Cancer Outcomes and Services Data Set Overview

The Mandatory, Required, Optional or Not included in the COSDS Message (M/R/O/X) 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
• X = Not included in the COSDS Message: Cancer Registries obtain the data from another source, or the item is submitted under another Standard and is included here for reference only.

For guidance on submission of the data set, see the Cancer Outcomes and Services Data Set Submission Requirements.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

The ABO System is a classification for CLINICAL INVESTIGATION RESULT ITEM.The ABO System is a CLINICAL CLASSIFICATION.

The ABO System is a system of 4 basic types into which human blood may be classified according to the presence or absence of particular antigens:

• A - Blood group A has A antigens in its red blood cells and anti-B antibodies in its plasma;
• B - Blood group B has B antigens and anti-A antibodies in its plasma;
• O - Blood group O blood has no antigens but both anti-A and anti-B antibodies
• AB - Blood group AB has both A and B antigens but no antibodies, as it would destroy itself.

For further information on the ABO System, see the NHS Choices website.

Anaesthetic Service is a CLINICAL INTERVENTION.An Anaesthetic Service is an Item Of Service Delivery.

An item of Service Delivery.

The administration of a general anaesthetic, other than in connection with a Maternity Medical Service, which requires the services of a second GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.An Anaesthetic Service  is the administration of a general anaesthetic, other than in connection with a Maternity Medical Service, which requires the services of a second GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed. The fee is payable whether the anaesthetic is administered by the GENERAL MEDICAL PRACTITIONER requesting the services of a second GENERAL MEDICAL PRACTITIONER, or by the second GENERAL MEDICAL PRACTITIONER.

Note that Items of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.Note that Items Of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

Birth Length is a MEASURED PERSON OBSERVATION.Birth Length is a CLINICAL INVESTIGATION RESULT ITEM.

Birth Length is the length of a baby at birth.

Birth Weight is a MEASURED PERSON OBSERVATION.Birth Weight is a CLINICAL INVESTIGATION RESULT ITEM.

Birth Weight is the Weight of a baby at birth.

Blood Pressure is a PERSON PROPERTY.Blood Pressure is a CLINICAL INVESTIGATION RESULT ITEM.

Blood Pressure is the the pressure of the blood within the arteries and is comprised of:Blood Pressure is the pressure of the blood within the arteries and is comprised of:

• Systolic Blood Pressure and
• Diastolic Blood Pressure.

A Blood Transfusion is a CLINICAL INTERVENTION.A Blood Transfusion is a CLINICAL INTERVENTION.

A Blood Transfusion is a procedure which is undertaken to replace blood that might be lost for example, during surgery or due to a serious injury. It is also performed when the PATIENT is unable to produce blood properly because of an illness.A Blood Transfusion is a procedure which is undertaken to replace blood that might be lost for example, during surgery or due to a serious injury.

For further information on Blood Transfusions, see the NHS Choices website.

Body Mass Index (BMI) is a PERSON PROPERTY.Body Mass Index (BMI) is a CLINICAL INVESTIGATION RESULT ITEM.

Body Mass Index is a measure of body fat based on Height and Weight.

For further information on Body Mass Index, see the NHS Choices website.

Bone Age is a MEASURED PERSON OBSERVATIONBone Age is a CLINICAL INVESTIGATION RESULT ITEM.

Bone Age is the radiological bone age, following an assessment by a radiologist viewing X-rays of the PATIENT's hand and wrist.

Cervical Glandular Intraepithelial Neoplasia is a CLINICAL INVESTIGATION RESULT ITEM.Cervical Glandular Intra-epithelial Neoplasia is a PATIENT DIAGNOSIS.

Cervical Glandular Intraepithelial Neoplasia is used for PATIENTS with cervical cancer to identify the inner glandular CELLS of the cervix.Cervical Glandular Intra-epithelial Neoplasia is used for PATIENTS with cervical cancer to identify the inner glandular CELLS of the cervix.

Cervical Intraepithelial Neoplasia is a CANCER STAGING.Cervical Intra-epithelial Neoplasia is a CANCER STAGING.

A Cervical Intraepithelial Neoplasia is divided into grades and is used for PATIENTS with cervical cancer and may be used to describe how abnormal the CELLS are and how much of the cervical TISSUE is involved.A Cervical Intra-epithelial Neoplasia is divided into grades and is used for PATIENTS with cervical cancer and may be used to describe how abnormal the CELLS are and how much of the cervical TISSUE is involved.

For further information on Cervical Intraepithelial Neoplasia, see the National Cancer Institute website.For further information on Cervical Intra-epithelial Neoplasia, see the National Cancer Institute website.

A Clinical Intervention Date and Time is an ACTIVITY DATE TIME.

A Clinical Intervention Date and Time is the Clinical Intervention Date and Clinical Intervention Time of the occurrence of the CLINICAL INTERVENTION.

This supporting information is also known by these names:

Context	Alias
plural	Clinical Intervention Dates

A Clinical Intervention Time is an ACTIVITY DATE TIME.

A Clinical Intervention Time is the time of the occurrence of the CLINICAL INTERVENTION.

This supporting information is also known by these names:

Context	Alias
plural	Clinical Intervention Times

A Clinical Investigation is a CLINICAL INTERVENTION.

A Clinical Investigation is a clinical test or investigation offered to or carried out on a PERSON.

Clinical Investigations may include blood tests for specific antibodies, scans or physical examinations for specific diseases.

Contraceptive Service is a CLINICAL INTERVENTION.A Contraceptive Service is a SERVICE.

An Item of Service Delivery.A Contraceptive Service is the delivery of Contraceptive Services to a PERSON by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.

The delivery of Contraceptive Services to a PERSON by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.

Note that Items of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

Dental Haemorrhage Service is a CLINICAL INTERVENTION.A Dental Haemorrhage Service is an Item Of Service Delivery.

