Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1055
Version No:1.0
Subject:Update to CP843
Effective Date:Immediate
Reason for Change:Patch
Publication Date:13 January 2009

Background:

A number of issues were raised with relationships following incorporation of CP843.  This patch corrects the problems.

This patch also adds the following Attributes to the appropriate Class:

This patch also:

Summary of changes:

Supporting Information
COMMISSIONING DATA SET OVERVIEW   Changed Description
GMP PRACTICE CONSULTATION   Changed Description
GROUP SESSION   Changed Description
HOSPITAL EPISODE STATISTICS   Changed Description
HOSPITAL EPISODE STATISTICS (RETIRED) renamed from HOSPITAL EPISODE STATISTICS   Changed Name, status to Retired
NATIONAL CANCER DATA SET OVERVIEW   Changed Description
NATIONAL DIRECT ACCESS AUDIOLOGY PATIENT TRACKING LIST DATA SET OVERVIEW   Changed Description
NATIONAL DIRECT ACCESS AUDIOLOGY WAITING TIMES DATA SET OVERVIEW   Changed Description
WHAT'S NEW: DECEMBER 2008   Changed Description
 
Class Definitions
ACTIVITY DATE TIME   Changed Relationships
CARE ISSUE   Changed Relationships
CELL   Changed Attributes
CLINICAL INTERVENTION   Changed Relationships, Attributes
CYTOLOGICAL ABNORMALITY   Changed Attributes
EMPLOYEE   Changed Relationships
HEALTH PROGRAMME POPULATION   Changed Relationships
JOB ROLE   Changed Attributes
MACHINE   Changed Relationships
PATIENT DIAGNOSIS   Changed Relationships
PERSON   Changed Relationships, Attributes
PERSON ORGAN   Changed Attributes
PERSON PROPERTY   Changed Relationships
PERSON PROPERTY CLASSIFIER renamed from PERSON PROPERTY CLASSIFIER   Changed Name
PERSON PROPERTY QUALIFIER   Changed Relationships
PRESCRIPTION   Changed Relationships
PROPRIETARY PRODUCT   Changed Attributes
SERVICE REQUEST   Changed Relationships, Attributes
TISSUE   Changed Attributes
 
Attribute Definitions
A AND E ARRIVAL MODE   Changed Description
 
Data Elements
EMPLOYMENT HISTORY LEAVING REASON CODE   Changed linked Attribute
MACHINE IDENTIFIER   Changed Description
NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS WHERE INTER-PROVIDER TRANSFER INFORMATION MISSING renamed from NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS WHERE INTER-PROVIDER TRANSFER INFORMATION MISSING   Changed Name
OCCUPIED BED DAYS   Changed Description
 
Binary
NHSDD FIX CSS1   Changed attached binary file
 
Packages
C   New Package
COM   New Package
INC   New Package
 

Date:13 January 2009
Sponsor:Richard Kavanagh, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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COMMISSIONING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The primary purpose of national data sets is to enable conformant health information to be generated across the country, independent of the ORGANISATION or system that maintains it. In achieving this, the Health and Social Care Information Centre will enable healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS.

  1. A. Information Requirements

    Information on care provided for all PATIENTS by NHS Hospitals and Primary Care Trusts and Independent Sector Providers (for NHS PATIENTS only) is specified in the Commissioning Data Sets and must be submitted to the Secondary Uses Service according to issued guidelines.Information Requirements

    This data is required to:
    • monitor and manage Service Agreements;
    • develop commissioning plans;
    • support the Payment By Results processes;
    • support NHS Comparators;
    • develop commissioning plans;
    • monitor Health Improvement Programmes;
    • underpin clinical governance;
    • understand the health needs of the population.
    • monitor and manage Service Agreements;
    • develop commissioning plans;
    • support the Payment By Results processes;
    • support NHS Comparators;
    • monitor Health Improvement Programmes;
    • underpin clinical governance;
    • understand the health needs of the population.

    Information on care provided for all PATIENTS by NHS Hospitals and Primary Care Trusts and Independent Sector Providers (for NHS PATIENTS only) is specified in the Commissioning Data Sets and must be submitted to the Secondary Uses Service according to issued guidelines.

