Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1244
Version No:1.0
Subject:June Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:8 June 2011

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the June 2011 Release and includes:

Summary of changes:

Diagrams
CARE PROFESSIONAL DIAGRAM   Changed Diagram
 
Data Set
MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)   Changed Description
 
Supporting Information
CARE HOME REGISTRATION   Changed Description
CLINICAL DATA SETS MENU   Changed Description
GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS   Changed Description
MIXED-SEX ACCOMMODATION DATA SET OVERVIEW   Changed Description
ORGANISATION DATA SERVICE   Changed Description
PATIENT HEALTH QUESTIONNAIRE-9 renamed from PATIENT HEALTH QUESTIONNAIRE   Changed Aliases, Name
SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW   Changed Description
UK TERMINOLOGY CENTRE   Changed Description
WHAT'S NEW: JUNE 2011 renamed from WHAT'S NEW: APRIL 2011   Changed Description, Name
 
Class Definitions
CARE ACTIVITY   Changed Relationships
CLINICAL CLASSIFICATION   Changed Description
CLINICAL INVESTIGATION RESULT ITEM   Changed Description
GENERAL MEDICAL PRACTITIONER   Changed Attributes
LOCATION TYPE (RETIRED)   Changed Relationships
MIDWIFE   Changed Description
NHS SERVICE AGREEMENT   Changed Relationships
OPERATIVE PROCEDURE   Changed Description
OPTOMETRIST   Changed Attributes
ORGANISATION   Changed Relationships
PROFESSIONAL REGISTRATION   Changed Description
PROVIDER IN SERVICE AGREEMENT   Changed Relationships
PSYCHOTROPIC MEDICATION STATUS   Changed Relationships
RIGHT OF ADMISSION   Changed Relationships
SERVICE REPORT   Changed Relationships
WAITING LIST   Changed Relationships
 
Attribute Definitions
ACTIVITY LOCATION TYPE CODE   Changed Description
ELECTIVE ADMISSION LIST REMOVAL REASON   Changed Description
ELECTIVE ADMISSION TYPE   Changed Description
ELIGIBILITY OUTCOME   Changed Description
OPERATIVE PROCEDURE INDICATOR   Changed Description
PATIENT HISTORY INDICATOR   Changed Description
REFERRAL DELAY TYPE   Changed Description
WEEKLY HOURS WORKED   Changed Aliases
 
Data Elements
A AND E ARRIVAL MODE   Changed Description
A AND E ATTENDANCE DISPOSAL   Changed Description
BODY MASS INDEX   Changed Description
CLINICAL INTERVENTION DATE (CANCER IMAGING)   Changed Description
CLINICAL INTERVENTION DATE (FIRST DIAGNOSTIC TEST)   Changed Description
CORRESPONDENCE ADDRESS   Changed Description
DELAY REASON REFERRAL TO TREATMENT (CANCER)   Changed Description
NUMBER OF TELETHERAPY FIELDS   Changed Description
ORGANISATION CODE (CODE OF COMMISSIONER)   Changed Description
ORGANISATION CODE (PROVIDER DECISION TO TREAT (CANCER))   Changed Description
ORGANISATION CODE (PROVIDER FIRST SEEN)   Changed Description
ORGANISATION CODE (RECEIVING)   Changed Description
PATIENT HEALTH QUESTIONNAIRE SCORE   Changed Description
PATIENT USUAL ADDRESS   Changed Description
PATIENT USUAL ADDRESS (AT DIAGNOSIS)   Changed Description
PATIENT USUAL ADDRESS (MOTHER)   Changed Description
POSTCODE OF USUAL ADDRESS   Changed Description
REFERRER CODE   Changed Description
SERUM CHOLESTEROL LEVEL   Changed Description
SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY   Changed Description
SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE   Changed Description
TREATMENT FUNCTION CODE   Changed Description
 

Date:8 June 2011
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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CARE PROFESSIONAL DIAGRAM

Change to Diagram: Changed Diagram

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MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)

Change to Data Set: Changed Description

Mental Health Minimum Data Set Overview

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

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

TABLE 1: MASTER PATIENT INDEX (MPI)
Master Patient Index:
This table should include a record for every patient receiving care within the Mental Health Service.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RPERSON BIRTH DATE
RPERSON GENDER CODE CURRENT
RPERSON MARITAL STATUS
RETHNIC CATEGORY
RNHS NUMBER
RPOSTCODE OF USUAL ADDRESS
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RORGANISATION CODE (CODE OF COMMISSIONER)
OYEAR OF FIRST KNOWN PSYCHIATRIC CARE

TABLE 2: PSYCHOSIS SERVICE (PSYCHOSIS)
Psychosis Service:
This table should contain a record for each patient seen within specialist psychosis services including Early Intervention in Psychosis Services.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RPRODROME PSYCHOSIS DATE
REMERGENT PSYCHOSIS DATE
RMANIFEST PSYCHOSIS DATE
RPRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
RPSYCHOSIS TREATMENT START DATE

TABLE 3: EMPLOYMENT STATUS (EMP)
Employment Status:
This table should contain a record for each set of employment details recorded for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MEMPLOYMENT STATUS RECORDED DATE
REMPLOYMENT STATUS
OWEEKLY HOURS WORKED

TABLE 4: ACCOMMODATION STATUS (ACCOM)
Accommodation Status:
This table should contain a record for each set of accommodation status details recorded for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MACCOMMODATION STATUS DATE
RSETTLED ACCOMMODATION INDICATOR (MENTAL HEALTH)
OACCOMMODATION STATUS (MENTAL HEALTH)

TABLE 5: REFERRAL (REFER)
Referral:
This table should contain a record for each external referral to the mental health care provider for the patient.  This includes referrals which were not accepted. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MREFERRAL REQUEST RECEIVED DATE
RSOURCE OF REFERRAL FOR MENTAL HEALTH
OSERVICE REQUEST STATUS DATE (MENTAL HEALTH)
RSTATUS OF SERVICE REQUEST (MENTAL HEALTH)
RDISCHARGE DATE (MENTAL HEALTH SERVICE)
RDISCHARGE REASON (MENTAL HEALTH SERVICE)

TABLE 6: MENTAL HEALTH TEAM EPISODE (TEAMEP)
Mental Health Team Episode:
This table should contain a record for every non-inpatient Mental Health Care Team Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
REND DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 7: NHS DAY CARE EPISODE (DAYEP)
NHS Day Care Episode:
This table should contain a record for every Mental Health NHS Day Care Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH NHS DAY CARE EPISODE)
REND DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

TABLE 8: CONSULTANT OUTPATIENT EPISODE (OPEP)
Consultant Outpatient Episode:
This table should contain a record for every Consultant Outpatient Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (CONSULTANT OUT-PATIENT EPISODE)
REND DATE (CONSULTANT OUT-PATIENT EPISODE)

TABLE 9: ACUTE HOME BASED CARE EPISODE (HBCAREEP)
Acute Home Based Care Episode:
This table should contain a record for every Mental Health Care Professional Episode (Acute Home Based) for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))
REND DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))

TABLE 10: MENTAL HEALTH NHS CARE HOME STAY EPISODE (NHSCAREHOMEEP)
Mental Health NHS Care Home Stay Episode:
This table should contain a record for every Mental Health NHS Care Home Stay (Nursing Care) and/or Mental Health NHS Care Home Stay (Residential) for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH NHS CARE HOME STAY)
REND DATE (MENTAL HEALTH NHS CARE HOME STAY)

TABLE 11: HOSPITAL PROVIDER SPELL (PROVSPELL)
Hospital Provider Spell:
This table should contain a record for each Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)
RDISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)

TABLE 12: INPATIENT EPISODE (INPATEP)
Inpatient Episode:
This table should contain a record for every Consultant Episode (Hospital Provider) or Nursing Episode which occurred during a Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (EPISODE)
REND DATE (EPISODE)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 13: WARD STAYS WITHIN HOSPITAL PROVIDER SPELL (WARDSTAYS)
Ward Stays Within Hospital Provider Spell:
This table should contain a record for every Ward Stay which occurred during a Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (WARD STAY)
REND DATE (WARD STAY)
RINTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
RWARD SECURITY LEVEL
RSEX OF PATIENTS CODE
RINTENDED AGE GROUP

TABLE 14: DELAYED DISCHARGE (DELAYEDDISCHARGE)
Delayed Discharge:
This table should contain a record for every Mental Health Delayed Discharge Period which occurred during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
REND DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
RMENTAL HEALTH DELAYED DISCHARGE REASON

