible agency, the default value of 89999 should be used.

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

For codes and format see:

ORGANISATION CODE
ORGANISATION DEPARTMENT CODE
ORGANISATION SITE CODE
CONSULTANT CODE
DOCTOR INDEX NUMBER
GENERAL MEDICAL COUNCIL REFERENCE NUMBER
GENERAL MEDICAL PRACTITIONER PPD CODE
GENERAL DENTAL COUNCIL REGISTRATION NUMBER
GENERAL DENTAL PRACTITIONER CODE
PRIVATE CONTROLLED DRUG PRESCRIBER CODE

Events During the Reporting Period

• The Department of Health requires performance management information on ELECTIVE ADMISSION LIST events within a specified REPORTING PERIOD.

• The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.

• This central information collection requirement is both:

  provider based and is submitted by provider NHS Trust and provider Primary Care Trusts regardless of where PATIENTS live.

  and

  commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.

• Each submission will be from one ORGANISATION in the role of provider or commissioner and should only contain data appropriate to that role i.e. must not contain a mixture of commissioning and provider role data.

  COMMISSIONER OR PROVIDER STATUS INDICATOR indicates whether it is a submission from the ORGANISATION in the role of commissioner of care or provider of care.

  Admitted Patient Flow Events

• The collection data is sub grouped by MAIN SPECIALTY CODE. Where no flow activity data for a MAIN SPECIALTY CODE has occurred within the REPORTING PERIOD then no admitted patient flow sub group should be recorded for it. Only one sub group is permitted per MAIN SPECIALTY CODE.
• The collection is for:

  all PATIENTS for whom a DECISION TO ADMIT was taken during the REPORTING PERIOD to place the patients on the Elective Admission List.

  and

  all PATIENTS admitted during the REPORTING PERIOD from the Elective Admission List

  and

  all PATIENTS who giving no advance warning failed to attend for admission from the Elective Admission List during the REPORTING PERIOD

  and

  all PATIENTS who were removed from the Elective Admission List during the REPORTING PERIOD for reasons other than admission

• It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.

  It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

• It includes those PATIENTS who are classified as booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.

  It excludes those PATIENTS who are classified as planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

• The collection is sub-divided into a count of day case admissions and ordinary admissions.

  INTENDED MANAGEMENT records whether a PATIENT is intended as an ordinary admission (to stay overnight) or a day case admission (not to stay overnight).

Admitted Patient Stocks at the end of the Reporting Period

• The Department of Health requires performance management information on ELECTIVE ADMISSION LIST stocks at the end of a specified REPORTING PERIOD.

• The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.

• This central information collection requirement is both:

  provider based and is submitted by provider NHS Trusts and provider Primary Care Trusts regardless of where PATIENTS live.

  and

  commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.

• Each submission will be from one ORGANISATION in the role of provider or commissioner and should only contain data appropriate to that role i.e. must not contain a mixture of commissioning and provider role data.

  COMMISSIONER OR PROVIDER STATUS INDICATOR indicates whether it is a submission from the ORGANISATION in the role of commissioner of care or provider of care.

  
  

  Admitted Patient Stock Group Main Specialty

• The collection data is grouped by MAIN SPECIALTY CODE. Where there are no stocks present for a MAIN SPECIALTY CODE within the REPORTING PERIOD then no admitted patient stocks group should be recorded for it. Only one sub group is permitted per MAIN SPECIALTY CODE.

Admitted Patient Stock Sub Group Ordinary Admissions and Day Case Admissions

• Within the MAIN SPECIALTY CODE grouping, the collection is further sub grouped by WAITING FOR ADMISSION INTENDED MANAGEMENT which indicates whether the sub group is for ordinary admissions or day case admissions
• 
  
• The collection is for:

  all PATIENTS who are waiting to be admitted from the ELECTIVE ADMISSION LIST on the REPORTING PERIOD END DATE. This includes PATIENTS with an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE.

and

all PATIENTS who are waiting to be admitted by specified waiting time band from the ELECTIVE ADMISSION LIST on the  REPORTING PERIOD END DATE. This includes PATIENTS with an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE.

and

all PATIENTS who are waiting to be admitted from the ELECTIVE ADMISSION LIST on the REPORTING PERIOD END DATE due to Self-Deferred Admission. This includes PATIENTS with an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE.

and

all PATIENTS who are waiting to be admitted from the ELECTIVE ADMISSION LIST who at the REPORTING PERIOD END DATE are Suspended Patients. This includes PATIENTS with an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE.

