Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1214
Version No:1.0
Subject:December 2010 Release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:15 December 2010

Background:

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

Summary of changes:

Diagrams
REFERRAL REQUEST DIAGRAM   Changed Diagram
 
Supporting Information
NEWBORN BLOOD SPOT TEST   Changed Description
NEWBORN HEARING SCREENING   Changed Description
WHAT'S NEW: DECEMBER 2010 renamed from WHAT'S NEW: NOVEMBER 2010   Changed Name, Description
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
CLINICAL INTERVENTION   Changed Attributes
REFERRAL REQUEST   Changed Attributes
 
Attribute Definitions
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE   Changed Description
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS   Changed Description
CLINICAL TRIAL INDICATOR   Changed Description
REFERRAL TO TREATMENT PERIOD STATUS   Changed Description
SERVICE REPORT STATUS   Changed Description
 
Data Elements
A AND E PATIENT GROUP   Changed Description
ACCOMMODATION STATUS (MENTAL HEALTH)   Changed Description
ACTUAL FRACTIONS   Changed Description
ADMINISTRATIVE CATEGORY (AT START OF EPISODE)   Changed Description
ADMINISTRATIVE CATEGORY (ON ADMISSION)   Changed Description
ADMITTED PATIENT TOTAL NON-ELECTIVE ADMISSIONS   Changed Description
ALCOHOL STATUS   Changed Description
ANTI-CANCER DRUG CYCLE IDENTIFIER   Changed Description
APPRAISAL REVIEW DATE   Changed Description
AREA OF WORK NAME   Changed Description
AREA OF WORK NAME (CLINICAL SUB SPECIALTY)   Changed Description
ASSIGNMENT CONTRACTED FTE   Changed Description
ASSIGNMENT END DATE   Changed Description
ASSIGNMENT GROUP CODE   Changed Description
ASSIGNMENT JOB SHARE INDICATOR   Changed Description
BASIS OF DIAGNOSIS (CANCER)   Changed Description
CLINICAL EXCISION MARGIN   Changed Description
CLINICAL INTERVENTION DATE (FIRST DIAGNOSTIC TEST)   Changed Description
COLONOSCOPY INCOMPLETE REASON   Changed Description
COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)   Changed Description
CONTACT DATE (DIETICIAN INITIAL)   Changed Description
COPD PRESENT   Changed Description
CPA LEVEL (AT END OF REPORTING PERIOD)   Changed Description
CRITICAL CARE DISCHARGE STATUS   Changed Description
DEATH CODE DISCREPANCY ORIGINATOR   Changed Description
DECISION TO TREAT DATE (TELETHERAPY TREATMENT COURSE)   Changed Description
DIAGNOSTIC TEST (IMAGING)   Changed Description
DURATION OF ANTI-CANCER DRUG CYCLE   Changed Description
DURATION OF BRACHYTHERAPY TREATMENT COURSE   Changed Description
DURATION OF TELETHERAPY TREATMENT COURSE   Changed Description
ESTIMATED PACK YEARS   Changed Description
EXCISION MARGIN   Changed Description
FEV1 ABSOLUTE AMOUNT   Changed Description
FEV1 PERCENTAGE   Changed Description
GENITOURINARY FIRST APPOINTMENTS MISSED TOTAL   Changed Description
GENITOURINARY FIRST APPOINTMENTS MISSED WITHIN 2 DAYS TOTAL   Changed Description
HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER   Changed Description
INTENDED DIAGNOSTIC TEST   Changed Description
INTERVENTION SETTING (STOP SMOKING)   Changed Description
JOB ROLE TITLE   Changed Description
LOCATION TYPE   Changed Description
M CATEGORY (FINAL PRETREATMENT)   Changed Description
M CATEGORY (INTEGRATED STAGE)   Changed Description
M CATEGORY (PATHOLOGICAL)   Changed Description
M CATEGORY EXTENDED (PATHOLOGICAL)   Changed Description
MULTIDISCIPLINARY TEAM DISCUSSION INDICATOR   Changed Description
N CATEGORY (FINAL PRETREATMENT)   Changed Description
N CATEGORY (INTEGRATED STAGE)   Changed Description
N CATEGORY (PATHOLOGICAL)   Changed Description
RADIOTHERAPY ACTUAL DOSE   Changed Description
RECORDED HEIGHT (CANCER DRUG TREATMENT)   Changed Description
RECORDED WEIGHT (CANCER DRUG TREATMENT)   Changed Description
SERVICE REPORT STATUS   Changed Description
SERVICE REQUEST IDENTIFIER   Changed Description
START DATE   Changed Description
START DATE (ACTIVE MONITORING)   Changed Description
START DATE (ANTI-CANCER DRUG FRACTION)   Changed Description
START DATE (ANTI-CANCER DRUG REGIMEN)   Changed Description
START DATE (ASSIGNMENT PAYSCALE)   Changed Description
START DATE (BRACHYTHERAPY TREATMENT COURSE)   Changed Description
START DATE (CONSULTANT EPISODE)   Changed Description
START DATE (EPISODE)   Changed Description
START DATE (HOSPITAL PROVIDER SPELL)   Changed Description
START DATE (MENTAL HEALTH CARE SPELL)   Changed Description
START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE)   Changed Description
START DATE (SURGERY HOSPITAL PROVIDER SPELL)   Changed Description
START DATE (TELETHERAPY TREATMENT COURSE)   Changed Description
START TIME   Changed Description
T CATEGORY (FINAL PRETREATMENT)   Changed Description
T CATEGORY (INTEGRATED STAGE)   Changed Description
T CATEGORY (PATHOLOGICAL)   Changed Description
T CATEGORY EXTENDED (PATHOLOGICAL)   Changed Description
TELETHERAPY BEAM TYPE   Changed Description
TELETHERAPY COMPLEXITY GROUP   Changed Description
TELETHERAPY FIELDS CLASSIFICATION   Changed Description
TELETHERAPY MULTIPLE PLANNING   Changed Description, Aliases
TELETHERAPY PRESCRIBED FRACTIONS   Changed Description
TNM CATEGORY (FINAL PRETREATMENT)   Changed Description
TNM CATEGORY (INTEGRATED)   Changed Description
TNM CATEGORY (PATHOLOGICAL)   Changed Description
TUMOUR LATERALITY   Changed Description
 

Date:15 December 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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REFERRAL REQUEST DIAGRAM

Change to Diagram: Changed Diagram

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NEWBORN BLOOD SPOT TEST

Change to Supporting Information: Changed Description

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

A Newborn Blood Spot Test is a Clinical Investigation.

A Newborn Blood Spot Test is performed to identify any serious condition that a baby may have. It involves the collection of a blood sample from the heel, usually when the baby is between 5 and 8 days of age. 

All babies are screened for:

  • Phenylketonuria
  • Congenital Hypothyroidism
  • Sickle Cell Disorders
  • Cystic Fibrosis
  • Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD)

For further information on Newborn Blood Spot Tests, see the UK Newborn Screening Programme Centre website.

