Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1200
Version No:1.0
Subject:November 2010 Release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:4 November 2010

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the November 2010 Release and includes:

Summary of changes:

Diagrams
ACTIVITY DIAGRAM   Changed Diagram
ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION DIAGRAM   Changed Diagram
APPOINTMENTS DIAGRAM   Changed Diagram
CARE PROFESSIONAL DIAGRAM   Changed Diagram
HEALTH PROGRAMME DIAGRAM   Changed Diagram
LISTS DIAGRAM   Changed Diagram
ORGANISATION DIAGRAM   Changed Diagram
PATIENT PATHWAY DIAGRAM   Changed Diagram
RADIOTHERAPY DIAGRAM   Changed Diagram
REFERRAL REQUEST DIAGRAM   Changed Diagram
 
Supporting Information
WHAT'S NEW: NOVEMBER 2010 renamed from WHAT'S NEW: SEPTEMBER 2010   Changed Name, Description
 
Class Definitions
CARE ISSUE   Changed Attributes
CLINICAL INTERVENTION   Changed Attributes
IMPLANT   Changed Attributes
LOCAL SUB-SPECIALTY   Changed Relationships
ORGANISATION   Changed Attributes
 
Attribute Definitions
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE   Changed Description
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS   Changed Description
CANCER VASCULAR OR LYMPHATIC INVASION   Changed Description
CLINICAL EXAMINATION FINDINGS   Changed Description
DEATH CAUSE IDENTIFICATION METHOD   Changed Description
DELAY REASON COMMENT   Changed Description
DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)   Changed Description
DIAGNOSTIC ROUTE   Changed Description
LANGUAGE CLASSIFICATION CODE   Changed Description
METASTATIC SITE   Changed Description
PERSON MARITAL STATUS CODE   Changed Description
PRIORITY TYPE   Changed Description
SOCIAL WORKER INVOLVEMENT INDICATOR   Changed Description
SPECIMEN NATURE   Changed Description
TNM TYPE   Changed Description
 
Data Elements
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE   Changed Description
CONSULTANT CODE   Changed Description
DEATH CAUSE CANCER   Changed Description
DEATH LOCATION TYPE   Changed Description
DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS)   Changed Description
DECISION TO TREAT DATE (ACTIVE MONITORING)   Changed Description
DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE)   Changed Description
DELAY REASON COMMENT (FIRST SEEN)   Changed Description
DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)   Changed Description
INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION)   Changed Description
MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)   Changed Description
NECROSIS   Changed Description
PERSON OBSERVATION (BMI)   Changed Description
POSTCODE OF CORRESPONDENCE ADDRESS   Changed Description
POSTCODE OF USUAL ADDRESS   Changed Description
POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)   Changed Description
POSTCODE OF USUAL ADDRESS (MOTHER)   Changed Description
PROCEDURE DATE   Changed Description
REFERRAL REQUEST RECEIVED DATE   Changed Description
SARCOMA SURGICAL MARGIN   Changed Description
SERUM TUMOUR MARKER PSA   Changed Description
SERVICE REPORT STATUS   Changed Description
TELETHERAPY ACTUAL FRACTIONS   Changed Description
 

Date:4 November 2010
Sponsor:Richard Kavanagh, NHS Connecting for Health

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

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ACTIVITY DIAGRAM

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ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION DIAGRAM

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APPOINTMENTS DIAGRAM

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CARE PROFESSIONAL DIAGRAM

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HEALTH PROGRAMME DIAGRAM

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LISTS DIAGRAM

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ORGANISATION DIAGRAM

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PATIENT PATHWAY DIAGRAM

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RADIOTHERAPY DIAGRAM

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REFERRAL REQUEST DIAGRAM

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WHAT'S NEW: NOVEMBER 2010  renamed from WHAT'S NEW: SEPTEMBER 2010

Change to Supporting Information: Changed Name, Description

Release: November 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

  • 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
  • CR1113 (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:

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

Release: March 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
  • CR1139 (Immediate) - DSCN 16/2010 Person Weight
  • CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
  • CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
  • CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
  • CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
  • CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
  • CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
  • CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
  • CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
  • CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme, Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