• It includes those PATIENTS who are classified as booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.

  It excludes those PATIENTS who are classified as planned admissions and for the total number of PATIENTS waiting and waiting by time band also excludes Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

• The collection is further sub grouped into a count of day case admissions and ordinary admissions .

  INTENDED MANAGEMENT records whether a PATIENT is intended as an ordinary admission or a day case admission and therefore which WAITING FOR ADMISSION INTENDED MANAGEMENT it is being sub grouped within.

  Summarised Admitted Patient Stock Group Intended Procedures for Ordinary Admissions

• The collection data is grouped by ADMISSION INTENDED PROCEDURE which indicates the required range of OPERATIVE PROCEDURES. Where the are no stocks present for an ADMISSION INTENDED PROCEDURE within the REPORTING PERIOD then no in-patient stocks group should be recorded for it. Only one group is permitted per ADMISSION INTENDED PROCEDURE.
• The required grouping ranges of ADMISSION INTENDED PROCEDURE are:

  0001 CABG - K40-46 Coronary Artery Bypass Graft Code Range:
  or
  0002 PTCA - K49-50 Percutaneous Transluminal Operations Coding Range:
  or
  0003 Valves Coding Range K25-K35 & K38
  or
  0004 - Angiography Coding Range K63 & K65

• Within the ADMISSION INTENDED PROCEDURE the collection only applies to patients waiting for admission as ordinary admissions as indicated by WAITING FOR ADMISSION INTENDED MANAGEMENT.
• 
  
• The collection is for:

  all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD and are waiting to be admitted from the Elective Admission List

  and

  all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted by specified waiting time band from the Elective Admission List

• It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTSs and PATIENTS from overseas.

  It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

• It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.

  It excludes those PATIENTS who are classified as planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

Provider Admitted Patient and Out-Patient Bookings: Events During the Reporting Period

• The Department of Health requires performance management information on ELECTIVE ADMISSION LIST and APPOINTMENT WAITING LIST booking events within a specified REPORTING PERIOD.

• The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.

• This central information collection requirement is provider based and is submitted by provider NHS Trusts and provider Primary Care Trusts regardless of where PATIENTS live.

  Admitted Patient Booking Events

• The collection is for:

  all PATIENTS for whom a DECISION TO ADMIT was taken during the REPORTING PERIOD to place the PATIENTS on the ELECTIVE ADMISSION LIST for booked and waiting list admission

  and

  all patients for whom a DECISION TO ADMIT was taken during the REPORTING PERIOD to place the patients on the ELECTIVE ADMISSION LIST for booked admission only.

• It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

• All PATIENTS waiting for admission to NHS hospitals should be included, i.e. include PATIENTS who are private patients and patients from overseas where they have an OVERSEAS VISITOR STATUS of OVERSEAS VISITOR EXEMPT CATEGORY).
• It excludes those PATIENTS who are classified as planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

• All PATIENTS waiting for admission to NHS hospitals should be included, i.e. PATIENTS who are private PATIENTS and patients from overseas where they have an OVERSEAS VISITOR STATUS of OVERSEAS VISITOR EXEMPT CATEGORY.

• The collection is sub-divided into a count of day case admissions and ordinary admissions.

  INTENDED MANAGEMENT records whether a PATIENT is intended as an ordinary admission (to stay overnight) or a day case admission (not to stay overnight).