TABLE 15: CLINICAL TEAM (CLINTEAM)
Clinical Team:
This table should contain a record for each Adult Mental Health Care Team.
M/R/OData Set Data Elements
MADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
OADULT MENTAL HEALTH CARE TEAM NAME
RADULT MENTAL HEALTH CARE TEAM TYPE

TABLE 16: STAFF (STAFF)
Staff:
This table should contain a record for every Mental Health professional responsible for providing the patient's care.
M/R/OData Set Data Elements
MADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RMAIN SPECIALTY CODE (MENTAL HEALTH)
ROCCUPATION CODE
RCARE PROFESSIONAL (JOB ROLE CODE)

TABLE 17: CARE CO-ORDINATOR ASSIGNMENT(CCASS)
Care Co-ordinator Assignment:
This table should contain a record for each assignment of a Care Co-ordinator to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
REND DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 18: RESPONSIBLE CLINICIAN ASSIGNMENT(RCASS)
Responsible Clinician Assignment:
This table should contain a record for each assignment of a Mental Health Responsible Clinician to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
REND DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 19: HEALTH CARE PROFESSIONAL CONTACTS (HCPCONT)
Health Care Professional Contacts:
This table should contain a record for each separate contact with a health care professional for the patient, including Consultant Out-patient Appointments, Professional Staff Group Contacts, Care Coordinator Contacts, and Community Psychiatric Nurse Contacts.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MCARE CONTACT DATE (MENTAL HEALTH)
OCARE CONTACT TIME (MENTAL HEALTH)
RCLINICAL CONTACT DURATION OF APPOINTMENT
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
RCONSULTATION MEDIUM USED
RCARE CONTACT SUBJECT
RACTIVITY LOCATION TYPE CODE
RATTENDED OR DID NOT ATTEND CODE

TABLE 20: NHS DAY CARE FACILITY ATTENDANCES (DAYATT)
NHS Day Care Facility Attendances:
This table should contain a record for each separate Mental Health NHS Day Care Attendance for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MCARE CONTACT DATE (MENTAL HEALTH)
RATTENDED OR DID NOT ATTEND CODE

TABLE 21: REVIEWS (REV)
Reviews:
This table should contain a record for each review undertaken for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MREVIEW DATE
RCARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 22: PRIMARY DIAGNOSIS (PRIMDIAG)
Primary Diagnosis:
This table should contain a record for the Primary Diagnosis recorded for the patient, using ICD10 codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDIAGNOSIS DATE
RPRIMARY DIAGNOSIS (ICD)

TABLE 23: SECONDARY DIAGNOSIS (SECDIAG)
Secondary Diagnosis:
This table should contain a record for each Secondary Diagnosis recorded for the patient, using ICD10 codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDIAGNOSIS DATE
RSECONDARY DIAGNOSIS (ICD)

TABLE 24: CPA EPISODE (CPAEP)
CPA Episode:
This table should contain a record for each separate period of time the patient spent on Care Programme Approach.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RSTART DATE (CARE PROGRAMME APPROACH CARE)
REND DATE (CARE PROGRAMME APPROACH CARE)

TABLE 25: CRISIS PLAN (CRISISPLAN)
Crisis Plan:
This table should contain a record for each Mental Health Crisis Plan created for the patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RMENTAL HEALTH CRISIS PLAN CREATION DATE
RMENTAL HEALTH CRISIS PLAN LAST UPDATED DATE

TABLE 26: MENTAL HEALTH CLUSTERING TOOL (MHCT)
Mental Health Clustering Tool:
This table should contain details of each Mental Health Clustering Tool assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
MMENTAL HEALTH CLUSTERING TOOL ASSESSMENT REASON
RMENTAL HEALTH CLUSTERING TOOL ASSESSMENT REASON
RHONOS RATING 1 SCORE
RHONOS RATING 2 SCORE
RHONOS RATING 3 SCORE
RHONOS RATING 4 SCORE
RHONOS RATING 5 SCORE
RHONOS RATING 6 SCORE
RHONOS RATING 7 SCORE
RHONOS RATING 8 SCORE
RHONOS RATING 8 TYPE
RHONOS RATING 9 SCORE
RHONOS RATING 10 SCORE
RHONOS RATING 11 SCORE
RHONOS RATING 12 SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE
RMENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
RMENTAL HEALTH CARE CLUSTER CODE

TABLE 27: PAYMENT BY RESULTS CARE CLUSTER (CLUSTER)
Payment By Results Care Cluster:
This table should contain details of the period that the patient is assigned to a Mental Health Care Cluster following a Mental Health Care Clustering Tool Assessment.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE CLUSTER)
REND DATE (MENTAL HEALTH CARE CLUSTER)
RMENTAL HEALTH CARE CLUSTER CODE
RMENTAL HEALTH CARE CLUSTER END REASON

TABLE 28: HEALTH OF THE NATION OUTCOME SCALE (HONOS)
Health of the Nation Outcome Scale:
This table should contain details of each Health of the Nation Outcome Scale (Working Age Adults) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS RATING 1 SCORE
RHONOS RATING 2 SCORE
RHONOS RATING 3 SCORE
RHONOS RATING 4 SCORE
RHONOS RATING 5 SCORE
RHONOS RATING 6 SCORE
RHONOS RATING 7 SCORE
RHONOS RATING 8 SCORE
RHONOS RATING 8 TYPE
RHONOS RATING 9 SCORE
RHONOS RATING 10 SCORE
RHONOS RATING 11 SCORE
RHONOS RATING 12 SCORE

TABLE 29: HEALTH OF THE NATION OUTCOME SCALE 65+ (HONOS65+)
Health of the Nation Outcome Scale 65+:
This table should contain details of each Health of the Nation Outcome Scale (65+) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS 65+ RATING 1 SCORE
RHONOS 65+ RATING 2 SCORE
RHONOS 65+ RATING 3 SCORE
RHONOS 65+ RATING 4 SCORE
RHONOS 65+ RATING 5 SCORE
RHONOS 65+ RATING 6 SCORE
RHONOS 65+ RATING 7 SCORE
RHONOS 65+ RATING 8 SCORE
RHONOS 65+ RATING 8 TYPE
RHONOS 65+ RATING 9 SCORE
RHONOS 65+ RATING 10 SCORE
RHONOS 65+ RATING 11 SCORE
RHONOS 65+ RATING 12 SCORE

TABLE 30: HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS) (HONOSCA)
Health of the Nation Outcome Scale (Children and Adolescents):
This table should contain details of each Health of the Nation Outcome Scale (Children and Adolescents) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS-CA RATING 1 SCORE
RHONOS-CA RATING 2 SCORE
RHONOS-CA RATING 3 SCORE
RHONOS-CA RATING 4 SCORE
RHONOS-CA RATING 5 SCORE
RHONOS-CA RATING 6 SCORE
RHONOS-CA RATING 7 SCORE
RHONOS-CA RATING 8 SCORE
RHONOS-CA RATING 9 SCORE
RHONOS-CA RATING 10 SCORE
RHONOS-CA RATING 11 SCORE
RHONOS-CA RATING 12 SCORE
RHONOS-CA RATING 13 SCORE
RHONOS-CA RATING B14 SCORE
RHONOS-CA RATING B15 SCORE

TABLE 31: HEALTH OF THE NATION OUTCOME SCALE (SECURE) (HONOSSECURE)
Health of the Nation Outcome Scale (Secure):
This table should contain details of each Health of the Nation Outcome Scale (Secure) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS-SECURE RATING A SCORE
RHONOS-SECURE RATING B SCORE
RHONOS-SECURE RATING C SCORE
RHONOS-SECURE RATING D SCORE
RHONOS-SECURE RATING E SCORE
RHONOS-SECURE RATING F SCORE
RHONOS-SECURE RATING G SCORE

TABLE 32: PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
Patient Health Questionnaire:
This table should contain details of each Patient Health Questionnaire-9 assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
OPHQ-9 QUESTION 1 SCORE
OPHQ-9 QUESTION 2 SCORE
OPHQ-9 QUESTION 3 SCORE
OPHQ-9 QUESTION 4 SCORE
OPHQ-9 QUESTION 5 SCORE
OPHQ-9 QUESTION 6 SCORE
OPHQ-9 QUESTION 7 SCORE
OPHQ-9 QUESTION 8 SCORE
OPHQ-9 QUESTION 9 SCORE
OPHQ-9 TOTAL SCORE

TABLE 33: SOCIAL SERVICE STATUTORY ASSESSMENT (SSASS)
Social Service Statutory Assessment:
This table should contain a record for each Social Services Statutory Assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTATUTORY ASSESSMENT DATE
OSTATUTORY ASSESSMENT TYPE

