Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1303
Version No:1.0
Subject:Update Patch in preparation for Commissioning Data Set Version 6-2
Effective Date:Immediate
Reason for Change:Patch
Publication Date:4 April 2012

Background:

This patch makes minor changes to the NHS Data Model and Dictionary in preparation for the Commissioning Data Set Version 6-2 Change Request.

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

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Summary of changes:

Supporting Information
ACCIDENT AND EMERGENCY ATTENDANCE CONCLUSION TIME renamed from A AND E ATTENDANCE CONCLUSION TIME   Changed Description, Name, Aliases
ACCIDENT AND EMERGENCY DEPARTURE TIME renamed from A AND E DEPARTURE TIME   Changed Description, Name, Aliases
ACCIDENT AND EMERGENCY INITIAL ASSESSMENT TIME renamed from A AND E INITIAL ASSESSMENT TIME   Changed Description, Name, Aliases
ACCIDENT AND EMERGENCY TIME SEEN FOR TREATMENT renamed from A AND E TIME SEEN FOR TREATMENT   Changed Description, Name, Aliases
MAIN SPECIALTY AND TREATMENT FUNCTION CODES   Changed Description
MENTAL HEALTH RESPONSIBLE CLINICIAN   Changed Description
 
Attribute Definitions
A AND E ATTENDANCE CATEGORY   Changed Description
A AND E INCIDENT LOCATION TYPE   Changed Description
A AND E INITIAL ASSESSMENT TRIAGE CATEGORY   Changed Description
ACTIVITY DATE TIME TYPE   Changed Description
 
Data Elements
A AND E ATTENDANCE CONCLUSION TIME   Changed Description
A AND E ATTENDANCE NUMBER   Changed Description
A AND E DEPARTMENT TYPE   Changed Description
A AND E DEPARTURE TIME   Changed Description
A AND E INCIDENT LOCATION TYPE   Changed Description
A AND E INITIAL ASSESSMENT TIME   Changed Description
A AND E PATIENT GROUP   Changed Description
A AND E STAFF MEMBER CODE   Changed Description
A AND E TIME SEEN FOR TREATMENT   Changed Description
 

Date:4 April 2012
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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ACCIDENT AND EMERGENCY ATTENDANCE CONCLUSION TIME  renamed from A AND E ATTENDANCE CONCLUSION TIME

Change to Supporting Information: Changed Description, Name, Aliases

A and E Attendance Conclusion Time is an ACTIVITY DATE TIME.Accident and Emergency Attendance Conclusion Time is an ACTIVITY DATE TIME.

The time, recorded using a 24 hour clock, that a PATIENT's Accident and Emergency Attendance concludes or when treatment in Accident and Emergency is completed (whichever is the later).Accident and Emergency Attendance Conclusion Time is the time, recorded using a 24 hour clock:

For those PATIENTS admitted into hospital, the A and E ATTENDANCE CONCLUSION TIME is recorded as the time when the DECISION TO ADMIT was made.

 

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ACCIDENT AND EMERGENCY ATTENDANCE CONCLUSION TIME  renamed from A AND E ATTENDANCE CONCLUSION TIME

Change to Supporting Information: Changed Description, Name, Aliases


ACCIDENT AND EMERGENCY DEPARTURE TIME  renamed from A AND E DEPARTURE TIME

Change to Supporting Information: Changed Description, Name, Aliases

A and E Departure Time is an ACTIVITY DATE TIME.Accident and Emergency Departure Time is an ACTIVITY DATE TIME.

The time recorded using a 24 hour clock, that a PATIENT leaves an Accident and Emergency Department after an Accident and Emergency Attendance has concluded.Accident and Emergency Departure Time is the time recorded using a 24 hour clock that a PATIENT leaves an Accident and Emergency Department after an Accident and Emergency Attendance has concluded.