  Out-Patient Booking Events

• The collection is for:

  all PATIENTS referred within the REPORTING PERIOD for a first Out-Patient Appointment by GENERAL PRACTITIONER written referral where a booking systems was used

  and

  all PATIENTS given a first APPOINTMENT and added to the Out-Patient Waiting List within the REPORTING PERIOD for a first Out-Patient Appointment arising from a GENERAL PRACTITIONER written referral regardless of whether or not a booking systems was used.

• The APPOINTMENT ACCEPTED DATE of the first APPOINTMENT indicates which REPORTING PERIOD the first APPOINTMENT was added to the Out-Patient Waiting List.

  A first APPOINTMENT is where APPOINTMENT FIRST ATTENDANCE is National Code 01 'First appointment' for a first appointment which has taken place.

  Where one or more APPOINTMENT is recorded for a PATIENT but none has as yet taken place, the notional 'first appointment' will be the APPOINTMENT with the earliest APPOINTMENT DATE. This excludes any APPOINTMENTS which have been cancelled as indicated by a recorded APPOINTMENT CANCELLED DATE.

The Casemix Service is delivered by the NHS Information Centre for health and social care.The Casemix Service is delivered by The NHS Information Centre for health and social care.

The Casemix Service designs and refines classifications that are used by the English NHS to describe healthcare ACTIVITY. These classifications underpin Payment by Results from costing through to payment, and support local commissioning and performance management.

The Casemix Service enables the NHS to:

• support ACTIVITY costing: to inform the national tariff setting processes
• report PATIENT ACTIVITY information: to ensure that providers are paid for the SERVICES they deliver
• provide information: to support epidemiological studies and service planning.

Activity from 1st April 2005

To help determine who has access to Commissioning Data Set data once it has been stored in the Secondary Uses Service, NHS Trusts and Primary Care Trusts need to identify each of those ORGANISATIONS as a CDS COPY RECIPIENT IDENTITY taking all of the following factors into account. Information is required to:

• monitor and manage NHS SERVICE AGREEMENTS;
• develop commissioning plans;
• monitor HEALTH PROGRAMMES;
• underpin clinical governance;
• understand the health needs of the population.

Main commissioners need access to data to monitor Non-Contract Activity as part of the management of their NHS SERVICE AGREEMENTS.

Primary Care Trusts need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.

Independent Sector Treatment Centres are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Set and may submit it on their own behalf or via a third party.Independent Sector Treatment Centres are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Sets and may submit on their own behalf or via a third party.

Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.

The Department of Health require a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment.The Department of Health require a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment. The record also includes NHS PATIENTS treated electively in the independent sector and overseas visitors.

A PATIENT / NHS SERVICE AGREEMENT entry has been specifically introduced to identify ACTIVITY commissioned by the National Specialised Commissioning Group (NSCG). The code YDD82 should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for National Specialised Commissioning Group commissioned activity.

THE CDS ADDRESSING GRID - Activity from 1st April 2005

Key to population codes:
R - Data required for a Commissioning Data Set data flow as part of NHS business rules to meet NHS business requirements.
M - Data is mandatory in the CDS-XML schema and Commissioning Data Set messages will not flow if this data is absent.

Notes:

a) The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS TYPE and must not change even if the ADDRESS or Primary Care Trust of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.

See the supporting information in Commissioning Data Set Submission Protocol for a detailed explanation.

b) Note that if two recipients are identical for example, the ORGANISATION CODE (PCT OF RESIDENCE) may be the same as the ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that ORGANISATION should be made for that recipient.

c) For further information please refer to Data Set Change Notice 06/2005, Data Set Change Notice 19/2005 and Data Set Change Notice 19/2006.

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

Clinical Message SchemaMessage Documentation

• Mental Health Minimum Data Set Message Schema Versions

Default (or pseudo) codes may be used:

• to indicate an ORGANISATION TYPE, such as Commissioner Code for Ministry of Defence (MoD) Healthcare;
• to indicate that the code value is not known;
• to indicate that a code cannot be supplied (e.g. no referring doctor or dentist).
• to indicate that a code cannot be supplied (e.g. no referring GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER).

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

A Learning Difficulty is a type of Special Education Needs, which affects areas of learning, such as reading, writing, spelling, mathematics etc.