TABLE 35: MENTAL HEALTH ACT EVENT EPISODES (MHAEVENT)
TABLE 34: MENTAL HEALTH ACT EVENT EPISODES (MHAEVENT)
Mental Health Act Event:
This table should contain a record for patients formally detailed under the Mental Health Act 1983 or other Acts.  A separate record should be included for every separate section of the Mental Health Act that the patient is detained under.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
MSTART TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
RMENTAL HEALTH ACT 2007 MENTAL CATEGORY

TABLE 34: SUPERVISED COMMUNITY TREATMENT (SCT)
TABLE 35: SUPERVISED COMMUNITY TREATMENT (SCT)
Supervised Community Treatment:
This table should contain a record for each separate period of Supervised Community Treatment under section 17a of the Mental Health Act 1983 for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (SUPERVISED COMMUNITY TREATMENT)
REXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)
REND DATE (SUPERVISED COMMUNITY TREATMENT)
RSUPERVISED COMMUNITY TREATMENT END REASON

TABLE 36: SUPERVISED COMMUNITY TREATMENT RECALL (SCTRECALL)
Supervised Community Treatment Recall:
This table should contain a record for each separate period of recall into hospital for a patient on Supervised Community Treatment under section 17a of the Mental Health Act 1983.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
MSTART TIME (SUPERVISED COMMUNITY TREATMENT RECALL)
REND DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
REND TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

TABLE 37: INTERVENTION (READ) (INTERVENTION)
Intervention (READ):
This table should contain a record for each element of treatment or intervention recorded for the patient, using READ codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF PATIENT TREATMENT OR INTERVENTION (READ)
OPATIENT TREATMENT OR INTERVENTION (READ)

TABLE 38: ADMINISTRATIONS OF ECT (ECT)
Administrations of ECT:
This table should contain a record for each separate instance of Electro-Convulsive Therapy administered to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MPROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)

TABLE 39: MENTAL HEALTH LEAVE OF ABSENCE (LOA)
Mental Health Leave of Absence:
This table should contain a record for each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH LEAVE OF ABSENCE)
REND DATE (MENTAL HEALTH LEAVE OF ABSENCE)
RLEAVE OF ABSENCE END REASON

TABLE 40: MENTAL HEALTH ABSENCE WITHOUT LEAVE (AWOL)
Mental Health Absence Without Leave:
This table should contain a record for each separate period of Mental Health Absence Without Leave for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RABSENCE WITHOUT LEAVE END REASON

TABLE 41: HOME LEAVE (HOMELEAVE)
Home Leave:
This table should contain a record for each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on Supervised Community Treatment.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (HOME LEAVE)
REND DATE (HOME LEAVE)

TABLE 42: SELF HARM (SELFHARM)
Self Harm:
This table should contain a record for each separate reported incident of self harm by the patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF SELF HARM

TABLE 43: USE OF RESTRAINT (RESTRAINT)
Restraint:
This table should contain a record for each separate reported incident of physical restraint of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment, during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF PHYSICAL RESTRAINT
ODURATION OF PHYSICAL RESTRAINT

TABLE 44: ASSAULTS ON PATIENT (ASSAULT)
Assaults on Patient:
This table should contain a record for each separate reported incident of assault on the patient by another patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF ASSAULT ON PATIENT

TABLE 45: PERIODS OF SECLUSION (SECLUSION)
Periods of Seclusion:
This table should contain a record for each separate incident of seclusion of the patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF SECLUSION
ODURATION OF SECLUSION

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CARE HOME REGISTRATION

Change to Supporting Information: Changed Description

Care Home Registration is an ORGANISATION REGISTRATION.

The registration of an establishment registered with the Care Quality Commission as a  Care Home.

Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 cannot be registered as a Care Home and is either a NHS hospital or must be registered as an independent hospital.

 

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CLINICAL DATA SETS MENU

Change to Supporting Information: Changed Description

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GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS

Change to Supporting Information: Changed Description

The General Medical Council List of Registered Medical Practitioners (LRMP) is a list of all doctors who are registered to practise in the UK (including GENERAL MEDICAL PRACTITIONERS)The General Medical Council List of Registered Medical Practitioners (LRMP) is a list of all doctors who are registered to practise in the UK (including GENERAL MEDICAL PRACTITIONERS).

When a doctor is registered to practise medicine in the United Kingdom, their details will appear on the General Medical Council List of Registered Medical Practitioners.
For further information on doctor registration, see the General Medical Council website..

The General Medical Council List of Registered Medical Practitioners provides details of:

  • the doctor's reference number, name, any former name, gender
  • year and place of primary medical degree
  • registration status
  • date of registration
  • entry in the GP/Specialist Register
  • any publicly available fitness to practise history since 20 October 2005
For further information on the General Medical Council List of Registered Medical Practitioners, see the General Medical Council website. 

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MIXED-SEX ACCOMMODATION DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Mixed-Sex Accommodation Data Set collects performance information on a monthly basis from Health Care Providers of NHS funded care, including independent sector and social enterprise/voluntary organisations, on the number of occurrences of breaches of the sleeping accommodation guidance. However the count of occurrences of breaches exclude private and self-funded PATIENTS in NHS Health Care Providers.

A breach occurs at the point a PATIENT is admitted to mixed-sex accommodation or moves to mixed-sex accommodation from Same Sex Accommodation.

Breaches of bathroom accommodation, including situations where a PATIENT must pass through opposite gender areas to reach their own facilities, and no provision of women-only lounges in mental health units, must be recorded at organisation level, and plans put in place to deal with the problem. However these types of breaches are not reported in the Mixed-Sex Accommodation Data Set.

Further guidance on the recognising and reporting of breaches is available  at: Department of Health Publications.Further guidance on the recognising and reporting of breaches is available on the Department of Health Website. 
This is a link to the Chief Nursing Officer letter, the link will be updated to the Department of Health guidance when this becomes available.

Collection and Submission of the Mixed-Sex Accommodation Data Set

Note: The first provider submission is due by 12 January 2011 for the breaches that occur in the month of December 2010.

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ORGANISATION DATA SERVICE

Change to Supporting Information: Changed Description

The Organisation Data Service is provided by NHS Connecting for Health. It is responsible for the publication of all ORGANISATION and practitioner codes and for the national policy and standards with regard to the majority of ORGANISATION CODES. These code standards form part of the NHS data standards. NHS Connecting for Health is also responsible for the day-to-day operation of the Organisation Data Service and for its overall development. It is supported by a number of agencies throughout the UK; for instance, the NHS Prescription Services and the NHS Dental Services.

The Organisation Data Service is also responsible for the ongoing maintenance of and practitioner information on to the ORGANISATION and PERSON nodes of the Spine Directory Service, the central repository of data for use within the various systems and services maintained and provided by NHS Connecting for Health.

The products the Organisation Data Service maintain includes:


The Organisation Data Service distributes:

a set of files mostly in standard formats, holding national reference data of ORGANISATIONS, practitioners and POSTCODES for use in NHS administrative functions: especially in processing central returns, PATIENT administration, commissioning and message handling. These are published on the NHSnet on a monthly basis (http://nww.connectingforhealth.nhs.uk/ods/). They are also made available to named recipients both inside the NHS and to others licensed to use this data in support of the NHS, through the online Technology Reference Data Update Distribution Service (TRUD). A subset of the data is also published on the NHS Choices website. A subset of the data is also published on the NHS Choices website.

a Microsoft Access database containing frequently used data and a number of pre-defined enquiries. The database is available for download from the NHSnet and from Technology Reference Data Update Distribution Service (TRUD) and is updated monthly.

a document distributed with each quarterly data issue through both the NHSnet pages and the Technology Reference Data Update Distribution Service (TRUD), describing developments and issues related to the Organisation Data Service.

a directory distributed with each monthly data issue through both the NHSnet pages and the Technology Reference Data Update Distribution Service (TRUD), that lists all the Safe Haven contacts and addresses set up to receive and hold confidential PATIENT data in the NHS, updated monthly.

the Office for National Statistics  supplies files containing all POSTCODES in the UK with details of their GEOGRAPHIC AREA information, such as map reference, Local Authority and Strategic Health Authority. The Organisation Data Service makes these files available on a quarterly basis from the NHSnet and Technology Reference Data Update Distribution Service (TRUD).

The Organisation Data Service provides:

  • Central allocation of new or revised codes;
  • Help, advice and query resolution on the content and use of the national reference data;
  • Development of the NHS standards in this area;
  • Further development of the range of national reference data.
 

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PATIENT HEALTH QUESTIONNAIRE-9  renamed from PATIENT HEALTH QUESTIONNAIRE

Change to Supporting Information: Changed Aliases, Name


SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Department of Health requires the mandatory collection of information on the SERVICES provided by  Sexual and Reproductive Health Services (formerly Family Planning Clinics) in order to monitor the implementation of the Government's strategy to reduce the number of teenage pregnancies.

