NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1706
Version No:1.0
Subject:March 2019 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:21 March 2019

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the March 2019 Release and includes:

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: https://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

Note: if the web page does not open, please copy the link and paste into the web browser.

Summary of changes:

Diagrams
ACTIVITY DIAGRAM   Changed Diagram
CANCER OUTCOMES AND SERVICES DIAGRAM   Changed Diagram
COMMUNITY SERVICES DIAGRAM   Changed Diagram
HIV AND AIDS DIAGRAM   Changed Diagram
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM   Changed Diagram
MATERNITY SERVICES DIAGRAM   Changed Diagram
NATIONAL RENAL DIAGRAM   Changed Diagram
PATIENT PATHWAY DIAGRAM   Changed Diagram
SERVICE REQUEST DIAGRAM   Changed Diagram
 
Data Set
IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50)   Changed Description
REFERRAL TO TREATMENT DATA SET   Changed Description
 
Central Return Forms
KH12 1   Changed Description
KH12 2   Changed Description
 
Supporting Information
ABLATIVE THERAPY   Changed Description
ACCESSIBLE INFORMATION   Changed Description
ACCIDENT AND EMERGENCY DATE SEEN FOR TREATMENT   Changed Description
ACCIDENT AND EMERGENCY DEPARTURE DATE   Changed Description
ACCIDENT AND EMERGENCY DEPARTURE TIME   Changed Description
ACCIDENT AND EMERGENCY INITIAL ASSESSMENT DATE renamed from ACCIDENT AND EMERGENCY INITIAL ASSESSMENT DATE   Changed Name, Description
ACCIDENT AND EMERGENCY INITIAL ASSESSMENT TIME   Changed Description
ACCIDENT AND EMERGENCY TIME SEEN FOR TREATMENT   Changed Description
ADULT COMORBIDITY EVALUATION - 27   Changed Description
ANTENATAL BOOKING APPOINTMENT   Changed Description
ARRIVAL DATE AT ACCIDENT AND EMERGENCY DEPARTMENT   Changed Description
ARRIVAL TIME AT ACCIDENT AND EMERGENCY DEPARTMENT   Changed Description
BARCELONA CLINIC LIVER CANCER STAGING SYSTEM   Changed Description
BINET CLASSIFICATION   Changed Description
BIOLOGICAL THERAPY   Changed Description
BRACHYTHERAPY   Changed Description
BRESLOW THICKNESS   Changed Description
CARE HOME   Changed Description
CARE HOME WITH NURSING   Changed Description
CARE HOME WITHOUT NURSING   Changed Description
CARE QUALITY COMMISSION   Changed Description
CERVICAL INTRA-EPITHELIAL NEOPLASIA   Changed Description
CHEMORADIOTHERAPY   Changed Description
CLINICAL COMMISSIONING GROUP   Changed Description
COMMISSIONING DATA SET BUSINESS RULES   Changed Description
COMMISSIONING DATA SET NOTATION   Changed Description
COVER OF VACCINATION EVALUATED RAPIDLY (COVER) DATA SET OVERVIEW   Changed Description
CRYOTHERAPY   Changed Description
DATA SERVICES FOR COMMISSIONERS   Changed Description
DATA SERVICES FOR COMMISSIONERS REGIONAL OFFICE renamed from DATA SERVICES FOR COMMISSIONERS REGIONAL OFFICE   Changed Name, Description
DATING ULTRASOUND SCAN   Changed Description
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW   Changed Description
DIAGNOSTICS WAITING TIMES CENSUS DATA SET OVERVIEW   Changed Description
EU DIRECTIVE   Changed Description
FEMALE GENITAL MUTILATION DATA SET OVERVIEW   Changed Description
FETAL ANOMALY ULTRASOUND SCAN   Changed Description
GENERAL MEDICAL COUNCIL   Changed Description
GENERAL MEDICAL COUNCIL GP REGISTER   Changed Description
GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS   Changed Description
GENERAL PHARMACEUTICAL COUNCIL   Changed Description
GENERAL PHARMACEUTICAL COUNCIL REGISTER   Changed Description
GLEASON GRADING SYSTEM   Changed Description
HEALTHCARE RESOURCE GROUP   Changed Description
HEALTH OF THE NATION OUTCOME SCALE (WORKING AGE ADULTS)   Changed Description
HORMONE THERAPY   Changed Description
HOSPITAL EPISODE STATISTICS   Changed Description
HYPERBARIC OXYGEN THERAPY   Changed Description
IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50) OVERVIEW   Changed Description
IMMUNOTHERAPY   Changed Description
INDEX   Changed Description
INFANT PHYSICAL EXAMINATION   Changed Description
INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE   Changed Description
INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA   Changed Description
INTERNATIONAL COMMISSION ON RADIATION UNITS AND MEASUREMENTS   Changed Description
INTERNATIONAL FEDERATION OF GYNECOLOGY AND OBSTETRICS   Changed Description
INTERNATIONAL NEUROBLASTOMA RISK GROUP STAGING SYSTEM   Changed Description
INTERNATIONAL PROGNOSTIC SCORING SYSTEM   Changed Description
INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY   Changed Description
INTERNATIONAL STAGING SYSTEM   Changed Description
INTER-PROVIDER TRANSFER ADMINISTRATIVE MINIMUM DATA SET OVERVIEW   Changed Description
INTRAOPERATIVE ULTRASOUND   Changed Description
LAPAROSCOPY   Changed Description
LASER TREATMENT   Changed Description
LESION   Changed Description
LIGHT THERAPY   Changed Description
LYMPH NODE   Changed Description
NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW   Changed Description
NATIONAL CASEMIX OFFICE   Changed Description
NATIONAL CONTACT POINT   Changed Description
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE   Changed Description
NATIONAL WORKFORCE DATA SET OVERVIEW   Changed Description
NEONATAL DATA ANALYSIS UNIT   Changed Description
NEWBORN BLOOD SPOT TEST   Changed Description
NEWBORN HEARING SCREENING   Changed Description
NEWBORN PHYSICAL EXAMINATION   Changed Description
NHS DATA MODEL AND DICTIONARY SERVICE   Changed Description
NHS DIGITAL   Changed Description
NHS FOUNDATION TRUST   Changed Description
NHS HEALTH CHECKS DATA SET OVERVIEW   Changed Description
NHS NEWBORN AND INFANT PHYSICAL EXAMINATION PROGRAMME   Changed Description
NURSE (LEVEL ONE)   Changed Description
NURSING AND MIDWIFERY COUNCIL   Changed Description
OMNIBUS SURVEY   Changed Description
PHARMACY PREMISES   Changed Description
PHOTODYNAMIC THERAPY   Changed Description
PRETEXT STAGING SYSTEM   Changed Description
PROTON THERAPY   Changed Description
PSORALEN AND ULTRAVIOLET A THERAPY   Changed Description
QUARTERLY BED AVAILABILITY AND OCCUPANCY DATA SET OVERVIEW   Changed Description
RADIOFREQUENCY ABLATION   Changed Description
RADIOISOTOPE THERAPY   Changed Description
RADIOSURGERY   Changed Description
RADIOTHERAPY   Changed Description
REFERRAL TO TREATMENT DATA SET OVERVIEW   Changed Description
SENTINEL LYMPH NODE   Changed Description
SENTINEL LYMPH NODE BIOPSY   Changed Description
STANDARDISATION COMMITTEE FOR CARE INFORMATION   Changed Description
ST JUDE SYSTEM   Changed Description
STRATEGIC DATA COLLECTION SERVICE   Changed Description
TNM STAGING SYSTEM   Changed Description
TUMOUR   Changed Description
VENOUS THROMBOEMBOLISM RISK ASSESSMENT DATA SET OVERVIEW   Changed Description
VENOUS THROMBOEMBOLISM RISK ASSESSMENT TOOL   Changed Description
WHAT'S NEW: MARCH 2019 renamed from WHAT'S NEW: DECEMBER 2018   Changed Name, Description
WILMS TUMOUR STAGE   Changed Description
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
CANCER STAGING   Changed Description
CARE CONTACT   Changed Attributes
PERSON SCORE   Changed Attributes
 
Attribute Definitions
ACCIDENT AND EMERGENCY ARRIVAL MODE   Changed Description
ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL   Changed Description
ACTIVITY DATE TYPE   Changed Description
APPOINTMENT SLOT SHORT NOTICE CANCELLATION INDICATOR   Changed Description
CANCER CARE SPELL DELAY REASON COMMENT   Changed Description
COUNTRY CODE   Changed Description
GENERAL MEDICAL COUNCIL REFERENCE NUMBER   Changed Description
INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA   Changed Description
NHS OCCUPATION CODE   Changed Description
ORGANISATION CODE   Changed Description
PERSON STATED NATIONALITY   Changed Description
PRETEXT STAGING SYSTEM STAGE   Changed Description
PRIORITY TYPE   Changed Description
PRIVATE CONTROLLED DRUG PRESCRIBER CODE   Changed Description
REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION DATA SET   Changed Description
 
Data Elements
ACCIDENT AND EMERGENCY INVESTIGATION - FIRST   Changed Description
ACCIDENT AND EMERGENCY INVESTIGATION - SECOND   Changed Description
ACCIDENT AND EMERGENCY TREATMENT - FIRST   Changed Description
ACCIDENT AND EMERGENCY TREATMENT - SECOND   Changed Description
ACTIVITY TREATMENT FUNCTION CODE   Changed Description
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)   Changed Description
ADVANCED CARDIOVASCULAR SUPPORT DAYS   Changed Description
ADVANCED RESPIRATORY SUPPORT DAYS   Changed Description
AGE AT CDS ACTIVITY DATE   Changed Description
AGE ON ADMISSION   Changed Description
BASIC CARDIOVASCULAR SUPPORT DAYS   Changed Description
BASIC RESPIRATORY SUPPORT DAYS   Changed Description
CARE PROFESSIONAL MAIN SPECIALTY CODE   Changed Description
COMMISSIONING SERIAL NUMBER   Changed Description
COSDS SUBMISSION IDENTIFIER   Changed Description
COUNTRY CODE (BIRTH)   Changed Description
COUNTRY CODE (FATHER BIRTH)   Changed Description
COUNTRY CODE (FATHER ORIGIN)   Changed Description
COUNTRY CODE (FEMALE GENITAL MUTILATION PERFORMED)   Changed Description
COUNTRY CODE (ORIGIN)   Changed Description
CRITICAL CARE DISCHARGE DATE   Changed Description, linked Attribute
CRITICAL CARE LEVEL 2 DAYS   Changed Description
CRITICAL CARE LEVEL 3 DAYS   Changed Description
CRITICAL CARE START DATE   Changed Description
CRITICAL CARE UNIT FUNCTION   Changed Description
DATE OF ASSAULT ON PATIENT   Changed Description
DATE OF BIRTH (PATIENT IDENTIFICATION)   Changed Description
DATE OF SELF-HARM   Changed Description
DEATH CAUSE ICD CODE   Changed Description
DEATH CAUSE RECORDED TEXT   Changed Description
DELIVERY DATE   Changed Description
DERMATOLOGICAL SUPPORT DAYS   Changed Description
DIAGNOSTIC TEST (ENDOSCOPY)   Changed Description
DIAGNOSTIC TEST (ENDOSCOPY CENSUS)   Changed Description
DIAGNOSTIC TEST (IMAGING)   Changed Description
DIAGNOSTIC TEST (IMAGING CENSUS)   Changed Description
DIAGNOSTIC TEST (PATHOLOGY CENSUS)   Changed Description
DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)   Changed Description
DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT CENSUS)   Changed Description
DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)   Changed Description
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)   Changed Description
DISTANCE TO SEROSA (RETIRED)   Changed linked Attribute
ELIGIBLE POPULATION IMMUNISED PERCENTAGE   Changed Description
END DATE (EPISODE)   Changed Description
EPISODE NUMBER   Changed Description
FIRST ATTENDANCE CODE   Changed Description
GROUP SESSION DATE   Changed Description
HIV POSITIVE PARTNERS IN LAST THREE MONTHS INDICATOR (PENETRATIVE SEX MALE SAME SEX PARTNERS) renamed from HIV POSITIVE PARTNERS IN LAST THREE MONTHS INDICATOR (PENETRATIVE SEX MALE SAME SEX PARTNERS)   Changed Name
HOSPITAL PROVIDER SPELL NUMBER   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER   Changed Description
INTENDED DIAGNOSTIC TEST   Changed Description
LIVER SUPPORT DAYS   Changed Description
MAIN SPECIALTY CATEGORY CODE FOR BED AVAILABILITY AND OCCUPANCY   Changed Description
NEONATAL LEVEL OF CARE CODE   Changed Description
NEUROLOGICAL SUPPORT DAYS   Changed Description
NHS NUMBER   Changed Description
ORGANISATION CODE (CODE OF PROVIDER)   Changed Description
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (CODE OF PROVIDER)   Changed Description
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)   Changed Description
ORIGINAL DECIDED TO ADMIT DATE   Changed Description
PATIENT CLASSIFICATION CODE   Changed Description
PDS COUNTRY OF BIRTH   Changed Description
PERSON FAMILY NAME   Changed Description
PERSON FAMILY NAME (AT BIRTH)   Changed Description
PERSON FAMILY NAME (MOTHER OF BABY)   Changed Description
PERSON GENDER CODE CURRENT   Changed Description
PERSON GIVEN NAME   Changed Description
PERSON GIVEN NAME (MOTHER OF BABY)   Changed Description
PERSON NAME (SPECIFIED GENERAL MEDICAL PRACTITIONER)   Changed Description
PERSON NAME SUFFIX   Changed Description
PERSON TITLE   Changed Description
PRE EXPOSURE PROPHYLAXIS DRUG REGIMEN CODE   Changed Description
PRE EXPOSURE PROPHYLAXIS ELIGIBILITY REASON   Changed Description
PRE EXPOSURE PROPHYLAXIS OFFER STATUS CODE   Changed Description
PRE EXPOSURE PROPHYLAXIS STOPPED REASON   Changed Description
PRIMARY DIAGNOSIS (ICD)   Changed Description
PRISONER INDICATOR   Changed Description
RENAL SUPPORT DAYS   Changed Description
SECONDARY DIAGNOSIS (ICD)   Changed Description
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)   Changed Description
STANDARDISED DETECTION RATIO TOTAL   Changed Description
START DATE (EPISODE)   Changed Description
START DATE (HOSPITAL PROVIDER SPELL)   Changed Description
TIME OF BIRTH (PATIENT IDENTIFICATION)   Changed Description
 

Date:21 March 2019
Sponsor:Alex Elias, Information Representation Services Director, NHS Digital

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

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ACTIVITY DIAGRAM

Change to Diagram: Changed Diagram

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CANCER OUTCOMES AND SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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COMMUNITY SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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HIV AND AIDS DIAGRAM

Change to Diagram: Changed Diagram

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM

Change to Diagram: Changed Diagram

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MATERNITY SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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NATIONAL RENAL DIAGRAM

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PATIENT PATHWAY DIAGRAM

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SERVICE REQUEST DIAGRAM

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IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50)

Change to Data Set: Changed Description

This return is suspended.
For further information, see the NHS Digital website at: Immunisation Programmes Collection (KC50).For further information, see the NHS Digital website at: Immunisation Programmes Collection (KC50).