Notes: This time will be different from the A and E Attendance Conclusion Time for PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a WARD.Notes: This time will be different from the Accident and Emergency Attendance Conclusion Time for PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a WARD. The PATIENT may leave the Accident and Emergency Department temporarily during an Accident and Emergency Attendance, e.g. for an X-ray but they remain under the care of an Accident and Emergency CONSULTANT.

 

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ACCIDENT AND EMERGENCY DEPARTURE TIME  renamed from A AND E DEPARTURE TIME

Change to Supporting Information: Changed Description, Name, Aliases


ACCIDENT AND EMERGENCY INITIAL ASSESSMENT TIME  renamed from A AND E INITIAL ASSESSMENT TIME

Change to Supporting Information: Changed Description, Name, Aliases

A and E Initial Assessment Time is an ACTIVITY DATE TIME.Accident and Emergency Initial Assessment Time is an ACTIVITY DATE TIME.

The time a PATIENT is assessed by medical or nursing staff in an Accident and Emergency Department to determine priority for treatment. The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.Accident and Emergency Initial Assessment Time is the time a PATIENT is assessed by medical or nursing staff in an Accident and Emergency Department to determine priority for treatment.

The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.

PATIENTS will be assessed within 15 minutes of their arrival in the Accident and Emergency Department.

 

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ACCIDENT AND EMERGENCY INITIAL ASSESSMENT TIME  renamed from A AND E INITIAL ASSESSMENT TIME

Change to Supporting Information: Changed Description, Name, Aliases


ACCIDENT AND EMERGENCY TIME SEEN FOR TREATMENT  renamed from A AND E TIME SEEN FOR TREATMENT

Change to Supporting Information: Changed Description, Name, Aliases

The time, recorded using the 24 hour clock, that the PATIENT is seen by a health professional to diagnose the problem and arrange or start tests and start treatment as necessary.Accident and Emergency Time Seen For Treatment is an ACTIVITY DATE TIME.

 Accident and Emergency Time Seen For Treatment is the time, recorded using the 24 hour clock, that the PATIENT is seen by a health professional to diagnose the problem and arrange or start tests and start treatment as necessary.

 

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ACCIDENT AND EMERGENCY TIME SEEN FOR TREATMENT  renamed from A AND E TIME SEEN FOR TREATMENT

Change to Supporting Information: Changed Description, Name, Aliases


MAIN SPECIALTY AND TREATMENT FUNCTION CODES

Change to Supporting Information: Changed Description


TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

Table 1 Main Specialty codes

 CodeMain Specialty Title
Surgical Specialties 
 100GENERAL SURGERY
 101UROLOGY
 110TRAUMA & ORTHOPAEDICS
 120ENT
 130OPHTHALMOLOGY
 140ORAL SURGERY
 141RESTORATIVE DENTISTRY
 142PAEDIATRIC DENTISTRY
 143ORTHODONTICS
 145ORAL & MAXILLO FACIAL SURGERY
 146ENDODONTICS
 147PERIODONTICS
 148PROSTHODONTICS
 149SURGICAL DENTISTRY
 150NEUROSURGERY
 160PLASTIC SURGERY
 170CARDIOTHORACIC SURGERY
 171PAEDIATRIC SURGERY
 180ACCIDENT & EMERGENCY
 191 Retired 
Medical Specialties 
 190ANAESTHETICS
 192CRITICAL CARE MEDICINE
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
*312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010) 
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
**325SPORTS AND EXERCISE MEDICINE
**326ACUTE INTERNAL MEDICINE
 330DERMATOLOGY
 340RESPIRATORY MEDICINE (also known as thoracic medicine)
 350INFECTIOUS DISEASES
 352TROPICAL MEDICINE
 360GENITOURINARY MEDICINE
 361NEPHROLOGY
 370MEDICAL ONCOLOGY
 371NUCLEAR MEDICINE
 400NEUROLOGY
 401CLINICAL NEURO-PHYSIOLOGY
 410RHEUMATOLOGY
 420PAEDIATRICS
 421PAEDIATRIC NEUROLOGY
 430GERIATRIC MEDICINE
 450DENTAL MEDICINE SPECIALTIES
**451SPECIAL CARE DENTISTRY
 460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
 501OBSTETRICS
 502GYNAECOLOGY
**504COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
 510 Retired 
 520 Retired 
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610 Retired 
 620 Retired 
Psychiatry 
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
Radiology 
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
Pathology 
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY AND VIROLOGY
 832 Retired 
**833MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
**834MEDICAL VIROLOGY
Other 
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990 Retired 