The Sexual and Reproductive Health Activity Data Set will provide essential data to support and monitor the delivery of a number of key Government National Strategies aimed at reducing teenage pregnancies in England and improving sexual health. These strategies include:

  • National Strategy for Sexual Health and HIV
    Department for Education PSA target to reduce under 18 conceptions by 50 per cent by 2010
  • Improved access to Contraception Services as undertaken in the Care Quality Commission in 2006/07 and 2007/08
  • The National Teenage Pregnancy Strategy
  • The National Standards, Local Action: Health and Social Care Standards and Planning Framework (2004)

Improving Sexual and Reproductive Health Services and encouraging young people to seek advice are important aspects of the Teenage Pregnancy Strategy. England's under 18 conception rate is 41.7 per 1000 and has fallen by 10.7 per cent since the launch of the Teenage Pregnancy strategy. The under 16 rate is 8.3 per 1000 and has fallen by 6.4 per cent over the same period. Statistics published in February 2009 by the Office for National Statistics show that in 2007 the under 18 conception rate rose by 2.6 per cent. Despite the rise in national figures in 2007, the long-term trend is still downward.

The success of the Teenage Pregnancy strategy relies on all local areas applying it effectively. However, there is still significant variation at a local level, with some areas achieving reductions of over 30 per cent, whereas in other areas, rates have increased.

Monitoring of the Teenage Pregnancy strategy is being undertaken partly through a National Indicator Set, which was issued in November 2001. This includes indicators on the provision of Sexual and Reproductive Health Service in accordance with Best Practice Guidance and the uptake of these by under 18 year olds. The Sexual and Reproductive Health Activity Data Set will provide data needed for these indicators.

The Best Practice Guidance on Sexual and Reproductive Health Service provision is concerned with the Sexual and Reproductive Health Services  for young people under the age of 25, and this is reflected in this return. The guidance, to be published in 2009, will highlight the access to the full range of CONTRACEPTION as key to good Sexual and Reproductive Health Service provision as a means of reducing unplanned conceptions and repeat abortions.

The introduction of the requirements in this Data Set will replace the existing KT31 return and are necessary to modernise this collection, make the data more relevant and rationalise certain data items. Improving the quality of commissioning is a key feature of the Government's health reform agenda and it has been highlighted that effective commissioning will have extensive information requirements. The purpose of this revised collection is to enable monitoring of activity at PRIMARY CARE TRUST LEVEL to enable commissioners to understand which of their population groups are accessing Sexual and Reproductive Health Services and the SERVICES they are receiving. The purpose of this revised collection is to enable monitoring of activity at Primary Care Trust level to enable commissioners to understand which of their population groups are accessing Sexual and Reproductive Health Services and the SERVICES they are receiving. The Sexual and Reproductive Health Activity Data Set covers only face to face contacts with the Sexual and Reproductive Health Service whether in a clinic setting, in the PATIENT's home or an alternative location.

DATA EXTRACT SPECIFICATION

Description: The Sexual and Reproductive Health Activity Data Set return includes individual face to face PATIENT ACTIVITY provided by Sexual and Reproductive Health Services in clinics and non-clinic venues (e.g. outreach facilities or domiciliary visits). Also included are Sexual and Reproductive Health Services provided by non - NHS clinics funded wholly or in part by the NHS (e.g. Brook). It does not include those provided by CONSULTANTS in Outpatient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.`

Data collected will be used by the NHS, Care Quality Commission, Department of Health and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual and Reproductive Health Services, service provision, benchmarking and develop commissioning. The existing KT31 Central Return Form will remain in operation alongside the Sexual and Reproductive Health Activity Data Set until such time as the Department of Health notify ORGANISATIONS that it will be discontinued.

Time period: The extract will cover one financial quarter.

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

Format: Data returned should be formatted to a comma separated variable (CSV) or in a MS Excel file. The data variables should be transmitted in the order specified in the Sexual and Reproductive Health Activity Data Set.

Transmission: Data collated by the Primary Care Trust will be submitted via an on-line process to The NHS Information Centre for health and social care.

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UK TERMINOLOGY CENTRE

Change to Supporting Information: Changed Description

NHS Connecting for Health is the host of the UK Terminology Centre which is a member of the International Health Terminology Standards Development Organisation.

The core activities of the UK Terminology Centre are:

  • Product Development
  • Technical Infrastructure and
  • Product Support

The UK Terminology Centre's responsibilities include:

  • Being the primary point of liaison with the International Health Terminology Standards Development Organisation (IHTSDO) with regard to all aspects of the management of the Terminology Products within the UK
  • Establishing and maintaining processes for distributing and sub-licensing the Terminology Products within the UK
  • Being the principal contact point within the UK for contact in relation to the Terminology Products, including sub-licensing, technical support; and obtaining updates and enhancements to the Terminology Products ensuring that any products and their releases that the Member deploys within its jurisdiction that are based on the IHTSDO’s Terminology Products, are prepared, checked and managed in conformance with the IHTSDO’s standards
  • Maintaining a record of problems and other issues reported within the UK in connection with the Terminology Products
  • Documenting, submitting and supporting requests (to the IHTSDO) for proposed updates and enhancements to the Terminology Products
  • Monitoring the distribution and applications of the IHTSDO’s Terminology Products, Trade Marks and other Intellectual Property within the UK and reporting to the IHTSDO
  • Maintaining the UK National extension to SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms) and co-ordinate its release with the International Terminology Products. The combined International Release and local extension is known as the National Release
  • Creation, maintenance, co-ordination and release of UK sub-sets (reference sets) and other UK derivative works
  • Managing UK National release content requests
  • Administration for the UK Health Terminology Governance Board (organise meetings; distribute papers; minutes, etc)

For further information on the UK Terminology Centre, see the UK Terminology website.For further information on the UK Terminology Centre, see the UK Terminology website. 

 

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WHAT'S NEW: JUNE 2011  renamed from WHAT'S NEW: APRIL 2011

Change to Supporting Information: Changed Description, Name

Release: June 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1256 (Immediate) - DDCN 1256/2011 School Definitions
  • CR1117 (26 August 2011) - ISB ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
  • CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
  • CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
  • CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
  • CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

Release: March 2011

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

Release: January 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
  • CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
  • CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
  • CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

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

Release: November 2010

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

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

Release: September 2010

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

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

Release: August 2010

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

Release: July 2010

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

Release: May 2010

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

  • CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services

Release: March 2010

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

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

Release: January 2010

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

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

Release: December 2009

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

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

Release: November 2009

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

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

Release: September 2009

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

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

Release: June 2009

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

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

Release: March 2009

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

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

Release: December 2008

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

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

Release: November 2008

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

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

Release: August 2008

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

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

Release: May 2008

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

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

Release: February 2008

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

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

Release: November 2007

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

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

Release: August 2007

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

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

Release: June 2007

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

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

Release: May 2007

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

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

Release: February 2007

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

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

Release: September 2006

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

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

Release: May 2006

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

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

Release: April 2006

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

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

Release: August 2005

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

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

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

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CARE ACTIVITY

Change to Class: Changed Relationships

Each CARE ACTIVITY
may be directed towards one and only one CARE ISSUE
may be an event of one and only one LOCATION TYPE (retired)
may be an event of one and only one LOCATION TYPE (retired)
may be related to one or more PERSON PROPERTY QUALIFIER
may be the result of one and only one SERVICE REQUEST
may be resulting in one or more SERVICE REQUEST
may be for the delivery of one or more TREATMENT FUNCTION

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CLINICAL CLASSIFICATION

Change to Class: Changed Description

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CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Description

A result of a single clinical investigation including all essential or useful relevant data.A result of a single Clinical Investigation including all essential or useful relevant data.

Note: A CLINICAL INVESTIGATION RESULT ITEM includes all useful information in connection with an investigation result (e.g. numerical value, date and time of clinical investigation etc.); this corresponds to what is normally called a 'line' on a paper report.

References:
The Version 1.0 Trial NHS Standard EDIFACT Messages for Radiology Requests and Reports, 14.3.95
The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95

 

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GENERAL MEDICAL PRACTITIONER

Change to Class: Changed Attributes

Attributes of this Class are:
DOCTOR INDEX NUMBER
GENERAL MEDICAL COUNCIL NUMBER
GENERAL MEDICAL COUNCIL REFERENCE NUMBER
GENERAL MEDICAL PRACTITIONER PPD CODE
GMP OBSTETRIC LIST STANDARD

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LOCATION TYPE (RETIRED)

Change to Class: Changed Relationships

Each LOCATION TYPE (retired)
may be a type of venue for one or more CARE ACTIVITY
may be a type of venue for one or more CARE ACTIVITY
may be a classification of one or more LOCATION

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MIDWIFE

Change to Class: Changed Description

A subtype of CARE PROFESSIONAL.