There are several levels of Learning Difficulties, such as:

• Specific Learning Difficulty (SpLD) - a particular difficulty in learning to read, write, spell etc
• Moderate Learning Difficulty (MLD) - achievements well below expected levels in all or most areas of the curriculum, despite appropriate interventions
• Severe Learning Difficulty (SLD) - significant intellectual or cognitive impairments
• Profound and Multiple Learning Difficulty (PMLD) - multiple Learning Difficulties have severe and complex learning needs, in addition they have other significant difficulties, such as physical disabilities or a sensory impairment.
• Specific Learning Difficulty - a particular difficulty in learning to read, write, spell etc
• Moderate Learning Difficulty - achievements well below expected levels in all or most areas of the curriculum, despite appropriate interventions
• Severe Learning Difficulty - significant intellectual or cognitive impairments
• Profound and Multiple Learning Difficulty - multiple Learning Difficulties have severe and complex learning needs, in addition they have other significant difficulties, such as physical disabilities or a sensory impairment.

For further information on Learning Difficulties, see the teachernet website.

Note: a Learning Disability usually has a significant impact on a PERSON's life. A PERSON with a Learning Disability finds it harder than others to learn, understand and communicate.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

A Learning Disability (formerly known as a Mental Handicap and referred to as an Intellectual Disability) is a type of DISABILITY.

A Learning Disability usually has a significant impact on a PERSON's life. A PERSON with a Learning Disability finds it harder than others to learn, understand and communicate.

People with Profound and Multiple Learning Disabilities (PMLD) need full-time help with every aspect of their lives, including eating, drinking, washing, dressing and toileting etc.People with Profound and Multiple Learning Disabilities need full-time help with every aspect of their lives, including eating, drinking, washing, dressing and toileting etc.

Someone is considered to have a Learning Disability when they function at a level of intellectual ability which is significantly lower than their chronological age. This is usually considered to be equivalent to having an Intelligence Quotient (IQ) of seventy or less:

• Mild Learning Disability (roughly equivalent to an IQ of fifty to seventy) is comparable to the educational term 'Moderate Learning Difficulty'. It is usually caused by a combination of restricted learning and social opportunities plus a high rate of low to average intellectual ability and Learning Disability in close relatives.
  
  
• Moderate-to-profound Learning Disability (roughly equivalent to an IQ below fifty) is comparable to the educational term 'Severe Learning Difficulty'. It usually has a specific biological cause.

Note: A Learning Difficulty is a type of Special Education Need which affects areas of learning, such as reading, writing, spelling, mathematics etc.

Further information on Learning Disabilities, can be found on the internet, for example:

• Mencap website
• Contact a Family website etc.

Non-Contract Activity was known as Out Of Area Treatment prior to 1 April 2005.

Non-Contract Activities are covered by NHS SERVICE AGREEMENTS between a commissioner and the Trust providing treatment. The commissioner is identified by the ORGANISATION CODE (CODE OF COMMISSIONER).

Non-Contract Activities cover:

ORGANISATIONS such as The NHS Information Centre for health and social care, General Medical Council etc which are included in the NHS Data Model and Dictionary.

This section will be extended over time to include more ORGANISATIONS.

• NHS Data Model and Dictionary:

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

  Email: datastandards@nhs.net

  NHS Data Model and Dictionary Service Website:
  http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary
• 
  
• Information Standards Board for Health and Social Care:

  Information Standards Board for Health and Social Care
  Princes Exchange 
  Princes Square
  Leeds
  LS1 4HY

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

Email: isb@nhs.net

• Department of Health

Website:  Department of Health website

Queries:  Contact Us Details

Email: dhmail@dh.gsi.gov.uk

• NHS Information Centre for health and social care

The NHS Information Centre for health and social care

Website:  Information Centre for Health and Social Care websiteWebsite: The NHS Information Centre for Health and Social Care website

Queries:  Contact Us Details

Email: enquiries@ic.nhs.uk

• Hospital Episode Statistics (HES):