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
*Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.
**The functionality to report these MAIN SPECIALTY CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These MAIN SPECIALTY CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1).
  Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960.
  The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice
  Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic

Table 2 Treatment Function codes

CodeTreatment Function TitleComments
Surgical Specialties 
100GENERAL SURGERYIncludes sub-categories not elsewhere listed eg endocrine surgery.
101UROLOGY 
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERY 
107VASCULAR SURGERY 
110TRAUMA & ORTHOPAEDICS 
120ENTEar, nose and throat
130OPHTHALMOLOGY 
140ORAL SURGERY 
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRY 
143ORTHODONTICS 
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery.
150NEUROSURGERY 
160PLASTIC SURGERY 
161BURNS CARETo be used by recognised specialist units and associated outreach services only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERY 
173THORACIC SURGERY 
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180ACCIDENT & EMERGENCY 
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialties 
211PAEDIATRIC UROLOGYDedicated services to children with appropriate facilities and support staff
212PAEDIATRIC TRANSPLANTATION SURGERYDedicated services to children with appropriate facilities and support staff
213PAEDIATRIC GASTROINTESTINAL SURGERYDedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSDedicated services to children with appropriate facilities and support staff.
215PAEDIATRIC EAR NOSE AND THROATDedicated services to children with appropriate facilities and support staff
216PAEDIATRIC OPHTHALMOLOGYDedicated services to children with appropriate facilities and support staff
217PAEDIATRIC MAXILLO-FACIAL SURGERYDedicated services to children with appropriate facilities and support staff
218PAEDIATRIC NEUROSURGERYDedicated services to children with appropriate facilities and support staff
219PAEDIATRIC PLASTIC SURGERYDedicated services to children with appropriate facilities and support staff
220PAEDIATRIC BURNS CAREDedicated services to children with appropriate facilities and support staff
221PAEDIATRIC CARDIAC SURGERYDedicated services to children with appropriate facilities and support staff
222PAEDIATRIC THORACIC SURGERYDedicated services to children with appropriate facilities and support staff
241PAEDIATRIC PAIN MANAGEMENTDedicated services to children with appropriate facilities and support staff
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYDedicated services to children with appropriate facilities and support staff
252PAEDIATRIC ENDOCRINOLOGYDedicated services to children with appropriate facilities and support staff
253PAEDIATRIC CLINICAL HAEMATOLOGYDedicated services to children with appropriate facilities and support staff
254PAEDIATRIC AUDIOLOGICAL MEDICINEDedicated services to children with appropriate facilities and support staff
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGYDedicated services to children with appropriate facilities and support staff
256PAEDIATRIC INFECTIOUS DISEASESDedicated services to children with appropriate facilities and support staff
257PAEDIATRIC DERMATOLOGYDedicated services to children with appropriate facilities and support staff
258PAEDIATRIC RESPIRATORY MEDICINEDedicated services to children with appropriate facilities and support staff
259PAEDIATRIC NEPHROLOGYDedicated services to children with appropriate facilities and support staff
260PAEDIATRIC MEDICAL ONCOLOGYDedicated services to children with appropriate facilities and support staff
261PAEDIATRIC METABOLIC DISEASEDedicated services to children with appropriate facilities and support staff
262PAEDIATRIC RHEUMATOLOGYDedicated services to children with appropriate facilities and support staff
263**PAEDIATRIC DIABETIC MEDICINEDedicated services to children with appropriate facilities and support staff
264**PAEDIATRIC CYSTIC FIBROSISDedicated services to children with appropriate facilities and support staff
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDedicated services to children with appropriate facilities and support staff
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291PAEDIATRIC NEURO-DISABILITYDedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
Medical Specialties 
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191.
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed eg metabolic medicine.
301GASTROENTEROLOGY 
302ENDOCRINOLOGY 
303CLINICAL HAEMATOLOGYExcludes ANTICOAGULANT SERVICE see 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305CLINICAL PHARMACOLOGY 
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINE 