 

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NEWBORN HEARING SCREENING

Change to Supporting Information: Changed Description

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

Newborn Hearing Screening is a Clinical Investigation.

Newborn Hearing Screening is recommended to be undertaken on all newborn babies, using appropriate electro-acoustic or electro-physiological tests to detect moderate, severe or profound permanent childhood deafness.

The NHS Newborn Hearing Screening Programme (NHSP) ensures all parents are offered hearing screening for their new child within the first few weeks of life. It is a core service within the NHS in England and part of the family of Antenatal and Newborn Screening Programmes.

For further information on Newborn Hearing Screening, see the NHS Newborn Hearing Screening Programme website.

Note: if the child fails the Newborn Hearing Screening, a REFERRAL REQUEST for audiology testing is made.

 

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

Change to Supporting Information: Changed Name, Description

Release: December 2010

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

Release: November 2010

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

  • CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
  • CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
  • CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
  • CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
  • CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

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

  • CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
  • CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
  • CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
  • CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
  • CR1113 (Immediate) - ISB 00289/2010 National Specialty List
  • CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

  • The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

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

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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ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
AMI ADMISSION DIAGNOSIS
AMI ADMISSION WARD TYPE
AMI ADMITTING CONSULTANT TYPE
AMI CAUSE OF DEATH IN HOSPITAL
AMI DISCHARGE DIAGNOSIS
AMI HEART RATE
BABY FEEDING TYPE
BONE SARCOMA LOCATION
BROAD PATIENT GROUP
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
CANCER REFERRAL TO TREATMENT PERIOD START DATE
CANCER STATUS
CANCER TREATMENT INTENT
CANCER TREATMENT PERIOD START DATE
CARE PROGRAMME APPROACH LEVEL
COPD PRESENT
CORONARY ANGIOGRAPHY PERFORMED
CPA LEVEL
DELIVERY FACILITIES ONLY USED
DELIVERY PLACE CHANGE REASON
DIAGNOSTIC ROUTE
DISCHARGE DESTINATION
DISCHARGE FROM MENTAL HEALTH SERVICE REASON
DISCHARGE METHOD
DISTRIBUTION OF LESIONS PRESENT
ECG DETERMINING TREATMENT
FIRST REGULAR DAY OR NIGHT ADMISSION
FULL POSTNATAL EXAMINATION DATE
GENERAL DENTAL SERVICE INDICATOR
GENETICALLY DETERMINED SKIN CANCER TYPE
INFECTION PROBABLE SOURCE
INITIAL CONTACT TYPE
INTENDED DELIVERY PLACE
INVESTIGATION OR INTERVENTION REFERRAL DATE
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MATERNAL RUBELLA STATUS
MENSTRUAL STATUS
MENTAL HEALTH CARE SPELL END CODE
MIDWIFE EPISODE END REASON
NEONATAL LEVEL OF CARE
NURSING EPISODE END REASON
NUTRITIONAL SUPPORT PROVIDED TYPE
PATIENT CLASSIFICATION
POSSUM SCORE (AFTER SURGERY)
POSSUM SCORE (AT DIAGNOSIS)
PREGNANCY LEAD PROFESSIONAL TYPE
PREGNANCY PREVIOUS CAESAREAN SECTIONS
PREGNANCY PREVIOUS INDUCED ABORTIONS
PREGNANCY TOTAL LIVE BIRTHS
PREGNANCY TOTAL NEONATAL DEATHS
PREGNANCY TOTAL NON-INDUCED ABORTIONS
PREGNANCY TOTAL PREVIOUS PREGNANCIES
PREGNANCY TOTAL STILL BIRTHS
PREVIOUS MATERNAL BLOOD TRANSFUSION
PREVIOUS TREATMENT ELSEWHERE
QUALITY OF LIFE
RADIOTHERAPY INTENT
REHABILITATION REFERRAL
RTA FURTHER ADMISSION PLANNED
SARCOMA CONDITION FIRST SEEN
SARCOMA LARGEST DIAMETER
SARCOMA PART SITE
S CATEGORY FINAL PRETREATMENT
SERUM TUMOUR MARKER PSA
SERUM TUMOUR MARKER PSA AT DIAGNOSIS
SKIN TCELL CLINICAL VARIANT
SKIN TCELL SURFACE AREA
SOFT TISSUE SARCOMA LOCATION
SOURCE OF ADMISSION
SUPERVISED COMMUNITY TREATMENT END REASON
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE CANCER
WARD STAY TERMINATION REASON

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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 PRESCRIBED FRACTION
BRACHYTHERAPY TYPE
BREAST ASSESSMENT / TEST OUTCOME
BREAST ASSESSMENT OR 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
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
OPERATIVE PROCEDURE INDICATOR
OPPORTUNISTIC SCREENING TYPE
PATHOLOGY INVESTIGATION PRIORITY
PATHOLOGY RESULT REPORTED DATE
PATHOLOGY SPECIMEN TYPE
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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REFERRAL REQUEST

Change to Class: Changed Attributes

Attributes of this Class are:
APPOINTMENT BOOKING SYSTEM TYPE
BENIGN THERAPEUTIC OPERATION
CANCER DETECTED BY SURGERY
CANCER REFERRAL DECISION DATE
CANCER REFERRAL PRIORITY TYPE
CANCER SPECIALIST REFERRAL DATE
COLPOSCOPY REFERRAL INDICATION
COMMISSIONER REFERENCE NUMBER
FIRST ATTENDANCE EFFECTIVE WAIT START DATE
OTHER REFERRER CODE
OUT-PATIENT CLINIC REFERRING INDICATOR
OUT-PATIENT REFERRAL INDICATOR
REFERRAL REQUEST RECEIVED TIME
REFERRAL REQUEST TYPE
REFERRAL TIME
SCREENING REFERRAL SOURCE
SERVICE TYPE REQUESTED
SOURCE OF REFERRAL FOR A and E
SOURCE OF REFERRAL FOR CANCER
SOURCE OF REFERRAL FOR COMMUNITY
SOURCE OF REFERRAL FOR COMMUNITY DENTAL
SOURCE OF REFERRAL FOR DRUG MISUSE
SOURCE OF REFERRAL FOR MENTAL HEALTH
SOURCE OF REFERRAL FOR OUT-PATIENTS
SOURCE OF REFERRAL FOR PROF STAFF GROUP
TWO WEEK WAIT EXCLUSION INDICATOR
URGENT CANCER REFERRAL TYPE
WRITTEN REFERRAL REQUEST INDICATOR

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

This is an abbreviated version of the American Society of Anesthesiology patient classification status.This is the American Society of Anesthesiologists (ASA) Physical Status Classification System, see the American Society of Anesthesiologists website.

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
 

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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.  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.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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CLINICAL TRIAL INDICATOR

Change to Attribute: Changed Description

CLINICAL TRIAL INDICATOR is used to record whether an individual episode of care within a Cancer Care Spell is being delivered to a PATIENT as part of a CLINICAL TRIAL.