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CARE ISSUE

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE ISSUE IDENTIFER
KCARE ISSUE IDENTIFIER
CARE ISSUE END DATE
CARE ISSUE START DATE
CARE ISSUE TYPE
DIABETES TYPE

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CLINICAL INTERVENTION

Change to Class: Changed Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY INVESTIGATION
ACCIDENT AND EMERGENCY TREATMENT
ANATOMICAL EXAMINATION SITE
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
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
CONTRACEPTION METHOD STATUS
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
INTERVENTION SESSION TYPE
INTERVENTION SETTING
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
NEWBORN HEARING INCOMPLETE REASON 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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IMPLANT

Change to Class: Changed Attributes

Attributes of this Class are:
KPROSTHETIC DEVICE CODE
KIMPLANT CODE
IMPLANT BATCH OR LOT NUMBER
IMPLANT CATALOGUE NUMBER
IMPLANT CLASSIFICATION CODE
IMPLANT MANUFACTURER
IMPLANT MODEL

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LOCAL SUB-SPECIALTY

Change to Class: Changed Relationships

Each LOCAL SUB-SPECIALTY
may be a classifier for one or more ACTIVITY GROUP
may be a classifier for one or more ELECTIVE ADMISSION LIST ENTRY
may be a classifier for one or more REFERRAL REQUEST

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ORGANISATION

Change to Class: Changed Attributes

Attributes of this Class are:
KORGANISATION CODE
APPROVED FOR HSPS
COMPANIES HOUSE REFERENCE NUMBER
DEPARTMENT OF HEALTH ORGANISATION CODE
DUN'S NUMBER
GMP PRACTICE RESTRICTED
ORGANISATION COMMENT
ORGANISATION END DATE
ORGANISATION NAME
ORGANISATION START DATE
ORGANISATION TYPE
PRIMARY CARE TRUST LEVEL
UK BANK BRANCH SORT CODE
URBAN OR RURAL INDICATOR
VALUE ADDED TAX NUMBER

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ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE

Change to Attribute: Changed Description

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

A classification of the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure.

This is an abbreviated version of the American Society of Anesthesiology patient classification status.

National Codes:

01A normal healthy PATIENT
02A PATIENT with mild systemic disease
03A PATIENT with severe systemic disease
04A PATIENT with severe systemic disease that is a constant threat to life
05A moribund PATIENT who is not expected to survive without the operation
06A declared brain-dead PATIENT whose organs are being removed for donor purposes
01A normal healthy PATIENT
02A PATIENT with mild systemic disease
03A PATIENT with severe systemic disease
04A PATIENT with severe systemic disease that is a constant threat to life
05A moribund PATIENT who is not expected to survive without the operation
06A declared brain-dead PATIENT whose organs are being removed for donor purposes
 

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CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS

Change to Attribute: Changed Description

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

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

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



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

National Codes:

14Suspected primary cancer
09Under investigation following symptomatic referral, cancer not suspected (breast referrals only) (see note 1)
03No new cancer diagnosis identified by the Healthcare Provider
10Diagnosis of new cancer confirmed - first treatment not yet planned
11Diagnosis of new cancer confirmed - English NHS first treatment planned
07Diagnosis of cancer confirmed - no English NHS treatment planned
08First treatment commenced (English NHS only)
12Diagnosis of new cancer confirmed - subsequent treatment not yet planned
13Diagnosis of new cancer confirmed - subsequent English NHS treatment planned
21Subsequent treatment commenced (English NHS only)
15Suspected recurrent cancer
16Diagnosis of recurrent cancer confirmed - first treatment not yet planned
17Diagnosis of recurrent cancer confirmed - English NHS first treatment planned
18Diagnosis of recurrent cancer confirmed - no English NHS treatment planned
19Diagnosis of recurrent cancer confirmed - subsequent treatment not yet planned
20Diagnosis of recurrent cancer confirmed - subsequent English NHS treatment planned

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

 

 

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CANCER VASCULAR OR LYMPHATIC INVASION

Change to Attribute: Changed Description

An indication of the presence or absence of unequivocal tumour in vascular spaces.