308BLOOD AND MARROW TRANSPLANTATIONPreviously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309HAEMOPHILIAPreviously in Clinical Haematology
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311CLINICAL GENETICSTo be used by recognised specialist units and associated outreach services only.
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGYShould only be used where there are no separate services for Clinical Immunology and Allergy
314REHABILITATION 
315PALLIATIVE MEDICINE 
316CLINICAL IMMUNOLOGY 
317ALLERGYThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARE 
320CARDIOLOGY 
321PAEDIATRIC CARDIOLOGY 
322CLINICAL MICROBIOLOGY 
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach services only.
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
325**SPORT AND EXERCISE MEDICINEThe diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment.
327**CARDIAC REHABILITATIONRehabilitation service for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health.
328**STROKE MEDICINEFor stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329**TRANSIENT ISCHAEMIC ATTACKA multidisciplinary service for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
330DERMATOLOGY 
340RESPIRATORY MEDICINEAlso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
342**PROGRAMMED PULMONARY REHABILITATIONA multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy.
343**ADULT CYSTIC FIBROSISSpecialised, multidisciplinary service concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer.
371NUCLEAR MEDICINE 
400NEUROLOGY 
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410RHEUMATOLOGY 
420PAEDIATRICS 
421PAEDIATRIC NEUROLOGY 
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care.
424WELL BABIESCare given by the mother/substitute with medical and neonatal nursing advice if needed
430GERIATRIC MEDICINE 
450DENTAL MEDICINE SPECIALTIESIncludes oral medicine.
460MEDICAL OPHTHALMOLOGY 
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations.
503GYNAECOLOGICAL ONCOLOGY 
510 Retired Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required 
520 Retired Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required 
560MIDWIFE EPISODE 
600not a Treatment Function 
610 Retired Record as Obstetrics 
620 Retired Use the appropriate function under which the patient is treated 
Therapies 
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties.
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654DIETETICSThe application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment.
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders.
657**PROSTHETICSThe supply of prosthetics for PATIENTS.
658**ORTHOTICSThe supply of orthoses for PATIENTS.
659**DRAMATHERAPYThe use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes.
660**ART THERAPYThe use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication.
661**MUSIC THERAPYThe use of music and all of its facets to help clients to improve or maintain their health.
662**OPTOMETRYThe diagnosis and non-surgical treatment of disorders of the eye and vision care.
Psychiatry 
700LEARNING DISABILITY 
710ADULT MENTAL ILLNESS 
711CHILD and ADOLESCENT PSYCHIATRY 
712FORENSIC PSYCHIATRY 
713PSYCHOTHERAPY 
715OLD AGE PSYCHIATRY 
720EATING DISORDERSA specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721ADDICTION SERVICESThe psychiatric prevention and treatment of substance misuse including drugs and alcohol
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724PERINATAL PSYCHIATRYA specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
Radiology 
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYNot to be used for diagnostic imaging.
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
Pathology 
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only.
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832 Retired  
834**MEDICAL VIROLOGYThe diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and newly emerging viruses such as SARS and avian flu.
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
Other 
900not a Treatment Function 
901not a Treatment Function 
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990 Retired  

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
** The functionality to report these TREATMENT FUNCTION CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1)
 TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES 
 GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
  Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

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MENTAL HEALTH RESPONSIBLE CLINICIAN

Change to Supporting Information: Changed Description

A CARE PROFESSIONAL, with a MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION within a particular TREATMENT FUNCTION, to act as the clinical supervisor for a Mental Health Care Spell.