An Item of Service Delivery.A Dental Haemorrhage Service is the arresting of a dental haemorrhage or provision of aftercare treatment associated with the dental haemorrhage, delivered by a GENERAL MEDICAL PRACTITIONER to a PATIENT, for which a fee may be claimed.

The arresting of a dental haemorrhage or provision of after care treatment associated with the dental haemorrhage, delivered by a GENERAL MEDICAL PRACTITIONER to a PATIENT, for which a fee may be claimed.Note that Items Of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

Note that Items of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

Dental Treatment is a CLINICAL INTERVENTION.

A delivery of dental care of a single DENTAL TREATMENT CLASSIFICATIONS given during a Dental Treatment Contact. This includes all treatment given by community dental services outside Oral Health Programme.Dental Treatment is the delivery of dental care of a single DENTAL TREATMENT CLASSIFICATION given during a Dental Treatment Contact. This includes all treatment given by community dental services outside an Oral Health Programme.

The Diagnostic waiting times reporting of the monthly waiting times and activity reporting (DM01).

The Diagnostics Waiting Times and Activity Data Set provides definitions to support the national data collections on DIAGNOSTIC TESTS, a key element towards monitoring waits from referral to treatment. ORGANISATIONS responsible for the DIAGNOSTIC TEST activity report the DIAGNOSTIC TEST waiting times and the number of tests completed.

The distinctions between the data set groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

The diagnostic investigations are grouped into categories of Imaging, Physiological Measurement and Endoscopy. The data set is for the monthly return covering 15 key DIAGNOSTIC TESTS as below:

IMAGING

• Magnetic Resonance Imaging
• Computer Tomography
• Non-obstetric ultrasound
• Barium Enema
• DEXA Scan (Dual-energy X-ray absorptiometry)

PHYSIOLOGICAL MEASUREMENT

• Audiology - audiological assessments
• Cardiology - echocardiography
• Cardiology - electrophysiology
• Neurophysiology - peripheral neurophysiology
• Respiratory physiology - sleep studies
• Urodynamics - pressures & flows

ENDOSCOPY

• Colonoscopy
• Flexible sigmoidoscopy
• Cystoscopy
• Gastroscopy

How the data set is transmitted

Further guidance

The Diagnostic Census of the waiting times for DIAGNOSTIC TEST REQUESTS.

The Diagnostics Waiting Times Census Data Set provides definitions to support the national data collections on DIAGNOSTIC TESTS, a key element towards monitoring waits from referral to treatment. This is a census of DIAGNOSTIC TEST waiting times.

The diagnostic investigations are grouped into categories of Endoscopy, Imaging, Pathology and Physiological Measurement.

The distinctions between these groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

This data set is for the census covering 4 main areas of DIAGNOSTIC TESTS as below:

• Part 1 - Endoscopy
• Part 2 - Imaging
• Part 3 - Pathology
• Parts 4 to 11 - Physiological Measurement

Patient level information

How the data set is transmitted

Full guidance on Unify2 can be found at: Unify2.

Further guidance

Guidance on extracting the data sets, including OPCS Classification of Interventions and Procedures, can be found at: Department of Health - Diagnostics.For further guidance on extracting the data sets, see the NHS England website at: Diagnostics Waiting Times and Activity.

Diastolic Blood Pressure is a MEASURED PERSON OBSERVATION.Diastolic Blood Pressure is part of a Blood Pressure reading, which is a CLINICAL INVESTIGATION RESULT ITEM.

Diastolic Blood Pressure is the reading of a PATIENT's Blood Pressure relaxing between heart beats.

Dominant Arm is a PERSON PROPERTY This item has been retired from the NHS Data Model and Dictionary.

Dominant Arm is recorded for the purposes of measuring a PATIENT's Blood Pressure.The last live version of this item is available in the September 2013 release of the NHS Data Model and Dictionary.

Blood Pressure differences are common between readings when taken from both PATIENT's arms, and may be slightly higher in the PERSON's Dominant Arm. For example, if the PERSON is  left-handed, the left arm may have a slightly higher reading than the right arm.Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

Dry Weight is a MEASURED PERSON OBSERVATION.Dry Weight is a CLINICAL INVESTIGATION RESULT ITEM.

Dry Weight is a PATIENT's Weight after a Renal Dialysis session when the extra fluid has been removed.

An Item Of Service Delivery.Emergency Treatment Service is an Item Of Service Delivery.

The delivery of an Emergency Treatment Service by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.Emergency Treatment Service is the delivery of an Emergency Treatment Service by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.

Note that Items of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.Note that Items Of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

Face To Face Contact Community Care is a CARE CONTACT.

A contact which is made by one or more nurses or community support workers (nursing) with a PATIENT or his/her proxy during a Community Episode. The contact occurs when a PATIENT or their proxy attends a clinic or when the nurse or community support worker (nursing) makes a domiciliary visit to see the PATIENT.Face To Face Contact Community Care is a contact which is made by one or more NURSES or community support workers (nursing) with a PATIENT or his/her proxy during a Community Episode. The contact occurs when a PATIENT or their proxy attends a clinic or when the NURSE or community support worker (nursing) makes a domiciliary visit to see the PATIENT.

A proxy contact is a single occasion involving contact between a proxy and one or more members of a community nurse staff group within a Nursing In The Community Programme.A proxy contact is a single occasion involving contact between a proxy and one or more members of a COMMUNITY NURSE STAFF GROUP within a Nursing In The Community Programme. Contacts with proxies only count if the contact is in lieu of the contact with the PATIENT, and the proxy is able more effectively than the PATIENT to ensure that the specified advice/treatment devised for the PATIENT is followed. This is most likely to be the case where the PATIENT is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or has learning disabilities.