Immunisation Programmes Activity Data Set (KC50) Overview

Data Set Data Elements
Organisation details:
To carry details of the responsible Primary Care Trust.
One occurrence of each Data Element is permitted.
ORGANISATION CODE (RESPONSIBLE PCT)
REPORTING PERIOD START DATE
REPORTING PERIOD END DATE
Part A (i): IMMUNISATION PROGRAMME ACTIVITY FOR DIPHTHERIA, TETANUS AND POLIO (Td/IPV). 
To carry details of the eligible population for vaccination, and vaccinations given for immunisation against Diphtheria, Tetanus and Polio (Td/IPV).
Multiple occurrences of this group are permitted, one for each IMMUNISATION AGE GROUP reported.
IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO)
ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO)
IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO)
Part A (ii): IMMUNISATION PROGRAMME ACTIVITY FOR MEASLES, MUMPS AND RUBELLA (MMR).
To carry details of the eligible population for vaccination, and vaccinations given for immunisation against Measles, Mumps and Rubella (MMR).
Multiple occurrences of this group are permitted, one for each IMMUNISATION AGE GROUP reported.
IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA)
ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA)
IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA)
Part B (i): IMMUNISATION PROGRAMME ACTIVITY - MANTOUX TESTS FOR TUBERCULOSIS (BCG).
To carry details of the delivery of Mantoux tests as part of a Test of Immunity for Tuberculosis (BCG).
Multiple occurrences of this group are permitted, one for each IMMUNISATION AGE GROUP reported.
IMMUNISATION AGE GROUP (TUBERCULOSIS)
MANTOUX TESTS PERFORMED TOTAL (TUBERCULOSIS)
Part B (ii): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG).
To carry details of the eligible population for vaccination, and vaccinations given for immunisation against Tuberculosis (BCG).
Multiple occurrences of this group are permitted, one for each IMMUNISATION AGE GROUP reported.
IMMUNISATION AGE GROUP (TUBERCULOSIS)
ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)
IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS)
Part C (i): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1.
To carry details of the eligible population for vaccination, and vaccinations against Tuberculosis (BCG), for Persons aged under 1 year.
Multiple occurrences of this group are permitted, one for each IMMUNISATION PROGRAMME TYPE reported.
IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS)
ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)
IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS)
Part C (ii) SUMMARISED IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1.
To carry details of the delivery of vaccinations against Tuberculosis to Persons aged under 1 year, irrespective of IMMUNISATION PROGRAMME TYPE.
It is mandatory to report only one occurrence of this group.
IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR)

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REFERRAL TO TREATMENT DATA SET

Change to Data Set: Changed Description

This return is out of date therefore the information should not be used.
For the latest version of the guidance, please email RTTdata@dh.gsi.gov.uk.For the latest version of the guidance, please email england.rtt@nhs.net.

Referral To Treatment Data Set Overview

Data Set Data Elements
Organisation and Reporting Period
REPORTING PERIOD START DATE
REPORTING PERIOD END DATE
ORGANISATION CODE (CODE OF PROVIDER)
ORGANISATION CODE (CODE OF COMMISSIONER)
Part 1A i - Length of referral to treatment period for patients whose 18 week clock stopped during the month by an inpatient/day case admission
To carry the total length of REFERRAL TO TREATMENT PERIOD with no adjustments made. Where there are no waiting lengths in the Reporting Period for all the sub-groups for the TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD) then no length of referral to treatment period should be recorded for it.
TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)
REFERRAL TO TREATMENT PERIOD TIME BAND
REFERRAL TO TREATMENT PERIOD COMPLETED BY ADMITTED PATIENT WITHIN TIME BAND NUMBER (UNADJUSTED)
Part 1A ii - Length of referral to treatment period for patients whose 18 week clock stopped during the month by an inpatient/day case admission
To carry the total length of REFERRAL TO TREATMENT PERIOD where adjustments have been made. Where there are no waiting lengths in the Reporting Period for all the sub-groups for the TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD) then no length of referral to treatment period should be recorded for it.
TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)
REFERRAL TO TREATMENT PERIOD TIME BAND
REFERRAL TO TREATMENT PERIOD COMPLETED BY ADMITTED PATIENT WITHIN TIME BAND NUMBER (ADJUSTED)
Part 1B - Length of referral to treatment period for patients whose 18 week clock stopped during the month for reasons other than an inpatient/day case admission
To carry the total length of REFERRAL TO TREATMENT PERIOD with no adjustments made. Where there are no waiting lengths in the Reporting Period for all the sub-groups for the TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD) then no length of referral to treatment period should be recorded for it.
TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)
REFERRAL TO TREATMENT PERIOD TIME BAND
REFERRAL TO TREATMENT PERIOD COMPLETED BY NON-ADMITTED PATIENT WITHIN TIME BAND NUMBER
Part 2 - Length of referral to treatment period for patients whose 18 week clock is still running during the month
To carry the length of REFERRAL TO TREATMENT PERIOD so far with no adjustments made. Where there are no waiting lengths in the Reporting Period for all the sub-groups for the TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD) then no length of referral to treatment period should be recorded for it.
TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)
REFERRAL TO TREATMENT PERIOD TIME BAND
REFERRAL TO TREATMENT PERIOD INCOMPLETE WITHIN TIME BAND NUMBER

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KH12 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KH12 - Diagnostic Departments: Radiology, Nuclear Medicine and Medical Physics Imaging and Radiodiagnostic Examinations or Tests in any Part of a Hospital

This return is currently under review. For further information on Annual Imaging and Radiodiagnostics Data, please see the NHS England website. For further information on Annual Imaging and Radiodiagnostics Data, please see the NHS England website.
  • Contextual Overview
  • The Department of Health and Social Care requires a count of all Imaging or Radiodiagnostic Events carried out in hospital Departments. The data are collected to implement a requirement of the Council of the European Union. Council Directives 80/836/Euratom and 96/29/Euratom require the health surveillance of the population, through assessment of radiation dose. Council Directive 97/43/Euratom takes this further by placing a specific requirement in relation to doses from medical exposures.

  • Information on the return is published annually in the 'Diagnostic Departments' bulletin.

    Completing Return KH12 - Imaging and Radiological Examinations or Tests in any Part of a Hospital
  • The return KH12 requires the following information:

    • numbers of imaging and radiodiagnostic examinations or tests by modality;
    • numbers of imaging events with intervention (success or failed);
    • whether the events take place under the auspices of an imaging department or some other department.
  • The following are excluded:

    • Requests which do not result in the use of an IMAGING MODALITY;
    • Imaging performed as part of radiotherapy planning;
    • Doppler ultrasound examinations without imaging such as is used for peripheral arterial or venous disease or fetal studies;
    • Procedures undertaken as part of the NHS Breast Screening Programme (initial screening and subsequent assessment) but not mammography undertaken for symptomatic women whose referrals are made directly to the imaging department.
  • Providers should collate data from every Department of the hospital which undertakes imaging or radiodiagnostic examinations or tests under its auspices. Imaging Department includes radiology, nuclear medicine and medical physics departments. Any other Department includes Departments other than radiology, nuclear medicine and medical physics undertaking imaging or radiodiagnostic investigations. This would include for instance an obstetric Department with its own ultrasound apparatus or a cardiology department undertaking imaging/interventional procedures.

  • Care needs to be taken to avoid double-counting. For example X-rays undertaken in an OPERATING THEATRE should be counted by either the Radiology Department or the surgery department, but not by both.

  • A KH12 return is required from each NHS Health Care Provider.

  • The return KH12 relates to ACTIVITY taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within two months of the end of the year to which it relates, by the end of May at the latest.

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KH12 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KH12 - Imaging and Radiological Examinations or Tests in any Part of a Hospital

This return is currently under review. For further information on Annual Imaging and Radiodiagnostics Data, please see the NHS England website. For further information on Annual Imaging and Radiodiagnostics Data, please see the NHS England website.

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ABLATIVE THERAPY

Change to Supporting Information: Changed Description

Ablative Therapy is a CLINICAL INTERVENTION

Ablative Therapy (also called Ablation Therapy) is the removal or destruction of a body part, TISSUE or its function and may be performed by surgery, hormones, drugs, radiofrequency, heat, or other methods.

For further information on Ablative Therapy, see the National Cancer Institute website.For further information on Ablative Therapy, see the National Cancer Institute website.

 

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ACCESSIBLE INFORMATION

Change to Supporting Information: Changed Description

Accessible Information is information which is able to be read or received and understood by the individual or group for which it is intended.

The Equality Act 2010 places a duty on all service providers to take steps or make reasonable adjustments in order to avoid putting a disabled PERSON at a substantial disadvantage when compared to a PERSON who is not disabled.

SCCI 1605 Accessible Information requires that Health and Social Care Organisations identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss.SCCI 1605 Accessible Information requires that Health and Social Care Organisations identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss. These Organisations are also required to take action to ensure that these needs are met.

The information and communication support needs cover four areas:

  • communication support
  • requires specific contact method
  • requires communication professional
  • requires specific information format

For further information on Accessible Information, see the NHS England website at: Accessible Information Standard.

 

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ACCIDENT AND EMERGENCY DATE SEEN FOR TREATMENT

Change to Supporting Information: Changed Description

An Accident and Emergency Date Seen For Treatment is an ACTIVITY DATE TIME.

Accident and Emergency Date Seen For Treatment is the date, that the PATIENT is seen by a clinical decision maker (someone who can define the management plan and discharge the PATIENT) to diagnose the problem and arrange or start definite treatment as necessary.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ACCIDENT AND EMERGENCY DEPARTURE DATE

Change to Supporting Information: Changed Description

An Accident and Emergency Departure Date is an ACTIVITY DATE TIME.

An Accident and Emergency Departure Date is the date that a PATIENT leaves an Accident and Emergency Department after an Accident and Emergency Attendance has concluded.

Notes:

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ACCIDENT AND EMERGENCY DEPARTURE TIME

Change to Supporting Information: Changed Description

An Accident and Emergency Departure Time is an ACTIVITY DATE TIME.

An 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:

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ACCIDENT AND EMERGENCY INITIAL ASSESSMENT DATE  renamed from ACCIDENT AND EMERGENCY INITIAL ASSESSMENT DATE

Change to Supporting Information: Changed Name, Description

An Accident and Emergency Initial Assessment Date is an ACTIVITY DATE TIME.An Accident and Emergency Initial Assessment Date is an ACTIVITY DATE TIME.

An Accident and Emergency Initial Assessment Date is the date that the PATIENT is first assessed in the Accident and Emergency Department.An Accident and Emergency Initial Assessment Date is the date that the PATIENT is first assessed in the Accident and Emergency Department.

An Initial Assessment would include:

  • the taking of a brief PATIENT medical history
  • pain assessment
  • early warning scores (including vital signs)

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

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ACCIDENT AND EMERGENCY INITIAL ASSESSMENT TIME

Change to Supporting Information: Changed Description

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

An Accident and Emergency Initial Assessment Time is the time, recorded using the 24 hour clock, that the PATIENT is first assessed in the Accident and Emergency Department for first attendances and unplanned follow-up attendances.

An Initial Assessment would include:

  • the taking of a brief PATIENT medical history
  • pain assessment
  • early warning scores (including vital signs)

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

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ACCIDENT AND EMERGENCY TIME SEEN FOR TREATMENT

Change to Supporting Information: Changed Description

An Accident and Emergency Time Seen For Treatment is an ACTIVITY DATE TIME.

An Accident and Emergency Time Seen For Treatment is the time, recorded using the 24 hour clock, that the PATIENT is seen by a clinical decision maker (someone who can define the management plan and discharge the PATIENT) to diagnose the problem and arrange or start definite treatment as necessary.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ADULT COMORBIDITY EVALUATION - 27

Change to Supporting Information: Changed Description

The Adult Comorbidity Evaluation - 27 (ACE-27) is an ASSESSMENT TOOL.

The Adult Comorbidity Evaluation - 27 is a 27-item comorbidity index for PATIENTS with cancer.  It Identifies the important medical comorbidities and grade severity using the index.

For further information on the Adult Comorbidity Evaluation - 27, see Adult Comorbidity Evaluation-27.For further information on the Adult Comorbidity Evaluation - 27, see Adult Comorbidity Evaluation-27.

 

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ANTENATAL BOOKING APPOINTMENT

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An Antenatal Booking Appointment is a CARE CONTACT.

An Antenatal Booking Appointment is the APPOINTMENT where the woman enters the maternity care pathway, characterised by information giving and detailed history-taking to help the woman choose the most appropriate Antenatal care pathway.

An Antenatal Booking Appointment also includes measurement of Height, Weight, Blood Pressure and blood tests for determining blood group and haemoglobin level.

Blood and urine samples for screening may also be taken at Antenatal Booking Appointment after the woman has been well informed and has given her consent.

The Antenatal Booking Appointment follows the first contact with a health professional.

This is in accordance with the National Institute for Health and Care Excellence guidance 'CG62 Antenatal Care'.

For further information, see the National Institute for Health and Care Excellence website at: Antenatal care for uncomplicated pregnancies.For further information, see the National Institute for Health and Care Excellence website at: Antenatal care for uncomplicated pregnancies.

 

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ARRIVAL DATE AT ACCIDENT AND EMERGENCY DEPARTMENT

Change to Supporting Information: Changed Description

An Arrival Date At Accident and Emergency Department is an ACTIVITY DATE TIME.

An Arrival Date At Accident and Emergency Department is the date the PATIENT:

For the Accident and Emergency Clinical Quality Indicators, for PATIENTS arriving by Emergency Ambulance, the Arrival Time At Accident and Emergency Department is when handover occurs, or 15 minutes after the Emergency Ambulance arrives at the Accident and Emergency Department, whichever is the sooner.

Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ARRIVAL TIME AT ACCIDENT AND EMERGENCY DEPARTMENT

Change to Supporting Information: Changed Description

An Arrival Time At Accident and Emergency Department is an ACTIVITY DATE TIME.

An Arrival Time At Accident and Emergency Department is the time the PATIENT:

The time should be recorded using the 24 hour clock.

For the Accident and Emergency Clinical Quality Indicators, for PATIENTS arriving by Emergency Ambulance, the Arrival Time At Accident and Emergency Department is when handover occurs, or 15 minutes after the Emergency Ambulance arrives at the Accident and Emergency Department, whichever is the sooner.

Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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BARCELONA CLINIC LIVER CANCER STAGING SYSTEM

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The Barcelona Clinic Liver Cancer Staging System (BCLC Staging System) is a system for CANCER STAGING.

The Barcelona Clinic Liver Cancer Staging System creates categories by combining performance status, Tumour characteristics, liver function and cancer-related symptoms.

For further information on the Barcelona Clinic Liver Cancer Staging System, see the National Cancer Institute website.For further information on the Barcelona Clinic Liver Cancer Staging System, see the National Cancer Institute website.

 

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BINET CLASSIFICATION

Change to Supporting Information: Changed Description

The Binet Classification is a system for CANCER STAGING.

The Binet Classification is a staging system for PATIENTS with Chronic Lymphocytic Leukaemia (CLL).

For further information on the Binet Classification, see the National Cancer Institute website.For further information on the Binet Classification, see the National Cancer Institute website.

 

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BIOLOGICAL THERAPY

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Biological Therapy is a CLINICAL INTERVENTION.

Biological Therapy is treatment to boost or restore the ability of the immune system to fight cancer, infections, and other diseases.

For further information on Biological Therapy, see the National Cancer Institute website.For further information on Biological Therapy, see the National Cancer Institute website.

 

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BRACHYTHERAPY

Change to Supporting Information: Changed Description

Brachytherapy is a CLINICAL INTERVENTION.

Brachytherapy is a type of radiation therapy in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into or near a Tumour.

For further information on Brachytherapy, see the National Cancer Institute website.For further information on Brachytherapy, see the National Cancer Institute website.

 

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BRESLOW THICKNESS

Change to Supporting Information: Changed Description

Breslow Thickness is a CLINICAL INVESTIGATION RESULT ITEM.

Breslow Thickness (also known as Breslow Depth) is a measure of how deeply a melanoma Tumour has grown into the skin.

The Tumour thickness (depth) is usually measured from the top of the Tumour to the deepest Tumour CELLS. If the Tumour is ulcerated (the skin is broken), it is measured from the base of the ulcer to the deepest Tumour CELLS.

Breslow Thickness is used to help determine the stage of cancer. Thicker Tumours are linked with lower survival rates.

For further information on Breslow Thickness, see the National Cancer Institute website.For further information on Breslow Thickness, see the National Cancer Institute website.

 

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CARE HOME

Change to Supporting Information: Changed Description

A Care Home is an Organisation Site.

A Care Home is a place where personal care and accommodation are provided together.

People may live in a Care Home for short or long periods. For many people, it is their sole place of residence and so it becomes their home, although they do not legally own or rent it. Both the care that people receive and the premises are regulated by the Care Quality Commission.

There are two types of Care Homes:

For further information on Care Homes, see the Care Quality Commission website at: Care Homes.For further information on Care Homes, see the Care Quality Commission website at: Care Homes.

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 a Care Home and is either a NHS hospital or must be registered as an independent hospital.

