Diagnostics Waiting Times and Activity Data Set Overview

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

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

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 coding where applicable.

The column headed Opt (Optionality) shows whether the data element is Mandatory M or Optional O.

Diagnostics Waiting Times Census Data Set Overview

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

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 coding where applicable.

The column headed Opt (Optionality) shows whether the data element is Mandatory M or Optional O.

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 - This data is required as part of NHS business rules and must be included where available or applicable.

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 SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE or DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)  recorded.

Improving Access to Psychological Therapies Data Set Overview

The Improving Access to Psychological Therapies Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.

The Improving Access to Psychological Therapies Data Set provides an agreed national standard for data collection for commissioned providers of psychological therapy for anxiety and depression.

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

• M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent
• R = Required: this data element is required as part of NHS business rules and must be included where available or applicable

Systemic Anti-Cancer Therapy Data Set Overview

The Systemic Anti-Cancer Therapy Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.

The Systemic Anti-Cancer Therapy Data Set is intended to collect clinical management information on PATIENTS undergoing Chemotherapy in (or funded by) the NHS in England.

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

• M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent
• R = Required: data is required as part of NHS business rules and must be included where available or applicable
• O = Optional: the flow of this data is optional. It should be included at the discretion of the submitting organisation and their commissioners as required for local purposes.

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.

This data set is for the monthly return covering 15 key DIAGNOSTIC TESTS as below: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 the following address:
Unify2 Guidance

Further guidance

Guidance on extracting the data sets, including OPCS Classification of Interventions and Procedures, can be found at:
Department of Health - Monthly and Biannual Diagnostics Statistics - Definitions.

Contextual Overview

This return replaces KC60 which was retired on 01 April 2010.

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 SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE or DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)  recorded.

The Genitourinary Medicine Clinic Activity Data Set is used to:

• To inform public health response and policy formulation for England
• To monitor the effectiveness of the policies introduced as part of the National Strategy for Sexual Health and Human Immunodeficiency Virus (HIV)
• For performance management at Primary Care Trust, Strategic Health Authority and national level to ensure delivery of the national Public Service Agreement target on sexual health
• For better planning and management of services at local level
• To adapt and refine interventions, as appropriate

Description: The Health Protection Agency require services to generate and provide a data extract in accordance with the Genitourinary Medicine Clinic Activity Data Set. These services include:

• NHS providers of specialised services, where the primary function of the specialist clinical multidisciplinary team is concerned with the provision of screening, diagnosis and management of sexually transmissible infections and related genital medical conditions.
• All Enhanced Sexual Health Services  (ESHS) commissioned by the NHS who offer testing, diagnostic and/or treatment of Sexually Transmitted Infections.

 Enhanced Sexual Health Services include:

• Enhanced General Practices
• Sexual and Reproductive Health Services
• Integrated services (joint Genitourinary Medicine and Sexual and Reproductive Health Services)
• Young people clinics such as Brook
• Other NHS commissioned services e.g. community hospitals and outreach programmes

It should be noted that General Practitioner with a Special Interest (GPwSI) will only be included if they operate from a practice that has been commissioned to provide an Enhanced Sexual Health Service.

Time period: The extract will cover one calendar quarter.

Frequency: Reports will be run quarterly, 6 weeks after the end of the quarter.

Format: Data returned should be formatted into a single comma separated variable (csv) file. The data elements should be transmitted in the order specified in the Genitourinary Medicine Clinic Activity Data Set.

Transmission: Electronic files will be transmitted to the Health Protection Agency through a secure web portal in the Health Protection Agency website. This web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of the Health Protection Agency across the Internet.  The web portal can be found at HIV & STI web portal.

Connection to the web portal requires a login account name and password, which will be available from the project administrator at the Health Protection Agency. Please contact gumcad@hpa.org.uk for access or more information.

Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.A Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.

This can be either a:A Mental Health Care Spell can be either a:

• Adult Mental Health Care Spell or
• Child And Adolescent Mental Health Care Spell.

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

Notes:
SERUM CHOLESTEROL LEVEL is the Serum Cholesterol Level of a PATIENT measured in 'mmol/L (millimoles per litre)'.

SERUM CHOLESTEROL LEVEL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.

Notes:
STATUS OF SERVICE REQUEST (MENTAL HEALTH) is the same as attribute STATUS OF SERVICE REQUEST FOR MENTAL HEALTH.