One or more nurses or community support workers (nursing) in the same or different Nursing In The Community Programmes may be in contact with a PATIENT at the same time.

Contacts should be recorded as follows:

Group activity, where, for example, general advice is given to several PATIENTS at the same time should not be recorded as Nurse or Midwife Contacts.

A Face To Face Contact Community Care may involve activities attributable to a structured programme, such as the following:A Face To Face Contact Community Care may involve ACTIVITIES attributable to a structured programme, such as the following:

For such activities they must be recorded as part of the respective structured programmes as well as attributed to the Nursing In The Community Programmes.For such ACTIVITIES they must be recorded as part of the respective structured programmes as well as attributed to the Nursing In The Community Programmes.

If the PATIENT is currently subject to a Mental Health Care Spell and the contact NURSE is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

For domiciliary visits, an indication of whether the Face To Face Contact Community Care is the first occasion on which a PATIENT is seen should be recorded as an initial contact.For domiciliary visits, an indication of whether the Face To Face Contact Community Care is the first occasion on which a PATIENT is seen should be recorded as an Initial Contact. A LOCATION type should also be recorded.

Information recorded for a Face To Face Contact Community Care includes:

Forced Expiratory Volume in 1 second (Absolute Amount) is a MEASURED PERSON OBSERVATION.Forced Expiratory Volume in 1 second (Absolute Amount) is a CLINICAL INVESTIGATION RESULT ITEM.

Forced Expiratory Volume in 1 second (Absolute Amount) is the volume of air that can forcibly be blown out in one second, after full inspiration.

Forced Expiratory Volume in 1 second (Percentage) is a MEASURED PERSON OBSERVATION.Forced Expiratory Volume in 1 second (Percentage) is a CLINICAL INVESTIGATION RESULT ITEM.

Forced Expiratory Volume in 1 second (Percentage) is the volume of air that can forcibly be blown out in one second, after full inspiration, as a percentage of the predicted value.Forced Expiratory Volume in 1 second (Percentage) is the volume of air that can forcibly be blown out in one second, after full inspiration, as a 'Percentage (%)' of the predicted value.

Gestation Length In Days is the gestation length of a Fetus Episode recorded as the total number of days.This item has been retired from the NHS Data Model and Dictionary.

The calculation may be:The last live version of this item is available in the September 2013 release of the NHS Data Model and Dictionary.

The number of completed whole weeks of gestation and the remaining number of days of an uncompleted whole week should be calculated from the Gestation Length In Days for input and reporting purposes. Where there is no uncompleted whole week, the number of additional days should be recorded as zero.Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

For example:

• a Gestation Length In Days of 84 is input and reported as 12 weeks 0 days gestation length,
• a Gestation Length In Days of 72 is input and reported as 10 weeks 2 days gestation length,
• a Gestation Length In Days of 284 is input and reported as 40 weeks 4 days gestation length.

Hand Grip Strength is a MEASURED PERSON OBSERVATION.Hand Grip Strength is a CLINICAL INVESTIGATION RESULT ITEM.

Hand Grip Strength is the PATIENT's hand grip strength.Hand Grip Strength is the strength of the PATIENT's hand grip.

HbA1c (Hemoglobin A1c), also known as Glycated Hemoglobin, is a MEASURED PERSON OBSERVATION.HbA1c (Hemoglobin A1c), also known as Glycated Hemoglobin, is a CLINICAL INVESTIGATION RESULT ITEM.

The HbA1c test measures the amount of glucose that is being carried by the red blood cells in the body.The HbA1c test measures the amount of plasma glucose concentration that is being carried by the red blood cells in the body, over a prolonged period of time.

Head Circumference is a MEASURED PERSON OBSERVATION.Head Circumference is a CLINICAL INVESTIGATION RESULT ITEM.

Head Circumference is the circumference of the PATIENT's head.

Heart Rate is a MEASURED PERSON OBSERVATION.Heart Rate is a CLINICAL INVESTIGATION RESULT ITEM.

Heart Rate is the number of heart beats per unit of time. 

Height is a MEASURED PERSON OBSERVATION.Height is a CLINICAL INVESTIGATION RESULT ITEM.

Height is the height of a PATIENT on a given date, where the MEASUREMENT VALUE TYPE CODE is 'Metres (m)' or 'Centimetres (cm)'.Height is the height of a PATIENT on a given date, where the UNIT OF MEASUREMENT is 'Metres (m)' or 'Centimetres (cm)'.

Hip Measurement is a MEASURED PERSON OBSERVATIONHip Measurement is a CLINICAL INVESTIGATION RESULT ITEM.

Hip Measurement is the measurement of the PATIENT's hips.

A Mantoux Test is a Test Of Immunity.A Mantoux Test is a Screening Test.

The Mantoux Test is used as a Screening Test for tuberculosis infection or disease and as an aid to diagnosis.

Further information about Mantoux Tests can be found on the NHS Immunisation Information website.For further information on Mantoux Tests, see the NHS Choices website.

An Item Of Service Delivery.A Maternity Medical Service is an Item Of Service Delivery.

The delivery of maternity medical services to a PATIENT by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.A Maternity Medical Service is the delivery of maternity medical services to a PATIENT by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.

Note that Items of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.Note that Items Of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

Mid Arm Circumference is a MEASURED PERSON OBSERVATION.Mid Arm Circumference is a CLINICAL INVESTIGATION RESULT ITEM.

Mid Arm Circumference is the circumference of the PATIENT's mid arm.

An Item Of Service Delivery.A Minor Surgery Procedure is an Item Of Service Delivery.

A minor surgical procedure performed on a PATIENT by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.A Minor Surgery Procedure is a surgical procedure performed on a PATIENT by a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.