    Commissioners need access to data to monitor Non-Contract Activity as part of the management of their Service Agreements. Primary Care Trusts also need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.

    Independent Sector Treatment Centres (TC) are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Sets and may submit this data 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 requires accurate data of all PATIENTS admitted to or treated as out-patients, or treated as an Accident And Emergency Attendance by NHS Hospital Providers and Primary Care Trusts, including PATIENTS receiving private treatment. The data also includes NHS PATIENTS treated electively in the independent sector and overseas. These Hospital Episode Statistics (HES) are derived from the Admitted Patient Care, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Sets as stored in the Secondary Uses Service. This data provides information about hospital and PATIENT management, epidemiological data on patient diagnoses and operative procedures. This data provides information about hospital and PATIENT management, epidemiological data on PATIENT DIAGNOSES and OPERATIVE PROCEDURES.

  2. B. Data Flows
    The information data flows are shown in the Tables below.

  3. C. Commissioning Data Set Data Flow Definitions

    Commissioning Data Set Data Flow Definitions

    CDS TYPES

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

    Commissioning Data Set Messages have been defined in specific components known as a CDS TYPE. Each Commissioning Data Set Type as configured into the Commissioning Data Set Message carries only one specific Commissioning Data Set Type, an examples being the Finished Consultant Episode Commissioning Data Set Type etc.

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GMP PRACTICE CONSULTATION

Change to Supporting Information: Changed Description

GMP Practice Consultation is a CARE CONTACT.

A consultation by a CARE PROFESSIONAL to a PERSON for the provision of health care within a GENERAL MEDICAL PRACTITIONER practice.

The PATIENT should be offered a GMP Practice Consultation within 24 hours of a SERVICE REQUEST DATE and SERVICE REQUEST TIME if requesting to see a CARE PROFESSIONAL other than a GENERAL MEDICAL PRACTITIONER. The PATIENT should be offered a GMP Practice Consultation to see a GENERAL MEDICAL PRACTITIONER within 48 hours of requesting an appointment. The PATIENT should be offered a GMP Practice Consultation to see a GENERAL MEDICAL PRACTITIONER within 48 hours of requesting an APPOINTMENT.

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GROUP SESSION

Change to Supporting Information: Changed Description

Group Session is a SESSION.

A session held by at least one member of a health promotion staff group as part of a programme to improve the general awareness of a group of people about particular functions, conditions or aspects of behaviour affecting the health of the community.A SESSION held by at least one member of a health promotion staff group as part of a programme to improve the general awareness of a group of people about particular functions, conditions or aspects of behaviour affecting the health of the community.

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HOSPITAL EPISODE STATISTICS

Change to Supporting Information: Changed Description

Hospital Episode Statistics is a data warehouse containing details of all admissions to NHS hospitals in England. It includes private PATIENTS treated in NHS hospitals, PATIENTS who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS. Hospital Episode Statistics also contain details of all NHS outpatient appointments in England.Hospital Episode Statistics is a data warehouse containing details of all admissions to NHS hospitals in England. It includes private PATIENTS treated in NHS hospitals, PATIENTS who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS. Hospital Episode Statistics also contain details of all NHS Out-Patient Appointments in England.

Hospital Episode Statistics is the data source for a wide range of healthcare analysis for the NHS, Government and many other organisations and individuals. It contains admitted patient care data from 1989 onwards, with more than 12 million new records added each year, and outpatient attendance data from 2003 onwards, with more than 40 million new records added each year.Hospital Episode Statistics is the data source for a wide range of healthcare analysis for the NHS, Government and many other ORGANISATIONS and individuals. It contains admitted patient care data from 1989 onwards, with more than 15 million new records added each year, and outpatient attendance data from 2003 onwards, with more than 60 million new records added each year.

The Health and Social Care Information Centre 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 which is used to collect data for input to the Hospital Episode Statistics process.

The Health and Social Care Information Centre 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 which is used to collect data for input to the Hospital Episode Statistics process.