 

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CARE HOME WITH NURSING

Change to Supporting Information: Changed Description

A Care Home With Nursing is an Organisation Site.

A Care Home With Nursing is a Care Home where, in addition to personal care and accommodation, is a place where qualified nursing care is provided, to ensure that the full needs of the PERSON are met.

Examples of Care Homes With Nursing include:

  • Nursing home
  • Convalescent home with nursing
  • Respite care with nursing
  • Mental health crisis house with nursing.

Note: the Care Quality Commission definition of nursing care is:

"Nursing care means any SERVICE provided by a NURSE and involves:

  • The provision of care, or
  • The planning, supervision or delegation of the provision of care, other than any SERVICES which, by their nature and the circumstances in which they are provided, do not need to be provided by a NURSE."

For further information on Care Homes, see the Care Quality Commission website at: Care homes.For further information on Care Homes, see the Care Quality Commission website at: Care homes.

 

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CARE HOME WITHOUT NURSING

Change to Supporting Information: Changed Description

A Care Home Without Nursing is an Organisation Site.

A Care Home Without Nursing is a Care Home.

Examples of Care Homes Without Nursing include:

  • Residential home
  • Rest home
  • Convalescent home
  • Respite care
  • Mental health crisis house
  • Therapeutic communities.

For further information on Care Homes, see the Care Quality Commission website at: Care homes.For further information on Care Homes, see the Care Quality Commission website at: Care homes.

 

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CARE QUALITY COMMISSION

Change to Supporting Information: Changed Description

The Care Quality Commission is an Organisation.

The Care Quality Commission is the independent regulator of all health and adult social care services in England, whether provided by the NHS, Local Authorities, private companies or voluntary Organisations. It also protects the rights of people detained under the Mental Health Act.

The Care Quality Commission makes sure that essential common quality standards are being met where care is provided and works towards the improvement of care services. It promotes the rights and interests of people who use services and has a wide range of enforcement powers to take action on their behalf if services are unacceptably poor.

The Care Quality Commission's work brings together independent regulation of health, mental health and adult social care. Before 1 April 2009, this work was carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. These Organisations no longer exist.

The Care Quality Commission’s main activities are:

  • Registration of health and social care providers to ensure they are meeting essential common quality standards;
  • Monitoring and inspection of all health and adult social care;
  • Using its enforcement powers, such as fines and public warnings or closures, if standards are not being met;
  • Improving health and social care services by undertaking regular reviews of how well those who arrange and provide services locally are performing and special reviews on particular care services, pathways of care or themes where there are particular concerns about quality;
  • Reporting the outcomes of its work so that people who use services have information about the quality of their local health and adult social care services. It helps those who arrange and provide services to see where improvement is needed and learn from each other about what works best.

For further information on the Care Quality Commission, see the:

 

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CERVICAL INTRA-EPITHELIAL NEOPLASIA

Change to Supporting Information: Changed Description

Cervical Intra-epithelial Neoplasia is a CANCER STAGING.

A Cervical Intra-epithelial Neoplasia is divided into grades and is used for PATIENTS with cervical cancer and may be used to describe how abnormal the CELLS are and how much of the cervical TISSUE is involved.

For further information on Cervical Intra-epithelial Neoplasia, see the National Cancer Institute website.For further information on Cervical Intra-epithelial Neoplasia, see the National Cancer Institute website.

 

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CHEMORADIOTHERAPY

Change to Supporting Information: Changed Description

Chemoradiotherapy is a CLINICAL INTERVENTION.

Chemoradiotherapy (also known as Chemoradiation) is a treatment that combines Chemotherapy with radiation therapy.

For further information on Chemoradiotherapy, see the National Cancer Institute website.For further information on Chemoradiotherapy, see the National Cancer Institute website.

 

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CLINICAL COMMISSIONING GROUP

Change to Supporting Information: Changed Description

A Clinical Commissioning Group (CCG) is an Organisation.

Clinical Commissioning Groups are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.

Clinical Commissioning Groups are groups of GP Practices that are responsible for commissioning most health and care SERVICES for PATIENTS.

These groups of GP Practices, working with other healthcare professionals and in partnership with local communities and Local Authorities are responsible for commissioning the majority of NHS SERVICES for PATIENTS within their local communities. They have a duty to work with Local Authorities in relation to health and adult social care, early years services, public health etc.

The Clinical Commissioning Groups are not responsible for commissioning all SERVICES. They have the flexibility to decide which commissioning activities they undertake themselves or choose to buy in commissioning support from external Organisations.

NHS England:

Clinical Commissioning Groups hold their constituent GP Practices to account for stewardship of resources and the outcomes they achieve. 

For further information on Clinical Commissioning Groups, see the NHS England website at Resources for CCGs.For further information on Clinical Commissioning Groups, see the NHS England website at Clinical Commissioning Groups (CCGs).

 

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COMMISSIONING DATA SET BUSINESS RULES

Change to Supporting Information: Changed Description

The Commissioning Data Sets have notation to identify the business and/or processing rules which apply to individual Data Elements.  This notation appears in the Rules column of the Commissioning Data Sets details page. 

Population Validation

All Data Elements are subject to length validation.  Some Data Elements are also subject to format and content validation against a list of permitted values defined in the NHS Data Model and Dictionary. The value lists are held on the Attribute which the Data Element is based on, plus default codes which are held on the Data Element itself.

RULE POPULATION VALIDATION 
F The format is validated, for example the format of a date must comply with the XML standard.
V The Data Element is validated against an explicit list of permitted values as defined in the NHS Data Model and Dictionary.


Business Rules

Some Data Elements are subject to additional Business Rules as indicated below:

PREFIX BUSINESS RULES: H - Healthcare Resource Group Business Rules 
H4 This Data Element is used by the Secondary Uses Service to derive the Healthcare Resource Group 4.
Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.
For further information, please refer to the NHS Digital website at: Payment by Results Guidance.
H4 This Data Element is used by the Secondary Uses Service to derive the Healthcare Resource Group 4.
Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.
For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

PREFIX BUSINESS RULES: I - CDS-XML Schema Anomalies and Issues 
I1 This is a known schema anomaly and has been registered for future resolution.
I2 See the specifications in the NHS Data Model and Dictionary for the specific format characteristics of this Data Element.
I3 There is no national requirement to flow Healthcare Resource Group 4 (HRG4) through the Commissioning Data Sets, see DSCN 17/2008.

PREFIX BUSINESS RULES: N - NHS Data Standards and Policy Rules 
N1 Psychiatric PATIENTS only.
N2 Not defined or approved by the Data Coordination Board or its predecessors the Standardisation Committee for Care Information and Information Standards Board for Health and Social Care.
N3 The definition and value list for this data is under review.
N4 Up to 20 codes per daily activity occurrence may be recorded.
N5 This data should only flow in Commissioning Data Set version 6-1 for PATIENTS detained under the Mental Health Act prior to the Mental Health Act 2007 (Retired June 2015).
N6 This data should only flow in Commissioning Data Set version 6-2 for PATIENTS detained under the Mental Health Act 2007.
N7 From Commissioning Data Set version 6-0 onwards, the use of the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE in the location group is optional as it must be carried in the Episode Characteristics.

PREFIX BUSINESS RULES: S - Secondary Uses Service Business Rules 
S1 This mandatory Commissioning Data Set date is used as the originating date to determine the mandatory CDS ACTIVITY DATE.
S2 The Secondary Uses Service DOES NOT support the use of the CDS TEST INDICATOR. Therefore this Data Element must not be used (Retired June 2015).
S3 See Security Issues and Patient Confidentiality, for further information.
S4 Used to ensure the correct sequencing of multiple and/or subsequent Commissioning Data Set submissions.
S5These ORGANISATION CODES must be present and registered with the Secondary Uses Service. The Commissioning Data Set Schema does not validate the content value of this data
S6 All CDS REPORT PERIOD START DATES and CDS REPORT PERIOD END DATES must be consistent in all Commissioning Data Set records contained in a BULK Interchange submission.
The CDS REPORT PERIOD START DATE must be on or before the CDS REPORT PERIOD END DATE.
The CDS ACTIVITY DATE is a mandatory data element and must fall within the period defined.
See the Commissioning Data Set Submission Protocol.
S7 See the Commissioning Data Set Addressing Grid.
S8 These Data Elements are required for correct processing by the Secondary Uses Service. If omitted, the Secondary Uses Service will reject the Commissioning Data Set data.
S9 The CDS UNIQUE IDENTIFIER is a mandatory data item when using the Net Change Protocol. When using the Bulk Update Protocol this data item is optional but it is strongly advised that where it can be correctly generated and maintained it should be used. See the Commissioning Data Set Submission Protocol.
S10 For CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set, the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE.
S11 For the following CDS Types, the CDS ACTIVITY DATE must contain the Date of the Elective Admission List Census which is usually the end of the Period being reported: 
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set 
CDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) Commissioning Data Set 
CDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) Commissioning Data Set 
S12 These PERSON BIRTH DATE Data Elements must use dates between 01/01/1880 and 31/12/2999 in order to pass validation
S13 Data Elements reporting a date (which is not a PERSON BIRTH DATE Data Element) must use dates between 01/01/1900 and 31/12/2999 in order to pass validation
S14 For Data Elements reporting a time, the hour portion must be between 00 and 23 inclusive in order to pass validation

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COMMISSIONING DATA SET NOTATION

Change to Supporting Information: Changed Description

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

The Commissioning Data Sets have been defined in specific components known as a CDS Type.

Specific notation is used to indicate the requirements of the Commissioning Data Set XML Schema Design conditions for submission of data in the Commissioning Data Sets.

The structure of the Commissioning Data Set XML Schema is shown by the use of Data Groups and Sub Groups within those Data Groups.  For each Data Group, Sub Group and individual Data Element, the allowed cardinality at each level is also shown in the "Status" and "Repeats" columns.

The CDS Type specifications must therefore be read in this hierarchy, using the Status and Repeat conditions within the Data Groups and Sub Groups, to determine the requirements for the individual Data Elements.


Status Column Notation

The Notation used for the "STATUS" column is as follows:

STATUS MEANING DESCRIPTION 
M MANDATORY This signifies that the collection and submission of this Commissioning Data Set data is deemed MANDATORY and its presence is necessary for the CDS Type to be correctly validated and accepted for processing by the Secondary Uses Service.

If a data item is shown as MANDATORY, this should also be regarded as REQUIRED by the Department of Health and Social Care.

In most instances, data marked as MANDATORY in a Sub Group will result in its parent Data Group also being marked as mandatory, but this is not always the case.

For instance, although the Consultant Episode - Clinical Diagnosis Group (ICD) is marked as R=REQUIRED (and therefore need not actually be populated), if it is used then both the DIAGNOSIS SCHEME IN USE and the PRIMARY DIAGNOSIS (ICD) are marked as M=MANDATORY and must both be present. 

R REQUIRED This signifies that the collection and submission of this Commissioning Data Set data is deemed REQUIRED by the Department of Health and Social Care to comply with authorised NHS Standards, Policies and Directives. Therefore whenever a Commissioning Data Set is collected and subsequently submitted to the Secondary Uses Service, this data must be supported and populated into the relevant data sets if the data is available.

Note that "temporal" conditions may mean that there are instances where this directive cannot be fulfilled.

For instance in a CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set, ICD and OPCS data elements are marked as "Required" indicating that this data should be included.  However, if at the time of submission to the Secondary Uses Service this data remains incomplete (perhaps awaiting coding in the Organisation), the remaining data in the CDS record should still be submitted. Once the Organisation has updated its systems with the data, the CDS Type relating to that ACTIVITY should then be resubmitted to the Secondary Uses Service

O OPTIONAL This signifies that the collection and submission of this Commissioning Data Set data is OPTIONAL. Its inclusion in the Commissioning Data Set is therefore determined by "local agreement" between the Organisations exchanging the data.

Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected. 

X X This is used where the Data Element name has been included in the Commissioning Data Set design, usually for pilot use, but is not yet authorised for transmission by the wider NHS. The Data Element will be in italics and not linked to the Data Element where one exists.

Repeats Column Notation

The Notation used for the "REPEATS" column is as follows:

REPEATS DESCRIPTION 
0..1 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 1.
0..9 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 9.
0..* This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to an unlimited maximum.
1..1 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 1.
1..97 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 97.
1..* This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to an unlimited maximum.

Rules Column Notation

An entry in the "Rules" column shows that a specific Rule applies to submission of an individual Data Element.

The meaning of these Rules can be found in Commissioning Data Set Business Rules.


Notation Examples

The following are examples of some common scenarios.

EXAMPLE 1:
A MANDATORY Data Group with differing Sub-Groups and component data status conditions.
 

The following example shows a MANDATORY Data Group - therefore the Data Group must be present for the CDS Type to be validated and accepted for processing by the Secondary Uses Service.

When a Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be present
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted

The following data structure is one of three options when completing the Patient Identity Data Group:

1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the
NHS NUMBER STATUS INDICATOR CODE National Code Value = 01 = Verified 
Rules 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURE  
M 1..1 LOCAL PATIENT IDENTIFIER F
M 1..1 ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) F
M 1..1 Data Element Components Rules 
M 1..1 NHS NUMBER F
M 1..1 NHS NUMBER STATUS INDICATOR CODE V
M 1..1 POSTCODE OF USUAL ADDRESS S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATE F
S3
S12

EXPLANATION:

The parent Data Group has a "Status" of M=MANDATORY which indicates that this Data Group must be present in the Commissioning Data Set to ensure correct validation and acceptance when submitted to the Secondary Uses Service.  The parent Data Group "Repeats" = 1..1 indicates that only one occurrence of this Data Group must flow in this particular Commissioning Data Set record.

The Sub Group of "Local Identifier Structure" is marked as R=REQUIRED and therefore must be populated if the data is available. The "Repeats" notation of 0..1 indicates that population of this Sub Group is not necessary to enable the Commissioning Data Set record to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Sub Group may flow in this particular Commissioning Data Set record.
Both Data Elements in the Sub Group are marked M=MANDATORY and must both be correctly populated.

The Sub Group of "Data Element Components" is a "generic" structure and is marked as M=MANDATORY and therefore must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.  All the Data Elements marked with M=MANDATORY must be populated.  PERSON BIRTH DATE however is marked with R=REQUIRED, so must also be completed if the data is available. 

EXPLANATION:

The parent Data Group has a "Status" of M=MANDATORY which indicates that this Data Group must be present in the Commissioning Data Set to ensure correct validation and acceptance when submitted to the Secondary Uses Service.  The parent Data Group "Repeats" = 1..1 indicates that only one occurrence of this Data Group must flow in this particular Commissioning Data Set record.

The Sub Group of "Local Identifier Structure" is marked as R=REQUIRED and therefore must be populated if the data is available. The "Repeats" notation of 0..1 indicates that population of this Sub Group is not necessary to enable the Commissioning Data Set record to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Sub Group may flow in this particular Commissioning Data Set record.
Both Data Elements in the Sub Group are marked M=MANDATORY and must both be correctly populated.

The Sub Group of "Data Element Components" is a "generic" structure and is marked as M=MANDATORY and therefore must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.  All the Data Elements marked with M=MANDATORY must be populated.  PERSON BIRTH DATE however is marked with R=REQUIRED, so must also be completed if the data is available. 


EXAMPLE 2:
A REQUIRED Data Group with differing component data status conditions.
 

The following example shows a REQUIRED Data Group. This data must be present in the relevant Commissioning Data Set if available.  However, if submitted to the Secondary Uses Service, omission of this REQUIRED Data Group will not cause rejection.

When the Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be utilised
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted
Notation DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) 
Group
Status
R
 
Group
Repeats
0..1
 
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
 
M 1..1 Data Element Components Rules 
M 1..1 PROCEDURE SCHEME IN USE V
M 1..1 DATA GROUP: PRIMARY DIAGNOSIS Rules 
M 1..1 PRIMARY DIAGNOSIS (ICD) F
H4
O0..1PRESENT ON ADMISSION INDICATOR F
O0..*DATA GROUP: SECONDARY DIAGNOSIS Rules 
M 1..1 SECONDARY DIAGNOSIS (ICD) F
H4
O0..1PRESENT ON ADMISSION INDICATOR F

EXPLANATION:

The Data Group "Status" = R = Required indicates that this Data Group must be populated in the relevant Commissioning Data Set if the data is available.  The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.