Website: HES online

Queries: HES queries

• Clinical Coding general enquiries:

  International Classification of Diseases (ICD-10);
  OPCS-4 Classification of Interventions and Procedures;
  Clinical Terms (The Read Codes);
  SNOMED CT (Systematised Nomenclature of Medicine Clinical Terms)

  For all general enquiries, contact:

  NHS Connecting for Health
  Data Standards and Products Help Desk

E-mail: datastandards@nhs.net

Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/clinicalcoding/

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

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

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

• Organisation Data Service Queries:

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

Email: exeter.helpdesk@nhs.net

Telephone: 01392 251 289

Organisation Data Service website pages:

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

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

• Postcodes:

Office for National Statistics

Telephone: 0845 601 3034

Fax: 01633 652747

Email: info@statistics.gov.uk

Website: http://www.ons.gov.uk/about

National Health Service Postcode Directory (NHSPD) Website: http://www.ons.gov.uk/about

The Secondary Uses Service is designed to provide anonymous patient-based data for purposes other than direct clinical care such as healthcare planning, commissioning, public health, clinical audit and governance, benchmarking, performance improvement, medical research and national policy development.The Secondary Uses Service is designed to provide anonymous PATIENT-based data for purposes other than direct clinical care such as healthcare planning, commissioning, public health, clinical audit and governance, benchmarking, performance improvement, medical research and national policy development.

The NHS Information Centre for health and social care is establishing a single, secure data environment for the whole of the NHS. Secondary Uses Service provides a consistent environment for the management and linkage of data, allowing better comparison of data across the care sector, together with associated analysis and reporting tools. The Secondary Uses Service provides a consistent environment for the management and linkage of data, allowing better comparison of data across the care sector, together with associated analysis and reporting tools.

The NHS Information Centre for health and social care is working in partnership with NHS Connecting for Health, which manages the National Programme for IT. This joint programme team is responsible for the development and implementation of the Secondary Uses Service . This joint programme team is responsible for the development and implementation of the Secondary Uses Service.

More information about the Secondary Uses Service can be found at the NHS Connecting for Health managed website: Secondary Uses Service .Further information about the Secondary Uses Service can be found on the NHS Connecting for Health managed website at Secondary Uses Service.

• The Department of Health requires performance management information on ELECTIVE ADMISSION LIST and Out-Patient Waiting List events within a specified REPORTING PERIOD.

• The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.

• This central information collection requirement is both:

• provider based and is submitted by provider NHS Trusts and provider Primary Care Trusts regardless of where PATIENTS live.

  and

  commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.

• Each submission will be from one ORGANISATION in the role of provider or commissioner and should only contain data appropriate to that role i.e. must not contain a mixture of commissioning and provider role data.

• COMMISSIONER OR PROVIDER STATUS INDICATOR indicates whether it is a submission from the ORGANISATION in the role of commissioner of care or provider of care.

  Admitted Patient Flow Events Elective Admission List

• 
  
• The collection data is sub grouped by totals for all MAIN SPECIALTY CODES and for MAIN SPECIALTY CODE 110 Trauma & Orthopaedics only.
• The collection is for:

• all PATIENTS admitted during the REPORTING PERIOD from the Elective Admission List subdivided into count of day case admissions and ordinary admissions

  and

  all PATIENTS admitted during the REPORTING PERIOD from the Elective Admission List as planned admission during the REPORTING PERIOD

  and

  all PATIENTS admitted during the REPORTING PERIOD from the Elective Admission List to a NHS Treatment Centre and Independent Sector Treatment Centre during the REPORTING PERIOD

• It includes private PATIENTS and PATIENTS from overseas.

• It excludes Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

• The collection is sub-divided into a count of day case admissions and ordinary admissions.

• INTENDED MANAGEMENT records whether a PATIENT is intended as an ordinary admission (to stay overnight) or a day case admission (not to stay overnight).