There will be only one CARE PROFESSIONAL assigned to a PATIENT as the Mental Health Responsible Clinician at any one time. These assignments may change during the course of a Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.

The role of Mental Health Responsible Clinician was introduced in the Mental Health Act 2007 and replaces the role of the Responsible Medical Officer.

Information recorded for a Mental Health Responsible Clinician includes:

START DATE
END DATE   O
CARE PROFESSIONAL IDENTIFIER of the Mental Health Responsible Clinician
TREATMENT FUNCTION CODE under which the Mental Health Responsible Clinician is acting when treating the PATIENTTREATMENT FUNCTION CODE under which the Mental Health Responsible Clinician is acting when treating the PATIENT
MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION
 

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A AND E ATTENDANCE CATEGORY

Change to Attribute: Changed Description

An indication of whether a PATIENT is making first or follow-up attendance at a particular Accident and Emergency Department.

Note:
An attendance at a Consultant Clinic following an Accident and Emergency Attendance is an Out-Patient Attendance Consultant and not an Accident and Emergency Attendance even if the clinic may be held in or near the Accident and Emergency Department, e.g. a Fracture Clinic.

National Codes:

1First Accident And Emergency Attendance - the first in a series, or the only attendance, in a particular Accident And Emergency Episode
2Follow-up Accident And Emergency Attendance - planned: a subsequent planned attendance at the same department, and for the same incident as the first attendance
3Follow-up Accident And Emergency Attendance - unplanned: a subsequent unplanned attendance at the same department, and for the same incident as the first attendance
1First Accident and Emergency Attendance - the first in a series, or the only attendance, in a particular Accident and Emergency Episode
2Follow-up Accident and Emergency Attendance - planned: a subsequent planned attendance at the same department, and for the same incident as the first attendance
3Follow-up Accident and Emergency Attendance - unplanned: a subsequent unplanned attendance at the same department, and for the same incident as the first attendance
 

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A AND E INCIDENT LOCATION TYPE

Change to Attribute: Changed Description

The type of place where the incident occurred which led to an Accident and Emergency Episode.

Note: This applies to trauma and accident cases only.

National Codes:

10Home
40Work
50Educational Establishment
50Educational Establishment
60Public place
91Other
 

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A AND E INITIAL ASSESSMENT TRIAGE CATEGORY

Change to Attribute: Changed Description

The category assigned to a PATIENT as a result of an initial assessment by medical or nursing staff in an Accident and Emergency Department. The triage category is used to determine the PATIENT's priority for treatment, and to inform the PATIENT of their waiting time.

The triage category is used to determine the PATIENT's priority for treatment, and to inform the PATIENT of their waiting time.

National Codes:

1.Immediate resuscitation.
Patients in need of immediate treatment for preservation of life.
2.Very urgent.
Seriously ill or injured patients whose lives are not in immediate danger.
3.Urgent.
Patients with serious problems, but apparently stable condition.
4.Standard.
Standard A&E cases without immediate danger or distress.
5.Non-urgent.
Patients whose conditions are not true accidents or emergencies.
1Immediate resuscitation.
PATIENTS in need of immediate treatment for preservation of life.
2Very urgent.
Seriously ill or injured PATIENTS whose lives are not in immediate danger.
3Urgent.
PATIENTS with serious problems, but apparently stable condition.
4Standard.
Standard A&E cases without immediate danger or distress.
5Non-urgent.
PATIENTS whose conditions are not true accidents or emergencies.

References:
Triage and casemix accident and emergency medicine. Marrow, J. European Journal of Emergency Medicine 1998; 5: 53-58

 

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ACTIVITY DATE TIME TYPE

Change to Attribute: Changed Description

The classification of a date or time that that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many dates and times associated with it but may only have one date or time of a particular type.