National Codes:

01PATIENT is taking part in a CLINICAL TRIAL
02PATIENT is not taking part in a CLINICAL TRIAL
 

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REFERRAL TO TREATMENT PERIOD STATUS

Change to Attribute: Changed Description

The status of an ACTIVITY (or anticipated ACTIVITY) for the 18 week REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL.

National Codes:

 The first ACTIVITY in a REFERRAL TO TREATMENT PERIOD where the First Definitive Treatment will be a subsequent ACTIVITY 
10first ACTIVITY - first ACTIVITY in a REFERRAL TO TREATMENT PERIOD 
11Active Monitoring end - first ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following Active Monitoring 
12consultant referral - the first ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following a decision to refer directly to the CONSULTANT for a separate condition
 
 Subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD 
20subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD - further ACTIVITIES anticipated
21transfer to another Health Care Provider - subsequent ACTIVITY by another Health Care Provider during a REFERRAL TO TREATMENT PERIOD anticipated
 
 ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD 
30Start of First Definitive Treatment.
30Start of First Definitive Treatment
31start of Active Monitoring initiated by the PATIENT 
32start of Active Monitoring initiated by the CARE PROFESSIONAL 
33Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral1 
34decision not to treat - decision not to treat made or no further contact required2 
35PATIENT declined offered treatment
36PATIENT died before treatment
 
 ACTIVITY that is not part of a REFERRAL TO TREATMENT PERIOD 
90after treatment - First Definitive Treatment occurred previously (e.g. admitted as an emergency from A&E or the activity is after the start of treatment)
90after treatment - First Definitive Treatment occurred previously (e.g. admitted as an emergency from A&E or the ACTIVITY is after the start of treatment)
91Active Monitoring - CARE ACTIVITY during Active Monitoring 
92not yet referred - not yet referred for treatment, undergoing diagnostic tests by GENERAL PRACTITIONER before referral
98not applicable - ACTIVITY not applicable to REFERRAL TO TREATMENT PERIODS 
 
 ACTIVITY where the REFERRAL TO TREATMENT PERIOD STATUS is not yet known 
99not yet known

Where the REFERRAL TO TREATMENT PERIOD STATUS is National Code 99 - "not yet known" the status is treated as if the ACTIVITY is a subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD. In this case the REFERRAL TO TREATMENT PERIOD STATUS should be corrected once it is possible to determine the correct value.

1 PATIENTS who do not attend an appointment
National code 33 - "Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral" may only be used where

2 Decision not to treat
National Code 34 - "decision not to treat - decision not to treat made or no further contact required" includes

 

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SERVICE REPORT STATUS

Change to Attribute: Changed Description

The status of the SERVICE REPORT.

National Codes:

1Final (complete)
1Final (Complete)
2Preliminary (Interim)
3Test not available
4Unspecified
5Supplementary/second opinion

References:
National Cancer Data Set Version 1.3_ISB October 2002

 

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A AND E PATIENT GROUP

Change to Data Element: Changed Description

Format/length:an2
HES item: 
National Codes:See A AND E PATIENT GROUP
Default Codes: 

Notes:
A and E PATIENT GROUP  is the same as attribute A AND E PATIENT GROUP

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ACCOMMODATION STATUS (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:an4
HES item: 
National Codes:See ACCOMMODATION STATUS CODE 
Default Codes:OC97 Not specified
 OC98 Not applicable
 OC99 Not known

Notes:
This is the same as attribute ACCOMMODATION STATUS CODE.ACCOMMODATION STATUS (MENTAL HEALTH) is the same as attribute ACCOMMODATION STATUS CODE.

The ACCOMMODATION STATUS CODE of PATIENTS with any mental disorder should be captured periodically, typically as part of the PATIENT's regular Care Programme Approach Review. The data item should be based on the PATIENT's main or permanent residence.

 

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ACTUAL FRACTIONS

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes: 
Default Codes: 


Notes:


The total number of Fractions or hyperfraction delivered as part of a Radiotherapy Treatment Course.

 

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ADMINISTRATIVE CATEGORY (AT START OF EPISODE)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

See ADMINISTRATIVE CATEGORY.
Notes:
See ADMINISTRATIVE CATEGORY.

This data element is used to record the category at the start of each episode.

The PATIENT's ADMINISTRATIVE CATEGORY may change during a spell, for example, the PATIENT may opt to change from NHS to private health care.

The category on admission is recorded as ADMINISTRATIVE CATEGORY (ON ADMISSION) and is used to derive the 'Category of Patient' for HES.

 

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ADMINISTRATIVE CATEGORY (ON ADMISSION)

Change to Data Element: Changed Description

Format/length:n2
HES item:ADMINCAT
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

See ADMINISTRATIVE CATEGORY.Notes:
See ADMINISTRATIVE CATEGORY.

This data element is used to record the ADMINISTRATIVE CATEGORY at the start of the Hospital Provider Spell and is used to derive the 'Category of Patient' for HES.

The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell.
For example, the PATIENT may opt to change from NHS to private health care.

The ADMINISTRATIVE CATEGORY (AT START OF EPISODE) is recorded per episode.

 

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ADMITTED PATIENT TOTAL NON-ELECTIVE ADMISSIONS

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 


Notes:
The total number of PATIENTS admitted non-electively to a Hospital Provider Spell of a NHS provider within the REPORTING PERIOD. This includes PATIENTS who have been admitted and then are subsequently sent home without treatment.

It includes private PATIENTS and PATIENTS who are Overseas Visitors.

It is the total of number of non-elective admissions for PATIENTS where:

 a.the ORGANISATION TYPE of the Health Care Provider ORGANISATION is classification c 'NHS Trust' or x 'Primary Care Trust' 
and  
 b.the ADMISSION METHOD of the Hospital Provider Spell ACTIVITY GROUP is National Code:
  21, 22, 23 24 or 28 'Emergency admission, when admission is unpredictable and at short notice because of clinical need' see ADMISSION METHOD for definition of each code within this grouping
 or31 or 32 'Maternity admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy' see ADMISSION METHOD for definition of each code within this grouping
 or81, 82 or 83 'Other admission' see ADMISSION METHOD for definition of each code within this grouping
and  
 c.the ACTIVITY DATE of the Hospital Provider Spell ACTIVITY GROUP recording the START DATE of the Hospital Provider Spell is within the period of the REPORTING PERIOD START DATE and the REPORTING PERIOD END DATE.
  Within the REPORTING PERIOD includes where the DATE is the same as the START DATE or END DATE.
 

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ALCOHOL STATUS

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See ALCOHOL STATUS CODE
Default Codes:9 - Not known


Notes:
ALCOHOL STATUS is the same as attribute ALCOHOL STATUS CODE.

The alcohol status of the PATIENT at the time the alcohol usage is recorded. 