  Admitted Patient Flow Events non-Elective Admissions

• 
  
• The collection data is grouped by totals for ADMISSION INTENDED PROCEDURE which indicates the required range of OPERATIVE PROCEDURES and by admission to NHS Hospitals and non-NHS Hospitals.
• The required grouping ranges of ADMISSION INTENDED PROCEDURE are:

• 0001 CABG - Coronary Artery Bypass Graft Code Range:
  or
  0002 PTCA - Percutaneous Transluminal Operations Coding Range:
  or
  0005 CHD - Coronary Heart Disease Coding Range

• ORGANISATION TYPE of ORGANISATION records whether the hospital provider is an NHS or non-NHS organisation.
• ORGANISATION TYPE of ORGANISATION records whether the hospital provider is an NHS or non-NHS ORGANISATION.
• The collection is for all PATIENTS admitted non-electively during the REPORTING PERIOD.

  all PATIENTS admitted during the REPORTING PERIOD from the Elective Admission List to a NHS Treatment Centre and Independent Sector during the REPORTING PERIOD

• For NHS Hospital Providers it includes private PATIENTS and PATIENTS from overseas.

• It excludes Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

  Out-Patient Referral Flow Events

• 
  
• The collection data is sub grouped by totals for all MAIN SPECIALTY CODE and for MAIN SPECIALTY CODE 110 Trauma & Orthopaedics only.
• The collection is for:

• all GENERAL PRACTITIONER written referrals, whether from doctor or dentists, received within the REPORTING PERIOD for a first Out-Patient Appointment Consultant

  and

  all FIRST ATTENDANCE APPOINTMENTS arising from GENERAL PRACTITIONER written referrals, whether from doctors or dentists, where the Out-Patient Attendance Consultant took place within the REPORTING PERIOD.

• It includes private PATIENTS and PATIENTS from overseas.

• The Department of Health requires performance management information on ELECTIVE ADMISSION LIST stocks at the end of a specified REPORTING PERIOD.

• The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.

• This central information collection requirement is both:

• provider based and is submitted by provider NHS Trusts and provider Primary Care Trusts regardless of where PATIENTS live.

  and

  commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.

• Each submission will be from one ORGANISATION in the role of provider or commissioner and should only contain data appropriate to that role i.e. must not contain a mixture of commissioning and provider role data.

• COMMISSIONER OR PROVIDER STATUS INDICATOR indicates whether it is a submission from the ORGANISATION in the role of commissioner of care or provider of care.

  Admitted Patient Stock Group Main Specialty Code 110 Trauma and Orthopaedics

• 
  
• The collection data is grouped by ordinary admissions and day case admissions for MAIN SPECIALTY CODE 110 Trauma & Orthopaedics only.
• The collection is for:

• all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted from the Elective Admission List

  and

  all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted by specified waiting time band from the Elective Admission List

• It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.
• It includes those PATIENTS who are classified as booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.

• It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.It excludes those PATIENTS who are classified as planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

  Summarised Admitted Patient Stock Group Intended Procedures for Ordinary Admissions

• 
  
• The collection data is grouped by ADMISSION INTENDED PROCEDURE which indicates the required range of OPERATIVE PROCEDURE. Where the are no stocks present for a ADMISSION INTENDED PROCEDURE within the REPORTING PERIOD then no in-patient stocks group should be recorded for it. Only one group is permitted per ADMISSION INTENDED PROCEDURE.
• The required grouping ranges of ADMISSION INTENDED PROCEDURE are:

• 0001 CABG - Coronary Artery Bypass Graft Code Range:
  or
  0002 PTCA - Percutaneous Transluminal Operations Coding Range:
  or
  0003 Valves Coding Range
  or
  0004 - Angiography Coding Range

• Within the ADMISSION INTENDED PROCEDURE the collection only applies to PATIENTS waiting for admission as ordinary admissions as indicated by INTENDED MANAGEMENT.
• The collection is for:

• all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted from the Elective Admission List

  and

  all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted by specified waiting time band from the Elective Admission List

• It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.
• It includes those PATIENTS who are classified as booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.

• It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.It excludes those PATIENTS who are classified as planned admissions and Suspended Patients.