A practising MIDWIFE means a registered MIDWIFE.

A PERSON who has given notice of her intention to practise to the local supervising authority in every area that she intends to practise in and who has updated her practise in accordance with the standards published by the Nursing and Midwifery Council and who:A PERSON who has given notice of their intention to practise to the local supervising authority in every area that they intend to practise in and who has updated their practise in accordance with the standards published by the Nursing and Midwifery Council and who:

  1. is in attendance upon a woman and baby during the antenatal, intranatal or postnatal period;  or
  2. holds a post for which a midwifery qualification is required.

To be eligible to practise as a MIDWIFE a PERSON must:

 

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NHS SERVICE AGREEMENT

Change to Class: Changed Relationships

Each NHS SERVICE AGREEMENT
Kmust be commissioned by one and only one ORGANISATION
must be an agreement with one or more PROVIDER IN SERVICE AGREEMENT
may be comprised of one or more NHS SERVICE AGREEMENT LINE
may be out of area treatment for one and only one PATIENT
may be for the provision of services within one or more PLANNED SERVICE UNDER AGREEMENT

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OPERATIVE PROCEDURE

Change to Class: Changed Description

A subtype of CLINICAL CLASSIFICATION.

A unique code identifying an operation which can be performed on a PATIENT. The coding structure is provided by the Office for National Statistics and defined in the OPCS Operations Classification, 4th Revision. The coding structure is provided by the Office for National Statistics and defined in the OPCS Classification of Interventions and Procedures, 4th Revision.

 

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OPTOMETRIST

Change to Class: Changed Attributes

Attributes of this Class are:
GENERAL OPHTHALMIC COUNCIL NUMBER
GENERAL OPTICAL COUNCIL NUMBER

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ORGANISATION

Change to Class: Changed Relationships

Each ORGANISATION
may be a supplier of one or more ACTIVITY
may be the originator of one or more CARE PLAN
may be the employer of one or more CARE PROFESSIONAL ORGANISATION
may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
may be contacted by one or more COMMUNICATION CONTACT INFORMATION
may be contacted via one or more COMMUNICATION CONTACT INFORMATION
may be the operator and manager of one or more DEPARTMENT
may be the employer of one or more EMPLOYEE IN ORGANISATION
may be agreeing to one or more EMPLOYEE PLAN
may be the resident in one or more GEOGRAPHIC AREA
may be NULL one or more GEOGRAPHIC AREA ASSOCIATION
may be associated with one or more GEOGRAPHIC AREA ASSOCIATION
may be the subject of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
may be the recipient of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
may be the payee of one or more GMP PAYMENT OR REIMBURSEMENT
may be the lead for one or more HEALTH PROGRAMME
may be the creator and updater of one or more LOCATION
may be commissioner of one or more NHS SERVICE AGREEMENT
may be the commissioner of one or more NHS SERVICE AGREEMENT
may be playing one or more ORGANISATION ACTIVITY ROLE
may be the owner of one or more ORGANISATION DEPARTMENT
may be recorded as one or more ORGANISATION REGISTRATION
may be the second party in one or more ORGANISATION RELATIONSHIP
may be the first party in one or more ORGANISATION RELATIONSHIP
may be related to one or more ORGANISATION REPORTING PERIOD
may be operator or manager of one or more ORGANISATION SITE
may be the operator or manager of one or more ORGANISATION SITE
may be the registered organisation for one or more PATIENT ORGANISATION
may be the issuer of the identifier of one or more PATIENT PATHWAY
may be NULL one or more PERSON OR ORGANISATION ADDRESS
may be the association of one or more PERSON OR ORGANISATION ADDRESS
may be the holder of one or more PHARMACEUTICAL PRODUCT STOCK
may be intending to provide one or more PLANNED ACTIVITY
may be controller of one or more POSITION
may be the controller of one or more POSITION
may be fund holder of one or more POSITION NON-NHS FUNDING
may be a fund holder of one or more POSITION NON-NHS FUNDING
may be the place of treatment for one or more PRIOR NOTIFICATION LIST ENTRY
may be the subject of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
may be the owner of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
may be play a role within one or more PROVIDER IN SERVICE AGREEMENT
may be the player of a role within one or more PROVIDER IN SERVICE AGREEMENT
may be qualification awarding body one or more QUALIFICATION
may be the qualification awarding body of one or more QUALIFICATION
may be holder of one or more REGISTER
may be the holder of one or more REGISTER
may be give one or more RIGHT OF ADMISSION
may be the provider of one or more RIGHT OF ADMISSION
may be request one or more SERVICE REPORT
may be the requester of one or more SERVICE REPORT
may be receive a copy of one or more SERVICE REPORT
may be the receiver of a copy of one or more SERVICE REPORT
may be issue one or more SERVICE REPORT
may be the issuer of one or more SERVICE REPORT
may be the originator of one or more SERVICE REQUEST
may be the subject of one or more SINGLE SEX ACCOMMODATION TARGET
may be provider of one or more TRAINING ACTIVITY
may be the provider of one or more TRAINING ACTIVITY
may be the recipient of one or more TRANSPORT REQUEST
may be the first recorder of one or more TRANSPORT REQUEST INCIDENT
may be the responsible owner organisation of one or more WAITING LIST
may be the receiver of one or more WRITTEN COMPLAINT

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PROFESSIONAL REGISTRATION

Change to Class: Changed Description

PROFESSIONAL REGISTRATION is the registration of a PERSON with a PROFESSIONAL REGISTRATION BODY.

The PERSON may have several PROFESSIONAL REGISTRATION TYPES HELD recorded for a PROFESSIONAL REGISTRATION each of which will be separately identified by its PROFESSIONAL REGISTRATION TYPE.The PERSON may have several PROFESSIONAL REGISTRATION TYPES HELD recorded for a PROFESSIONAL REGISTRATION each of which will be separately identified by its PROFESSIONAL REGISTRATION TYPE. This may be due to more than one registration type being able to be held concurrently or that each registration type awarded supersedes the previous one.

The PROFESSIONAL REGISTRATION TYPE HELD EFFECTIVE START DATE and the PROFESSIONAL REGISTRATION TYPE HELD EFFECTIVE END DATE records the effective period of the PROFESSIONAL REGISTRATION TYPE HELD. Where no PROFESSIONAL REGISTRATION TYPE HELD EFFECTIVE END DATE is recorded then the PROFESSIONAL REGISTRATION TYPE HELD is still current.

In specific professions, an EMPLOYEE must have successfully completed a recognised or accredited training programme and applied to the relevant PROFESSIONAL REGISTRATION BODY in order to be registered as able to practice. This registration is recorded by a PROFESSIONAL REGISTRATION for each PROFESSIONAL REGISTRATION TYPE held by the EMPLOYEE.

A PROFESSIONAL REGISTRATION has to be maintained on a regular basis in line with the requirements of the PROFESSIONAL REGISTRATION BODY.

For certain POSITIONS within an ORGANISATION it is mandatory for the EMPLOYEE to hold a PROFESSIONAL REGISTRATION TYPE HELD of a given PROFESSIONAL REGISTRATION TYPE or from a list of PROFESSIONAL REGISTRATION TYPES (as multiple PROFESSIONAL REGISTRATION TYPES may be acceptable for the POSITION).