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ANTI-CANCER DRUG CYCLE IDENTIFIER

Change to Data Element: Changed Description

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

Notes:
A unique identifier for an Anti-Cancer Drug Cycle within an Anti-Cancer Drug Regimen.

Anti-Cancer Drug Cycle is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 02 'Anti-Cancer Drug Cycle'.

Anti-Cancer Drug Regimen is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 05 'Anti-Cancer Drug Regimen'.

References:
National Cancer Dataset Version 1.1_ISB October 2001

 

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APPRAISAL REVIEW DATE

Change to Data Element: Changed Description

Format/length:See DATE 
HES item: 
National codes 
Default codes 

Notes:
This is the same as attribute APPRAISAL REVIEW DATE.APPRAISAL REVIEW DATE is the same as attribute APPRAISAL REVIEW DATE.

 

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AREA OF WORK NAME

Change to Data Element: Changed Description

Format/length:max 75 characters
HES item: 
Format/Length:max 75 characters
HES Item: 
National codes:See AREA OF WORK NAME
Default codes: 

Notes:
AREA OF WORK NAME is the same as attribute AREA OF WORK NAME.

The area, function or specialty where work activity takes place.

 

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AREA OF WORK NAME (CLINICAL SUB SPECIALTY)

Change to Data Element: Changed Description

Format/length:max 75 characters
HES item: 
National codes 
National codesSee AREA OF WORK NAME
Default codes 

Notes:
AREA OF WORK NAME (CLINICAL SUB SPECIALTY) is the same as attribute AREA OF WORK NAME.

In the Electronic Staff Record (ESR) system, these clinical specialties are included in the list of values for AREA OF WORK.In the Electronic Staff Record (ESR) system, these clinical specialties are included in the list of values for AREA OF WORK.

AREA OF WORK NAME (CLINICAL SUB SPECIALTY) should exclude Estates, Facilities and Corporate areas of work.

 

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ASSIGNMENT CONTRACTED FTE

Change to Data Element: Changed Description

Format/length:an4 (real number, including decimal point and 2 decimal places)
HES item: 
National codes: 
Default codes: 


Notes:


This is the same as attribute ASSIGNMENT CONTRACTED FTE.

The Full Time Equivalent (FTE) for an ASSIGNMENT of an EMPLOYEE to a POSITION based upon the STAFF GROUP of the JOB ROLE for the POSITION.

Where the standard working week for the EMPLOYEE is expressed in EMPLOYMENT CONTRACT WORKING HOURS per week, it is calculated as follows:

 EMPLOYMENT CONTRACT WORKING HOURS / STAFF GROUP STANDARD HOURS 

for example, if contracted working hours per week is 20 and the STAFF GROUP STANDARD HOURS is 37.5 per week, then 20 / 37.5 gives an ASSIGNMENT CONTRACTED FTE of 0.53.

Where the standard working week for the EMPLOYEE is expressed in EMPLOYMENT CONTRACT WORKING SESSIONS per week, it is calculated as follows:

 EMPLOYMENT CONTRACT WORKING SESSIONS / STAFF GROUP STANDARD SESSIONS 

for example, if contracted working sessions per week is 5 and the STAFF GROUP STANDARD SESSIONS is 11 per week, then 5 / 11 gives an ASSIGNMENT CONTRACTED FTE of 0.45.

 

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ASSIGNMENT END DATE

Change to Data Element: Changed Description

Format/length:See DATE 
HES item: 
National codes 
Default codes 

Notes:
This is the same as attribute ASSIGNMENT END DATE.ASSIGNMENT END DATE is the same as attribute ASSIGNMENT END DATE.

The date on which an EMPLOYEE ended an ASSIGNMENT in an ORGANISATION.

 

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ASSIGNMENT GROUP CODE

Change to Data Element: Changed Description

Format/length:a1
HES item: 
Format/Length:a1
HES Item: 
National codesSee ASSIGNMENT GROUP CODE
Default codes 


Notes:
ASSIGNMENT GROUP CODE is the same as attribute ASSIGNMENT GROUP CODE.

A classification for Non-Medical workforce to identify EMPLOYEES who are GP Practice staff or NHS Direct staff for Non-Medical Workforce Census purposes.

 

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ASSIGNMENT JOB SHARE INDICATOR

Change to Data Element: Changed Description

Format/length:n2
HES item: 
Format/Length:n2
HES Item: 
National Codes:See ASSIGNMENT JOB SHARE INDICATOR
Default Codes:97 - Not recorded
 98 - Not applicable
 99 - Not known

Notes:
ASSIGNMENT JOB SHARE INDICATOR is the same as attribute ASSIGNMENT JOB SHARE INDICATOR.

An indicator of whether or not an ASSIGNMENT is subject to a Job Share agreementAn indicator of whether or not an ASSIGNMENT is subject to a Job Share agreement.

 

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BASIS OF DIAGNOSIS (CANCER)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
Format/Length:n1
HES Item: 
National Codes:See BASIS OF DIAGNOSIS
Default Codes:9 - Not known

Notes:
BASIS OF DIAGNOSIS (CANCER) is the same as attribute BASIS OF DIAGNOSIS

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CLINICAL EXCISION MARGIN

Change to Data Element: Changed Description

Format/length:n3
HES item: 
Format/Length:n3
HES Item: 
National Codes: 
Default Codes: 
 Notes:
CLINICAL EXCISION MARGIN is the same as attribute CLINICAL EXCISION MARGIN.

 

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CLINICAL INTERVENTION DATE (FIRST DIAGNOSTIC TEST)

Change to Data Element: Changed Description

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

Notes:Notes:
This is the Clinical Intervention Date of the CLINICAL INTERVENTION with FIRST CANCER DIAGNOSTIC TEST of classification a.
This is the Clinical Intervention Date of the CLINICAL INTERVENTION with FIRST CANCER DIAGNOSTIC TEST of classification a. 'first diagnostic test' resulting from the REFERRAL REQUEST.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Clinical Intervention Date is an ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 34 'Clinical Intervention Date'

 

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COLONOSCOPY INCOMPLETE REASON

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 COLONOSCOPY INCOMPLETE REASON
Default Codes: 
 Notes:
COLONOSCOPY INCOMPLETE REASON is the same as attribute COLONOSCOPY INCOMPLETE REASON.

 

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COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:an50
HES item: 
National Codes: 
Default Codes: 

Notes:
COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH) is optional in the Mental Health Minimum Dataset (MHMDS) collection record.COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

a.one or more periods of Hospital Provider Spell within the Adult Mental Health Care Spell has occurred within the REPORTING PERIOD 
and 
b.where one or more Hospital Provider Spell has occurred within the Adult Mental Health Care Spell, containing at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTIES being 700, 710,712, 713 and 715.

For the list, the length in days between each Hospital Provider Spell is calculated from the DISCHARGE DATE (HOSPITAL PROVIDER SPELL) of one spell and either the START DATE of the next Hospital Provider Spell which follows it, if one is recorded, or the end of the REPORTING PERIOD if not.