If the Data Group is completed then the Data Element PROCEDURE SCHEME IN USE, marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Data Element PRIMARY DIAGNOSIS (ICD), marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Sub Group "Secondary Diagnoses", marked as O=OPTIONAL, may be omitted, but if populated it must be in the correct format. The "Repeats" notation of 0..* indicates that unlimited occurrences of this Data Element are valid. Each occurrence must contain a valid SECONDARY DIAGNOSIS (ICD). 

EXPLANATION:

The Data Group "Status" of R=Required indicates that this Data Group must be populated in the relevant Commissioning Data Set if the data is available.  The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.

If the Data Group is completed then the Data Element PROCEDURE SCHEME IN USE, marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Data Element PRIMARY DIAGNOSIS (ICD), marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Sub Group "Secondary Diagnoses", marked as O=OPTIONAL, may be omitted, but if populated it must be in the correct format. The "Repeats" notation of 0..* indicates that unlimited occurrences of this Data Element are valid. Each occurrence must contain a valid SECONDARY DIAGNOSIS (ICD). 


EXAMPLE 3:
An OPTIONAL Data Group with differing component data status conditions.

The following example shows an OPTIONAL Data Group. Its inclusion in the Commissioning Data Sets is therefore determined by "local agreement" between Organisations exchanging the data.

When the Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be utilised
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted
Notation DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) 
Group
Status 
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M 1..1 Data Element Components Rules 
M 1..1 PROCEDURE SCHEME IN USE V
M 1..1 DATA GROUP: PRIMARY DIAGNOSIS Rules 
M 1..1 PRIMARY DIAGNOSIS (ICD) F
H4
O0..1PRESENT ON ADMISSION INDICATOR F
O0..*DATA GROUP: SECONDARY DIAGNOSIS Rules 
M 1..1 SECONDARY DIAGNOSIS (ICD) F
H4
O0..1PRESENT ON ADMISSION INDICATOR F

EXPLANATION:

The Data Group "Status" of O=OPTIONAL indicates that this Data Group may be omitted at its inclusion in the Commissioning Data Set is determined by "local agreement" between the Organisations exchanging the data.

Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected.

The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.

If the Data Group is completed then the Data Element DIAGNOSIS SCHEME IN USE, marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Data Element PRIMARY DIAGNOSIS (ICD), marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Sub Group "Secondary Diagnoses", marked as O=OPTIONAL, may be omitted, but if populated it must be in the correct format. The "Repeats" notation of 0..* indicates that unlimited occurrences of this Data Element are valid. Each occurrence must contain a valid SECONDARY DIAGNOSIS (ICD).

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COVER OF VACCINATION EVALUATED RAPIDLY (COVER) DATA SET OVERVIEW

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The Cover of Vaccination Evaluated Rapidly (COVER) Data Set is used to evaluate the routine childhood Immunisation Programme in England for children up to 5 years of age. The aim is to collect and report vaccine uptake data for all children at one, two and five years of age on a quarterly and annual basis.

The information is used:

  • to reliably measure vaccine coverage
  • to evaluate the success of a vaccination programme
  • to identify susceptible populations for further interventions
  • and to inform future vaccine policy decisions.
  • to reliably measure vaccine coverage
  • to evaluate the success of a vaccination programme
    • to identify susceptible populations for further interventions
    • and to inform future vaccine policy decisions.
    Public Health England is mandated to report on vaccine uptake figures for children aged one, two and five years for the Local Authority (upper tier) resident population for the Public Health Outcomes Framework (PHOF) indicator 3.
Public Health England is mandated to report on vaccine uptake figures for children aged one, two and five years for the Local Authority (upper tier) resident population for the Public Health Outcomes Framework (PHOF) indicator 3.03 Population vaccination coverage.

The NHS Digital is mandated to produce the annual Cover of Vaccination Evaluated Rapidly (COVER) statistics.The NHS Digital is mandated to produce the annual Cover of Vaccination Evaluated Rapidly (COVER) statistics. Cover of Vaccination Evaluated Rapidly (COVER) statistics enable the monitoring of the contribution of the routine childhood Immunisation Programme towards protecting and improving the nation’s health and are used to address inequalities.

Public Health England and the Department of Health and Social Care also have commitments to report vaccine coverage figures to international organisations such as the World Health Organisation, and the European Centre for Disease Prevention and Control.Public Health England and the Department of Health and Social Care also have commitments to report vaccine coverage figures to international organisations such as the World Health Organisation, and the European Centre for Disease Prevention and Control.

Submission

Submission

Immunisation records are held in Child Health Information Systems (CHIS).

Immunisation records are held in Child Health Information Systems (CHIS).  Quarterly and annual returns are submitted by Child Health Record Departments (who operate local Child Health Information Systems (CHIS)) or other local providers to Public Health England - Centre for Infectious Disease Surveillance and Control.

Further Guidance

Further Guidance

For further guidance see the Public Health England part of the gov.uk website at Vaccine Coverage and COVER.

For further guidance see the Public Health England part of the gov.uk website at: Vaccine uptake guidance and the latest coverage data.

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CRYOTHERAPY

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Cryotherapy is a CLINICAL INTERVENTION.

Cryotherapy uses cold temperature to treat disease (e.g. help to shrink a cancer tumour).

For further information on Cryotherapy, see the National Cancer Institute website.For further information on Cryotherapy, see the National Cancer Institute website. 

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DATA SERVICES FOR COMMISSIONERS

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The Data Services for Commissioners (DSfC) is provided by NHS Digital under direction from NHS England.

The Data Services for Commissioners is delivered by staff seconded into NHS Digital from Commissioning Support Units. The seconded staff are based in Data Services for Commissioners Regional Offices. The seconded staff are based in Data Services for Commissioners Regional Offices.

The Data Services for Commissioners:

For further information on the Data Services for Commissioners, see the NHS Digital website at: Data Services for Commissioners.For further information on the Data Services for Commissioners, see the NHS Digital website at: Data Services for Commissioners.

 

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DATA SERVICES FOR COMMISSIONERS REGIONAL OFFICE  renamed from DATA SERVICES FOR COMMISSIONERS REGIONAL OFFICE

Change to Supporting Information: Changed Name, Description

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DATING ULTRASOUND SCAN

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A Dating Ultrasound Scan is a Clinical Investigation, performed during a Maternity Episode.

The Dating Ultrasound Scan is an Ultrasound Scan In Pregnancy that is used to determine viability, calculate gestational age and detect multiple pregnancies.

The Dating Ultrasound Scan should be performed between 10 weeks and 0 days, and 13 weeks and 6 days, in accordance with the National Institute for Health and Care Excellence guideline 'CG62 Antenatal Care'.

Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website at: Antenatal care.Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website at: Antenatal care.

 

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DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW

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This data set is out of date therefore the information should not be used.
For further information, see the NHS England website at: Monthly Diagnostic Waiting Times and Activity.

The Diagnostic waiting times reporting of the monthly waiting times and activity reporting (DM01).

The Diagnostics Waiting Times and Activity Data Set provides definitions to support the national data collections on diagnostic tests, a key element towards monitoring waits from referral to treatment. Organisations responsible for the diagnostic test activity report the diagnostic test waiting times and the number of tests completed.

The distinctions between the data set groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

The diagnostic investigations are grouped into categories of Imaging, Physiological Measurement and Endoscopy. The data set is for the monthly return covering 15 key diagnostic tests as below:

IMAGING

  • Magnetic Resonance Imaging
  • Computer Tomography
  • Non-obstetric ultrasound
  • Barium Enema
  • DEXA Scan (Dual-energy X-ray absorptiometry)

PHYSIOLOGICAL MEASUREMENT

  • Audiology - audiological assessments
  • Cardiology - echocardiography
  • Cardiology - electrophysiology
  • Neurophysiology - peripheral neurophysiology
  • Respiratory physiology - sleep studies
  • Urodynamics - pressures & flows

ENDOSCOPY

  • Colonoscopy
  • Flexible sigmoidoscopy
  • Cystoscopy
  • Gastroscopy
Aggregated numbers of PATIENTS waiting for a diagnostic test/procedure funded by the NHS should be included. This includes all referral routes (i.e. whether the PATIENT was referred by a GENERAL PRACTITIONER or by a hospital-based clinician or other route) and also all settings (i.e. Out-Patient Clinic, WARD, Imaging Department or a type of LOCATION such as a Health Centre). It is recognised that there will be some overlap between PATIENTS reported in this data set and PATIENTS reported in the other waiting times data sets.

How the data set is transmitted

Information is submitted onto the Unify2 database.

Further guidance

For further guidance on extracting the data sets and PATIENT PATHWAYS, see the NHS England website at: Diagnostics Waiting Times and Activity.For further guidance on extracting the data sets and PATIENT PATHWAYS, see the NHS England website at: Diagnostics Waiting Times and Activity.

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DIAGNOSTICS WAITING TIMES CENSUS DATA SET OVERVIEW

Change to Supporting Information: Changed Description

This data set is out of date therefore the information should not be used.
For further information, see the NHS England website at: Quarterly Diagnostic Waiting Times.

The Diagnostic Census of the waiting times for DIAGNOSTIC TEST REQUESTS.

The Diagnostics Waiting Times Census Data Set provides definitions to support the national data collections on diagnostic tests, a key element towards monitoring waits from referral to treatment. This is a census of diagnostic test waiting times.

The diagnostic investigations are grouped into categories of Endoscopy, Imaging, Pathology and Physiological Measurement.

The distinctions between these groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

This data set is for the census covering 4 main areas of diagnostic tests as below:

  • Part 1 - Endoscopy
  • Part 2 - Imaging
  • Part 3 - Pathology
  • Parts 4 to 11 - Physiological Measurement

Patient level information

Information is submitted onto the Unify2 database. All PATIENTS waiting for a diagnostic test/procedure funded by the NHS should be included. This includes all referral routes (i.e. whether the PATIENT was referred by a GENERAL PRACTITIONER or by a hospital-based clinician or other route) and also all settings (i.e. Out-Patient Clinic, WARD, Imaging Department, GP Practice, one-stop centres etc.). It is recognised that there will be some overlap between PATIENTS reported on this census and PATIENTS reported in the inpatient and outpatient waiting times returns.

How the data set is transmitted

Information is submitted onto the Unify2 database.

Further guidance

For further guidance on extracting the data sets, see the NHS England website at: Diagnostics Waiting Times and Activity.For further guidance on extracting the data sets, see the NHS England website at: Diagnostics Waiting Times and Activity.

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EU DIRECTIVE

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The EU Directive grants a fundamental right to healthcare SERVICES in the United Kingdom across the European Economic Area for all European Economic Area citizens, as long as the treatment is medically necessary and would be made available under the NHS.

For further information on the EU Directive, see the NHS website at:

 

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FEMALE GENITAL MUTILATION DATA SET OVERVIEW

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Contextual Overview

The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.

The Female Genital Mutilation Data Set is used:

  • To publish Official Statistics which will inform the Department of Health and Social Care, NHS England, other Government Agencies and the public, about female genital mutilation when it has been identified
  • To identify the potential risk of female genital mutilation to young girls and vulnerable women
  • For better planning and management of female genital mutilation SERVICES at a local level and across England

Data may be input immediately using an input screen via the NHS Digital Clinical Audit Platform when female genital mutilation is identified, or data extracts for Patients, can be submitted as a bulk upload on a monthly basis for each Organisation.

CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload.  This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Accident and Emergency Attendances, Group TherapyWard Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with an exception to Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to the NHS Digital.

SNOMED CT Subset Metadata:

  • Female genital mutilation related findings:
    • Subset Name: Female genital mutilation related findings
    • Subset Original Id: 58681000000133
    • Refset FSN: Female genital mutilation related findings simple reference set (foundation metadata concept)
    • Refset Id: 999002041000000103

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.

  • Female genital mutilation related procedures:
    • Subset Name: Female genital mutilation related procedures
    • Subset Original Id: 58671000000131
    • Refset FSN: Female genital mutilation related procedures simple reference set (foundation metadata concept)
    • Refset Id: 999002031000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.

DATA EXTRACT SPECIFICATION

Description:

The Department of Health and Social Care requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. This requirement is applicable to all CARE PROFESSIONALS in these Organisations whenever it has been identified that a woman or young girl has undergone female genital mutilation.

Further information is available on the NHS Digital website at: Female Genital Mutilation Datasets. Further information is available on the NHS Digital website at: Female Genital Mutilation Datasets.

Time period:

Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each Organisation.

Format:

Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS Digital Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.

Transmission

Electronic files must be transmitted to NHS Digital via the Clinical Audit Platform which is a secure web portal.

Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.

Further information about the Clinical Audit Platform and the data upload facility can be found on the Clinical Audit Platform web pages on the NHS Digital website.Further information about the Clinical Audit Platform and the data upload facility can be found on the NHS Digital website: at Clinical Audit Platform.

Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

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FETAL ANOMALY ULTRASOUND SCAN

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A Fetal Anomaly Ultrasound Scan is a Clinical Investigation performed during a Maternity Episode.

The Fetal Anomaly Ultrasound Scan is an Ultrasound Scan In Pregnancy that assesses for structural abnormalities in the Fetus. The Fetal Anomaly Ultrasound Scan should be performed between 18 weeks and 0 days, and 20 weeks and 6 days, in accordance with the National Institute for Health and Care Excellence guideline 'CG62 Antenatal Care'.

Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website.Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website.

 

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GENERAL MEDICAL COUNCIL

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The General Medical Council is a Regulatory Body.

The General Medical Council registers doctors to practise medicine in the United Kingdom.

The purpose of the General Medical Council is to protect, promote and maintain the health and safety of the public by ensuring proper standards in the practice of medicine.

The General Medical Council has four main functions, under the Medical Act 1983:

  • keeping up-to-date registers of qualified doctors
  • fostering good medical practice
  • promoting high standards of medical education
  • dealing firmly and fairly with doctors whose fitness to practise is in doubt.
For further information on the General Medical Council, see the General Medical Council website at: About us.For further information on the General Medical Council, see the General Medical Council website at: About us. 

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GENERAL MEDICAL COUNCIL GP REGISTER

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The General Medical Council GP Register was introduced on 31 March 2006 by the General Medical Council. It is a register of doctors who are eligible to work in general practice in the health service in the UK.

From 1 April 2006, all doctors working in general practice in the health service in the UK, other than doctors in training, such as GP Registrars, are required to be on the General Medical Council GP Register.

For further information on the General Medical Council GP Register, see the General Medical Council website at:

 

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GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS

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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.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 at: List of Registered Medical Practitioners.General Medical Council website.For further information on the General Medical Council List of Registered Medical Practitioners, see the General Medical Council website at: The medical register.

 

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GENERAL PHARMACEUTICAL COUNCIL

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The General Pharmaceutical Council (GPhC) is a Regulatory Body.

The General Pharmaceutical Council is responsible for the regulation of PharmacistsPharmacy Technicians and Pharmacy Premises in Great Britain.

The remit of the General Pharmaceutical Council is to protect, promote and maintain the health, safety and wellbeing of PATIENTS, the public and of all those who use pharmaceutical services.

An independent Regulatory Body, the vision of the General Pharmaceutical Council is the provision of proportionate, risk based, efficient and fair regulation of the pharmacy professions and of registered Pharmacy Premises.

For further information on the General Pharmaceutical Council, see the General Pharmaceutical Council website.For further information on the General Pharmaceutical Council, see the General Pharmaceutical Council website.

 

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GENERAL PHARMACEUTICAL COUNCIL REGISTER

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GLEASON GRADING SYSTEM

Change to Supporting Information: Changed Description

The Gleason Grading System is a system for CANCER STAGING.

The Gleason Grading System is used to help evaluate the prognosis of men with prostate cancer.

A pathologist assigns a GLEASON GRADE to the most common Tumour pattern in a Biopsy specimen (Primary Grade) then the second most common (Secondary Grade). The grades are added together to give the Gleason Score.

Sometimes pathologists will also give a grade to a third component of the specimen (Tertiary Grade) although this is recorded separately and is not added to the score.

For further information on the Gleason Grading System, see the National Cancer Institute website.For further information on the Gleason Grading System, see the National Cancer Institute website.