More information about the Hospital Episode Statistics Service can be found at the HESonline website.More information about Hospital Episode Statistics can be found at the HESonline website.

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HOSPITAL EPISODE STATISTICS (RETIRED)  renamed from HOSPITAL EPISODE STATISTICS

Change to Supporting Information: Changed Name, status to Retired

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NATIONAL CANCER DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The purpose of the National Cancer Data Set is to advise organisations within the National Health Service on a transferable set of data.The purpose of the National Cancer Data Set is to advise ORGANISATIONS within the National Health Service on a transferable set of data. These data will meet the needs of clinical audit, assist in the generation of National Performance Indicators and will allow outcome assessment.

By clicking on the data element text within the data set opposite, the selected data element definition will be displayed.

Any text within the displayed definition which is in blue and uppercase is the name of a class, attribute or data element; business definitions appear in Title Case and all if clicked on will display the definition for that class, attribute, data element or business definition.

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NATIONAL DIRECT ACCESS AUDIOLOGY PATIENT TRACKING LIST DATA SET OVERVIEW

Change to Supporting Information: Changed Description

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 Patient Tracking List Data Set is available from the Department of Health website at: http://www.18weeks.nhs.uk/Content.aspx?path=/achieve-and-sustain/Diagnostics/Audiology/diagnostic-guidance/direct-accessFull guidance on the completion and submission of the National Direct Access Audiology Waiting Times Data Set is available from the Department of Health website.

The Department of Health document 'Improving Access to Audiology Services in England' can be found at the following link:
http://www.18weeks.nhs.uk/Content.aspx?path=/achieve-and-sustain/Diagnostics/Audiology/diagnostic-guidanceThe 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.

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NATIONAL DIRECT ACCESS AUDIOLOGY WAITING TIMES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

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.

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 at: http://www.18weeks.nhs.uk/Content.aspx?path=/achieve-and-sustain/Diagnostics/Audiology/diagnostic-guidance/direct-access

The Department of Health document 'Improving Access to Audiology Services in England' can be found at the following link: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.
http://www.18weeks.nhs.uk/Content.aspx?path=/achieve-and-sustain/Diagnostics/Audiology/diagnostic-guidance

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.

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WHAT'S NEW: DECEMBER 2008

Change to Supporting Information: Changed Description

Release: December 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CP1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CP901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CP843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CP1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
  • CP861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CP964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CP965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CP879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CP910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CP900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CP934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CP935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CP925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CP942 (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

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CP881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CP904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CP824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CP814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CP930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CP834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CP875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CP880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CP831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CP825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CP833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CP801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CP856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CP869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CP827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CP817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CP849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CP822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CP850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CP786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CP826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CP813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CP768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CP798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema

Release: September 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CP792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CP719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CP791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CP774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP764 (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

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CP756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CP724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CP754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CP763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CP767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CP690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CP715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CP706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CP691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

NHS Data Model and Dictionary: Change Menu

Data Set Change Notice (DSCN) Website

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ACTIVITY DATE TIME

Change to Class: Changed Relationships

Each ACTIVITY DATE TIME
Kmust be for one and only one ACTIVITY
Kmust be for one and only one ACTIVITY

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CARE ISSUE

Change to Class: Changed Relationships

Each CARE ISSUE
Kmust be defined by one and only one PERSON PROPERTY
may be the focus for one or more CARE ACTIVITY
may be the focus for one or more CARE ACTIVITY
may be required by one or more PERSON PROPERTY
may be of relevance to one and only one PERSON PROPERTY