Where there is no Hospital Provider Spell in being at the REPORTING PERIOD START DATE then use the last DISCHARGE DATE (HOSPITAL PROVIDER SPELL) in the Adult Mental Health Care Spell before the REPORTING PERIOD START DATE if any exists. Otherwise no entry in the list should be made in respect of days before the first Hospital Provider Spell.

Where there is no Hospital Provider Spell in being at the REPORTING PERIOD END DATE the REPORTING PERIOD END DATE should be used.

A suffix is attached to each calculated period length, the suffixes are:

C -where the PATIENT has still not been readmitted to hospital by the end of the REPORTING PERIOD but the Adult Mental Health Care Spell is continuing
E -where the PATIENT has still not been readmitted to hospital by the end of the REPORTING PERIOD but the Adult Mental Health Care Spell has finished before the end of the REPORTING PERIOD 
P -where the discharge date initiating the survival times is within the Adult Mental Health Care Spell but before the start of the REPORTING PERIOD 
blankwhere an admission terminates the survival period within the Adult Mental Health Care Spell and within the REPORTING PERIOD 

The calculated length of days (plus their suffix) are recorded within the COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH) in ascending Discharge Date of the previous Hospital Provider Spell sequence.

Each of the above Hospital Provider Spell, Adult Mental Health Care Spell and Consultant Episode (Hospital Provider) is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

 

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CONTACT DATE (DIETICIAN INITIAL)

Change to Data Element: Changed Description

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

Notes:
This is the Contact Date of the Initial Contact with a CARE PROFESSIONAL of the SERVICE TYPE c.CONTACT DATE (DIETICIAN INITIAL) is the Contact Date of the Initial Contact with a CARE PROFESSIONAL of the SERVICE TYPE c. 'Dietetics'.

The Initial Contact is an indication of whether the face to face contact is the first occasion on which a PATIENT is seen by the particular Professional Staff Group Service or any staff group (community) of the Health Care Provider. An Initial Contact begins an episode of care which comprises all the contacts made by the relevant staff of the Health Care Provider regardless of changes of LOCATION.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

 

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COPD PRESENT

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Format/Length:an1
HES Item: 
National Codes:See COPD PRESENT
Default Codes:9 - Not known
 Notes:
COPD PRESENT is the same as attribute COPD PRESENT.

 

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CPA LEVEL (AT END OF REPORTING PERIOD)

Change to Data Element: Changed Description

Format/length:n
HES item: 
National Codes: 
Format/Length:n
HES Item: 
National Codes:See CARE PROGRAMME APPROACH LEVEL
Default Codes: 

Notes:
CPA LEVEL (AT END OF REPORTING PERIOD) is the same as the attribute CARE PROGRAMME APPROACH LEVEL.

This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if the latest Care Programme Approach Episode was not ended before the REPORTING PERIOD END DATE.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

 

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CRITICAL CARE DISCHARGE STATUS

Change to Data Element: Changed Description

Format/length:an2
Format/Length:an2
National Codes:See CRITICAL CARE DISCHARGE STATUS
Default Codes: 


Notes:
CRITICAL CARE DISCHARGE STATUS is the same as attribute CRITICAL CARE DISCHARGE STATUS.

National Code 11 'PATIENT died (non heart beating solid organ donor)' should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets (Version 6-2) and the associated CDS-XML Schema Release. Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1).

 

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DEATH CODE DISCREPANCY ORIGINATOR

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Format/Length:n2
HES Item: 
National Codes:See DEATH CODE DISCREPANCY ORIGINATOR
Default Codes: 
 Notes:
DEATH CODE DISCREPANCY ORIGINATOR is the same as attribute DEATH CODE DISCREPANCY ORIGINATOR.

 

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DECISION TO TREAT DATE (TELETHERAPY TREATMENT COURSE)

Change to Data Element: Changed Description

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

Notes:
DECISION TO TREAT DATE (TELETHERAPY TREATMENT COURSE) is the same as the attribute DECISION TO TREAT DATE.

This data item is only mandatory when applicable in the National Cancer Data Set which is when the planned first definitive treatment is teletherapy. 

It is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE National Code 02 'Teletherapy' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification a. 'first definitive treatment planned'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

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

 

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DIAGNOSTIC TEST (IMAGING)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the intended or actual Imaging Test or Procedure split by Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scan, Non-obstetric ultrasound, Barium Enema and DEXA scan for a SERVICE REQUEST, derived from the CLINICAL CLASSIFICATION OPCS-4 codes listed in the Department of Health document 'Diagnostics waiting times and activity: Guidance on completing the "diagnostic waiting times & activity" monthly data collection'.DIAGNOSTIC TEST (IMAGING) is the intended or actual Imaging Test or Procedure, for a SERVICE REQUEST, split by:

  • Magnetic Resonance Imaging (MRI),
  • Computed Tomography (CT) scan,
  • Non-obstetric ultrasound,
  • Barium Enema and DEXA scan.

References:
Department of Health: Diagnostics website.It is derived from the CLINICAL CLASSIFICATION OPCS-4 codes listed in the Department of Health document 'Diagnostics waiting times and activity: Guidance on completing the "diagnostic waiting times & activity" monthly data collection'.

 For further information, see the Department of Health: Diagnostics website.

 

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DURATION OF ANTI-CANCER DRUG CYCLE

Change to Data Element: Changed Description

Format/length:nnn
HES item: 
Format/Length:nnn
HES Item: 
National Codes: 
Default Codes: 

Notes:
The number of days over which the treatment was given. This is calculated from the Start Date and End Date of the Anti-Cancer Drug Cycle.

Start Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Anti-Cancer Drug Cycle is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 02 'Anti-Cancer Drug Cycle'.

 

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DURATION OF BRACHYTHERAPY TREATMENT COURSE

Change to Data Element: Changed Description

Format/length:nnn
HES item: 
Format/Length:nnn
HES Item: 
National Codes: 
Default Codes: 

Notes:
The number of days over which the treatment was given. This is calculated from the Start Date and End Date of the Radiotherapy Treatment Course.

Start Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Radiotherapy Treatment Course is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 27 'Radiotherapy Treatment Course'.

 

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DURATION OF TELETHERAPY TREATMENT COURSE

Change to Data Element: Changed Description

Format/length:nnn
HES item: 
Format/Length:nnn
HES Item: 
National Codes: 
Default Codes: 

Notes:
The number of days over which the treatment was given. This is calculated from the Start Date and End Date of the Radiotherapy Treatment Course.

Start Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Radiotherapy Treatment Course is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 27 'Radiotherapy Treatment Course'.

 

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ESTIMATED PACK YEARS

Change to Data Element: Changed Description

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

Notes:
ESTIMATED PACK YEARS is the estimated number of pack years of smoking. This is the average number of cigarettes smoked per day divided by 20 (a pack) multiplied by the number of years smoked. This is calculated from the CIGARETTES PER DAY and NUMBER OF YEARS SMOKED.