 

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HEALTHCARE RESOURCE GROUP

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Developed by the National Casemix Office, Healthcare Resource Groups (HRGs) are standard groupings of clinically similar treatments which use common levels of healthcare resource.

Healthcare Resource Groups offer Organisations the ability to understand their ACTIVITY in terms of the types of PATIENTS they care for and the treatments they undertake. They enable the comparison of ACTIVITY within and between different Organisations and provide an opportunity to benchmark treatments and services to support trend analysis over time.

Healthcare Resource Groups are currently used as a means of determining fair and equitable reimbursement for care services delivered by Health Care Providers. Their use as consistent 'units of currency' supports standardised healthcare commissioning across the NHS. They improve the flow of finances within - and sometimes beyond - the NHS.

For further information on Healthcare Resource Groups, see the NHS Digital website at: Introduction to Healthcare Resource Groups.For further information on Healthcare Resource Groups, see the NHS Digital website at: Introduction to Healthcare Resource Groups.

 

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HEALTH OF THE NATION OUTCOME SCALE (WORKING AGE ADULTS)

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The Health of the Nation Outcome Scale (Working Age Adults) (HoNOS (Working Age Adults)) is a type of ASSESSMENT TOOL.

The Health of the Nation Outcome Scale (Working Age Adults) is a means of measuring the health and social functioning of people of working age with severe mental illness.  It is assessed by a CARE PROFESSIONAL.

The allowed responses for each of the 12 ratings in the Health of the Nation Outcome Scale (Working Age Adults) are as follows:

  • 0 - No problem
  • 1 - Minor problem requiring no action
  • 2 - Mild problem but definitely present
  • 3 - Moderately severe problem
  • 4 - Severe to very severe problem
  • 9 - Not known

For further information on Health of the Nation Outcome Scale (Working Age Adults), see the Royal College of Psychiatrists website at: Health of the Nation Outcome Scales.For further information on Health of the Nation Outcome Scale (Working Age Adults), see the Royal College of Psychiatrists website at: Health of the Nation Outcome Scales (HoNOS): HoNOS (Working age adults).

 

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HORMONE THERAPY

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Hormone Therapy is a CLINICAL INTERVENTION

Hormone Therapy is a treatment that adds, blocks, or removes hormones.

For further information on Hormone Therapy, see the National Cancer Institute website.For further information on Hormone Therapy, see the National Cancer Institute website.

 

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HOSPITAL EPISODE STATISTICS

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Hospital Episode Statistics is a data warehouse containing details of all Admitted Patient Care, Outpatient Attendances and Accident and Emergency Attendances in England. It includes private PATIENTS treated by the NHS, PATIENTS who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS.

For further information on Hospital Episode Statistics, see the NHS Digital website at: Hospital Episode Statistics.For further information on Hospital Episode Statistics, see the NHS Digital website at: Hospital Episode Statistics.

 

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HYPERBARIC OXYGEN THERAPY

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Hyperbaric Oxygen Therapy (HBOT) is a CLINICAL INTERVENTION.

Hyperbaric Oxygen Therapy (also known as Hyperbaric Medicine) involves breathing pure oxygen at higher than atmospheric pressures in an enclosed chamber.

For further information on Hyperbaric Oxygen Therapy, see the National Cancer Institute website.For further information on Hyperbaric Oxygen Therapy, see the National Cancer Institute website.

 

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IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50) OVERVIEW

Change to Supporting Information: Changed Description

This return is suspended.
For further information, see the NHS Digital website at: Immunisation Programmes Collection (KC50).For further information, see the NHS Digital website at: Immunisation Programmes Collection (KC50).

The Immunisation Programmes Activity Data Set (KC50) requires summary information from Primary Care Trusts about the delivery of Immunisation Programmes for the following diseases:

  • Diphtheria, Tetanus and Polio (Td/IPV)
  • Measles, Mumps and Rubella (MMR), and
  • Tuberculosis (BCG).

The responsible population for the Primary Care Trusts with respect to the delivery of these Immunisation Programmes includes:

This does not include PERSONS who are resident within the Primary Care Trust GEOGRAPHIC AREA but registered with a GENERAL MEDICAL PRACTITIONER whose GP Practice is under the responsibility of a different Primary Care Trust.

Reporting

The Immunisation Programmes Activity Data Set (KC50) is reported for each financial year (i.e. between 1st April and 31st March), and must be received no later than the last working day of April. Reporting is via the Omnibus Survey collection tool provided by NHS Digital.

For further information on the Immunisation Programmes Activity Data Set (KC50), see the NHS Digital website at: Immunisation Programmes Collection (KC50).For further information on the Immunisation Programmes Activity Data Set (KC50), see the NHS Digital website at: Immunisation Programmes Collection (KC50).

Immunisation Age Group
The IMMUNISATION AGE GROUP reported should reflect the age in year of the PERSON IN PROGRAMME within the REPORTING PERIOD. For example, the IMMUNISATION AGE GROUP of National Code '14 Age 13 years' is used to report Immunisation Programme activity performed on a PERSON who becomes 13 years of age during the REPORTING PERIOD.

Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by NHS Digital and can be found on the NHS Digital website at: Immunisation Programmes Collection (KC50).Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by NHS Digital and can be found on the NHS Digital website at: Immunisation Programmes Collection (KC50).

Part A (i): IMMUNISATION PROGRAMME ACTIVITY FOR DIPHTHERIA, TETANUS AND POLIO (Td/IPV)

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Diphtheria, Tetanus and Polio.

It is mandatory to report the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) and IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO) for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO).

Where the Primary Care Trust does not offer vaccination for immunisation against Diphtheria, Tetanus and Polio for a specific IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO), the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) for that IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) is reported as zero.

Part A (ii): IMMUNISATION PROGRAMME ACTIVITY FOR MEASLES, MUMPS AND RUBELLA (MMR).

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Measles, Mumps and Rubella (MMR).

It is mandatory to report the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) and IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA) for each IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA).

Where the Primary Care Trust does not offer vaccination for immunisation against Measles, Mumps and Rubella (MMR) for a specific IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA), the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) for that IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) is reported as zero.

Part B (i): IMMUNISATION PROGRAMME ACTIVITY - MANTOUX TESTS FOR TUBERCULOSIS (BCG).

This group reports the delivery of Mantoux Tests.

It is mandatory to report the MANTOUX TESTS PERFORMED TOTAL (TUBERCULOSIS) for each IMMUNISATION AGE GROUP (TUBERCULOSIS).

Part B (ii): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG).

This group reports Immunisation Programme activity for the delivery of vaccinations for immunisation against Tuberculosis (BCG).

It is mandatory to report the ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) and IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) for each IMMUNISATION AGE GROUP (TUBERCULOSIS).

Part C (i): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1 YEAR.

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Tuberculosis (BCG), for PERSONS aged under 1 year.

It is mandatory to report the ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) for each of the following IMMUNISATION PROGRAMME TYPES (TUBERCULOSIS):

National Codes:

2Planned programme for infants aged under 1 year, vaccinated routinely
3Planned programme for infants aged under 1 year, in selective high-risk group

It is mandatory to report the IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) for each of the following IMMUNISATION PROGRAMME TYPES (TUBERCULOSIS):

National Codes:

2Planned programme for infants aged under 1 year, vaccinated routinely
3Planned programme for infants aged under 1 year, in selective high-risk group
4Other programme

Part C (ii) SUMMARISED IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1 YEAR.
This mandatory group reports the IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR) to all PERSONS aged under 1 year.

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IMMUNOTHERAPY

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Immunotherapy is a CLINICAL INTERVENTION

Immunotherapy is a type of treatment that involves taking medicines that encourage the immune system to fight cancer, infections, and other diseases.

For further information on Immunotherapy, see the National Cancer Institute website.For further information on Immunotherapy, see the National Cancer Institute website.

 

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INDEX

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NHS DATA MODEL AND DICTIONARY Version 3

What's New: December 2018

What's New: March 2019

Welcome to the NHS Data Model and Dictionary for England

If you would like to:

  • know more about us or need help using the NHS Data Model and Dictionary, see the Help pages
  • view our Frequently Asked Questions, see Frequently Asked Questions.

The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Coordination Board (DCB) process. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).

 

Related Links:
Frequently Asked Questions
Department of Health and Social Care website
NHS Digital website
Published Information Standards Documentation

Welcome to the NHS Data Model and Dictionary for England

If you would like to:

  • know more about us or need help using the NHS Data Model and Dictionary, see the Help pages
  • view our Frequently Asked Questions, see Frequently Asked Questions.

The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Coordination Board (DCB) process. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).

 

Related Links:
Frequently Asked Questions
Department of Health and Social Care website
NHS Digital website
Published Information Standards Documentation

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INFANT PHYSICAL EXAMINATION

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An Infant Physical Examination is a Clinical Investigation.

An Infant Physical Examination is a physical examination of an infant. This includes checking the baby's:

  • heart for congenital heart defects (CHD)
  • hips for developmental dysplasia of the hip (DDH)
  • testes for undescended testes and
  • eyes.

For further information on Infant Physical Examinations, see the NHS Newborn and Infant Physical Examination Programme website.For further information on Infant Physical Examinations, see the NHS website at: Newborn physical examination.

 

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INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE

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The Information Standards Board for Health and Social Care (ISB) closed on 31 March 2014.

Responsibility for the governance of information standards has transferred to the Standardisation Committee for Care Information (SCCI).

The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standards that were approved by the Information Standards Board for Health and Social Care up to 31 March 2014.

The Information Standards Board for Health and Social Care (ISB) in England was tasked with the independent assurance and approval of information standards for adoption by the NHS and social care up to 31 March 2014.

The scope of the Information Standards Board for Health and Social Care included all information standards within the Department of Health, NHS, adult social care and those required to support approved sharing and communication with other agencies where NHS information infrastructure and systems are to be used.

The standards library on the Information Standards Board for Health and Social Care website at http://webarchive.The standards library on the Information Standards Board for Health and Social Care website at https://webarchive.nationalarchives.gov.uk/+/http://www.isb.nhs.uk/ will continue to be updated, to mark items as superseded, on approval of changes by the Standardisation Committee for Care Information (SCCI).

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INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA

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INTERNATIONAL FEDERATION OF GYNECOLOGY AND OBSTETRICS

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INTERNATIONAL NEUROBLASTOMA RISK GROUP STAGING SYSTEM

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The International Neuroblastoma Risk Group Staging System (INRGSS) is a system for CANCER STAGING.

The International Neuroblastoma Risk Group Staging System is a preoperative staging system.

The extent of disease is determined by the presence or absence of image-defined risk factors (IDRFs) and/or metastatic Tumour at the time of PATIENT DIAGNOSIS, before any treatment or surgery

For further information on the International Neuroblastoma Risk Group Staging System, see the National Cancer Institute website.For further information on the International Neuroblastoma Risk Group Staging System, see the National Cancer Institute website.

 

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INTERNATIONAL PROGNOSTIC SCORING SYSTEM

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The International Prognostic Scoring System (IPSS) Hasenclever Index is an ASSESSMENT TOOL.

The International Prognostic Scoring System is the most commonly used tool in myelodysplastic syndromes (MDS) to predict long-term outcome.

The INTERNATIONAL PROGNOSTIC SCORING SYSTEM SCORE is calculated using:For further information on the International Prognostic Scoring System, see the International Prognostic Scoring System calculator.

For further information on the International Prognostic Scoring System, see the International Prognostic Scoring System calculator.

 

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INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY

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The International Society of Paediatric Oncology (SIOP) is an Organisation.

The International Society of Paediatric Oncology's vision is that "No child should die of cancer".

The mission of the International Society of Paediatric Oncology is to:

  • ensure that each child and young adult with cancer has access to state of the art treatment and care
  • ensure that all involved in childhood cancer worldwide, have access to the latest progress through meetings, networking, and continuing professional development
  • support those caring for children and young adults with cancer to provide the best curative and palliative therapies
  • advocate for appropriate long term follow up for children and young adults after treatment for cancer.

For further information on the International Society of Paediatric Oncology, see the International Society of Paediatric Oncology website.For further information on the International Society of Paediatric Oncology, see the International Society of Paediatric Oncology website.

 

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INTERNATIONAL STAGING SYSTEM

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The International Staging System (ISS) is a system for CANCER STAGING.

The International Staging System is the staging system for PATIENTS with myeloma.

For further information on the International Staging System, see the International Staging System calculator.For further information on the International Staging System, see the International Staging System calculator.

 

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INTER-PROVIDER TRANSFER ADMINISTRATIVE MINIMUM DATA SET OVERVIEW

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Contextual Overview

The NHS need to measure and monitor the REFERRAL TO TREATMENT PERIOD within PATIENT PATHWAYS to ensure that they are progressing as planned to achieve the 18 weeks target.

In an estimated 10% to 20% of cases, responsibility for the PATIENT PATHWAY will be transferred between Health Care Providers. The receiving Health Care Provider would be unable to report on the 18 weeks target for these cases unless the referring Health Care Provider supplied the PATIENT PATHWAY information at the time of transfer.

This data set specifies the data necessary to permit the receiving Health Care Provider to be able to report the PATIENT's progress along their PATIENT PATHWAY and, in particular, their REFERRAL TO TREATMENT PERIOD.

Scope and Collection

Where the Inter-Provider Transfer Administrative Minimum Data Set is sent WITH the clinical referral letter it is considered to be complete if the following key data items are included:

Where the Inter-Provider Transfer Administrative Minimum Data Set is sent independently of the clinical referral letter, ALL mandated Inter-Provider Transfer Administrative Minimum Data Set data items must be completed.

Further Guidance

Further guidance on the data set can be found in 'The Inter-Provider Transfer Administrative Data Set Operational Information Standard' and in DSCN 30/2007.Further guidance on the data set can be found in 'The Inter-Provider Transfer Administrative Data Set Operational Information Standard' and in DSCN 30/2007.

Further guidance and definitions on REFERRAL TO TREATMENT PERIODS and those PATIENT PATHWAYS included within the Consultant-Led Referral to Treatment Waiting Times can be found on the NHS England website.

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INTRAOPERATIVE ULTRASOUND

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An Intraoperative Ultrasound (IOUS) is a Clinical Investigation.

An Intraoperative Ultrasound is a procedure that uses ultrasound (high-energy sound waves that are bounced off internal TISSUES and organs) during surgery. Sonograms (pictures made by ultrasound) of the inside of the body are viewed on a computer to help a surgeon find Tumours or other problems during the operation.

For further information on Intraoperative Ultrasounds, see the National Cancer Institute website.For further information on Intraoperative Ultrasounds, see the National Cancer Institute website.

 

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LAPAROSCOPY

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A Laparoscopy is a CLINICAL INTERVENTION.

A Laparoscopy is a Patient Procedure that uses a laparoscope, inserted through the abdominal wall, to examine the inside of the abdomen.

For further information on Laparoscopies,  see the National Cancer Institute website.For further information on Laparoscopies,  see the National Cancer Institute website.

 

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LASER TREATMENT

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Laser Treatment is a CLINICAL INTERVENTION.

Laser Treatment (also known as Laser Therapy) uses intense, narrow beams of light to cut and destroy TISSUE, such as cancerous TISSUE.

For further information on Laser Treatment, see the National Cancer Institute website.For further information on Laser Treatment, see the National Cancer Institute website.

 

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LESION

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A Lesion is a CELL PATHOLOGICAL ABNORMALITY.

A Lesion is an area of abnormal TISSUE.

A Lesion may be:

  • benign (not cancer) or
  • malignant (cancer).

For further information on Lesions, see the National Cancer Institute website.For further information on Lesions, see the National Cancer Institute website.

 

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LIGHT THERAPY

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Light Therapy is a CLINICAL INTERVENTION.

Light Therapy (also known as Phototherapy) is the treatment of disease with certain types of light.

Light Therapy can be given using lasers, LED (Light Emitting Diode), fluorescent lamps, and ultraviolet or infrared radiation.

For further information on Light Therapy, see the National Cancer Institute website.For further information on Light Therapy, see the National Cancer Institute website.

 

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LYMPH NODE

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A Lymph Node is a TISSUE.

A Lymph Node is a rounded mass of lymphatic TISSUE that is surrounded by a capsule of connective TISSUE.