National Codes:

Dates

01Angiogram Date
02Arrival Date
03Breast Assessment Date
04Cancer Dental Assessment Date
05Colorectal or Stoma Nurse Seen Date
06Coronary Angiography Date
07Care Programme Approach Review Date
08Date Biopsy Taken
09Discharge Date
10Discharge Ready Date
11End Date
12Event Date
13Expected Delivery Date
14First Antenatal Assessment Date
15Full Postnatal Examination Date
16Initial Patient Contact Date
17Investigation Transfer Date
18Intrauterine Device Application Date
19Intrauterine Device Fitted Date
20Last Dosage Date
21Mental Health Care Assessment Date
22Miscarriage Date
23Pathology Result Due Date
24Patient Informed Biopsy Result Date
25Patient Informed Of Outcome Date
26SMOKING QUIT DATE
27Review Planned Date
28Screening Result Date
29Screening Result Sent Date
30Specialist Palliative Care Date
31Start Date
32Symptoms First Noted Date
33Attendance Date
34Clinical Intervention Date
35Immunisation Completion Date
36Clinical Status Assessment Date
37Dose Given Date
38Test Date
39Contact Date
40Appointment Date
41Primary Procedure Date
42Second Operation Date
43Speech and Swallowing Assessment Date
44Third Operation Date
45Date First Seen
46Statutory Assessment Date
47Screening Test Date
48Genitourinary Care Contact Date
49Consultant Upgrade Date
101Referral Closure Date (Community Care)
102Discharge Letter Issued Date (Community Care)
103Systemic Anti-Cancer Therapy Administration Date

Note: This list is not in alphabetical order.

Times

50A and E ATTENDANCE CONCLUSION TIME
51A and E DEPARTURE TIME
52A and E INITIAL ASSESSMENT TIME
53A and E TIME SEEN FOR TREATMENT
50Accident and Emergency Attendance Conclusion Time
51Accident and Emergency Departure Time
52Accident and Emergency Initial Assessment Time
53Accident and Emergency Time Seen For Treatment
54Arrival At Hospital Time
55ARRIVAL TIME
56End Time
57Event Time
58Initial Patient Contact Time
59Last Dosage Time
60Pathology Result Due Time
61Start Time
62Theatre Case Time In To Theatre Suite
63Theatre Case Time Out Of Theatre
64Theatre Case Time Out Of Theatre Suite
65Time Seen
66Discharge Ready Time

Note: This list is not in alphabetical order.

 

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A AND E ATTENDANCE CONCLUSION TIME

Change to Data Element: Changed Description

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


Notes:
The time, recorded using a 24 hour clock, that a PATIENT's Accident and Emergency Attendance concludes or when treatment in Accident and Emergency is completed (whichever is the later).

For those PATIENTS admitted into hospital, the A and E ATTENDANCE CONCLUSION TIME is recorded as the time when the DECISION TO ADMIT was made.

A and E ATTENDANCE CONCLUSION TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 50 'A+E Attendance Conclusion Time'.

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

A and E ATTENDANCE CONCLUSION TIME is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Accident and Emergency Attendance Conclusion Time'. 

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A AND E ATTENDANCE NUMBER

Change to Data Element: Changed Description

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


Notes:
A number allocated by an Accident and Emergency Department to provide a unique identifier for each Accident and Emergency Attendance.

A and E ATTENDANCE NUMBER is same as attribute ACTIVITY IDENTIFIER.

A and E ATTENDANCE NUMBER is the same as attribute ACTIVITY IDENTIFIER of ACTIVITYA and E ATTENDANCE NUMBER is a number allocated by an Accident and Emergency Department to provide a unique identifier for each Accident and Emergency Attendance.

Accident and Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

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

 

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A AND E DEPARTMENT TYPE

Change to Data Element: Changed Description

Format/length:an2
HES item: 
Format/Length:an2
HES Item: 
National Codes:See ACCIDENT AND EMERGENCY DEPARTMENT TYPE
Default Codes: 


Notes:
A and E DEPARTMENT TYPE is the same as attribute ACCIDENT AND EMERGENCY DEPARTMENT TYPE.