For example: 20 cigarettes smoked per day for 20 years equals 20 pack years and 10 cigarettes per day for 20 years equals 10 pack years.

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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EXCISION MARGIN

Change to Data Element: Changed Description

Format/length:n2
HES item: 
Format/Length:n2
HES Item: 
National Codes:See EXCISION MARGIN
Default Codes:98 - Not applicable
 99 - Not known

Notes:
EXCISION MARGIN is the same as attribute EXCISION MARGIN.

An indication of whether the Pathology Laboratory Investigation excision margin finding was clear of the tumour and if so, by how much.

Pathology Laboratory Investigation is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 24 'Pathology Laboratory Investigation'.

References:
National Cancer Dataset

 

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FEV1 ABSOLUTE AMOUNT

Change to Data Element: Changed Description

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

Notes:
The forced expiratory volume of the lungs in 1 second measured in litres is a MEASURED OBSERVATION VALUE of the Lung Capacity.The Forced Expiratory Volume (FEV) of the lungs in 1 second measured in litres is a MEASURED OBSERVATION VALUE of the Lung Capacity.

Lung Capacity is a PERSON PROPERTY.

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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FEV1 PERCENTAGE

Change to Data Element: Changed Description

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

Notes:
The forced expiratory volume of the lungs in 1 second as a percentage of the predicted value is a MEASURED OBSERVATION VALUE of the Lung Capacity.The Forced Expiratory Volume (FEV) of the lungs in 1 second as a percentage of the predicted value is a MEASURED OBSERVATION VALUE of the Lung Capacity.

Lung Capacity is a PERSON PROPERTY.

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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GENITOURINARY FIRST APPOINTMENTS MISSED TOTAL

Change to Data Element: Changed Description

Format/length:n6
HES item: 
Format/Length:n6
HES Item: 
National Codes: 
Default Codes: 

Notes:


The total number of first APPOINTMENTS missed where:

 a.the CARE CONTACT TYPE is National Code 40 - 'Genitourinary Care Contact' 
and  
 b.the FIRST ATTENDANCE is National Code 1 - 'First attendance face to face' 
and  
 c.ATTENDED OR DID NOT ATTEND is either National Code 7 - 'PATIENT arrived late and could not be seen' or National Code 3 - 'Did not attend - no advance warning given' 
and  
 d.APPOINTMENT BOOKING TYPE is National Code 01 - 'Scheduled Appointment' 
and  
 e.the APPOINTMENT DATE is within the REPORTING PERIOD.

An APPOINTMENT where the PATIENT did not attend and the APPOINTMENT SLOT is subsequently offered to another PATIENT should be included as a missed APPOINTMENT.

 
 

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GENITOURINARY FIRST APPOINTMENTS MISSED WITHIN 2 DAYS TOTAL

Change to Data Element: Changed Description

Format/length:n6
HES item: 
Format/Length:n6
HES Item: 
National Codes: 
Default Codes: 

Notes:


The total number of first Scheduled Appointments missed where the number of days from the REFERRAL REQUEST RECEIVED DATE to the APPOINTMENT DATE is 2 days or less (excludes bank holidays and weekends):

 a.the CARE CONTACT TYPE is National Code 40 - 'Genitourinary Care Contact' 
and  
 b.FIRST ATTENDANCE is National Code 1 - 'First attendance face to face' 
and  
 c.ATTENDED OR DID NOT ATTEND is either National Code 7 - 'PATIENT arrived late and could not be seen' or National Code 3 - 'Did not attend - no advance warning given' 
and  
 d.APPOINTMENT BOOKING TYPE is National Code 01 - 'Scheduled' 
and  
 e.the APPOINTMENT DATE is within the REPORTING PERIOD.


An APPOINTMENT where the PATIENT did not attend and the APPOINTMENT SLOT is subsequently offered to another PATIENT should be included as a missed APPOINTMENT.

 
 

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HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

Change to Data Element: Changed Description

Format/length:an3
HES item:HRGNHSVN
Format/Length:an3
HES Item:HRGNHSVN
National Codes:OP (applies to out-patient HRGs only)
Default Codes: 

Notes:


HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER is the version number of the Healthcare Resource Group.

This data element does not need to be populated and transmitted to the Secondary Uses Service (SUS) via the Commissioning Data Sets.

 

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INTENDED DIAGNOSTIC TEST

Change to Data Element: Changed Description

Format/length:an4
HES item: 
Format/Length:an4
HES Item: 
National Codes: 
Default Codes: 

Notes:
INTENDED DIAGNOSTIC TEST is the intended diagnostic test or procedure for a SERVICE REQUEST derived from the CLINICAL CLASSIFICATION OPCS4 code.

This is the intended diagnostic test or procedure for a SERVICE REQUEST derived from the CLINICAL CLASSIFICATION OPCS4 code.

The list of diagnostic tests/procedures and their OPCS4.3 codes are listed in the Diagnostic Waiting Times and Activity Guidance.

 

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INTERVENTION SETTING (STOP SMOKING)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes: 
Format/Length:n2
HES Item: 
National Codes:See INTERVENTION SETTING
Default Codes: 


Notes:
This is the INTERVENTION SETTING used for a CLINICAL INTERVENTION as part of a Stop Smoking Service.INTERVENTION SETTING (STOP SMOKING) is the INTERVENTION SETTING used for a CLINICAL INTERVENTION as part of a Stop Smoking Service.

 

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JOB ROLE TITLE

Change to Data Element: Changed Description

Format/length:max 70 characters
HES item: 
Format/Length:max 70 characters
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the same as attribute JOB ROLE TITLE.JOB ROLE TITLE is the same as attribute JOB ROLE TITLE.

The title of a JOB ROLE .

 

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LOCATION TYPE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes: 
Format/Length:n2
HES Item: 
National Codes:See LOCATION TYPE CODE
Default Codes: 

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

See Location Type Codes for coding and usage.

The codes used for this Data Element are under review.

Use in the Future Outpatient CDS:
If the LOCATION TYPE where treatment is intended to take place is not yet known, this Data Element should be omitted.