For further information on Lymph Nodes, see the National Cancer Institute website.For further information on Lymph Nodes, see the National Cancer Institute website.

 

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NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW

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Introduction:

The information in the National Cancer Waiting Times Monitoring Data Set is required to provide details on cancer SERVICES in England. This enables the performance monitoring of Health Care Providers and Clinical Commissioning Groups in order to maintain and increase standards across England.

Cancer Waiting Times data relates to:

The 'Cancer Reform Strategy (2007)' introduced new and changed commitments in terms of service standards for cancer PATIENTS that must be met. A Review of Cancer Waiting Times Standards was carried out by the Department of Health and Social Care and published alongside 'Improving Outcomes: A Strategy for Cancer (2011)'.

The National Cancer Waiting Times Monitoring Data Set supports the continued management and monitoring of the following waiting times:

Patient Pathway Scenarios:

The Patient Pathway Scenarios for the National Cancer Waiting Times Monitoring Data Set are to be used to manage the collection of data for all PATIENTS suspected of having, or diagnosed with cancer.

Transmission:

Further guidance:

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NATIONAL CASEMIX OFFICE

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The National Casemix Office (NCO) is an Organisation.

The National Casemix Office designs and refines classifications that are used by the English NHS to describe healthcare ACTIVITY. These classifications underpin the National Tariff Payment System from costing through to payment, and support local commissioning and performance management.

The National Casemix Office enables the NHS to:

  • support ACTIVITY costing: to inform the National Tariff Payment System processes
  • report on PATIENT ACTIVITY information: to ensure that providers are paid for the SERVICES they deliver
  • provide information: to support epidemiological studies and service planning
  • enable providers and commissioners to use HRGs to benchmark and performance manage.
For further information on the National Casemix Office, see the NHS Digital website at: National Casemix Office (NCO).For further information on the National Casemix Office, see the NHS Digital website at: National Casemix Office (NCO). 

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NATIONAL CONTACT POINT

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The National Contact Point (NCP) is an Organisation.

The National Contact Point is run by NHS England.

The primary role of the National Contact Point is the provision of information to prospective European PATIENTS travelling to England for treatment (‘incoming PATIENTS’) and English residents seeking funding for healthcare in the European Economic Area (‘outgoing PATIENTS’).

For further information on the role of the National Contact Point, see the NHS website at: National Contact Points for the United Kingdom.For further information on the role of the National Contact Point, see the NHS website at: National Contact Points for the United Kingdom.

 

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NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE

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The National Institute for Health and Care Excellence (NICE) is an Organisation.

The National Institute for Health and Care Excellence provides national guidance and advice to improve health and social care.

The National Institute for Health and Care Excellence's role is to improve outcomes for people using the NHS and other public health and social care services. This is achieved by:

  • Producing evidence-based guidance and advice for health, public health and social care practitioners
  • Developing quality standards and performance metrics for those providing and commissioning health, public health and social care services
  • Providing a range of information services for commissioners, practitioners and managers across the spectrum of health and social care.

Further information on the National Institute for Health and Care Excellence, see the National Institute for Health and Care Excellence website.Further information on the National Institute for Health and Care Excellence, see the National Institute for Health and Care Excellence website.

 

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NATIONAL WORKFORCE DATA SET OVERVIEW

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The National Workforce Data Set (NWD) is a reference Data Set comprising standardised definitions to facilitate the capture of nationally consistent information relating to the NHS and wider healthcare workforce.  National Workforce data items and definitions support a variety of workforce based collections. They are also embedded within operational HR/workforce systems including Electronic Staff Record (ESR), and the NHS Jobs web system.

The National Workforce Data Set provides common definitions for those data items that are needed to support workforce planning for the NHS workforce and is intended as a reference with an agreed set of data definitions for people who plan workforce at strategic, national and local level.

The changing nature of the provision of NHS funded care is leading to plurality of supply, and therefore a National Workforce Data Set ensures that all suppliers of NHS care provide workforce information in an agreed and pre-determined format. This provides a practical means for the consistent collection of this information from all providers of NHS funded care to enable comprehensive Healthcare Workforce planning going forwards.

The information captured using the values defined in the National Workforce Data Set will also be used locally within Organisations by a range of people in addition to those mentioned above, such as in Training and Development, Workforce Information and Planning and Equality and Diversity.  The accuracy and relevance of the data captured using the National Workforce Data Set values will therefore impact on a number of issues at local level and beyond.

Further guidance has been produced by NHS Digital and is available on their website at: National Workforce Data Set (NWD) and NHS occupation codes.Further guidance has been produced by NHS Digital and is available on their website at: National Workforce Data Set (NWD) and NHS occupation codes.

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NEONATAL DATA ANALYSIS UNIT

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The Neonatal Data Analysis Unit is an Organisation.

The Neonatal Data Analysis Unit (NDAU) is an academic unit based at Imperial College London. The Neonatal Data Analysis Unit has established a database, the National Neonatal Research Database (NNRD) to hold data comprising the National Neonatal Data Set - Episodic and Daily Care and National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, as a national resource.

For further information on the Neonatal Data Analysis Unit, see the NDAU website.For further information on the Neonatal Data Analysis Unit, see the NDAU website.

 

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NEWBORN BLOOD SPOT TEST

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A Newborn Blood Spot Test is a Clinical Investigation.

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

All babies are screened for:

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

For further information on Newborn Blood Spot Tests, see the UK Newborn Screening Programme Centre website.For further information on Newborn Blood Spot Tests, see the NHS website at: Newborn blood spot test.

 

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NEWBORN HEARING SCREENING

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Newborn Hearing Screening is a Clinical Investigation.

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

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

For further information on Newborn Hearing Screening, see the NHS Newborn Hearing Screening Programme website.For further information on Newborn Hearing Screening, see the Public Health England part of the gov.uk website at: NHS newborn hearing screening programme (NHSP).

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

 

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NEWBORN PHYSICAL EXAMINATION

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A Newborn Physical Examination is a Clinical Investigation.

A physical examination of the baby is carried out within 72 hours of birth, using appropriate clinical examination techniques to examine:

  • the heart for congenital heart defects (CHD)
  • hips for developmental dysplasia of the hip (DDH)
  • testes for undescended testes and
  • eyes.

For further information on Newborn Physical Examinations, see the NHS Newborn and Infant Physical Examination Programme at: Information for the public.For further information on Newborn Physical Examinations, see the NHS website at: Newborn physical examination.

 

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NHS DATA MODEL AND DICTIONARY SERVICE

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The NHS Data Model and Dictionary Service is provided by NHS Digital.

The NHS Data Model and Dictionary Service provides the development, maintenance and support of NHS Information Standards, contained in the NHS Data Model and Dictionary.

The NHS Data Model and Dictionary Service provides the following products and information to help users understand and navigate the NHS Data Model and Dictionary:

For further information on the NHS Data Model and Dictionary Service, see the NHS Data Model and Dictionary Service web pages on the NHS Digital website.

 

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NHS DIGITAL

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NHS Digital is an Organisation.

NHS Digital, the new trading name for Health and Social Care Information Centre (HSCIC), was set up as an Executive Non Departmental Public Body (ENDPB) in April 2013.

The Health and Social Care Act 2012 sets out NHS Digital's responsibilities, which include:

  • Collecting, analysing and presenting national health and social care data
  • Setting up and managing national IT systems for transferring, collecting and analysing information
  • Publishing a set of rules to set out how the personal confidential information of PATIENTS should be handled and managed by health and care staff and Organisations
  • Building up a library of 'indicators' that can be used to measure the quality of health and care services provided to the public
  • Acting to reduce how much paperwork doctors, nurses and care workers have to complete by ensuring that only essential data is collected
  • Helping health and care Organisations improve the quality of the data they collect and send to NHS Digital by setting standards and guidelines to help them assess how well they are doing
  • Creating a register of all the information that NHS Digital collect and produce, and publishing that information in a range of different formats so that it will be useful to as many people as possible while safeguarding the personal confidential data of individuals.

Further information on NHS Digital can be found on the:

 

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NHS FOUNDATION TRUST

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An NHS Foundation Trust is an Organisation.

An NHS Foundation Trust is a not-for-profit, public benefit corporation.

NHS Foundation Trusts were established by section 30 of, and Schedule 7 to, the National Health Service Act 2006.

An NHS Foundation Trust provides goods and services for the purposes of the health service in England, in accordance with Chapter 5 of the National Health Service Act 2006.

NHS Foundation Trusts:

  • provide over half of all NHS hospital, mental health, Ambulance Services and community care SERVICES
  • were created to devolve decision making from central government to local communities
  • provide and develop healthcare according to core NHS principles - free care, based on need and not ability to pay.

NHS Improvement is responsible for overseeing NHS Foundation Trusts.

For further information on NHS Foundation Trusts, see the:

 

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NHS HEALTH CHECKS DATA SET OVERVIEW

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The NHS Health Checks Data Set is used to

  • Support a uniform, quality and safe NHS Health Check Assessment for all those eligible between the age of 40 and 74 in England.
  • Ensure that everyone who is eligible for the check will receive the same ‘face to face’ national offer wherever their check is conducted.
  • Help estimate the impact of the NHS Health Check Programme on local services and enable commissioners to be more responsive and effective in their commissioning of services to support the NHS Health Check Programme.
  • Provide a common and understood interface for Primary Care clinical system suppliers to support the process of risk assessment and PATIENT care.
  • Support the reporting of NHS Health Check Assessment data for performance management and research purposes.

DATA EXTRACT SPECIFICATION

The Department of Health and Social Care require NHS Primary Care System Suppliers to extract data, apply documented derivation rules and then securely transmit to NHS Digital, where the information will be validated and stored for Department of Health and Social Care analysis.

The data extract consists of anonymised demographic data and a limited set of clinical observations. The data does not constitute the full PATIENT record.

Time period: The extract covers one calendar quarter.

Frequency: Reports are run quarterly, 6 weeks after the end of the quarter.

Format: Data for submission will be formatted into an XML file as per the NHS Health Checks Data Set Message.

Transmission: Electronic files are transmitted to NHS Digital via an encrypted web based portal hosted at NHS Digital. This web portal enables delegated system suppliers to submit data files in a secure manner across the Internet after derivation rules have been applied.

Guidance and information on derivation rules, READ format mappings and transmission protocols are available from NHS Digital.

Further guidance on the NHS Health Checks Data Set can be found on the NHS Digital website at: NHS Health Check Data Set.Further guidance on the NHS Health Checks Data Set can be found on the NHS Digital website at: NHS Health Check Data Set.

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NHS NEWBORN AND INFANT PHYSICAL EXAMINATION PROGRAMME

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The NHS Newborn and Infant Physical Examination Programme (NIPE) is a HEALTH PROGRAMME.

The NHS Newborn and Infant Physical Examination Programme offers parents of newborn babies in England the opportunity to have their child examined shortly after birth.

For further information on the NHS Newborn and Infant Physical Examination Programme, see the NHS Newborn and Infant Physical Examination Programme at: About Us.For further information on the NHS Newborn and Infant Physical Examination Programme, see the Public Health England part of the gov.uk website at: Newborn and infant physical examination screening: programme overview .

 

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NURSE (LEVEL ONE)

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NURSES trained within the United Kingdom may initially join the Nursing and Midwifery Council Register as a Level One Nurse, also known as a Registered Nurse, after the Nursing and Midwifery Council receives course completion details and declaration of good character from the Higher Education Institution where they qualified.

This reflects a standard of proficiency considered necessary for safe and effective practice under Level 1 Nurses Sub-part 1 of the Nursing and Midwifery Council Register.

Note: NURSES trained within the European Union or Overseas can also join the Nursing and Midwifery Council Register as a Level One NurseSee the Nursing and Midwifery Council website for the requirements. See the Nursing and Midwifery Council website for the requirements.

Registration as a Level One Nurse (Registered Nurse) will be in one of four fields of practice:

 

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NURSING AND MIDWIFERY COUNCIL

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The Nursing and Midwifery Council is a Regulatory Body.

Established in 2002, the Nursing and Midwifery Council (NMC) is a statutory Regulatory Body set up by Parliament through The Nursing and Midwifery Order 2001. The work of the Nursing and Midwifery Council is governed by this and other associated legislation.

The Nursing and Midwifery Council is the UK regulator for two professions, nursing and midwifery. The primary purpose of the Nursing and Midwifery Council is protection of the public. It does this through maintaining a register of all NURSES, MIDWIVES and Specialist Community Public Health Nurses eligible to practise within the UK and by setting standards for their education, training and conduct.

The Nursing and Midwifery Council also:

  • quality assures nursing and midwifery education;
  • consider allegations of misconduct, lack of competence or unfitness to practise due to ill health;
  • set standards and provide guidance for local supervising authorities for MIDWIVES.
For further information on the Nursing and Midwifery Council, see the Nursing and Midwifery Council website.For further information on the Nursing and Midwifery Council, see the Nursing and Midwifery Council website.

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OMNIBUS SURVEY

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Omnibus Survey is a web-based data collection tool which the NHS, social care and other Organisations use to submit data to NHS Digital.

For further information on Omnibus Survey, see the NHS Digital website at What is Omnibus Survey?For further information on Omnibus Survey, see the NHS Digital website at What is Omnibus Survey?.

 

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PHARMACY PREMISES

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A Pharmacy Premises can be an Organisation or an Organisation Site.

A Pharmacy Premises is a location where medicinal drugs are dispensed and sold.

General Pharmaceutical Council Registration of Pharmacy Premises:

The General Pharmaceutical Council (GPhC) maintains a register of Pharmacy Premises if the principal activity at the premises is the retail sale or supply of Pharmacy (P) medicines and / or Prescription Only Medicines (POMs). They are not primarily concerned with NHS Prescriptions.

Once a Pharmacy Premises is registered with the General Pharmaceutical Council it is allocated a registration number which uniquely identifies each registered Pharmacy Premises. This registration number is a 7 digit number starting with the number 1.

All Pharmacy Premises that are currently registered with the General Pharmaceutical Council are listed on the General Pharmaceutical Council Register.

For further information on General Pharmaceutical Council Pharmacy Premises registration, see the General Pharmaceutical Council website.For further information on General Pharmaceutical Council Pharmacy Premises registration, see the General Pharmaceutical Council website.

Organisation Data Service (ODS) Codes:

To be able to dispense NHS Prescriptions, the Pharmacy Premises requires an Organisation Data Service code in addition to the General Pharmaceutical Council registration number.

The Organisation Data Service allocates the following codes:

  • Pharmacy
  • Pharmacy HQ.

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PHOTODYNAMIC THERAPY

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Photodynamic Therapy is a CLINICAL INTERVENTION.

Photodynamic Therapy is treatment with drugs that become active when exposed to light.

For further information on Photodynamic Therapy, see the National Cancer Institute website.For further information on Photodynamic Therapy, see the National Cancer Institute website.

 

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PRETEXT STAGING SYSTEM

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The Pretext Staging System is a system for CANCER STAGING.

The Pretext Staging System is used for childhood liver cancer.

The stage is based on where the Tumour has spread within the four parts (sections) of the liver, as shown by imaging procedures such as MRI Scan or CT Scan.

For further information on the Pretext Staging System, see the National Cancer Institute website.For further information on the Pretext Staging System, see the National Cancer Institute website.

 

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PROTON THERAPY

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Proton Therapy is a CLINICAL INTERVENTION.

Proton Therapy (also known as Proton Beam Radiation Therapy) is a type of radiation therapy that uses streams of protons (tiny particles with a positive charge) to kill tumour CELLS but not damage nearby TISSUES. It is used to treat cancers in the head and neck and in other organs such as the brain, eye, lung, spine and prostate.

For further information on Proton Therapy, see the National Cancer Institute website.For further information on Proton Therapy, see the National Cancer Institute website.

 

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PSORALEN AND ULTRAVIOLET A THERAPY

Change to Supporting Information: Changed Description

Psoralen and Ultraviolet A Therapy is a CLINICAL INTERVENTION.

Psoralen and Ultraviolet A Therapy is a type of Photodynamic Therapy used to treat skin conditions such as psoriasis, vitiligo, and skin nodules of cutaneous T-cell lymphoma. The PATIENT receives psoralen (a drug that becomes active when it is exposed to light) by mouth or applied to the skin, followed by ultraviolet A radiation.