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CELL

Change to Class: Changed Attributes

Attributes of this Class are:
KCELL IDENTIFIER (created)
KCELL IDENTIFIER

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CLINICAL INTERVENTION

Change to Class: Changed Relationships, Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY INVESTIGATION
ACCIDENT AND EMERGENCY TREATMENT
ANATOMICAL EXAMINATION SITE
BODY IRRADIATION
BRACHYTHERAPY ACTUAL FRACTION
BRACHYTHERAPY DELIVERY TYPE
BRACHYTHERAPY DOSE RATE
BRACHYTHERAPY ISOTOPE TYPE
BRACHYTHERAPY PRESCRIBED FRACTIONS
BRACHYTHERAPY TYPE
BREAST ASSESSMENT / TEST OUTCOME
CANCER IMAGING MODALITY
CANCER TREATMENT MODALITY
CLINICAL EXAMINATION FINDINGS
CLINICAL INTERVENTION TYPE
COLONOSCOPY INCOMPLETE REASON
CORONARY INTERVENTION PERFORMED
CYTOLOGY SCREENING ACTION TYPE
DENTAL TREATMENT CLASSIFICATION
DISCHARGE THERAPY TYPE
DRUG ADMINISTRATION DURATION
DRUG ADMINISTRATION STATUS
DRUG DAYS SUPPLY
DRUG DOSAGE AND ADMIN SPECIFICATION
DRUG IDENTIFICATION
DRUG INFORMATION COMMENT
DRUG INFORMATION TYPE
DRUG PROGRAMME RESPONSE
DRUG QUANTITY SUPPLIED
DRUG REGIMEN ACRONYM
DRUG ROUTE OF ADMINISTRATION
DRUG THERAPY TYPE
DRUG TREATMENT COST
DRUG TREATMENT INTENT
ENDOCRINE THERAPY TYPE
FIRST DEFINITIVE TREATMENT PROVIDED
FIRST DIAGNOSTIC TEST
FRACTION NUMBER
GESTATION LENGTH (LABOUR ONSET)
HIP REPLACEMENT BONEGRAFT
HIP SURGERY INCISION TYPE
HIP SURGERY PATIENT POSITION
HIP SURGERY TROCHANTER INDICATOR
IMAGE GUIDED SURGERY INDICATOR
IMAGING EVENT NUMBER
IMAGING INTERVENTION INDICATOR
IMAGING MODALITY
IMMUNITY TEST RESULT
JOINT REPLACEMENT PRIMARY OR REVISION
JOINT REPLACEMENT REVISION NUMBER
KNEE REPLACEMENT CEMENT INDICATOR
KNEE SURGERY FAT PAD REMOVED
KNEE SURGERY SKIN INCISION METHOD
KNEE SURGERY SURGICAL APPROACH
KNEE SURGERY TOURNIQUET USED
LABOUR FIRST STAGE LENGTH
LABOUR OR DELIVERY ONSET METHOD
LABOUR PROFESSIONAL PRIOR INVOLVEMENT
LABOUR SECOND STAGE LENGTH
MINIMALLY INVASIVE SURGERY INDICATOR
MINOR SURGERY TYPE
NATURE OF RISK AREA CODE
NEW LESIONS TREATED NUMBER
NUMBER OF TELETHERAPY FIELDS
OPERATIVE PATIENT PROCEDURE INDICATOR
OPPORTUNISTIC SCREENING TYPE
PATHOLOGY INVESTIGATION PRIORITY
PATHOLOGY RESULT REPORTED DATE
PATHOLOGY SPECIMEN TYPE
PATIENT PHYSICAL STATUS
PATIENT PROCEDURE IMPLANT INDICATION
PATIENT PROCEDURE RESULT
PLANNED TREATMENT CHANGE REASON
POST MORTEM TYPE
PRIMARY OR SUBSEQUENT COURSE
PRIMARY SCREENING
RADIOTHERAPY ACTUAL DOSE
RADIOTHERAPY ANAESTHETIC
RADIOTHERAPY ANATOMICAL TREATMENT SITE
RADIOTHERAPY PRESCRIBED DOSE
RADIOTHERAPY PRESCRIBED DURATION
RADIOTHERAPY TREATMENT COURSE STATUS
RADIOTHERAPY TREATMENT MODALITY
RATE OF GMP PAYMENT
RECURRENT LESIONS TREATED NUMBER
RESULT SENT DIRECT
ROUTINE OR EMERGENCY
SARCOMA SURGICAL MARGIN
SARCOMA SURGICAL PROCEDURE TYPE
SCHEDULED SESSION DURING OR OUTSIDE
SURGICAL DEFAULT TECHNIQUE INDICATOR
SURGICAL URGENCY
TELETHERAPY ACTUAL FRACTIONS
TELETHERAPY BEAM TYPE
TELETHERAPY COMPLEXITY GROUP
TELETHERAPY ELECTRON ENERGY
TELETHERAPY FIELDS
TELETHERAPY MULTIPLE PLANNING
TELETHERAPY PHOTON ENERGY
TELETHERAPY PRESCRIBED FRACTIONS
THROMBO PROPHYLAXIS REGIME TYPE
TREATMENT EXPOSURE TYPE
TYPE OF ANAESTHETIC
UNSEALED SOURCE ISOTOPE TYPE
UNSEALED SOURCE PATIENT TYPE
VACCINATION REASON INDICATOR