National Codes:

NNo, vascular/lymphatic invasion not present
YYes, vascular/lymphatic invasion present
UUncertain whether vascular invasion is present or not

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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CLINICAL EXAMINATION FINDINGS

Change to Attribute: Changed Description

The findings from the clinical examination performed on the PATIENT at the start of a Breast Cancer Care Spell.

National codes:

P1Normal
P2Benign
P3Uncertain
P4Suspicious
P5Malignant

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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DEATH CAUSE IDENTIFICATION METHOD

Change to Attribute: Changed Description

The source of information from which the cause of death was established.

National Codes:

1Death certificate
2NHS Central Register Follow-up
3Hospital records
4Verbal communication
5Post mortem

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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DELAY REASON COMMENT

Change to Attribute: Changed Description

A comment on the reason why a Cancer Care Spell Delay was experienced with regard to a Cancer Care Spell. This must be recorded for each breach of existing service standards (introduced by the NHS Cancer Plan (2000)) and the extended service standards (as specified within the Cancer Reform Strategy (2007)) after any patient pauses have been taken into account.

The standards for which a DELAY REASON COMMENT must be given are:

-maximum two week wait** for an urgent GENERAL PRACTITIONER referral for suspected cancer to Date First Seen for all suspected cancers
-maximum one month** wait from urgent GENERAL PRACTITIONER referral for suspected cancer to First Definitive Treatment for testicular cancer, acute leukaemia and children's cancer (under 16 years of age at date of First Definitive Treatment)*
-maximum two month wait** from urgent GENERAL PRACTITIONER referral for suspected cancer to First Definitive Treatment for all cancers
-maximum one month wait** from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE) to First Definitive Treatment for all cancers
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to the start of second or subsequent treatment for all cancers, where the CANCER TREATMENT MODALITY is radiotherapy (teletherapy, brachytherapy or proton therapy)
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to start of second or subsequent treatment for all cancers where the CANCER TREATMENT MODALITY is surgery
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to start of second or subsequent treatment for all cancers where the CANCER TREATMENT MODALITY is an anti-cancer drug regimen (cytotoxic chemotherapy, hormone therpay, immunotherapy or other drug regimen)
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to start of second or subsequent treatment for all cancers where the CANCER TREATMENT MODALITY is an anti-cancer drug regimen (cytotoxic chemotherapy, hormone therapy, immunotherapy or other drug regimen)
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to start of second or subsequent treatment for all cancers where the CANCER TREATMENT MODALITY is other than anti-cancer drug regimen, surgery or radiotherapy.
-maximum 62-day wait from referral for suspected cancer from an NHS Cancer Screening Programme to First Definitive Treatment for breast, bowel and cervical cancers*
-maximum 62-day wait from a decision to upgrade the priority of a PATIENT by a CONSULTANT (or authorised member of a CONSULTANT team) to First Definitive Treatment
-maximum two week wait** for an urgent referral for breast symptoms (where cancer is not initially suspected) to DATE FIRST SEEN.

* Breast, bowel, cervical and testicular cancer, along with acute leukaemia are defined by ICD-10 coding - see Department of Health guidance at Cancer Waiting Times Documentation and Links.

** For the performance management and the requirement to record a DELAY REASON COMMENT for the above service standards, the following standardised time periods have been identified:

 

Time PeriodNumber of Calendar Days
Two Weeks14
One Month31
Two Months62
 

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DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)

Change to Attribute: Changed Description

A classification of the reason why a delay occurred between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and the DATE FIRST SEEN, when the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 - Two Week Wait.

This is the reason why the Health Care Provider was unable to provide an APPOINTMENT DATE within the service standard of two weeks. 
 

National Codes:

01Clinic cancellation
02Out-patient capacity inadequate (i.e. no cancelled clinic, but not enough slots for this PATIENT
03Administrative delay (e.g. failed to be rebooked after Did Not Attend, lost referral)
04Referral not received within 24 hours
99Other reason

Note: If National Code 99 - Other reason is used, further detail must be recorded for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN).