For further information on Psoralen and Ultraviolet A Therapy, see the National Cancer Institute website.For further information on Psoralen and Ultraviolet A Therapy, see the National Cancer Institute website.

 

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QUARTERLY BED AVAILABILITY AND OCCUPANCY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

This data set is out of date therefore the information should not be used.
For further information, see the NHS England website at: Bed Availability and Occupancy.

The Quarterly Bed Availability and Occupancy Data Set (KH03) requires summary information from NHS Health Care Providers for Hospital Bed availability and occupancy. It identifies the number of available and occupied bed days for each NHS Health Care Provider

Reporting Period:
This collection is reported quarterly. NHS Health Care Providers should submit their data on the fifth Friday following the end of the quarter.  Reporting is via Unify2.

Scope: 
The Quarterly Bed Availability and Occupancy Data Set (KH03) reporting requirements are as follows:

Note:
Summary information for bed availability for each CARE PROFESSIONAL MAIN SPECIALTY CODE is not reported in the Quarterly Bed Availability and Occupancy Data Set (KH03).

The applicable list of CARE PROFESSIONAL MAIN SPECIALTY CODES, and the mapping of CARE PROFESSIONAL MAIN SPECIALTY CODES applicable to each MAIN SPECIALTY CATEGORY CODE FOR BED AVAILABILITY AND OCCUPANCY is available by emailing unify2@dh.gsi.gov.uk. 

Exclusions:
The collection does not include:

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RADIOFREQUENCY ABLATION

Change to Supporting Information: Changed Description

Radiofrequency Ablation (RFA) is a CLINICAL INTERVENTION.

Radiofrequency Ablation is a procedure that uses radio waves to heat and destroy abnormal CELLS. The radio waves travel through electrodes (small devices that carry electricity). Radiofrequency Ablation may be used to treat cancer and other conditions.

For further information on Radiofrequency Ablation, see the National Cancer Institute website.For further information on Radiofrequency Ablation, see the National Cancer Institute website. 

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RADIOISOTOPE THERAPY

Change to Supporting Information: Changed Description

Radioisotope Therapy is a CLINICAL INTERVENTION.

Radioisotope Therapy is a form of targeted therapy. The radioisotopes are delivered through infusion (into the bloodstream) or ingestion.

For further information on Radioisotope Therapy, see the National Cancer Institute website.For further information on Radioisotope Therapy, see the National Cancer Institute website.

 

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RADIOSURGERY

Change to Supporting Information: Changed Description

Radiosurgery is a CLINICAL INTERVENTION.

Radiosurgery is a medical procedure that allows non-invasive treatment of benign and malignant Tumours.

For further information on Radiosurgery, see the National Cancer Institute website.For further information on Radiosurgery, see the National Cancer Institute website.

 

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RADIOTHERAPY

Change to Supporting Information: Changed Description

Radiotherapy is a CLINICAL INTERVENTION.

Radiotherapy is used to treat conditions such as cancer, thyroid disorders and some blood disorders.

During cancer Radiotherapy, controlled doses of high-energy radiation, usually X-rays, destroy cancer CELLS in the affected area.

For further information on Radiotherapy, see the National Cancer Institute website.For further information on Radiotherapy, see the National Cancer Institute website.

 

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REFERRAL TO TREATMENT DATA SET OVERVIEW

Change to Supporting Information: Changed Description

This return is out of date therefore the information should not be used.
For the latest version of the guidance, please email RTTdata@dh.gsi.gov.uk.For the latest version of the guidance, please email england.rtt@nhs.net.

Referral to Treatment Data to support delivery of 18 weeks

The scope of this collection is described in Referral To Treatment Periods Included In Referral To Treatment Consultant-Led Waiting Times Measurement. The minimum requirements for this data set are:

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SENTINEL LYMPH NODE

Change to Supporting Information: Changed Description

A Sentinel Lymph Node is a CELL PATHOLOGICAL ABNORMALITY.

A Sentinel Lymph Node is the first Lymph Node to which cancer is likely to spread from the primary Tumour. When cancer spreads, the cancer CELLS may appear first in the Sentinel Lymph Node before spreading to other Lymph Nodes.

For further information on Sentinel Lymph Nodes, see the National Cancer Institute website.For further information on Sentinel Lymph Nodes, see the National Cancer Institute website.

 

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SENTINEL LYMPH NODE BIOPSY

Change to Supporting Information: Changed Description

A Sentinel Lymph Node Biopsy is a Clinical Investigation.

A Sentinel Lymph Node Biopsy involves the removal and examination of the Sentinel Lymph Nodes to check for the presence of cancer CELLS.

For further information on Sentinel Lymph Node Biopsies, see the National Cancer Institute website.For further information on Sentinel Lymph Node Biopsies, see the National Cancer Institute website.

 

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STANDARDISATION COMMITTEE FOR CARE INFORMATION

Change to Supporting Information: Changed Description

The Standardisation Committee for Care Information (SCCI) closed on 31 March 2017.

Responsibility for the approval of Information Standards has transferred to the Data Coordination Board (DCB).

The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standards that were assured and approved by the Standardisation Committee for Care Information between 1 April 2014 and 31 March 2017.

The Standardisation Committee for Care Information replaced the Information Standards Board for Health and Social Care (ISB) on 1 April 2014.

The Standardisation Committee for Care Information:
  • has delegated authority from the National Information Board (NIB) to accept Information Standards and Collections (including Extractions) (ISCEs) for health and social care
  • is responsible for the need to change, deprecate and retire existing approved Information Standards and Collections (including Extractions) Notices
  • takes its membership from a wide range of national bodies and Organisations involved in the provision and management of health and social care services in England. This ensures a system-wide, joined-up approach to decision-making

For further information on the Standardisation Committee for Care Information, see the NHS Digital website at: Information Standards and Collections (Including Extractions) - National Governance.For further information on the Standardisation Committee for Care Information, see the NHS Digital website at: Information Standards and Collections (Including Extractions) - National Governance.

 

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ST JUDE SYSTEM

Change to Supporting Information: Changed Description

The St Jude System (also known as the Murphy Staging System) is a system for CANCER STAGING.

The St Jude System is a staging system for paediatric PATIENTS with Non-Hodgkin Lymphoma (NHL).

For further information on CANCER STAGINGS, see the National Cancer Institute website.For further information on CANCER STAGINGS, see the National Cancer Institute website. 

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STRATEGIC DATA COLLECTION SERVICE

Change to Supporting Information: Changed Description

The Strategic Data Collection Service (SDCS) is a secure data collection system which accepts uploads of submissions in a variety of formats. The system is under constant review and enables NHS Digital to customise bespoke data collections.

For further information on the Strategic Data Collection Service, see the NHS Digital website at:

 

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TNM STAGING SYSTEM

Change to Supporting Information: Changed Description

The TNM Staging System is a system for CANCER STAGING.

The TNM Staging System:

The TNM Staging System is based on:

  • the extent of the Tumour (T)
  • the extent of spread to the lymph nodes (N) and
  • the presence of distant metastasis (M).

A number is added to each letter to indicate the size or extent of the primary Tumour and the extent of cancer spread.

For further information on the TNM Staging System, see the National Cancer Institute website.For further information on the TNM Staging System, see the National Cancer Institute website. 

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TUMOUR

Change to Supporting Information: Changed Description

A Tumour is a CELL PATHOLOGICAL ABNORMALITY.

A Tumour is an abnormal mass of TISSUE that results when CELLS divide more than they should or do not die when they should.

Tumours may be:

  • benign (not cancer) or
  • malignant (cancer).

For further information on Tumours, see the National Cancer Institute website.For further information on Tumours, see the National Cancer Institute website.

 

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VENOUS THROMBOEMBOLISM RISK ASSESSMENT DATA SET OVERVIEW

Change to Supporting Information: Changed Description

This data set is out of date therefore the information should not be used.
For further information, see the NHS Improvement website at: Venous thromboembolism (VTE) risk assessment.

The purpose of the Venous Thromboembolism Risk Assessment Data Set is to quantify the number of adult PATIENTS (aged 18 and over) admitted to hospital, who are risk assessed for Venous Thromboembolism using the Venous Thromboembolism Risk Assessment Tool to allow appropriate preventative treatment based on guidance from the National Institute for Health and Care Excellence.

Collection and submission of the Venous Thromboembolism Risk Assessment Data Set

All providers of NHS funded acute hospital care (including foundation trusts and Independent Providers of acute NHS services) must complete this data collection.

Data on Venous Thromboembolism risk assessments is uploaded onto Unify2 each month no later than 20 working days after the month end. Revisions to the data set before the cut off date are allowed however, revisions made after the cut off date must be made in liaison with the Department of Health and Social Care.

For further guidance on the Venous Thromboembolism Risk Assessment Data Set, see the:

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VENOUS THROMBOEMBOLISM RISK ASSESSMENT TOOL

Change to Supporting Information: Changed Description

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WHAT'S NEW: MARCH 2019  renamed from WHAT'S NEW: DECEMBER 2018

Change to Supporting Information: Changed Name, Description

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

Release: March 2019

  • CR1550 (1 April 2019) - DCB1513 Maternity Services Data Set Version 2
  • CR1648 (1 April 2019) - DCB0011 Mental Health Services Data Set Version 4 
  • CR1654 (1 April 2019) - DCB0092-2062 Update to Commissioning Data Set Type 011 Emergency Care
  • CR1715 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-2 Type 011 Emergency Care
  • CR1717 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-1 Type 011
  • CR1695 (Immediate) - DDCN 1695/2019 Emergency Care Department Type - Urgent Treatment Centres
  • CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update

Release: December 2018

  • CR1650 (1 January 2018) - DCB1067 National Workforce Data Set v3.0

Release: November 2018

  • CR1631 (Immediate) - DCB3017 Overseas Visitor Charging Category

Release: October 2018

  • CR1618 (1 October 2018) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
  • CR1666 (Immediate) - DDCN 1666/2018 Stop Smoking Services Quarterly Data Set

Release: September 2018

Release: July 2018

  • CR1639 (1 April 2018) - DCB2117 NHS Continuing Healthcare Data Set Update
  • CR1630 (4 June 2018) - DCB1567 National Joint Registry Data Set Version 7
  • CR1658 (Immediate) - DDCN 1658/2018 Young Offender Institution

Release: May 2018

  • CR1653 (Immediate) - DDCN 1653/2018 HIV and AIDS Reporting Data Set Update
  • CR1647 (Immediate) - DDCN 1647/2018 Terminology and Classifications Update

Release: April 2018

  • CR1636 (Immediate) - DDCN 1636/2018 Department of Health: Change of name
  • CR1638 (30 April 2018) - DCB0090 Health and Social Care Organisation Reference Data: Introducing an Application Programming Interface (API)

Release: March 2018

  • CR1588 (1 April 2018) - DCB1521 Cancer Outcomes and Services Data Set Version 8
  • CR1589 (1 April 2018) - DCB0147 National Cancer Waiting Times Monitoring Data Set Version 2.0
  • CR1610 (1 April 2018) - DCB0011 Mental Health Services Data Set Version 3.0
  • CR1642 (Immediate) - DDCN 1642/2018 Youth Offenders Institute: Change of name
  • CR1635 (Immediate) - DDCN 1635/2018 Edubase: Change of name

Release: January 2018

  • CR1633 (Immediate) - DDCN 1633/2017 Introduction of Strategic Data Collection Service (SDCS) and Data Services Platform (DSP)

Release: November 2017

  • CR1623 (Immediate) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set
  • CR1628 (Immediate) - DDCN 1628/2017 Employment Status

Release: October 2017

  • CR1619 (1 October 2017) - DCB1067 National Workforce Data Set Version 2.9
  • CR1595 (Immediate) - DCB0155 Stop Smoking Services Quarterly Data Set
  • CR1572 (Immediate) - DCB2094 Sexual Orientation
  • The October 2017 Release updates the NHS Data Model and Dictionary Help Pages and Demonstrations to reflect the new organisation structure.

Release: September 2017

  • CR1587 (1 October 2017) - SCCI1069 Community Services Data Set (CSDS) Version 1.0

Release: July 2017

  • CR1555 (Immediate) - SCCI1518 Sexual and Reproductive Health Activity Data Set Changes
  • CR1606 (Immediate) - SCCI0011 Mental Health Services Data Set Version 2 Corrigendum

Release: June 2017

  • CR1607 (Immediate) - DDCN 1607/2017 Renaming of NHS Commissioning Board Commissioning Region and NHS England Region (Geography)
  • CR1604 (Immediate) - DDCN 1604/2017 Introduction of the Data Coordination Board

Release: April 2017

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2017:

  • CR1598 (1 October 2017) - SCCI0092-2062 Commissioning Data Set Type 011 Emergency Care

Release: March 2017

  • CR1605 (Immediate) - DDCN 1605/2017 NHS Number Status Indicator Code
  • CR1594 (Immediate) - DDCN 1594/2017 Technology Reference Data Update Distribution (TRUD)
  • CR1564 (01 April 2017) - SCCI1521 Cancer Outcomes and Services Data Set Version 7
  • CR1563 (01 April 2017) - SCCI0011 Mental Health Services Data Set Version 2.0
  • CR1577 (01 April 2017) - SCCI0084 Introduction of OPCS-4.8

Release: December 2016

Release: November 2016

Release: October 2016

  • CR1578 (Immediate) - DDCN 1578/2016 Religious or Other Belief System Affiliation Groups SNOMED CT Subset
  • CR1569 (Immediate) - DDCN 1569/2016 NHS Improvement

Release: September 2016

  • CR1545 (Immediate) - SCCI0075 and SCCI0076 Updates to the Neonatal Critical Care and Paediatric Critical Care Minimum Data Sets

Release: August 2016

  • CR1532 (Immediate) - SCCI0090 Health and Social Care Organisation Reference Data
  • CR1583 (Immediate) - DDCN 1583/2016 Introduction of NHS Digital
  • CR1575 (Immediate) - DDCN 1575/2016 Introduction of the National Cancer Registration and Analysis Service (NCRAS)
  • CR1570 (Immediate) - DDCN 1570/2016 Update to COVER Central Return Data Set

Release: July 2016

  • CR1565 (Immediate) - ISB 1561 Retirement of Diabetes Summary Core Data Set ISB 1561

Release: March 2016

  • CR1300 (1 April 2016) - SCCI01477 Updates to the National Cancer Waiting Times Monitoring Data Set and introduction of the XML Schema
  • CR1412 (1 April 2016) - SCCI0021 Introduction of the International Classification of Diseases (ICD) 10th Revision 5th Edition
  • CR1544 (1 April 2016) - SCCI1111 Radiotherapy Data Set - Change of data flow
  • CR1549 (1 April 2016) - SCCII0011 Mental Health Services Data Set Version 1.1

Release: February 2016

  • CR1517 (1 January 2016) - SCCI1067 Workforce Data Set Version 2.8
  • CR1559 (Immediate) - DDCN 1559/2016 Lower Layer Super Output Area (Residence) and ONS Local Government Geography Code (Local Authority District)

Release: December 2015

  • CR1514 (1 January 2016) - SCCI0011 Mental Health Services Data Set
  • CR1515 (1 January 2016) - SCCI0011 Retirement of Mental Health Standards
  • CR1560 (Immediate) - DDCN 1560/2015 Retirement of Data Management and Integration Centre

Release: November 2015

  • CR1558 (Immediate) - DDCN 1558/2015 Children and Young People’s Health Services Data Set and Community Information Data Set Inconsistencies
  • CR1554 (1 October 2015) - SCCI2026 Corrigendum to CR1494 Female Genital Mutilation Data Set

Release: October 2015

  • CR1534 (Immediate) - DDCN 1534/2015 Retirement of Hospital Episode Statistics Cross Reference Tables

Release: September 2015

  • CR1521 (Immediate) - SCCI1580 Palliative Care Co-ordination: Core content (Formerly End of Life Care)
  • CR1522 (Immediate) - DDCN 1522/2015 Update General Dental Council Registration Number
  • CR1530 (Immediate) - ISB 0158 Retirement of Ambulance Services (KA34) Central Return Data Set
  • CR1528 (Immediate) - ISB 1568 Retirement of KO41 (A) Hospital and Community Health Service Complaints and KO41 (B) General Practice (including Dental) Complaints Central Return Forms
  • CR1551 (Immediate) - ISB 0133 Retirement of HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set and HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set

Release: August 2015

  • CR1374 (1 September 2015) - SCCI1510 Community Information Data Set Update
  • CR1356 (1 September 2015) - SCCI1069 Children and Young People’s Health Services Data Set Update and XML Schema
  • CR1529 (Immediate) - DDCN 1529/2015 Change to the Mechanism for XML Schema Publication and Download
  • CR1543 (Immediate) - DDCN 1543/2015 Treatment Function Code: 840 Audiology

Release: July 2015

  • CR1475 (Immediate) - SCCI1605 Accessible Information

Release: June 2015

  • CR1518 (Immediate) - ISB 092 CDS 6-1 Retirement
  • CR1525 (Immediate) - DDCN 1525/2015 Burden Advice and Assessment Service (BAAS)
  • CR1524 (Immediate) - DDCN 1524/2015 Updating of Activity Location Type and Source of Admission Attributes
  • CR1505 (Immediate) - DDCN 1505/2015 Death Cause Information

Release: May 2015

  • CR1507 (Immediate) - DDCN 1507/2015 To add SUS CDS business rule H4 text

Release: April 2015

  • CR 1494 and CR 1506 (1 April 2015) - SCCI2026 Amd 12/2014 Female Genital Mutilation Data Set and Retirement of Female Genital Mutilation Prevalence Data Set
  • CR1513 (27 April 2015) - DDCN 1513/2015 Introduction of NHS England Region (Geography)
  • CR1509 (1 April 2015) - ISB 1513 Maternity Services Data Set

  • CR1509 is a corrigendum to CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema published in the October 2014 release

Release: March 2015

  • CR1492 (1 April 2015) - SCCI1521 Amd 17/2014 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: February 2015

  • CR1486 (27 February 2015) - ISB 0090 Amd 9/2014 Organisation Data Service – Health and Justice Organisation Identifiers

Due to a delay in the Organisation Data Service (ODS) February release, the implementation date is now 6 March 2015.