Please note that the following Central Return forms have been discontinued with effect from 1st April 2004:
KC56: Patient Care in the Community: District Nursing
KC57: Patient Care in the Community: Community Psychiatric Nursing
KC58: Patient Care in the Community: Learning Disabilities Nursing

 

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M CATEGORY (FINAL PRETREATMENT)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the absence or presence of distant metastases where the TNM TYPE is 3. Metastasis component and the CANCER TNM STAGING TYPE is 1. Final pre-treatment stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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M CATEGORY (INTEGRATED STAGE)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the absence or presence of distant metastases where the TNM TYPE is 3. Metastasis component and the CANCER TNM STAGING TYPE is 3. Integrated stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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M CATEGORY (PATHOLOGICAL)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the absence or presence of distant metastases where the TNM TYPE is 3. Metastasis component and the CANCER TNM STAGING TYPE is 2. Pathological stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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M CATEGORY EXTENDED (PATHOLOGICAL)

Change to Data Element: Changed Description

Format/length:an9
HES item: 
Format/Length:an9
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE together with the CANCER TNM EXTENDED STAGE which classifies the presence of metastatic deposits of the primary tumour at distant metastatic sites where the TNM TYPE is 3. Metastasis component and the CANCER TNM STAGING TYPE is 2. Pathological stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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MULTIDISCIPLINARY TEAM DISCUSSION INDICATOR

Change to Data Element: Changed Description

Format/length:a1
HES item: 
National codes 
Default codes 
Format/Length:a1
HES Item: 
National Codes 
Default Codes 

Notes:
When used in the National Cancer Waiting Times Monitoring Data Set, this records whether the Cancer Care Plan (that was subsequently agreed with the PATIENT) was discussed at a Multidisciplinary Team Meeting.

The MULTIDISCIPLINARY TEAM DISCUSSION INDICATOR should be recorded as follows:

Permitted National Codes:

YThe Cancer Care Plan was drawn up at a Multidisciplinary Team Meeting
NThe Cancer Care Plan was NOT discussed at a Multidisciplinary Team Meeting.
 When used in the National Cancer Waiting Times Monitoring Data Set, this records whether the Cancer Care Plan (that was subsequently agreed with the PATIENT) was discussed at a Multidisciplinary Team Meeting.

 

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N CATEGORY (FINAL PRETREATMENT)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the absence or presence and extent of regional lymph node metastases where the TNM TYPE is 2. Node component and the CANCER TNM STAGING TYPE is 1. Final pre-treatment stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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N CATEGORY (INTEGRATED STAGE)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the absence or presence and extent of regional lymph node metastases where the TNM TYPE is 2. Node component and the CANCER TNM STAGING TYPE is 3. Integrated stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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N CATEGORY (PATHOLOGICAL)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the absence or presence and extent of regional lymph node metastases where the TNM TYPE is 2. Node component and the CANCER TNM STAGING TYPE is 2. Pathological stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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RADIOTHERAPY ACTUAL DOSE

Change to Data Element: Changed Description

Format/length:n4
HES item: 
Format/Length:n4
HES Item: 
National Codes: 
Default Codes: 

Notes:
RADIOTHERAPY ACTUAL DOSE is the same as attribute RADIOTHERAPY ACTUAL DOSE

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RECORDED HEIGHT (CANCER DRUG TREATMENT)

Change to Data Element: Changed Description

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

Notes:
This is the record of a PERSON's Height in 'Metres'.

This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Height' and MEASUREMENT VALUE TYPE CODE is 'Metres'.

 

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RECORDED WEIGHT (CANCER DRUG TREATMENT)

Change to Data Element: Changed Description

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

Notes:
This is the record of a PERSON's Weight in 'Kilograms'.RECORDED WEIGHT (CANCER DRUG TREATMENT) is the record of a PERSON's Weight in 'Kilograms'.

This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Weight' and MEASUREMENT VALUE TYPE CODE is 'Kilograms'.

 

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SERVICE REPORT STATUS

Change to Data Element: Changed Description

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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SERVICE REQUEST IDENTIFIER

Change to Data Element: Changed Description

Format/Length:an10 (Fixed Length)
Format/Length:an20 (Fixed Length)
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
SERVICE REQUEST IDENTIFIER is the same as attribute SERVICE REQUEST IDENTIFIER.

 

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START DATE

Change to Data Element: Changed Description

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

Notes:
START DATE has a generalised definition which can be applied to the start of a stay, episode, period covered by a plan or other time period.

This is the ACTIVITY DATE of the ACTIVITY DATE TIME with an ACTIVITY DATE TIME TYPE of National Code 31 'Start Date'.

 

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START DATE (ACTIVE MONITORING)

Change to Data Element: Changed Description

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

Notes:
START DATE (ACTIVE MONITORING) should be recorded if the PLANNED CANCER TREATMENT TYPE is National Code 09 - Active Monitoring.

START DATE (ACTIVE MONITORING) is the CARE PLAN AGREED DATE of the Cancer Care Plan where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 09 'Active monitoring' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Cancer Care Plan is a CARE PLAN where CARE PLAN TYPE is National Code 01 'Cancer Care Plan'.

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

 

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START DATE (ANTI-CANCER DRUG FRACTION)

Change to Data Element: Changed Description

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

Notes:
START DATE (ANTI-CANCER DRUG FRACTION) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' of the Anti-Cancer Drug Fraction.

Anti-Cancer Drug Fraction is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 03 'Anti-Cancer Drug Fraction'.

 

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START DATE (ANTI-CANCER DRUG REGIMEN)

Change to Data Element: Changed Description

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

Notes:
START DATE (ANTI-CANCER DRUG REGIMEN) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' of the Anti-Cancer Drug Regimen.

This should be recorded if the first definitive treatment is chemotherapy and/or other anti-cancer drug treatments.

START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 03 'Chemotherapy' or 04 'Hormone therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Anti-Cancer Drug Regimen is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 05 'Anti-Cancer Drug Regimen'.

Anti-Cancer Drug Programme is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 04 'Anti-Cancer Drug Programme'.

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

 

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START DATE (ASSIGNMENT PAYSCALE)

Change to Data Element: Changed Description

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

Notes:
START DATE (ASSIGNMENT PAYSCALE) is the same as attribute ASSIGNMENT PAYSCALE POINT START DATE.

The date on which an EMPLOYEE first held an ASSIGNMENT for their current PAYSCALE.

This is the ASSIGNMENT PAYSCALE POINT START DATE of the first recorded ASSIGNMENT PAYSCALE POINT for the PAYSCALE of the latest recorded ASSIGNMENT PAYSCALE POINT.

The first recorded ASSIGNMENT PAYSCALE POINT may not necessarily be for the current ASSIGNMENT as the EMPLOYEE may first have held the particular PAYSCALE in another ASSIGNMENT within their current or previous employer.

 

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START DATE (BRACHYTHERAPY TREATMENT COURSE)

Change to Data Element: Changed Description

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

Notes:
START DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' of the Brachytherapy Treatment Course. This should be recorded if the first definitive treatment is brachytherapy.

START DATE (BRACHYTHERAPY TREATMENT COURSE) is the START DATE of the Brachytherapy Treatment Course which is a Brachytherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 06 'Brachytherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

Brachytherapy Treatment Course is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 06 'Brachytherapy Treatment Course'.

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

 

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START DATE (CONSULTANT EPISODE)

Change to Data Element: Changed Description

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

Notes:
As for the data element START DATE (EPISODE)

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START DATE (EPISODE)

Change to Data Element: Changed Description

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

Notes:
START DATE (EPISODE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' of the episode.