Note that Items of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.Note that Items Of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

The National Direct Access Audiology Patient Tracking List Data Set collects performance information on a weekly basis, on the Referral To Treatment pathways of PATIENTS who are receiving NHS funded audiology treatment in England, who are not already included in the Referral to Treatment Summary Patient Tracking List Data Set. This includes:

• both analogue and digital hearing aid fittings
• services provided directly by NHS Healthcare Providers and also NHS funded PATIENTS treated via the Independent Sector and third sector providers (collected directly or via Primary Care Trusts)
• both new and existing PATIENTS
• any other PATIENTS attending Audiology services directly

For the purposes of the National Direct Access Audiology Patient Tracking List Data Set, "Direct Access" means PATIENTS who are not referred via Ear, Nose and Throat (ENT) or other hospital CONSULTANT. Any pathways that are subject to the 18 weeks waiting time target for Referral to Treatment are out of scope. For this reason PATIENTS on Ear, Nose and Throat pathways (or pathways from other specialties) are excluded from this central return data set - information on these PATIENTS is available via the Referral to Treatment Summary Patient Tracking List Data Set data collection.

The National Direct Access Audiology Patient Tracking List Data Set is in two parts, as follows:

Parts 1A and 1B: Untreated Patients

Part 1A should be completed for PATIENTS who have not had an ACTIVITY which ends their REFERRAL TO TREATMENT PERIOD (such as first definitive treatment, or a decision not to treat)

AND

who do not have a future APPOINTMENT for an ACTIVITY with an anticipated REFERRAL TO TREATMENT PERIOD STATUS of 30 before the REFERRAL TO TREATMENT PERIOD EXCEEDS 18 WEEKS DATE.

Part 1B should be completed for PATIENTS who have not had an ACTIVITY which ends their REFERRAL TO TREATMENT PERIOD (such as first definitive treatment, or a decision not to treat)

AND

whose REFERRAL TO TREATMENT PERIOD EXCEEDS 18 WEEKS DATE has passed.

Part 2 should be completed for PATIENTS who have a REFERRAL TO TREATMENT PERIOD END DATE within the last 7 days

Full guidance on the completion and submission of the National Direct Access Audiology Waiting Times Data Set is available from the Department of Health website.For further guidance, see NHS England website at: Direct Access Audiology.

The Department of Health document 'Improving Access to Audiology Service in England' can be found at the  "Direct Access Audiology Waiting Times and PTL collections section" of the Department of Health website.

The National Direct Access Audiology Waiting Times Data Set collects performance information on a monthly basis on the Referral To Treatment pathways of PATIENTS who are receiving NHS funded audiology treatment in England, who are not already included in the Referral To Treatment Data Set data collection. This includes:

• both analogue and digital hearing aid fittings
• services provided directly by NHS Healthcare Providers and also NHS funded PATIENTS treated via the Independent Sector and third sector providers (collected directly or via Primary Care Trusts)
• both new and existing PATIENTS
• any other PATIENTS attending Audiology services directly

For the purposes of the National Direct Access Audiology Waiting Times Data Set, "Direct Access" means PATIENTS who are not referred via Ear, Nose and Throat (ENT) specialist or other hospital CONSULTANT. Any pathways that are subject to the 18 week waiting time target for Referral to Treatment are out of scope. For this reason PATIENTS on Ear, Nose and Throat pathways (or pathways from other specialties) are excluded from this central return data set - information on these PATIENTS is available via the Referral To Treatment Data Set data collection.

The National Direct Access Audiology Waiting Times Data Set is in two parts, as follows:

Part 1 - Treated Patients should be completed for PATIENTS who have had an ACTIVITY which ends their REFERRAL TO TREATMENT PERIOD (such as first definitive treatment, or a decision not to treat), within the REPORTING PERIOD.

Part 2 - Untreated Patients should be completed for PATIENTS without a REFERRAL TO TREATMENT PERIOD END DATE within the REPORTING PERIOD.

The Department of Health document 'Improving Access to Audiology Service in England' can be found at the  "Direct Access Audiology Waiting Times and PTL collections section" of the Department of Health website.For further guidance, see NHS England website at: Direct Access Audiology.

ORGANISATIONS such as the Health and Social Care Information Centre, General Medical Council etc which are included in the NHS Data Model and Dictionary.