A classification of ACCIDENT AND EMERGENCY DEPARTMENT TYPE according to the ACTIVITY performed.

 

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A AND E DEPARTURE TIME

Change to Data Element: Changed Description

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

Notes:
A and E DEPARTURE TIME is the time that a PATIENT leaves the Accident and Emergency Department after an Accident and Emergency Attendance has concluded and the department is no longer responsible for the care of the PATIENT.

Do not record temporary absences from the Accident and Emergency Department as departures; for example, during an Accident and Emergency Attendance the PATIENT may leave the department for a short time for an X-ray, but they remain under the care of an Accident and Emergency CONSULTANT. Note that A and E ATTENDANCE CONCLUSION TIME and A AND E DEPARTURE TIMES will be different for those PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a ward.

A and E DEPARTURE TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 51 'A+E Departure Time'.

Accident and Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

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

A and E DEPARTURE TIME is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Accident and Emergency Departure Time. 

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A AND E INCIDENT LOCATION TYPE

Change to Data Element: Changed Description

Format/length:an2
HES item: 
Format/Length:an2
HES Item: 
National Codes:See A AND E INCIDENT LOCATION TYPE
Default Codes: 


Notes:
A and E INCIDENT LOCATION TYPE is the same as attribute A AND E INCIDENT LOCATION TYPE.

The National Codes are not mutually exclusive; for example, an accident could happen at work which is also a School.

The classifications are not mutually exclusive; for example, an accident could happen at work which is also a School. In such cases, the selection of the classification needs to be based on the status of the PATIENT. If he or she is a member of staff of the school, the A and E INCIDENT LOCATION TYPE would be Work; if he or she is a student, it would be Educational Establishment.In such cases, the selection of the National Code should be based on the status of the PATIENT.

 If the PATIENT:

 

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A AND E INITIAL ASSESSMENT TIME

Change to Data Element: Changed Description

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


Notes:
The time a PATIENT is assessed by medical or nursing staff in an Accident and Emergency Department to determine priority for treatment, for first and unplanned follow-up attendances only. The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.

PATIENTS will be assessed within 15 minutes of their arrival in the Accident and Emergency Department, for first and unplanned follow-up attendances only.

A and E INITIAL ASSESSMENT TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 52 'A+E Initial Assessment Time'.

Accident and Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

A and E INITIAL ASSESSMENT TIME is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Accident and Emergency Initial Assessment Time'.  

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A AND E PATIENT GROUP

Change to Data Element: Changed Description

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

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

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A AND E STAFF MEMBER CODE

Change to Data Element: Changed Description

Format/length:an3
HES item: 
Format/Length:an3
HES Item: 
National Codes: 
Default Codes: 


Notes:
A locally determined code used to identify the PERSON principally responsible for the care of a PATIENT during an Accident and Emergency Attendance. In the majority of cases this will be the PERSON who took responsibility for the discharge of the PATIENT.

A and E STAFF MEMBER CODE is the same as attribute CARE PROFESSIONAL IDENTIFIER.

A and E STAFF MEMBER CODE is the same as attribute CARE PROFESSIONAL IDENTIFIER of CARE PROFESSIONAL.A and E STAFF MEMBER CODE is a locally determined code used to identify the PERSON principally responsible for the care of a PATIENT during an Accident and Emergency Attendance.

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

 

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A AND E TIME SEEN FOR TREATMENT

Change to Data Element: Changed Description

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


Notes:
The time, recorded using the 24 hour clock, that the PATIENT is seen by a health professional to diagnose the problem and arrange or start tests and start treatment as necessary.

A and E TIME SEEN FOR TREATMENT is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 53 'A+E Time Seen For Treatment'.

A and E TIME SEEN FOR TREATMENT is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Accident and Emergency Time Seen For Treatment'. 

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