Record the start and end dates of the episode to derive the period that the PATIENT was under the care of a particular CONSULTANT, MIDWIFE or NURSE during the Hospital Provider Spell.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

 

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START DATE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

Notes:
START DATE (HOSPITAL PROVIDER SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' of the Hospital Provider Spell.

The Start Date of the Hospital Provider Spell is the date of admission: the CONSULTANT or MIDWIFE has assumed responsibility for care following the DECISION TO ADMIT the PATIENT.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

 

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START DATE (MENTAL HEALTH CARE SPELL)

Change to Data Element: Changed Description

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

Notes:
START DATE (MENTAL HEALTH CARE SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' of the Mental Health Care Spell.

For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Adult Mental Health Care Spells, it is the function of the assembler process itself to assemble the Adult Mental Health Care Spell and provide the appropriate date to be used for the START DATE (MENTAL HEALTH CARE SPELL). The assembler process derives the appropriate date from the first recorded ACTIVITY which lies within an uninterrupted sequence starting in, or continuing into, the REPORTING PERIOD.

The NHS Trust may override the assembler's derived date in the case of PATIENTS cared for continuously longer than the period for which electronic activity records are available to the assembler process.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

 

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START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE)

Change to Data Element: Changed Description

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

Notes:
START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'. This should be recorded if the first definitive treatment is specialist palliative care.

START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the ACTIVITY DATE on which the first treatment or support from specialist palliative care was given to a PATIENT with diagnosed cancer within the Cancer Care Spell and where the Planned Cancer Treatment is for Planned Cancer Treatment National Code 05 'Specialist palliative care' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

Cancer Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 05 'Cancer Care Spell'.

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

 

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START DATE (SURGERY HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

Notes:
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'. This should be recorded if the first definitive treatment is surgery.

START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the Start Date of the Hospital Provider Spell the PATIENT was admitted to for the anti-cancer surgery to be performed and where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 01 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

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

 

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START DATE (TELETHERAPY TREATMENT COURSE)

Change to Data Element: Changed Description

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

Notes:
START DATE (TELETHERAPY TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'. This should be recorded if the first definitive treatment is teletherapy.

START DATE (TELETHERAPY TREATMENT COURSE) is the Start Date of the Radiotherapy Treatment Course which is a Teletherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 02 'Teletherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

Radiotherapy Treatment Course is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 27 'Radiotherapy Treatment Course'.

Teletherapy Treatment Course is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 29 'Teletherapy Treatment Course'.

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

 

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START TIME

Change to Data Element: Changed Description

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

Notes:
START TIME has a generalised definition which can be applied to the start of a stay, episode, period covered by a plan or other time period.

This is the ACTIVITY TIME of the ACTIVITY DATE TIME with an ACTIVITY DATE TIME TYPE of National Code 61 'Start Time'.

 

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T CATEGORY (FINAL PRETREATMENT)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
T CATEGORY (FINAL PRETREATMENT) is the CLINICAL CLASSIFICATION CODE which classifies the size and extent of the primary tumour where the TNM TYPE is 1. Tumour component and the CANCER TNM STAGING TYPE is 1. Final pre-treatment stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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T CATEGORY (INTEGRATED STAGE)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
T CATEGORY (INTEGRATED STAGE) is the CLINICAL CLASSIFICATION CODE which classifies the size and extent of the primary tumour where the TNM TYPE is 1. Tumour component and the CANCER TNM STAGING TYPE is 3. Integrated stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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T CATEGORY (PATHOLOGICAL)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
T CATEGORY (PATHOLOGICAL) is the CLINICAL CLASSIFICATION CODE which classifies the size and extent of the primary tumour where the TNM TYPE is 1. Tumour component and the CANCER TNM STAGING TYPE is 2. Pathological stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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T CATEGORY EXTENDED (PATHOLOGICAL)

Change to Data Element: Changed Description

Format/length:an9
HES item: 
Format/Length:an9
HES Item: 
National Codes: 
Default Codes: 

Notes:
T CATEGORY EXTENDED (PATHOLOGICAL) is the CLINICAL CLASSIFICATION CODE together with the CANCER TNM EXTENDED STAGE which classifies the extent of the invasion of the tumour where the TNM TYPE is 1. Tumour component and the CANCER TNM STAGING TYPE is 2. Pathological stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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TELETHERAPY BEAM TYPE

Change to Data Element: Changed Description

Format/length:an2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Format/Length:an2
HES Item: 
National Codes:See TELETHERAPY BEAM TYPE
Default Codes: 
 Notes:
TELETHERAPY BEAM ENERGY is the same as attribute TELETHERAPY BEAM TYPE. 

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TELETHERAPY COMPLEXITY GROUP

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National Codes: 
Format/Length:an1
HES Item: 
National Codes:See TELETHERAPY COMPLEXITY GROUP
Default Codes: 
 Notes:
TELETHERAPY COMPLEXITY GROUP is the same as attribute TELETHERAPY COMPLEXITY GROUP. 

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TELETHERAPY FIELDS CLASSIFICATION

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National Codes:
Format/Length:an1
HES Item: 
National Codes:See TELETHERAPY FIELDS
Default Codes: 


Notes:


The prescribed number of fields of a Teletherapy Treatment Course.

 

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TELETHERAPY MULTIPLE PLANNING

Change to Data Element: Changed Description, Aliases

Format/length:n1
HES item: 
National Codes: 
Format/Length:n1
HES Item: 
National Codes:See TELETHERAPY MULTIPLE PLANNING
Default Codes: 
 Notes:
TELETHERAPY MULTIPLE PLANNING is the same as attribute TELETHERAPY MULTIPLE PLANNING. 

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TELETHERAPY MULTIPLE PLANNING

Change to Data Element: Changed Description, Aliases


TELETHERAPY PRESCRIBED FRACTIONS

Change to Data Element: Changed Description

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

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TNM CATEGORY (FINAL PRETREATMENT)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the combination of tumour, node and metastases into stage groupings where the TNM TYPE is 4. Overall TNM stage and the CANCER TNM STAGING TYPE is 1. Final pre-treatment stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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TNM CATEGORY (INTEGRATED)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the combination of tumour, node and metastases into stage groupings where the TNM TYPE is 4. Overall TNM stage and the CANCER TNM STAGING TYPE is 3. Integrated stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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TNM CATEGORY (PATHOLOGICAL)

Change to Data Element: Changed Description

Format/length:an5
HES item: 
Format/Length:an5
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the CLINICAL CLASSIFICATION CODE which classifies the combination of tumour, node and metastases into stage groupings where the TNM TYPE is 4. Overall TNM stage and the CANCER TNM STAGING TYPE is 2. Pathological stage.

UICC (Union Internationale Contre Cancer) coding is used.

 

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TUMOUR LATERALITY

Change to Data Element: Changed Description

Format/length:an1
HES item: 
Format/Length:an1
HES Item: 
National codesSee TUMOUR LATERALITY
Default codes8 - Not applicable
 9 - Not known

Notes:
TUMOUR LATERALITY is the same as attribute TUMOUR LATERALITY

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