 

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DIAGNOSTIC ROUTE

Change to Attribute: Changed Description

An indication of a PATIENT's route to diagnosis of cancer for a Cancer Care Spell.

National Codes:

1Cancers detected by national screening programme
2Interval cancers occurring in PATIENTS screened by a national Screening Programme
3Other route
1Cancers detected by national Screening Programme
2Interval cancers occurring in PATIENTS screened by a national Screening Programme 
3Other route
 

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LANGUAGE CLASSIFICATION CODE

Change to Attribute: Changed Description

A classification of a Language used by a PERSON.

National codes:National Codes:

001Akan (Ashanti)
002Albanian
003Amharic
004Arabic
005Bengali & Sylheti
006Brawa & Somali
007British Signing Language
008Cantonese
009Cantonese and Vietnamese
010Creole
011Dutch
012English
013Ethiopian
014Farsi (Persian)
015Finnish
016Flemish
017French
018French creole
019Gaelic
020German
021Greek
022Gujarati
023Hakka
024Hausa
025Hebrew
026Hindi
027Igbo (Ibo)
028Italian
029Japanese
030Korean
031Kurdish
032Lingala
033Luganda
034Makaton (sign language)
035Malayalam
036Mandarin
037Norwegian
038Pashto (Pushtoo)
039Patois
040Polish
041Portuguese
042Punjabi
043Russian
044Serbian/Croatian
045Sinhala
046Somali
048Spanish
049Swahili
050Swedish
051Sylheti
052Tagalog (Filipino)
053Tamil
054Thai
055Tigrinya
056Turkish
057Urdu
058Vietnamese
059Welsh
060Yoruba
200Other

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

 

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METASTATIC SITE

Change to Attribute: Changed Description

The site of the metastatic disease.

It is used to identify metastatic disease relating to the PRIMARY DIAGNOSIS (ICD)

National Codes:

01Bone
02Brain
03Liver
04Lung
05Other metastatic site
06Multiple metastatic sites
07Unknown metastatic site
01Bone
02Brain
03Liver
04Lung
05Other metastatic site
06Multiple metastatic sites
07Unknown metastatic site
 

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PERSON MARITAL STATUS CODE

Change to Attribute: Changed Description

An indicator to identify the legal marital status of a PERSON.

National CodesNational Codes:

SSingle
MMarried/Civil Partner
DDivorced/Person whose Civil Partnership has been dissolved
WWidowed/Surviving Civil Partner
PSeparated
NNot disclosed

Previous specification, now obsolete and not for use:

1Single (Retired 2006-10-01)
2Married/separated (Retired 2006-10-01)
3Divorced (Retired 2006-10-01)
4Widowed (Retired 2006-10-01)
 

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PRIORITY TYPE

Change to Attribute: Changed Description

This is the priority of a request for services; in the case of services to be provided by a CONSULTANT, it is as assessed by or on behalf of the CONSULTANT.

Priority Type 'Urgent' should be used where the request for services is defined as clinically urgent, but it does not fall under the criteria for 'Two Week Wait' (see below).

Priority Type 'Two Week Wait' should be used where either:

the request for services meets the criteria for an urgent GENERAL PRACTITIONER referral for suspected cancer. These referrals should be made in accordance with the National Institute for Health and Clinical Excellence (NICE) clinical guidelines on referral for suspected cancer. For further information, see the NICE guidance. 

  • the request for services meets the criteria for an urgent GENERAL PRACTITIONER referral for suspected cancer. These referrals should be made in accordance with the National Institute for Health and Clinical Excellence (NICE) clinical guidelines on referral for suspected cancer. For further information, see the NICE guidance
  • or

    • the PATIENT has been referred urgently for breast symptoms, but the referral does not meet the criteria for urgent GENERAL PRACTITIONER referrals for suspected cancer

    the PATIENT has been referred urgently for breast symptoms, but the referral does not meet the criteria for urgent GENERAL PRACTITIONER referrals for suspected cancer

    National Codes:

    1Routine
    2Urgent
    3Two Week Wait
     

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    SOCIAL WORKER INVOLVEMENT INDICATOR

    Change to Attribute: Changed Description

    An indication of whether or not a PATIENT's CARE PLAN, established during a Care Programme Approach Review, includes face to face contacts or involvement with Local Authority Social Services Social Workers.An indication of whether a PATIENT's CARE PLAN, established during a Care Programme Approach Review, includes face to face contacts or involvement with Local Authority Social Services Social Workers.