• Referenced Organisations:
  • American Joint Committee on Cancer
  • British Association for Paediatric Nephrology
  • British Psychological Society
  • British Renal Society
  • British Transplantation Society
  • Care Quality Commission
  • Community Health Partnership (Scotland)
  • Department for Education
  • Department for Work and Pensions
  • Department for Work and Pensions Overseas Healthcare Team
  • Department of Health 
  • European Renal Association (European Dialysis and Transplant Association)
  • Faculty of General Dental Practice (UK)
  • GS1
  • Health and Social Care Information Centre
  • Health and Wellbeing Board
  • Health Education England
  • Health Research Authority
  • Healthwatch England
  • Information Standards Board for Health and Social Care
  • International Federation of Gynecology and Obstetrics
  • International Health Terminology Standards Development Organisation
  • International Society of Paediatric Oncology
  • Local Health Board (Wales)
  • Local Healthwatch
  • Northern Ireland Local Commissioning Group
  • Monitor
  • National Cancer Intelligence Network
  • National Casemix Office
  • National Commissioning Group
  • National Institute for Health and Clinical Excellence
  • National Joint Registry
  • National Kidney Federation
  • National Specialised Commissioning Group
  • NHS Business Services Authority
  • NHS England
  • NHS Dental Services
  • NHS Prescription Services
  • NHS Trust Development Authority
  • NHS Wales Informatics Service
  • Office for National Statistics
  • Ofsted
  • Organisation Data Service
  • Public Health England
  • Royal College of General Practitioners
  • Royal Pharmaceutical Society
  • The Renal Association
  • The Royal Marsden
  • UK National Screening Committee
  • UK Renal Registry
  • UK Terminology Centre
  • Union for International Cancer Control
  • United Kingdom Association of Cancer Registries
  • World Health Organisation
• Referenced Organisations:
  • American Joint Committee on Cancer
  • British Association for Paediatric Nephrology
  • British Psychological Society
  • British Renal Society
  • British Transplantation Society
  • Care Quality Commission
  • Community Health Partnership (Scotland)
  • Department for Education
  • Department for Work and Pensions
  • Department for Work and Pensions Overseas Healthcare Team
  • Department of Health 
  • European Renal Association (European Dialysis and Transplant Association)
  • Faculty of General Dental Practice (UK)
  • GS1
  • Health and Social Care Information Centre
  • Health and Wellbeing Board
  • Health Education England
  • Health Research Authority
  • Healthwatch England
  • Information Standards Board for Health and Social Care
  • International Federation of Gynecology and Obstetrics
  • International Health Terminology Standards Development Organisation
  • International Society of Paediatric Oncology
  • Local Health Board (Wales)
  • Local Healthwatch
  • Monitor
  • National Cancer Intelligence Network
  • National Casemix Office
  • National Commissioning Group
  • National Institute for Health and Clinical Excellence
  • National Joint Registry
  • National Kidney Federation
  • National Specialised Commissioning Group
  • NHS Business Services Authority
  • NHS England
  • NHS Dental Services
  • NHS Prescription Services
  • NHS Trust Development Authority
  • NHS Wales Informatics Service
  • Northern Ireland Local Commissioning Group
  • Office for National Statistics
  • Ofsted
  • Organisation Data Service
  • Public Health England
  • Royal College of General Practitioners
  • Royal Pharmaceutical Society
  • The Renal Association
  • The Royal Marsden
  • UK National Screening Committee
  • UK Renal Registry
  • UK Terminology Centre
  • Union for International Cancer Control
  • United Kingdom Association of Cancer Registries
  • World Health Organisation

• Regulatory Bodies:
  • General Chiropractic Council
  • General Dental Council
  • General Medical Council
  • General Optical Council
  • General Osteopathic Council
  • General Pharmaceutical Council
  • Health and Care Professions Council
  • Nursing and Midwifery Council
  • Ophthalmic Qualifications Committee

A Palliative Care Episode is an ACTIVITY GROUP.

A Palliative Care Episode  is an episode of Palliative Care.

Patient Procedure is a CLINICAL INTERVENTION.A Patient Procedure is a CLINICAL INTERVENTION.

This is the actual procedure performed on an individual PATIENT at a particular time. A PATIENT may undergo a procedure under the direct personal supervision of a medical or dental practitioner, in pregnancy or childbirth or for the prevention, cure, relief or diagnosis of disease. It should be possible to record at least four procedures for each Consultant Episode (Hospital Provider).A Patient Procedure is a procedure performed on a PATIENT by a CARE PROFESSIONAL.

In the case of an electro-convulsive therapy (ECT) treatment procedure, it comprises the PATIENT being given an anaesthetic for the purpose of electro-convulsive therapy and being administered one or more electric stimuli to the head and should be recorded regardless of whether or not the PATIENT has a convulsion.A Patient Procedure may be carried out:

A Patient Procedure may be carried out as part of a Clinical Investigation, where it is both diagnostic and therapeutic, for example, certain endoscopic procedures.

Percentage Weight Loss is a CLINICAL INVESTIGATION RESULT ITEM.

Percentage Weight Loss is the percentage of Weight lost by a PATIENT over a specified period.

Percentage Weight Loss is used as an indicator of malnutrition.Percentage Weight Loss may be used as an indicator of malnutrition.

A Person Stop Smoking Episode is a period of time during which a PERSON attempts to stop smoking as a result of structured stop smoking interventions, delivered by NHS staff or their trained agents. During this time, it is expected that the PERSON will set a SMOKING QUIT DATE.

The Person Stop Smoking Episode:

• starts when the PERSON has consented to a programme of treatment and presents themselves to the Stop Smoking Service for a treatment session and has set a SMOKING QUIT DATE
• ends 28 days after their specified SMOKING QUIT DATE (or within 25 to 42 days of the SMOKING QUIT DATE) when it is confirmed that the PERSON:
  • has stopped smoking
  • has not been successful or
  • are lost to follow up (where the PERSON could not be contacted at four weeks (-3 days or +14 days)).

A PERSON who has participated in an assessment session but failed to attend for treatment should not be counted as having started a Person Stop Smoking Episode.

For further information, see the Department of Health NHS Stop Smoking Services: service and monitoring guidance, October 2007/08.For further information, see the Department of Health part of the gov.uk website at Stop Smoking Service: monitoring and guidance update.

Post Mortem is a CLINICAL INTERVENTION.A Post Mortem is a CLINICAL INTERVENTION.

A pathology procedure carried out on NHS premises. This should include post mortem examinations of the viable new born fetus but exclude dissection of the pre-viable fetus.A Post Mortem is the pathological examination of a dead body to determine the cause of death.

Radiology Department is a DEPARTMENT.A Radiology Department is a DEPARTMENT.

A unit based in one or more LOCATIONS which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing in the MAIN SPECIALTY of radiology which deals with requests for radiological or isotope procedures.A Radiology Department is a unit based in one or more LOCATIONS which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing in the MAIN SPECIALTY of radiology which deals with requests for radiological or isotope procedures.

A Radiology Department may produce Radiology Investigation Plans, perform Imaging or Radiodiagnostic Events and provide radiology investigation result items.

Radiotherapy Department is a DEPARTMENT.A Radiotherapy Department is a DEPARTMENT.

A Radiotherapy Department is a facility with rooms in which Radiotherapy Machines are housed and operated. A Radiotherapy Department may be responsible for one or more Radiotherapy Treatment Courses.