 

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PROVIDER IN SERVICE AGREEMENT

Change to Class: Changed Relationships

Each PROVIDER IN SERVICE AGREEMENT
Kmust be provided within one and only one NHS SERVICE AGREEMENT
Kmust be a role undertaken by one and only one ORGANISATION

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PSYCHOTROPIC MEDICATION STATUS

Change to Class: Changed Relationships

Each PSYCHOTROPIC MEDICATION STATUS
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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RIGHT OF ADMISSION

Change to Class: Changed Relationships

Each RIGHT OF ADMISSION
Kmust be be given by one and only one ORGANISATION
Kmust be given by one and only one ORGANISATION
must be owned by one and only one CONSULTANT ORGANISATION
or must be owned by one and only one NURSE OR MIDWIFE ORGANISATION
must be an admission right to one and only one ORGANISATION SITE
or must be an admission right for one and only one TREATMENT FUNCTION
or must be an admission right for one and only one WARD
may be the authority for one or more DECISION TO ADMIT
may be resultant in one or more DECISION TO ADMIT

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SERVICE REPORT

Change to Class: Changed Relationships

Each SERVICE REPORT
may be issued by one and only one CARE PROFESSIONAL
or may be issued by one and only one ORGANISATION
may be requested by one or more CARE PROFESSIONAL
or may be requested by one and only one ORGANISATION
may be have a copy sent to one or more CARE PROFESSIONAL
may be copied to one or more CARE PROFESSIONAL
may be have a copy sent to one or more ORGANISATION
may be copied to one or more ORGANISATION
may be related to one or more PLANNED ACTIVITY
may be related to one or more SERVICE
may be referenced by one or more SERVICE REPORT
may be a reference to one SERVICE REPORT

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WAITING LIST

Change to Class: Changed Relationships

Each WAITING LIST
Kmust be a waiting list for one and only one ORGANISATION
Kmust be for one and only one ORGANISATION
Kmust be classified by one and only one TREATMENT FUNCTION
must be a waiting list of one and only one CARE PROFESSIONAL
must be for one and only one CARE PROFESSIONAL
or must be a waiting list of one and only one CARE PROFESSIONAL ORGANISATION
or must be for one and only one CARE PROFESSIONAL ORGANISATION

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ACTIVITY LOCATION TYPE CODE

Change to Attribute: Changed Description

The type of LOCATION for an ACTIVITY:

ACTIVITY LOCATION TYPE CODE replaces LOCATION TYPE CODE and should be used for all new and developing data sets and for XML messages.

National Codes:

CODEVALUENOTES
 PATIENT Main Residence or Related Location
A01PATIENT's Home 
A02Carer's Home 
A03PATIENT's Workplace 
A04Other PATIENT Related Locatione.g. temporary address
 Health Centre Premises
B01Primary Care Health CentrePrimary Care Health Centre with or without GP Practice(s) based in it, providing community-based healthcare services such as podiatry, community dentistry, ophthalmology, minor injuries nursing etc, Sexual and Reproductive Health Service, health promotion etc, and sometimes hosting outreach services from NHS Trusts
B02PolyclinicProvide similar services to Primary Care Health Centre but also additional services such as diagnostics, minor procedures, Out-Patient Appointments, urgent care etc. and also co-located services with Local Authority Social Care.  May also provide extended/out of hours services.
B02PolyclinicProvide similar services to Primary Care Health Centre but also additional services such as diagnostics, minor procedures, Out-Patient Appointments, urgent care etc. and also co-located services with Local Authority Social Care.  May also provide extended/out of hours services.
 GENERAL PRACTITIONER and OPHTHALMIC MEDICAL PRACTITIONER
 C01General Medical Practitioner PracticeStand-alone GP Practice premises, not part of a Primary Care Health Centre
 C02General Dental PracticeStand-alone GP Practice premises, not part of a Primary Care Health Centre 
 C03OPHTHALMIC MEDICAL PRACTITIONER Premises 
 Walk In Centres, Out of Hours Premises and Emergency Community Dental Services
D01Walk In CentreMay be NHS GENERAL PRACTITIONER Led, NURSE-led, or provided by private company.  May be sited in different areas – Primary Care Trust premises, on hospital sites, in retail premises etc
D02Out of Hours CentreMay be NHS GENERAL PRACTITIONER-Led, NURSE-led, or provided by private company.  May be sited in different areas – Primary Care Trust premises, on hospital sites, in retail premises etc
D03Emergency Community Dental ServiceRun by Community Dental Services not GENERAL DENTAL PRACTITIONERS
 Locations on Hospital Premises
E01Out-Patient Clinic 
E02WARD 
E03Day Hospital 
E04Accident and Emergency or Minor Injuries Department 
E99Other Departmentse.g. Pathology Laboratories, physiotherapy, diagnostic imaging, Occupational Therapy, pharmacy etc
 Hospice Premises
F01Hospice 
 Nursing and Residential Homes
G01Residential Care Home 
G02Nursing HomeSee appropriate section of Care Home 
G03Children's Home

 

 Day Centre Premises
H01Day CentreFacilities operated by the NHS, Social Services or private or voluntary bodies, providing day care and respite care for elderly or disabled people
 Resource Centre Premises
J01Resource CentrePremises where information and support for PATIENTS and their families/carers is provided.
 Dedicated Facilities for Children and Families
K01Sure Start Children’s CentreChildren’s centres are service hubs where children under five years old and their families can receive seamless integrated services and information. Services vary according to centre but may include:
  • Integrated early education and childcare
  • Support for parents including advice on parenting, local childcare options and access to specialist services for families
  • Child and family health services
  • Helping parents into work
K02Child Development Centre 
 Educational, Childcare  and Training Establishments
L01SchoolIncluding Extended Services, where provided on School premises (where provided off School premises, use other appropriate location)
L02Further Education College 
L03University 
L04Nursery PremisesPre-school Nurseries attached to Schools would be classed as Schools in their own right
L05Other Childcare Premisese.g. Childminder
L06Training Establishments 
L99Other Educational PremisesSuch as Teenage Pregnancy Units, School Preparation Units (for toddlers), Pupil Referral Units (excluded older children and young people), units providing specialist education e.g. deaf children, autistic children etc
 Justice and Home Office Premises
M01Prison 
M02Probation Service Premises 
M03Police Station 
M04Young Offenders Institution 
M05Immigration Centre 
 Public Locations
N01Street or other public open spacePublic areas such as streets, parks, outdoor sports facilities etc
N02Other publicly accessible area or buildingPublicly accessible premises such as Youth Centres, supermarkets, shops and other retail locations such as shopping centres, community facilities such as libraries, church halls, community centres etc
N03Voluntary or charitable agency premises 
N04Dispensing Optician Premises 
N05Dispensing Pharmacy PremisesWhere it is not on a Hospital Site
 Other Locations
 X01Other locations not elsewhere classified 
 

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ELECTIVE ADMISSION LIST REMOVAL REASON

Change to Attribute: Changed Description

This records the reason why a PATIENT was removed from the ELECTIVE ADMISSION LIST.

National Codes:

1Patient admitted electively
2Patient admitted as an emergency for the same condition
3Patient died
4Patient removed for other reasons
1PATIENT admitted electively
2PATIENT admitted as an emergency for the same condition
3PATIENT died
4PATIENT removed for other reasons
 

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ELECTIVE ADMISSION TYPE

Change to Attribute: Changed Description

A classification of an ELECTIVE ADMISSION LIST ENTRY.

National Codes:

11Waiting list admission. A patient admitted electively from a waiting list having been given no date of admission at a time a decision was made to admit
12Booked admission. A patient admitted having been given a date at the time the decision to admit was made, determined mainly on the grounds of resource availability
13Planned admission. A patient admitted, having been given a date or approximate date at the time that the decision to admit was made. This is usually part of a planned sequence of clinical care determined mainly on social or clinical criteria (eg check cystoscopy)
11Waiting list admission
A PATIENT admitted electively from a WAITING LIST having been given no date of admission at a time a DECISION TO ADMIT was made
12Booked admission
A PATIENT admitted having been given a date at the time the DECISION TO ADMIT was made, determined mainly on the grounds of resource availability
13Planned admission
A PATIENT admitted, having been given a date or approximate date at the time that the DECISION TO ADMIT was made. This is usually part of a planned sequence of clinical care determined mainly on social or clinical criteria (eg check cystoscopy)

Note that regular day and night admissions should be counted as planned after the first admission, with PATIENT placed on the ELECTIVE ADMISSION LIST between admissions. The date of the DECISION TO ADMIT for regular day and night admissions is the date when arrangements were made for the next admission. It is often the date when the PATIENT was last discharged from hospital.

 

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ELIGIBILITY OUTCOME

Change to Attribute: Changed Description

The outcome of an eligibility check for the application for a sight test or spectacles.

Classification:

a.Patient eligibility established, no repayment required
b.Ineligible claim identified and payment required from patient
c.Ineligible claim identified and payment required from patient, but case closed
a.PATIENT eligibility established, no repayment required
b.Ineligible claim identified and payment required from PATIENT
c.Ineligible claim identified and payment required from PATIENT, but case closed
 

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OPERATIVE PROCEDURE INDICATOR

Change to Attribute: Changed Description

An indication of whether or not the CLINICAL INTERVENTION is an OPERATIVE PROCEDURE.An indication of whether the CLINICAL INTERVENTION is an OPERATIVE PROCEDURE.

National Codes:

NNo
YYes
 

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PATIENT HISTORY INDICATOR

Change to Attribute: 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.

An indication of whether the PATIENT has a history of a medical condition, for example Angina, Acute Myocardial Infarction, Human Papillomavirus (HPV) etc.An indication of whether a PERSON PROPERTY, for example PATIENT DIAGNOSIS, is recorded as part of the PATIENT's history.