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CLINICAL INTERVENTION

Change to Class: Changed Relationships, Attributes

Each CLINICAL INTERVENTION
must be the reason for using one and only one MACHINE
may be the reason for administering one or more ANAESTHETIC OR ANALGESIC
may be the reason for administering one or more ANAESTHETIC OR ANALGESIC
may be the provider of one or more CLINICAL INVESTIGATION RESULT ITEM
may be the reason for one and only one EXPOSURE
may be the reason for one and only one EXPOSURE
may be the utilisation of one or more HIP CEMENTING TECHNIQUE
may be the supplier of one and only one IMMUNISATION COURSE TYPE
may be the supplier of one and only one IMMUNISATION COURSE TYPE
may be the user of one or more IMPLANT
may be classified by one or more INTERVENTION CLASSIFICATION ASSOCIATION
may be the user of one and only one SAMPLE
may be the user of one and only one SAMPLE
may be resultant in one or more SERVICE REQUEST
may be requested by one and only one SERVICE REQUEST

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CYTOLOGICAL ABNORMALITY

Change to Class: Changed Attributes

Attributes of this Class are:
KABNORMALITY IDENTIFIER (created)
KABNORMALITY IDENTIFIER

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EMPLOYEE

Change to Class: Changed Relationships

Each EMPLOYEE
must be employed as one or more EMPLOYEE IN ORGANISATION
must be designated as one and only one PERSON
must be designated as one and only one PERSON
may be reviewed by one or more APPRAISAL REVIEW
may be subject to one or more EMPLOYEE ABSENCE
may be subject to one or more EMPLOYEE PLAN
may be holder of one or more EMPLOYEE QUALIFICATION
may be supervised by one or more EMPLOYEE SUPERVISOR
may be holder of one or more EMPLOYMENT CONTRACT
may be subject of one or more EMPLOYMENT HISTORY
may be participating in one or more TRAINING ACTIVITY

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HEALTH PROGRAMME POPULATION

Change to Class: Changed Relationships

Each HEALTH PROGRAMME POPULATION
Kmust be the target of one and only one HEALTH PROGRAMME
K or must be the target of one and only one HEALTH PROGRAMME
K or must be the target of one and only one HEALTH PROGRAMME STAGE

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JOB ROLE

Change to Class: Changed Attributes

Attributes of this Class are:
JOB ROLE CODE
JOB ROLE TITLE
JOB ROLE TYPE CODE

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MACHINE

Change to Class: Changed Relationships

Each MACHINE
must be operated by one and only one DEPARTMENT
or must be operated by one and only one DEPARTMENT
or must be owned by one and only one SERVICE POINT
or must be owned by one and only one SERVICE POINT
may be used during one or more CLINICAL INTERVENTION
may be the tool used for one or more EXPOSURE
may be the tool used for one or more EXPOSURE

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PATIENT DIAGNOSIS

Change to Class: Changed Relationships

Each PATIENT DIAGNOSIS
must be recorded for one and only one CARE CONTACT
must be recorded for one and only one CARE CONTACT

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PERSON

Change to Class: Changed Relationships, Attributes

Attributes of this Class are:
KPERSON IDENTIFIER
DRIVER NUMBER
NATIONAL INSURANCE NUMBER
PASSPORT NUMBER
PERSON BIRTH DATE
UNIQUE PUPIL NUMBER
UNIQUE TAX REFERENCE NUMBER
VALUE ADDDED TAX NUMBER FOR PERSON
VALUE ADDED TAX NUMBER FOR PERSON