The Rh System is a classification for a CLINICAL INVESTIGATION RESULT ITEM.The Rh System is a CLINICAL CLASSIFICATION.

In addition to the antigens present in the ABO System, red blood cells sometimes have another antigen, a protein called the Rh factor.

• If the Rh factor is present, the PERSON's blood group is RhD positive;
• If the Rh factor is absent, the PERSON is RhD negative.

This means that a PERSON can be one of eight blood groups:

• A RhD positive (A+)
• A RhD negative (A-)
• B RhD positive (B+)
• B RhD negative (B-)
• O RhD positive (O+)
• O RhD negative (O-)
• AB RhD positive (AB+)
• AB RhD negative (AB-).

For further information on the Rh System, see the NHS Choices website.

Screening Test is a CLINICAL INTERVENTION.A Screening Test is a Clinical Investigation.

A test performed on a PERSON to detect a specific disease or impairment, which may be carried out as part of a Screening Programme. It should be noted that individuals may have to be re-tested shortly after an initial test for technical reasons such as the loss of sample, an unsatisfactory test procedure, or an inconclusive result. The Screening Test is not complete until such re-tests have been satisfactorily completed.A Screening Test is a test performed on a PATIENT to detect a specific disease or impairment, which may be carried out as part of a Screening Programme.

The Screening Test is not complete until such re-tests have been satisfactorily completed.

Serum Cholesterol Level is a MEASURED PERSON OBSERVATION.Serum Cholesterol Level is a CLINICAL INVESTIGATION RESULT ITEM.

Serum Cholesterol Level is the cholesterol level in a PATIENT's blood.

Serum Creatinine Level is a MEASURED PERSON OBSERVATION.Serum Creatinine Level is a CLINICAL INVESTIGATION RESULT ITEM.

Serum Creatinine Level is the concentration of creatinine in serum (used as an indicator of renal function).

A Stop Smoking Service is a SERVICE.

A Stop Smoking Service is a SERVICE set up by a Primary Care Trust to help people give up smoking.

For a SERVICE to be designated as an NHS Stop Smoking Service requires that minimum quality standards should be met. To meet these minimum quality standards all advisers should:

• have received appropriate training for their role,
• carry out the 4 week follow-up promptly, in accordance with the current guidance,
• complete the minimum dataset (the individual PERSON data monitoring forms) for each PERSON, fully and accurately, and return the information required to the coordinator in good time,
• offer weekly support for at least the first four weeks of a quit attempt,
• attempt to confirm smoking status of all PERSONS self-reporting as having quit at 4 week follow-up by use of a carbon monoxide monitor, except where follow-up is carried out by telephone.

The majority of Stop Smoking Services will operate broadly on the 'Maudsley' model of a clinic providing intensive support, usually on a group therapy basis, to the most dependent smokers. The Stop Smoking Service should also continue to be supplemented by a range of SERVICES in various settings in primary care, secondary care and the community.

Central monitoring of data regarding 52 week follow-up is no longer required however, follow-up at 52 week stage is still recommended as good practice to establish long-term success rates and this information should still be collected locally.

• Smoking is one of the most significant contributing factors to life expectancy, health inequalities and ill health, particularly cancer and coronary heart disease.
  

• The Department of Health requires information on services provided by NHS Health Care Providers.

• The Stop Smoking Services Quarterly Data Set provides essential information used to monitor the process of achieving the NHS targets to increase life expectancy at birth in England and to monitor the performance of Stop Smoking Services.

Collection and Submission

• This return relates to ACTIVITY taking place over a 3 month period. The return is made quarterly and should be submitted by the thirty second working day after the end of the quarter to which it relates.

• This data should be submitted for each Primary Care Trust.

• The data should be collected on responsible Primary Care Trust basis. The Primary Care Trust's responsible population comprises:

  • all PERSONS registered with a GP Practice that forms part of the Primary Care Trust, regardless of where the PERSON is resident, plus any PERSONS not registered with a GP Practice who are resident within the Primary Care Trust's statutory geographical boundary.
    
  • Note that PERSONS resident within the Primary Care Trust's statutory geographical boundary, but registered with a GP Practice that forms part of another Primary Care Trust, are the responsibility of that other Primary Care Trust.
    
  • The only exception to the above rules is where PERSONS receive a Stop Smoking Service at or near their workplace, which may be some distance from their home. For example, a Stop Smoking Service might be provided for commuters at their workplace in a large city. In such circumstances it is likely that people will be drawn from a range of places in the surrounding area e.g. commuters to London who live all around the south-east of England. Where a PERSON is judged to meet these criteria, the Primary Care Trust providing the Stop Smoking Service should include these people in their returns.
  • 
    

• The information in this Central Return Data Set is transmitted at aggregate level to the Health and Social Care Information Centre's web based data collection systems at https://stopsmokingservices.ic.nhs.uk/welcome.aspx. NHS providers enter their data directly.

• Further information on the NHS Stop Smoking Services and the monitoring scheme can be found at Stop Smoking Services Guidance.

• The information in this Central Return Data Set is transmitted at aggregate level to the Health and Social Care Information Centre's web based data collection systems at https://stopsmokingservices.hscic.gov.uk/welcome.aspx. NHS providers enter their data directly.

• Further information on the NHS Stop Smoking Services and the monitoring guidance can be found on the Department of Health part of the gov.uk website at Stop Smoking Service: monitoring and guidance update.

Synopsis of Data Set Content

• The Stop Smoking Services Quarterly Data Set  requires the REPORTING PERIOD START DATE and REPORTING PERIOD END DATE for the quarter to which it relates.

• The collection is for:

  • Part 1A - The number of PERSONS with a Person Stop Smoking Episode setting a SMOKING QUIT DATE and successfully quitting by ETHNIC CATEGORY and PERSON GENDER. Pregnant women should be included but not separately identified.
    