  ELECTIVE ADMISSION TYPE records the classification of the admission.

  Out-Patient Stock Group Main Specialty Code 110 Trauma and Orthopaedics

• 
  
• The collection data is for MAIN SPECIALTY CODE 110 Trauma and Orthopaedics only.
• The collection is for all PATIENTS referred by GENERAL PRACTITIONER written referral for a first Out-Patient Appointment Consultant where the APPOINTMENT has not taken place by the REPORTING PERIOD END DATE by specified waiting time band.
• It includes private PATIENTS and PATIENTS from overseas.

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
• 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
• 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 SERVICE REQUEST.

A request for the dispensing of one or more items or SERVICE to a PATIENT.

Subtypes of PRESCRIPTION areSubtypes of PRESCRIPTION are:

PRESCRIPTION FOR MEDICINES AND DEVICES AND BLOOD PRODUCTS

RADIOTHERAPY PRESCRIPTION

This is recorded for PATIENT activity.This is recorded for PATIENT ACTIVITY.

The category 'amenity patient' of the classification is only applicable to PATIENTS using a Hospital Bed.The category 'amenity PATIENT' of the classification is only applicable to PATIENTS using a Hospital Bed.

National Codes:

The Start Date of a Cancer Referral To Treatment Period.  This is a specific type of the attribute ACTIVITY DATE.  A CANCER REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:

• The REFERRAL REQUEST RECEIVED DATE of the SERVICE REQUEST to secondary care by a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER where the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 - Two Week Wait
• The ORIGINAL REFERRAL REQUEST RECEIVED DATE for the initial SERVICE REQUEST to secondary care where the PATIENT was subsequently upgraded onto a Cancer PATIENT PATHWAY.  The CONSULTANT UPGRADE DATE will also be recorded.
• The ORIGINAL REFERRAL REQUEST RECEIVED DATE for the initial SERVICE REQUEST to secondary care where the PATIENT was subsequently upgraded onto a Cancer PATIENT PATHWAY.  The CONSULTANT UPGRADE DATE will also be recorded, as this is the DATE used to calculate the start of the two month (62 day) waiting time target for PATIENTS who have been upgraded to a cancer pathway.
• The REFERRAL REQUEST RECEIVED DATE for the SERVICE REQUEST into secondary care when the PATIENT was referred urgently for 'breast symptoms' (the PRIORITY TYPE of the SERVICE REQUEST is recorded as National Code 3 - Two Week Wait)
• The REFERRAL REQUEST RECEIVED DATE for the SERVICE REQUEST to an Assessment Clinic following the identification of an abnormality by an NHS Cancer Screening Service (the PRIORITY TYPE of the SERVICE REQUEST is recorded as National Code 2 - Urgent)
• The ORIGINAL REFERRAL REQUEST RECEIVED DATE for the initial SERVICE REQUEST to secondary care by an NHS Cancer Screening Service, where the PRIORITY TYPE of the SERVICE REQUEST is recorded as National Code 1 - Routine, and where the PATIENT was subsequently upgraded onto a Cancer PATIENT PATHWAY.  The CONSULTANT UPGRADE DATE will also be recorded.

Note that for a SERVICE REQUEST received from the Choose and Book system, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first outpatient appointment slot (i.e. converted).   See REFERRAL REQUEST RECEIVED DATE.

National Codes:

References:
National Cancer Dataset Version 1.3_ISB October 2002

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

Identifies whether an interpreter is required for the purposes of communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON.

National Codes:

An identifier, other than a name, which identifies a PERSON.An identifier, other than a name, which identifies a PERSON, for example a NHS NUMBER etc.

The Physiological and Operative Severity Score for the Enumeration of Mortality and morbidity after surgery for an Upper GI Cancer Care Spell. Further information can be found in the Upper GI Appendix on http://www.The Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) after surgery for an Upper GI Cancer Care Spell.

Further information can be found in the Upper GI Appendix on http://www.ic.nhs.uk/datasets/downloads/cancer/canceruk/webfiles/Services/Datasets/cANCER/appuppergi.pdf.