    National Codes:

    0no involvement of Social Worker 
    1involvement of Social Worker 
     

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    SPECIMEN NATURE

    Change to Attribute: Changed Description

    A classification which identifies the nature of the specimen reported on a CLINICAL INVESTIGATION RESULT ITEM.

    National Codes:

    1Primary tumour
    2Re-excision of primary tumour
    3Recurrence
    4Nodes
    5Metastatic site other than nodes
    9Not known
    1Primary tumour
    2Re-excision of primary tumour
    3Recurrence
    4Nodes
    5Metastatic site other than nodes
    9Not known

    References:
    National Cancer Dataset Version 1.3_ISB October 2002

     

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    TNM TYPE

    Change to Attribute: Changed Description

    A classification of the category for which a cancer staging code is recorded.

    National Codes:

    1Tumour component
    2Node component
    3Metastasis component
    4Overall TNM stage
    1Tumour component
    2Node component
    3Metastasis component
    4Overall TNM stage

    References:
    National Cancer Dataset Version 1.3_ISB October 2002

     

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    ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE

    Change to Data Element: Changed Description

    Format/Length:n2
    Format/Length:an2
    HES Item: 
    National Codes:See ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
    Default Codes: 

    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:
    ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE is the same as attribute ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE.

     

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    CONSULTANT CODE

    Change to Data Element: Changed Description

    Format/length:an8
    HES item:CONSULT
    National Codes: 
    Default Codes:C9999998 - CONSULTANT, GENERAL MEDICAL COUNCIL REFERENCE NUMBER not known
     CD999998 - Dental CONSULTANT: GENERAL MEDICAL COUNCIL REFERENCE NUMBER / GENERAL DENTAL COUNCIL REGISTRATION NUMBER not known
     D9999998 - Dentist, Dental Practice Board (DPB) number not known
     M9999998 - MIDWIFE
     N9999998 - NURSE
     H9999998 - Other health care professional

    Notes:
    This is the same as attribute CONSULTANT CODE.CONSULTANT CODE is the same as attribute CONSULTANT CODE.

    All Midwife Episodes and attendances are identified in the Commissioning Data Sets and Hospital Episode Statistics by a pseudo MAIN SPECIALTY CODE, 560, see Main Specialty and Treatment Function Codes. A default code is used in the CONSULTANT CODE field to show that a MIDWIFE is the responsible professional. Note that the MIDWIFE's own Nursing and Midwifery Council code is not used.

    All Nursing Episodes and attendances are identified in the Commissioning Data Sets and Hospital Episode Statistics by a pseudo MAIN SPECIALTY CODE, 950, see Main Specialty and Treatment Function Codes. A default code is used in the CONSULTANT CODE field to show that a NURSE is the responsible professional. Note that the NURSE's own Nursing and Midwifery Council code is not used.

     

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    DEATH CAUSE CANCER

    Change to Data Element: Changed Description

    Format/length:n1
    HES item: 
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    Format/Length:n1
    HES Item: 
    National Codes:See DEATH CAUSE CANCER
    Default Codes: 
     Notes:
    DEATH CAUSE CANCER is the same as attribute DEATH CAUSE CANCER. 

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    DEATH LOCATION TYPE

    Change to Data Element: Changed Description

    Format/length:n1
    HES item: 
    Format/Length:n1
    HES Item: 
    National Codes:See DEATH LOCATION TYPE
    Default Codes: 


    Notes:
    DEATH LOCATION TYPE is the same as attribute DEATH LOCATION TYPE.