  • Part 1B - The number of PERSONS setting a SMOKING QUIT DATE by AGE BAND AT SMOKING QUIT DATE and PERSON GENDER together with the outcome at 4 week follow-up. Pregnant women should be included but not separately identified.
    
  • Part 1C - The number of PERSONS with a PREGNANCY STATUS of 'Yes' at the time of the SMOKING QUIT DATE and the outcome at 4 week follow-up.
    
  • Part 1D - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters with a FREE PRESCRIPTIONS INDICATOR of 'Entitled to free prescriptions'.
  • 
    
  • Part 1E - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by SOCIO-ECONOMIC CLASSIFICATION
    
  • Part 1F - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by PHARMACOTHERAPY STOP SMOKING AID RECEIVED
    
  • Part 1G - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by INTERVENTION SESSION TYPE
    
  • Part 1H - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by INTERVENTION SETTING
    
  • Part 2A - Financial Allocations for the year by type of allocation. (See STOP SMOKING SERVICE PCT FINANCIAL ALLOCATION and
    STOP SMOKING SERVICE OTHER FINANCIAL ALLOCATION.)
    Figures should be to the nearest pound.
    
  • Part 2B - Cumulative total spend on Stop Smoking Services in the year up to the REPORTING PERIOD END DATE.
    (See STOP SMOKING SERVICE CUMULATIVE TOTAL SPEND.)
    Parts 2A and 2B should include all monies from whatever source which have been specifically allocated to, or spent on, Stop Smoking Services e.g. additional funding such as Neighbourhood Renewal Funding.
    Figures should be to the nearest pound.

Systolic Blood Pressure is a MEASURED PERSON OBSERVATION.Systolic Blood Pressure is part of a Blood Pressure reading, which is a CLINICAL INVESTIGATION RESULT ITEM.

Systolic Blood Pressure is the reading of a PATIENT's Blood Pressure at each heart beat.

Temperature is a MEASURED PERSON OBSERVATION.Temperature is a CLINICAL INVESTIGATION RESULT ITEM.

Temperature is the degree of internal heat of a PATIENT's body.

Test Of Immunity is a CLINICAL INTERVENTION.Test of Immunity is a Screening Test.

A Test Of Immunity performed as part of an Immunisation Programme for an VACCINE PREVENTABLE DISEASE.A Test of Immunity performed as part of an Immunisation Programme for a VACCINE PREVENTABLE DISEASE.

Urinary Albumin Level is a MEASURED PERSON OBSERVATION.Urinary Albumin Level is a CLINICAL INVESTIGATION RESULT ITEM.

Urinary Albumin Level is the level of albumin in a urine sample.

Urine Output is a MEASURED PERSON OBSERVATIONUrine Output is a CLINICAL INVESTIGATION RESULT ITEM.

Urine Output is the output of urine of a PATIENT over a specified period of time (i.e. last hour, last 24 hours).

An Item Of Service Delivery.A Vaccination Service is an Item Of Service Delivery.

A vaccination or immunisation given to a PERSON in accordance with public policy by or on behalf of a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.A Vaccination Service is a vaccination or immunisation given to a PERSON in accordance with public policy, by or on behalf of a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.

The applicable payment rate for the Vaccination Service delivered is determined by the combination of VACCINE PREVENTABLE DISEASE and IMMUNISATION COURSE TYPE.

Note that Items of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.Note that Items Of Service Delivery reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

Vasectomy Performed is a CLINICAL INTERVENTION.This item has been retired from the NHS Data Model and Dictionary.

A vasectomy operative procedure performed, excluding those vasectomies performed on NHS PATIENTS using a Hospital Bed.The last live version of this item is available in the September 2013 release of the NHS Data Model and Dictionary.

The purpose of the Venous Thromboembolism Risk Assessment Data Set is to quantify the number of adult PATIENTS (aged 18 and over) admitted to hospital, who are risk assessed for Venous Thromboembolism using the Venous Thromboembolism Risk Assessment Tool to allow appropriate preventative treatment based on guidance from the National Institute for Health and Clinical Excellence.

Collection and submission of the Venous Thromboembolism Risk Assessment Data Set

All providers of NHS funded acute hospital care (including foundation trusts and Independent Providers of acute NHS services) must complete this data collection.

Data on Venous Thromboembolism risk assessments should be uploaded onto UNIFY2 each month no later than 20 working days after the month end. Revisions to the data set before the cut off date are allowed however, revisions made after the cut off date must be made in liaison with the Department of Health.

Full guidance on the Venous Thromboembolism Risk Assessment Tool  can be be found at: National Institute for Health and Clinical Excellence website and also The Department of Health Venous Thromboembolism website.For further guidance on the Venous Thromboembolism Risk Assessment Data Set, see the:

• NHS England website at Venous Thromboembolism (VTE) Risk Assessment
• National Institute for Health and Clinical Excellence website at Venous thromboembolism - reducing the risk.

The Venous Thromboembolism Risk Assessment Tool is a type of ASSESSMENT TOOL.

The Venous Thromboembolism Risk Assessment Tool assesses adult PATIENTS (aged 18 or over) admitted to a Hospital Provider, for the risk of Venous Thromboembolism.

For further guidance on the Venous Thromboembolism Risk Assessment Tool, see the:

• NHS England website at Venous Thromboembolism (VTE) Risk Assessment
• National Institute for Health and Clinical Excellence website at Venous thromboembolism - reducing the risk.

Waist Measurement is a MEASURED PERSON OBSERVATION.Waist Measurement is a CLINICAL INVESTIGATION RESULT ITEM.

Waist Measurement is the measurement of a PATIENT's waist.

Weight is a MEASURED PERSON OBSERVATION.Weight is a CLINICAL INVESTIGATION RESULT ITEM.