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PERSON

Change to Class: Changed Relationships, Attributes

Each PERSON
must be the user of one or more PERSON NAME
must be one or more PERSON ORGAN
must be the owner of one or more PERSON ORGAN
may be registered as one and only one CARE PROFESSIONAL
may be contacted via one or more COMMUNICATION CONTACT INFORMATION
may be born in one and only one COUNTRY
may be recorded as one or more EMPLOYEE
may be recorded as one or more EMPLOYEE
may be supervisor of one or more EMPLOYEE SUPERVISOR
may be classified by one or more NATIONALITY OR RESIDENCY
may be registered as one and only one PATIENT
may be the subject of one or more PERSON DEATH DETAILS
may be related to one or more PERSON OR ORGANISATION ADDRESS
may be the reporter of one or more PERSON PROPERTY
may be the recorder of one or more PERSON PROPERTY
may be the owner of one or more PERSON PROPERTY
may be the observer of one or more PERSON PROPERTY
may be the second party in one or more PERSON RELATIONSHIP
may be one or more TISSUE TRANSPLANT
may be the first party in one or more PERSON RELATIONSHIP
may be holder of one or more PROFESSIONAL REGISTRATION
may be the recipient of one or more TISSUE TRANSPLANT

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PERSON ORGAN

Change to Class: Changed Attributes

Attributes of this Class are:
KORGAN IDENTIFIER (created)
KORGAN IDENTIFIER

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PERSON PROPERTY

Change to Class: Changed Relationships

Each PERSON PROPERTY
Kmust be owned by one and only one PERSON
must be reported by one and only one PERSON
must be recorded by one and only one PERSON
must be observed by one and only one PERSON
may be the context for one and only one ACTIVITY GROUP
may be required by one and only one CARE ISSUE
may be of relevance to one or more CARE ISSUE
may be acting as one and only one CARE ISSUE
may be clinically classified by one and only one CLINICAL CLASSIFICATION
may be related to one or more PERSON PROPERTY QUALIFIER
may be related to one or more PERSON PROPERTY QUALIFIER
may be qualified by one or more PERSON PROPERTY QUALIFIER
may be be qualified by one or more PERSON PROPERTY QUALIFIER
may be be qualified by one or more PERSON PROPERTY QUALIFIER
may be classified by one or more PERSON PROPERTY RECORD CLASSIFICATION

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PERSON PROPERTY CLASSIFIER  renamed from PERSON PROPERTY CLASSIFIER

Change to Class: Changed Name

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PERSON PROPERTY QUALIFIER

Change to Class: Changed Relationships

Each PERSON PROPERTY QUALIFIER
Kmust be qualify one and only one PERSON PROPERTY
Kmust be the qualifier of one and only one PERSON PROPERTY
Kmust be qualify one and only one PERSON PROPERTY
may be related to one and only one CARE ACTIVITY
may be related to one and only one PERSON PROPERTY
may be related to one and only one PERSON PROPERTY

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PRESCRIPTION

Change to Class: Changed Relationships

Each PRESCRIPTION
must be a request from one and only one CARE PROFESSIONAL
must be for one and only one PATIENT
must be for one and only one PATIENT
must be for one or more PRESCRIBED ITEM
may be resultant in one or more DISPENSED ITEM

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PROPRIETARY PRODUCT

Change to Class: Changed Attributes

Attributes of this Class are:
PRODUCT MANUFACTURER
PROPRIETARY PRODUCT IDENTIFIER

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SERVICE REQUEST

Change to Class: Changed Relationships, Attributes

Attributes of this Class are:
KSERVICE REQUEST IDENTIFIER
APPOINTMENT CLASSIFICATION CODE
APPOINTMENT OFFER VERBAL OR WRITTEN
DECISION TO OFFER AN APPOINTMENT DATE
DIAGNOSTIC SERVICE REQUEST TYPE
ORIGINAL REFERRAL REQUEST RECEIVED DATE
REFERRAL REQUEST CANCELLED DATE
REFERRAL REQUEST RECEIVED DATE
SERVICE REQUEST DATE
SERVICE REQUEST RAISED REASON
SERVICE REQUEST TIME