     

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    DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS)

    Change to Data Element: Changed Description

    Format/length:see DATE 
    HES item: 
    Format/Length:See DATE 
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS) is the DATE on which a decision was made to refer the PATIENT to Secondary Care with either suspected cancer, or as an urgent symptomatic breast referral.

    This is the DATE on which a decision was made to refer the PATIENT to Secondary Care with either suspected cancer, or as an urgent symptomatic breast referral.  This DATE may be one of the following: This DATE may be one of the following: 

    - The DATE on the letter, proforma or email from the GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER

    - The START DATE (HOSPITAL PROVIDER SPELL) where the PATIENT was admitted as an emergency

    - The APPOINTMENT DATE of the first Out-Patient Appointment, if the referral was a self-referral

    - The DATE on the recall letter for PATIENTS recalled following a routine Screening Programme APPOINTMENT.   

    DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS) is optional within the National Cancer Waiting Times Monitoring Data Set as it may not be available to the Health Care Provider if the initial SERVICE REQUEST to secondary care was made via the Choose and Book system. 

     

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    DECISION TO TREAT DATE (ACTIVE MONITORING)

    Change to Data Element: Changed Description

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

    Notes:
    DECISION TO TREAT DATE (ACTIVE MONITORING) is the same as the attribute DECISION TO TREAT DATE.

    This data element is only mandatory when applicable in the National Cancer Waiting Times Dataset which is when the planned first definitive treatment is active monitoring.This data element is only mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set which is when the planned first definitive treatment is active monitoring.

    It is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE National Code 09 'Active Monitoring' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification a. 'first definitive treatment planned'.

    Planned Cancer Treatment is a PLANNED ACTIVITY where PLANNED ACTIVITY TYPE is National Code 02 'Cancer Treatment'.

     

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    DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE)

    Change to Data Element: Changed Description

     
    Format/length:see DATE 
    HES item: 
    Format/Length:See DATE 
    HES Item: 
    National Codes: 
    Default Codes:

    Notes:
    DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE) is the DATE that a decision was taken to treat a PATIENT's condition with a RADIOTHERAPY TREATMENT MODALITY.

    This is the DATE that a decision was taken to treat a PATIENT's condition with a RADIOTHERAPY TREATMENT MODALITY.Where the treatment is being undertaken as part of a Cancer Treatment Period, where the CANCER TREATMENT MODALITY is National Code 05 'Teletherapy' or 06 'Brachytherapy', the DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE) is the same as the CANCER TREATMENT PERIOD START DATE.

    Where the treatment is being undertaken as part of a Cancer Treatment Period, where the CANCER TREATMENT MODALITY is National Code 05 'Teletherapy' or 06 'Brachytherapy', the DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE) is the same as the CANCER TREATMENT PERIOD START DATE.

     

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    DELAY REASON COMMENT (FIRST SEEN)

    Change to Data Element: Changed Description

    Format/length:an255
    HES item: 
    National codes 
    Default codes 

    Notes:
    This is the same as the attribute DELAY REASON COMMENT.DELAY REASON COMMENT (FIRST SEEN) is the same as the attribute DELAY REASON COMMENT.

    This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).

    It is the free text comment that describes why the maximum two week wait fromCANCER REFERRAL TO TREATMENT PERIOD START DATE to DATE FIRST SEEN (less WAITING TIME ADJUSTMENT (FIRST SEEN)) could not be met.

    See DATE FIRST SEEN for guidance on determining the appropriate first seen date.

    If DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.

     

     

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    DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)

    Change to Data Element: Changed Description

    Format/length:n2
    HES item: 
    National codesSee DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)
    Default codes 

    Notes:
    This is the same as attribute DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS).DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is the same as attribute DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS).

    If National Code 99 - Other reason is recorded, further detail must be given for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN)

     

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    INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION)

    Change to Data Element: Changed Description

    Format/length:n3
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION) is the same as attribute INVASIVE LESION SIZE.

    This is the estimate of the size of the tumour from the image.