National Codes:

YYes
NNo
 

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REFERRAL DELAY TYPE

Change to Attribute: Changed Description

The type of delay to a REFERRAL REQUEST.

National Codes:

01Cancer care Spell Delay
01Cancer Care Spell Delay
 

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WEEKLY HOURS WORKED

Change to Attribute: Changed Aliases


A AND E ARRIVAL MODE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See A AND E ARRIVAL MODE
Default Codes: 

Notes:
A and E ARRIVAL MODE  is the same as attribute A AND E ARRIVAL MODE.

A and E ARRIVAL MODE will be replaced by A and E ARRIVAL MODE CODE, which should be used for all new and developing data sets and for XML messages.

 

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A AND E ATTENDANCE DISPOSAL

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See A AND E ATTENDANCE DISPOSAL
Default Codes: 

Notes:
A and E ATTENDANCE DISPOSAL  is the same as attribute A AND E ATTENDANCE DISPOSAL.

A and E ATTENDANCE DISPOSAL will be replaced with A and E ATTENDANCE DISPOSAL CODE, which should be used for all new and developing data sets and for XML messages.

 

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BODY MASS INDEX

Change to Data Element: Changed Description

Format/Length:nn.n
Format/Length:n2.n1
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:
BODY MASS INDEX (BMI) records the Body Mass Index of the PERSON.

BODY MASS INDEX replaces PERSON OBSERVATION (BMI) and should be used for all new and developing data sets and for XML messages.

 

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CLINICAL INTERVENTION DATE (CANCER IMAGING)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
CLINICAL INTERVENTION DATE (CANCER IMAGING) is the same as Clinical Intervention Date.

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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CLINICAL INTERVENTION DATE (FIRST DIAGNOSTIC TEST)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 


Notes:
This is the Clinical Intervention Date of the CLINICAL INTERVENTION with FIRST CANCER DIAGNOSTIC TEST of classification a. CLINICAL INTERVENTION DATE (FIRST DIAGNOSTIC TEST) 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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CORRESPONDENCE ADDRESS

Change to Data Element: Changed Description

Format/length:an175 (5 lines each an35)
HES item: 
Format/Length:an175 (5 lines each an35)
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the correspondence ADDRESS (ADDRESS STRUCTURED) nominated by a PERSON, with ADDRESS ASSOCIATION TYPE of 'correspondence'. CORRESPONDENCE ADDRESS will consist of  BUILDING NAME, BUILDING NUMBER, STREET OR ROAD NAME, POST TOWN, POSTAL COUNTY.CORRESPONDENCE ADDRESS is the correspondence ADDRESS (ADDRESS STRUCTURED) nominated by a PERSON, where the ADDRESS ASSOCIATION TYPE is 'Correspondence (Non-Residence)'. CORRESPONDENCE ADDRESS will consist of  BUILDING NAME, BUILDING NUMBER, STREET OR ROAD NAME, POST TOWN, POSTAL COUNTY.

For a REFERRAL REQUEST, a contact address is specifically for that referral. This allows any correspondence about the referral to be directed appropriately. The CORRESPONDENCE ADDRESS need not be the initiator's practice address.

 

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DELAY REASON REFERRAL TO TREATMENT (CANCER)

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National codesSee DELAY REASON TO TREATMENT (CANCER)
Default codes 

Notes:
DELAY REASON REFERRAL TO TREATMENT (CANCER) is the same as attribute DELAY REASON TO TREATMENT (CANCER).

It is an optional data element and should only be present if a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT (CANCER) has been recorded where the DELAY REASON INDICATOR is classification b. 'delay between urgent GP referral and date of first definitive treatment'.

Cancer Care Spell Delay is a REFERRAL DELAY where REFERRAL DELAY TYPE is National Code 01 'Cancer Care Spell Delay'.

 

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NUMBER OF TELETHERAPY FIELDS

Change to Data Element: Changed Description

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


Notes:

The prescribed number of fields of a Teletherapy Treatment Course .

 NUMBER OF TELETHERAPY FIELDS is the same as attribute NUMBER OF TELETHERAPY FIELDS. 

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ORGANISATION CODE (CODE OF COMMISSIONER)

Change to Data Element: Changed Description

Format/length:an3 or an5
HES item:PURCODE
Format/Length:an3 or an5
HES Item:PURCODE
National Codes:See ORGANISATION CODE 
ODS Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charge
 XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
 YDD82 - Episodes funded directly by the National Commissioning Group for England


Notes:
ORGANISATION CODE (CODE OF COMMISSIONER) is the ORGANISATION CODE of the ORGANISATION commissioning health care.

This should always be the ORGANISATION CODE of the original commissioner for Commissioning Data Sets to support Payment by Results.

The Department of Health document "Who pays? Establishing the Responsible Commissioner" sets out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.) The guidance is set out in three sections:

  1. Section 1: Establishing who pays - sets out the key principles
  2. Section 2: Applying the key principles - gives further details about a number of services and situations where further clarification of how the key principles are applied may be helpful
  3. Section 3: Exceptions to the key principles - outlines the exceptions to the key principles e.g. prisoners, continuing care arrangements.

Note: There is no obligation for a PERSON to state their place of residence (particularly where an issue of security arises).
Enquiries relating to this document should be directed to the Department of Health, see the Department of Health website for contact details.

The following sections, provide guidance as to which code(s) should be used as the ORGANISATION CODE (CODE OF COMMISSIONER).

General Medical Practitioner Practice Registration (England):

General Medical Practitioner Practice Registration (Wales, Scotland and Northern Ireland):

PATIENTS from the Channel Islands:

Overseas PATIENTS: charge-exempt:

PATIENTS - liable for charges (Overseas and Private):

VPP00 'Private PATIENTS / Overseas Visitor liable for charge' should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for these PATIENTS.

Prisoners:

  • Since April 2003, GP Practice registration (if any) is disregarded for PERSONS who are detained in prison in England. The Primary Care Trust or Care Trust in which the prison is located is responsible for commissioning NHS services for those prisoners, including NHS dental services.
  • For those usually resident outside the United Kingdom, the responsible commissioner will be the Primary Care Trust or Care Trust in which the prison is located.
  • PERSONS usually resident overseas held in English prisons are exempt from charges for NHS hospital treatment. There is no centrally held budget for this group and costs should be borne by the Primary Care Trust or Care Trust in which the prison is located.

Ministry of Defence:

  • Upon enlistment, Primary Care Trusts and Care Trusts are required to de-register members of the British Armed Forces from their General Medical Practitioner Practice registration list and they should not be able to re-register until they have been discharged. During this time, the Ministry of Defence is responsible for their primary medical services which has specific contractual and entitlement arrangements with the NHS.
  • This does not apply to dependants of British Armed Forces members, who can remain registered with a General Medical Practitioner Practice.
  • XMD00 'Commissioner Code for Ministry of Defence (MoD) Healthcare' should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for members of British Armed Forces (not dependants).

Specialised Commissioning (England):

 

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ORGANISATION CODE (PROVIDER DECISION TO TREAT (CANCER))

Change to Data Element: Changed Description

Format/length:see ORGANISATION CODE 
HES item: 
Format/Length:see ORGANISATION CODE 
HES Item: 
National codes 
Default codes 


Notes:
ORGANISATION CODE (PROVIDER DECISION TO TREAT (CANCER)) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the ORGANISATION acting as Health Care Provider where the decision to treat the PATIENT was made which initiated a Cancer Care Plan with one or more Planned Cancer Treatments. The Planned Cancer Treatment may be planned and provided by a different Health Care Provider. The code may be derived automatically by NHS IT systems.

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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ORGANISATION CODE (PROVIDER FIRST SEEN)

Change to Data Element: Changed Description

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


Notes:
ORGANISATION CODE (PROVIDER FIRST SEEN) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider where the PATIENT is first seen. That is the Health Care Provider at the first Out-Patient Attendance Consultant, Imaging or Radiodiagnostic Event, CLINICAL INTERVENTION, Hospital Provider Spell, Accident and Emergency Attendance or Screening Test whichever is the earlier SERVICE related to the initial REFERRAL REQUEST.

This may be the same Health Care Provider as for ORGANISATION CODE (PROVIDER FIRST CANCER SPECIALIST) if the PATIENT was first seen by the appropriate specialist for cancer.

The code may be derived automatically by NHS IT systems.

Out-Patient Attendance Consultant is a CARE CONTACT where CARE CONTACT TYPE is National Code 27 'Out-Patient Attendance Consultant'.

Imaging or Radiodiagnostic Event is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 16 'Image or Radiodiagnostic Event'.