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SERVICE REQUEST

Change to Class: Changed Relationships, Attributes

Each SERVICE REQUEST
Kmust be for one and only one PATIENT
must be made by one and only one CARE PROFESSIONAL ORGANISATION
or must be made by one and only one ORGANISATION
or may be the reason for one or more TRANSPORT REQUIREMENT
must be made to one and only one CARE PROFESSIONAL ORGANISATION
or must be made to one and only one SERVICE POINT
must be part of one and only one PATIENT PATHWAY
must be categorised by one and only one TREATMENT FUNCTION
may be resultant in one or more APPOINTMENT
may be resultant in one or more APPOINTMENT
may be the result of one and only one CARE ACTIVITY
may be the initiator of one or more CARE ACTIVITY
may be the result of one and only one CLINICAL INTERVENTION
may be for one or more CLINICAL INTERVENTION
may be the result of one and only one DECISION TO REFER
may be offered from one and only one HEALTH PROGRAMME
may be offered from one and only one HEALTH PROGRAMME
may be the reason for one or more PLANNED ACTIVITY
may be the main one linked to one or more SERVICE REQUEST RELATIONSHIP
may be the main one linked to one or more SERVICE REQUEST RELATIONSHIP
may be a subsequent one in one or more SERVICE REQUEST RELATIONSHIP
may be a subsequent one in one or more SERVICE REQUEST RELATIONSHIP

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TISSUE

Change to Class: Changed Attributes

Attributes of this Class are:
KTISSUE IDENTIFIER (created)
KTISSUE IDENTIFIER

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A AND E ARRIVAL MODE

Change to Attribute: Changed Description

The means by which a PATIENT arrived at an Accident And Emergency Department.

National Codes:

1Brought in by ambulance (including helicopter/'Air Ambulance')
1Brought in by Ambulance (including helicopter/'Air Ambulance')
2Other
 

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EMPLOYMENT HISTORY LEAVING REASON CODE

Change to Data Element: Changed linked Attribute

EMPLOYMENT HISTORY LEAVING REASON CODE
 
Attribute:
EMPLOYMENT HISTORY LEAVING DESTINATION CODE
EMPLOYMENT HISTORY LEAVING REASON CODE

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MACHINE IDENTIFIER

Change to Data Element: Changed Description

Format/length:an12
HES item: 
National Codes:
Default Codes: 

Notes:

A unique identifier for a Lithotripter or a Radiotherapy MachineDetails of how this identifier is generated and used with the Radiotherapy Data Set  can be found at the CancerUK website at Radiotherapy Data Set Documentation.  Details of how this identifier is generated and used with the Radiotherapy Data Set  can be found at the Cancer UK website at Radiotherapy Data Set Documentation.

 

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NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS WHERE INTER-PROVIDER TRANSFER INFORMATION MISSING  renamed from NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS WHERE INTER-PROVIDER TRANSFER INFORMATION MISSING

Change to Data Element: Changed Name

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OCCUPIED BED DAYS

Change to Data Element: Changed Description

Format/length: 
HES item: 
National Codes: 
Default Codes: 

Notes:
Occupied bed days are derived from WARD LISTING TOTAL BED OCCUPIED, which should be recorded each day as part of the DAILY WARD LISTING.OCCUPIED BED DAYS are derived from WARD LISTING TOTAL BED OCCUPIED, which should be recorded each day as part of the DAILY WARD LISTING. This daily count should then be totalled across the period for which the data is required. Note that this excludes PATIENTS who are temporarily absent e.g. on Home Leave.

Home Leave is a LEAVE where LEAVE TYPE is National Code 02 'Home Leave'.

 

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C

Change to Package: New Package

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COM

Change to Package: New Package

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INC

Change to Package: New Package

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NHSDD FIX CSS1

Change to Binary: Changed attached binary file

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