     

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    MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)

    Change to Data Element: Changed Description

    Format/length:see DATE 
    HES item: 
    Format/Length:See DATE 
    HES Item: 
    National codes 
    Default codes 

    Notes:
    MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER) is the same as attribute MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER).

    For the National Cancer Waiting Times Monitoring Data Set, this is the DATE of the Multidisciplinary Team Meeting where a Cancer Care Plan (which was subsequently agreed with the PATIENT) was discussed.  

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    NECROSIS

    Change to Data Element: Changed Description

    Format/length:n3
    HES item: 
    National Codes: 
    Default Codes: 
     Notes:
    NECROSIS is the same as attribute TUMOUR NECROSIS. 

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    PERSON OBSERVATION (BMI)

    Change to Data Element: Changed Description

    Format/length:n3 nn.n
    HES item: 
    Format/Length:nn.n
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    This records the Body Mass Index of the PERSON.

    This value is derived from Weight in kilograms divided by Height in metres squared (kg/m²).

     

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    POSTCODE OF CORRESPONDENCE ADDRESS

    Change to Data Element: Changed Description

    Format/length:see POSTCODE 
    HES item: 
    Format/Length:See POSTCODE 
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is a type of POSTCODE.POSTCODE OF CORRESPONDENCE ADDRESS is a type of POSTCODE.

    The POSTCODE associated with the ADDRESS ASSOCIATION TYPE 'Correspondence (Non-Residence)' relating to a REFERRAL REQUEST.

    References:
    The e-GIF version approved for use in NHS England is:
    Government Data Standards Catalogue: (GDSC), Version 2.1, Agreed 1 September 2002.
    GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

     

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    POSTCODE OF USUAL ADDRESS

    Change to Data Element: Changed Description

    Format/length:see POSTCODE 
    HES item:HOMEADD
    Format/Length:See POSTCODE 
    HES Item:HOMEADD
    National Codes: 
    Default Codes: 

    Notes:
    This is a type of POSTCODE.POSTCODE OF USUAL ADDRESS is a type of POSTCODE.

    The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence'.

    If a PATIENT has no fixed abode this should be recorded with the appropriate code (ZZ99 3VZ).

    For PATIENTS who are Overseas Visitors, the POSTCODES OF USUAL ADDRESS field must show the relevant country pseudo postcode commencing ZZ99 plus space followed by a numeric, then an alpha character, then a Z. For example, ZZ99 6CZ is the pseudo-postcode for India. Pseudo-Country postcodes can be found in the NHS Postcode Directory.

    The 8 characters field allows a space to be inserted to differentiate between the inward and outward segments of the code, enabling full use to be made of Royal Mail postcode functionality.  See NHS Postcode Directory and Contact Details.

    The e-Government Interoperability Framework (e-GIF) standard POSTCODE should be used for all new and developing systems and for XML messages.

    References:
    The e-GIF version approved for use in NHS England is:
    Government Data Standards Catalogue: (GDSC), Version 2.1, Agreed 1 September 2002.
    GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

     

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    POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)

    Change to Data Element: Changed Description

    Format/length:see POSTCODE 
    HES item: 
    Format/Length:See POSTCODE 
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is a type of POSTCODE.POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS) is a type of POSTCODE.

    POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS) is the same as data element POSTCODE OF USUAL ADDRESS.

    References:
    The e-GIF version approved for use in NHS England is:
    Government Data Standards Catalogue: (GDSC), Version 2.1, Agreed 1 September 2002.
    GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

     

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    POSTCODE OF USUAL ADDRESS (MOTHER)

    Change to Data Element: Changed Description

    Format/length:see POSTCODE OF USUAL ADDRESS 
    HES item: 
    Format/Length:See POSTCODE OF USUAL ADDRESS 
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    POSTCODE OF USUAL ADDRESS (MOTHER) is the same as data element POSTCODE OF USUAL ADDRESS.