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

Accident and Emergency Attendance is a CARE CONTACT where CARE CONTACT TYPE is National Code 01 'Accident and Emergency Attendance'.

Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

 

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ORGANISATION CODE (RECEIVING)

Change to Data Element: Changed Description

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


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

ORGANISATION CODE (RECEIVING) is the same as the attribute ORGANISATION CODE.

This is the code of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.

 

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PATIENT HEALTH QUESTIONNAIRE SCORE

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes: 
Default Codes:W - No Score Recorded

Notes:
This is the PERSON SCORE for an APPOINTMENT where the ASSESSMENT TOOL TYPE is "Patient Health Questionnaire".This is the PERSON SCORE for an APPOINTMENT where the ASSESSMENT TOOL TYPE is "Patient Health Questionnaire-9".

The score will be between 00 and 27.

If one or two values are missing from the score, then they can be substituted with the average score of the non-missing items. Questionnaires with more than two missing values should be disregarded.

 

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PATIENT USUAL ADDRESS

Change to Data Element: Changed Description

Format/length:an175 (5 lines each an35)
HES item: 
Format/Length:an175 (5 lines each an35)
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the usual ADDRESS nominated by the PATIENT, with ADDRESS ASSOCIATION TYPE of 'Main Permanent Residence' or 'Other Permanent Residence'. For Commissioning Data Set functionality see ADDRESS FORMAT CODE.PATIENT USUAL ADDRESS is the usual ADDRESS nominated by the PATIENT, where the ADDRESS ASSOCIATION TYPE is 'Main Permanent Residence' or 'Other Permanent Residence'.

For Commissioning Data Set functionality see ADDRESS FORMAT CODE.

If PATIENTS usually resident elsewhere are staying in hotels, hostels or other residential establishments for a short term, say a week, they should be recorded as staying at their usual place of residence. However if long term, such as at boarding school, the school address must be recorded. University students may nominate either their home address or the address of their university accommodation. However if long term, such as at boarding school, the school ADDRESS must be recorded. University students may nominate either their home ADDRESS or the ADDRESS of their university accommodation.

Where PATIENTS are not capable of supplying this information, because of age or mental illness, for example, then the person responsible for the PATIENT, such as a parent or guardian, should nominate the usual address.Where PATIENTS are not capable of supplying this information, because of age or mental illness, for example, then the PERSON responsible for the PATIENT, such as a parent or guardian, should nominate the usual address.

PATIENTS not able to provide an address should be asked for their most recent address. If this cannot be established, record the address as `No fixed abode' or 'Address unknown'.PATIENTS not able to provide an ADDRESS should be asked for their most recent ADDRESS. If this cannot be established, record the ADDRESS as 'No fixed abode' or 'Address unknown'. These PATIENTS are regarded as resident in the local geographical district for commissioning purposes.

For birth episodes this should refer to the mother's usual place of residence.

The format of 5 lines of an35 conforms to ADDRESS FORMAT TYPE 'Unstructured Format'.The format of 5 lines of an35 conforms to ADDRESS FORMAT TYPE 'Unstructured Format'. The format refers to the physical layout of the address, not the logical layout, and does not require intelligent intervention when splitting the text string into lines. For example:

 Flat 1, 21 Arbuthnott Avenue, Pollo (35 chars)
 k Estate, Lesser Hinkley, Staffords (35 chars)
 hire (4 chars)

The PATIENT's name and address should be withheld from any commissioning record which contains a valid NHS NUMBER.The PATIENT's name and ADDRESS should be withheld from any commissioning record which contains a valid NHS NUMBER.

 

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PATIENT USUAL ADDRESS (AT DIAGNOSIS)

Change to Data Element: Changed Description

Format/Length:an175 (5 lines each an35)
HES Item: 
National Codes: 
Default Codes: 

Notes:
PATIENT USUAL ADDRESS (AT DIAGNOSIS) is the same as data element PATIENT USUAL ADDRESSPATIENT USUAL ADDRESS (AT DIAGNOSIS) is the PATIENT USUAL ADDRESS of the PATIENT at the time of PATIENT DIAGNOSIS.

 

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PATIENT USUAL ADDRESS (MOTHER)

Change to Data Element: Changed Description

Format/Length:See PATIENT USUAL ADDRESS
HES Item: 
National Codes: 
Default Codes: 

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

It records the mother's usual address within:PATIENT USUAL ADDRESS (MOTHER) is the PATIENT USUAL ADDRESS where it relates to the mother of the PATIENT.

Use in the Commissioning Data Set:

PATIENT USUAL ADDRESS (MOTHER) records the mother's usual address within:

 

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POSTCODE OF USUAL ADDRESS

Change to Data Element: Changed Description

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

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

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

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

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

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

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

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.1, Agreed 1 September 2002.
Further information can be found on the Cabinet Office website.

 

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REFERRER CODE

Change to Data Element: Changed Description

Format/Length:an8
HES Item:REFERRER
National Codes: 
ODS Default Codes:A9999998 - Ministry of Defence Doctor
 C9999998 - CONSULTANT GENERAL MEDICAL COUNCIL REFERENCE NUMBER not known
 CD999998 - Dental CONSULTANTGENERAL MEDICAL COUNCIL REFERENCE NUMBER / GENERAL DENTAL COUNCIL REGISTRATION NUMBER not known
 D9999998 - Dentist, Dental Practice Board (DPB) number not known
 R9999981 - Referrer other than GENERAL MEDICAL PRACTITIONER, GENERAL DENTAL PRACTITIONER or CONSULTANT 
 X9999998 - Not applicable, e.g. PATIENT has self-presented or not known

Notes:
This requires the code of the PERSON making the referral. This will normally be a CARE PROFESSIONAL - a GENERAL MEDICAL PRACTITIONER or a CONSULTANT.

The intention is for this item to reflect the actual (true) referrer. For example, following a GENERAL MEDICAL PRACTITIONER referral, a CONSULTANT may subsequently refer the PATIENT to another CONSULTANT within the Hospital Provider Spell. The code of the CONSULTANT making the referral and the CONSULTANTS ORGANISATION should be recorded in the Commissioning Data Set (CDS) rather than the code of the GENERAL MEDICAL PRACTITIONER referrer. This also applies where a CONSULTANT refers an NHS PATIENT to another doctor for NHS-commissioned treatment at another NHS Trust, a non-NHS provider, or an overseas provider. Where the CONSULTANT CODE is not known, the Organisation Data Service Default Code C9999998 should be used.

In all other cases, the code of the referring GENERAL MEDICAL PRACTITIONER should be recorded, if applicable. When a locum refers, use the GENERAL MEDICAL PRACTITIONER PPD CODE of the GENERAL PRACTITIONER for whom the locum is acting.

See CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER (SPECIFIED) for the codes available for CONSULTANTS and GENERAL MEDICAL PRACTITIONERS and GENERAL DENTAL PRACTITIONERS.

If the REFERRER CODE is not known or not applicable e.g., the PATIENT has self-presented, the Organisation Data Service Default Code (X9999998) should be used.

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

 

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SERUM CHOLESTEROL LEVEL

Change to Data Element: Changed Description

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

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

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

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

 

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SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National Codes:See SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY
Default Codes: 


Notes:
This is the same as attribute SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY. This indicates all other ACTIVITY provided and carried out by the Sexual and Reproductive Health Services at the point of contact/attendance.SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY is the same as attribute SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY.

This indicates all other ACTIVITY provided and carried out by the Sexual and Reproductive Health Services at the point of contact/attendance.

 

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SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE

Change to Data Element: Changed Description

Format/length:an5
HES item: 
National Codes: 
Format/Length:an5
HES Item: 
National Codes:See SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE
Default Codes: 

The medical condition or reason for a SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE.Notes: SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE is the same as attribute SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE. 

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TREATMENT FUNCTION CODE

Change to Data Element: Changed Description

Format/length:n3
HES item:TRETSPEF
Format/Length:n3
HES Item:TRETSPEF
National Codes:See TREATMENT FUNCTION CODE
Default codes:199 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly surgical
 499 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly medical


Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest.

Midwife Episodes and Nursing Episodes may use any appropriate TREATMENT FUNCTION CODE . The pseudo CONSULTANT MAIN SPECIALTY CODE of 950 for nurses must only be used for MAIN SPECIALTY CODE. The code 560 Midwife Episode can be used both as a MAIN SPECIALTY and a TREATMENT FUNCTION.

The default codes 199 and 499 are only applicable for overseas health care providers.

TREATMENT FUNCTION CODE will be replaced with ACTIVITY TREATMENT FUNCTION CODE, which should be used for all new and developing data sets and for XML messages.

Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.

Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.

 

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For enquiries, please email datastandards@nhs.net