Weight is the weight of a PATIENT on a given date, where the MEASUREMENT VALUE TYPE CODE is 'Kilograms (kg)' or 'Grams (g)'.Weight is the weight of a PATIENT on a given date, where the UNIT OF MEASUREMENT is 'Kilograms (kg)' or 'Grams (g)'.

Release: November 2013

• CR1367 (29 November 2013) - ISB 0090 Amd 5/2013 Organisation Data Service – Introduction of New Sub Type Identifier for Private Dental Practices
• CR1359 (29 November 2013) - ISB 0090 Amd 47/2012 Organisation Data Service - Identification Codes for Local Authorities
• DDCN 1407 (Immediate) - DDCN 1407/2013 Clinical Investigations
• DDCN 1415 (Immediate) - DDCN 1415/2013 Area Teams
• DDCN 1411 (Immediate) - DDCN 1411/2013 Update to Supporting Information: SNOMED CT®

Release: September 2013

• CR1348 (1 October 2013) - ISB 1597 Amd 35/2012 Breast Screening Programmes Data Set (KC63 and KC62)
• CR1403 (Immediate) - DDCN 1403/2013 Religious or Other Belief System Affiliation
• CR1384 (Immediate) - DDCN 1384/2013 Health and Social Care Information Centre Rebranding of XML Schemas
• CR1397 (Immediate) - DDCN 1397/2013 Retired Main Specialty Codes

Release: July 2013

• CR1377 (Immediate) - ISB 0105 Retirement of Accident and Emergency Quarterly Monitoring Data Set (QMAE)

Release: May 2013

• CR1363 (Immediate) - ISB 1067 Amd 43/2012 National Workforce Data Set Version 2.6
• CR1382 (Immediate) - DDCN 1382/2013 National Renal Data Set amendment
• CR1381 (Immediate) - DDCN 1381/2013 Healthcare Resource Groups
• CR1235 (1 June 2013) - ISB 1588 Amd 11/2012 Accident and Emergency Clinical Quality Indicators

Release: April 2013

• CR1372 (Immediate) - DDCN 1372/2013 Organisation Update: April 2013
• CR1369 (Immediate) - DDCN 1369/2013 Organisation Codes and Organisation Types
• CR1347 (1 April 2013) - ISB 1521 Amd 40/2012 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: March 2013

• CR1364 (Immediate) - DDCN 1364/2013 Operating Theatre
• CR1335 (1 April 2013) - ISB 1593 Amd 27/2012 Venous Thromboembolism Risk Assessment Data Set
• CR1340 (1 April 2013) - ISB 0090 Amd 37/2012 Organisation Data Service - Non-Legislative Organisations
• CR1321 (1 April 2013) - ISB 0011 Amd 25/2012 Mental Health Minimum Data Set version 4.1

Release: February 2013

• CR1336 (Immediate) - DDCN 1336/2013 XML Schema Constraint Pages
• CR1362 (Immediate) - DDCN 1362/2013 Update to Organisations in the NHS Data Model and Dictionary
• CR1246 (Immediate) - DDCN 1246/2013 Guidance for Merging Organisations
• CR1345 (Immediate) - DDCN 1345/2013 e-Government Interoperability Framework (e-GIF) and Government Data Standards Catalogue
• CR1354 (Immediate) - DDCN 1354/2013 Treatment Function Code - Well Babies

Release: December 2012

• CR1155 (Immediate) - ISB 1567 Amd 12/2011 National Joint Registry Data Set Version 5
• CR1324 (1 December 2012) - ISB 1067 Amd 23/2012 Workforce Data Set Version 2.5
• CR1196, CR1287 and CR1195 (1 January 2013) - ISB 1521 Amd 64/2010 Cancer Outcomes and Services Data Set, Cancer Outcomes and Services Data Set Message and Retirement of Cancer Registration Data Set and National Cancer Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1337 (1 April 2013) - ISB 1072 Amd 30/2012 Update to Child and Adolescent Mental Health Services Secondary Uses Data Set

Release: November 2012

• CR1166, CR1167 and CR1306 (1 November 2012) - ISB 0092 Amd-16-2010 Commissioning Data Set Version 6-2, Commissioning Data Set XML Message Version 6-2 and Retirement of CDS 6-0
• CR1305 (1 April 2013) - ISB 0092 Amd 06/2011 Allied Health Professions Referral to Treatment (AHP RTT) Update - CDS 6-2
• CR1286 (1 November 2012) - ISB 0028 Amd 17/2012 Treatment Function Codes Update
• CR1343 (Immediate) - DDCN 1343/2012 Change of name for NHS Commissioning Board Authority
• CR1342 (Immediate) - DDCN 1342/2012 Overseas Visitors Update
• CR1341 (Immediate) - DDCN 1341/2012 Discharge Default Code Descriptions
• CR1323 (Immediate) - National Cancer Waiting Times Monitoring Data Set Update for "Delay Reason To Treatment For Cancer"

CR1323 is a corrigendum to CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set published in the June 2012 release

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1231 and CR1288 (1 April 2013) - ISB 1570 Amd 164/2010 HIV and AIDS Reporting Data Set and HIV and AIDS Related Data Set Message

Release: September 2012

• CR1103 (Immediate) - ISB 0066 Amd 43/2010 Renal Data Set - Data Item Addition, Changes and Deletions
• CR1334 (Immediate) - DDCN 1334/2012 Psychology Definitions
• CR1331 (Immediate) - DDCN 1331/2012 Activity Date Time Type
• CR1329 (Immediate) - DDCN 1329/2012 Change of name for "Health and Social Care Information Centre"

Release: August 2012

• CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
• CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
• CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

• CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
• CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
• CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

• CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
• CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
• CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

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 5/2012 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 3/2012 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)