    References:
    The e-GIF version approved for use in NHS England is:
    Government Data Standards Catalogue: (GDSC), Version 2.1, Agreed 1 September 2002.
    GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

     

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    PROCEDURE DATE

    Change to Data Element: Changed Description

    Format/length:see DATE 
    HES item: 
    Format/Length:See DATE 
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:Notes:
    The date of the occurrence of the CLINICAL INTERVENTION.The date of the occurrence of the CLINICAL INTERVENTION. 

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    REFERRAL REQUEST RECEIVED DATE

    Change to Data Element: Changed Description

    Format/length:see DATE 
    HES item: 
    Format/Length:See DATE 
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    REFERRAL REQUEST RECEIVED DATE is the same as attribute REFERRAL REQUEST RECEIVED DATE.

    The waiting time for a first Out-Patient Appointment should be calculated from the date when the REFERRAL REQUEST is received.

    For electronic REFERRAL REQUESTS the REFERRAL REQUEST RECEIVED DATE is the date the REFERRAL REQUEST is received electronically by the Health Care Provider. For Choose and Book, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first outpatient appointment slot (i.e. converted).

    Where an electronic REFERRAL REQUEST made through Choose and Book is rejected by the chosen provider, the ORIGINAL REFERRAL REQUEST RECEIVED DATE should be used when the PATIENT is subsequently re-referred to another service, so that patients are not unfairly disadvantaged when their waiting time calculations are made.

    In the circumstance that a PATIENT calls the national Choose and Book Appointments Line and an APPOINTMENT SLOT is not available with the chosen Health Care Provider, the national Choose and Book Appointments Line will electronically forward the REFERRAL REQUEST details to the chosen Health Care Provider so the Health Care Provider can liaise directly with the PATIENT to arrange their Out-Patient Appointment. The REFERRAL REQUEST RECEIVED DATE will be the date that the Health Care Provider receives electronic notification from the national Choose and Book Appointments Line that the PATIENT has experienced slot unavailability. (Note that this is NOT the date that the Health Care Provider opens or actions the electronic notification).

    For written REFERRAL REQUESTS letters must be opened and date stamped on the day of receipt. It is this date that must be entered on any PAS or similar system, not the date on which the information is fed into the system if this is later than the date of receipt.

    If the REFERRAL REQUEST takes the form of a phone call followed by a letter, record the date when the letter arrives. If there is no following letter, the date of the verbal request should be recorded.

    For the purposes of the National Cancer Waiting Times Monitoring Data Set, REFERRAL REQUEST RECEIVED DATE is used to derive the CANCER REFERRAL TO TREATMENT PERIOD START DATE, and is no longer in the data set itself.

     

     

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    SARCOMA SURGICAL MARGIN

    Change to Data Element: Changed Description

    Format/length:n1
    HES item: 
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    Format/Length:n1
    HES Item: 
    National Codes:See SARCOMA SURGICAL MARGIN
    Default Codes: 
     Notes:
    SARCOMA SURGICAL MARGIN is the same as attribute SARCOMA SURGICAL MARGIN. 

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    SERUM TUMOUR MARKER PSA

    Change to Data Element: Changed Description

    Format/length:nnnn.n
    HES item: 
    Format/Length:nnnn.n
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is the same as attribute SERUM TUMOUR MARKER PSA AT DIAGNOSIS.SERUM TUMOUR MARKER PSA is the same as attribute SERUM TUMOUR MARKER PSA AT DIAGNOSIS. 

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    SERVICE REPORT STATUS

    Change to Data Element: Changed Description

    Format/length:n1
    HES item: 
    National Codes:See SERVICE REPORT TYPE
    Format/Length:n1
    HES Item: 
    National Codes:See SERVICE REPORT STATUS
    Default Codes: 

    Notes:
    SERVICE REPORT STATUS is the same as attribute SERVICE REPORT STATUS

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    TELETHERAPY ACTUAL FRACTIONS

    Change to Data Element: Changed Description

    Format/length:n2
    HES item: 
    Format/Length:n2
    HES Item: 
    National Codes: 
    Default Codes: 
     Notes:
    TELETHERAPY ACTUAL FRACTIONS is the same as attribute TELETHERAPY ACTUAL FRACTIONS. 

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