Release: January 2015

Release: December 2014

  • CR1396 (31 October 2014) - ISB 1567 Amd 15/2014 National Joint Registry Data Set Version 6

    The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2015:

  • CR1487 (1 October 2015) - ISB 0089 Amd 8/2014 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set

Release: November 2014

  • CR1420 (Immediate) - ISB 0139 Amd 29/2013 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Update
  • CR1421 (Immediate) - ISB 1518 Amd 30/2013 Sexual and Reproductive Health Activity Data Set (SRHAD) Update
  • CR1422 (Immediate) - ISB 1518 Amd 30/2013 Retirement of Central Return Form KT31 Cross Sector Services

Release: October 2014

Release: September 2014

  • CR1484 (Immediate) - DDCN 1484/2014 Female Genital Mutilation SNOMED CT Subsets

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 31 July 2015:

  • CR1344 (31 July 2015) - ISB 1594 Amd 31/2012 Information Sharing to Tackle Violence Minimum Data Set

Release: August 2014

  • CR1360 (1 September 2014) - ISB 0011 Amd 5/2014 Mental Health and Learning Disabilities Data Set

Release: July 2014

  • CR1351 (1 July 2014) - ISB 1520 Amd 02/2013 Improving Access to Psychological Therapies Data Set Version 1.5
  • CR1482 (Immediate) - DDCN 1482/2014 Source of Referral for Mental Health
  • CR1480 (Immediate) - DDCN 1480/2014 Mental Health Care Cluster 9
  • CR1477 (Immediate) - DDCN 1477/2014 Payment by Results

  • Note: CR1383 (31 December 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

At the Standardisation Committee for Care Information meeting on 28th May 2014, an amendment to the implementation date of the ISB information standard was approved. The implementation date is now 31 December 2014.

  • The July 2014 Release updates the NHS Data Model and Dictionary Help Pages to reflect the new organisation structure.

Release: June 2014

  • CR1465 (Immediate) - DDCN 1465/2014 Primary Care Trusts and NHS Trusts
  • CR1461 (Immediate) - DDCN 1461/2014 New Standardisation Committee for Care Information (SCCI) Process
  • CR1383 (30 June 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

Release: May 2014

Release: April 2014

Release: March 2014

  • CR1388 (1 April 2014) - ISB 1521 Amd 23/2013 Updates to the Cancer Outcomes and Services Data Set and XML Schema
  • CR1370 (1 April 2014) - ISB 1533 Amd 24/2013 Updates to the Systemic Anti-Cancer Therapy Data Set and XML Schema
  • CR1322 (1 April 2014) - ISB 0111 Amd 26/2012 Changes to the Radiotherapy Data Set
  • CR1387 (1 April 2014) - ISB 0084 Amd 10/2013 Introduction of OPCS-4.7
  • CR1376 (1 April 2014) - ISB 1607 Amd 26/2013 Emergency Care Weekly Situation Report Data Set
  • CR1433 (Immediate) - DDCN 1433/2014 Data Services for Commissioners
  • CR1467 (1 April 2014) - DDCN 1467/2014 Retirement of Standards
  • CR1464 (1 April 2014) - DDCN 1464/2014 Retirement of Standards - Domains and Diagrams
  • CR1458 (1 April 2014) - DDCN 1458/2014 Retirement of Standards - DSCNs - 11/97/P05, 12/97/P06, 15/97/P09, 18/97/P12, 22/96/P19, 32/96/P27, 49/97/P35, 62/95/P51, 07/2007, 08/2009, 17/92, 20/2001, 22/2006 and 38/2002
  • CR1444 (1 April 2014) - DDCN 1444/2014 Retirement of Standards
  • CR1436 (1 April 2014) - DDCN 1436/2014 Retirement of Standards
  • CR1435 (1 April 2014) - DDCN 1435/2014 Retirement of Standards - DSCNs 22/95/P21, 20/91, 21/93, 40/95/P34, 09/94/P04, 93/95/P76, 23/94/A04, 8/92 and 17/93
  • CR1432 (1 April 2014) - DDCN 1432/2014 Retirement of Standards - DSCN 3/92, DSCN 12/96/P11, DSCN 50/94/P36, DSCN 66/96/W09 and DSCN 16/93
  • CR1429 (1 April 2014) - DDCN 1429/2014 Retirement of Standards - DSCN 07/96/P06
  • CR1425 (1 April 2014) - DDCN 1425/2014 Retirement of Standards
  • CR1423 (1 April 2014) - DDCN 1423/2014 Retirement of Standards - DSCNs 37/98/A09, 14/97/P08, 12/2002, 37/2003, 14/2004 and 27/2001
  • CR1419 (1 April 2014) - DDCN 1419/2014 Retirement of Standards - DSCNs 39/98/A11, 09/99/P06, 11/99/P07, 13/2003, 38/2001, 22/2001, 19/98/A02, 40/96/P34, 29/94/P19, 49/94/P35, 34/95/P29, 53/96/P44 and 96/95/P79
  • CR1418 (1 April 2014) - DDCN 1418/2014 Retirement of Standards
  • CR1417 (1 April 2014) - DDCN 1417/2014 Retirement of Standards - DSCNs 13/95/P12, 44/2001, 29/2004, 18/98/W02 and 24/98/F01
  • CR1416 (1 April 2014) - DDCN 1416/2014 Retirement of Standards - KC64 - DSCNs 05/98/P05 and 26/95/W02
  • CR1414 (1 April 2014) - DDCN 1414/2014 Retirement of Standards - DSCNs 03/99/P03, 10/2002, 12/99/A04, 20/98/A03, 30/98/P21, 35/99/P25, 37/97/P24 and 43/97/P29
  • CR1413 (1 April 2014) - DDCN 1413/2014 Retirement of Standards - DSCNs 13/97/P07, 15/96/P14, 17/2001, 20/2004, 21/2001, 21/2003, 28/98/P20, 33/2003 and 43/2002
  • CR1409 (1 April 2014) - DDCN 1409/2014 Retirement of Standards - DSCN's 46/97/P32, 01/2004, 04/2004, 11/2005, 27/2002, 31/2002, 53/2002 and 54/2002

Release: February 2014

  • CR1460 (Immediate) - DDCN 1460/2014 NHS Dental Services Update
  • CR1459 (Immediate) - DDCN 1459/2014 General Medical Practitioner (Specified), Doctor Index Number and General Medical Practitioner PPD Code Update
  • CR1446 (Immediate) - DDCN 1446/2014 Health and Social Care Information Centre Update
  • CR1404 (Immediate) - DDCN 1404/2014 Retirement of e-Gif definitions
  • CR1395 (28 February 2014) - ISB 0090 Amd 17/2013 Organisation Data Service – NHS Postcode Directory

Release: January 2014

  • CR1386 (31 January 2014) - ISB 0090 Amd 9/2013 Special Health Authority (SpHA) Code Structure Change
  • CR1443 (Immediate) - DDCN 1443/2014 Change of name of the National Institute for Health and Clinical Excellence
  • CR1441 (Immediate) - DDCN 1441/2014 Retirement of Review of Central Returns (ROCR) - Central Return Form KH03A
  • CR1440 (Immediate) - DDCN 1440/2014 Retirement of Review of Central Returns (ROCR) - Genitourinary Medicine Access Monthly Monitoring Data Set
  • CR1439 (Immediate) - DDCN 1439/2013 Retirement of Review of Central Returns (ROCR) Returns
  • CR1405 (Immediate) - DDCN 1405/2013 Overseas Visitors
  • CR1393 (Immediate) - DDCN 1393/2013 Amendment to Inter-Provider Transfer Administrative Minimum Data Set Overview
  • CR1392 (Immediate) - DDCN 1392/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment Performance Sharing Data Set
  • CR1391 (Immediate) - DDCN 1391/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment (RTT) Summary Patient Tracking List Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 June 2014:

Release: November 2013

  • CR1424 (Immediate) - DDCN 1424/2013 Application Identifier (GS1)
  • CR1367 (29 November 2013) - ISB 0090 Amd 5/2013 Organisation Data Service - Introduction of New Sub Type Identifier for Private Dental Practices
  • CR1359 (29 November 2013) - ISB 0090 Amd 47/2012 Organisation Data Service - Identification Codes for Local Authorities
  • CR1407 (Immediate) - DDCN 1407/2013 Clinical Investigations
  • CR1415 (Immediate) - DDCN 1415/2013 Area Teams
  • CR1411 (Immediate) - DDCN 1411/2013 Update to Supporting Information: SNOMED CT®

Release: September 2013

  • CR1348 (1 October 2013) - ISB 1597 Amd 35/2012 Breast Screening Programmes Data Set (KC63 and KC62)
  • CR1403 (Immediate) - DDCN 1403/2013 Religious or Other Belief System Affiliation
  • CR1384 (Immediate) - DDCN 1384/2013 Health and Social Care Information Centre Rebranding of XML Schemas
  • CR1397 (Immediate) - DDCN 1397/2013 Retired Main Specialty Codes

Release: July 2013

  • CR1377 (Immediate) - ISB 0105 Retirement of Accident and Emergency Quarterly Monitoring Data Set (QMAE)

Release: May 2013

Release: April 2013

  • CR1372 (Immediate) - DDCN 1372/2013 Organisation Update: April 2013
  • CR1369 (Immediate) - DDCN 1369/2013 Organisation Codes and Organisation Types
  • CR1347 (1 April 2013) - ISB 1521 Amd 40/2012 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: March 2013

Release: February 2013

  • CR1336 (Immediate) - DDCN 1336/2013 XML Schema Constraint Pages
  • CR1362 (Immediate) - DDCN 1362/2013 Update to Organisations in the NHS Data Model and Dictionary
  • CR1246 (Immediate) - DDCN 1246/2013 Guidance for Merging Organisations
  • CR1345 (Immediate) - DDCN 1345/2013 e-Government Interoperability Framework (e-GIF) and Government Data Standards Catalogue
  • CR1354 (Immediate) - DDCN 1354/2013 Treatment Function Code - Well Babies

Release: December 2012

  • CR1155 (Immediate) - ISB 1567 Amd 12/2011 National Joint Registry Data Set Version 5
  • CR1324 (1 December 2012) - ISB 1067 Amd 23/2012 Workforce Data Set Version 2.5
  • CR1196, CR1287 and CR1195 (1 January 2013) - ISB 1521 Amd 64/2010 Cancer Outcomes and Services Data Set, Cancer Outcomes and Services Data Set Message and Retirement of Cancer Registration Data Set and National Cancer Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

  • CR1337 (1 April 2013) - ISB 1072 Amd 30/2012 Update to Child and Adolescent Mental Health Services Secondary Uses Data Set

Release: November 2012

  • CR1166, CR1167 and CR1306 (1 November 2012) - ISB 0092 Amd-16-2010 Commissioning Data Set Version 6-2, Commissioning Data Set XML Message Version 6-2 and Retirement of CDS 6-0
  • CR1305 (1 April 2013) - ISB 0092 Amd 06/2011 Allied Health Professions Referral to Treatment (AHP RTT) Update - CDS 6-2
  • CR1286 (1 November 2012) - ISB 0028 Amd 17/2012 Treatment Function Codes Update
  • CR1343 (Immediate) - DDCN 1343/2012 Change of name for NHS Commissioning Board Authority
  • CR1342 (Immediate) - DDCN 1342/2012 Overseas Visitors Update
  • CR1341 (Immediate) - DDCN 1341/2012 Discharge Default Code Descriptions
  • CR1323 (Immediate) - National Cancer Waiting Times Monitoring Data Set Update for "Delay Reason To Treatment For Cancer"

CR1323 is a corrigendum to CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set published in the June 2012 release

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

CR1231 and CR1288 (1 April 2013) - ISB 1570 Amd 164/2010 HIV and AIDS Reporting Data Set and HIV and AIDS Related Data Set Message

Release: September 2012

  • CR1103 (Immediate) - ISB 0066 Amd 43/2010 Renal Data Set - Data Item Addition, Changes and Deletions
  • CR1334 (Immediate) - DDCN 1334/2012 Psychology Definitions
  • CR1331 (Immediate) - DDCN 1331/2012 Activity Date Time Type
  • CR1329 (Immediate) - DDCN 1329/2012 Change of name for "Health and Social Care Information Centre"

Release: August 2012

  • CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
  • CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
  • CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

  • CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
  • CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
  • CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

  • CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

  • CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
  • CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
  • CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

Release: January 2012

Release: November 2011

  • CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
  • CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

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

CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

  • CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
  • CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
  • The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

  • CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema

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

  • CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
  • CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

Release: August 2011

  • CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
  • CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
  • CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
  • CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

Release: July 2011

  • CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

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

Release: June 2011

  • CR1256 (Immediate) - DDCN 1256/2011 School Definitions
  • CR1117 (26 August 2011) - 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

  • 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

Release: January 2011

  • 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

Release: November 2010

  • 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

  • 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

Release: May 2010

Release: March 2010

  • 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

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

Release: December 2009

  • 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

  • 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

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

Release: June 2009

  • 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 2009) - 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

  • 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

  • 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

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

Release: August 2008

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

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WILMS TUMOUR STAGE

Change to Supporting Information: Changed Description

The Wilms Tumour Stage is a CANCER STAGING.

A Wilms' Tumour is a cancerous Tumour of the kidney that usually occurs in young children.

The Wilms Tumour Stage is determined by the results of the imaging studies and both the surgical and pathologic findings at nephrectomy.

For further information on the Wilms Tumour Stage, see the National Cancer Institute website.For further information on the Wilms Tumour Stage, see the National Cancer Institute website.

 

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ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
CANCER TRANSFER REASON FOR INTER PROVIDER TRANSFER
CANCER TREATMENT INTENT
CARER RESIDENT INDICATION CODE FOR NATIONAL NEONATAL DATA SET
CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY
COMMUNITY TREATMENT ORDER END REASON
CONTINUITY OF CARER PATHWAY INDICATOR
DAUGHTER BORN AT THIS ENCOUNTER INDICATOR
DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
DELIVERY PLACE CHANGE REASON
DISCHARGE DESTINATION
DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATOR
DISCHARGE METHOD
DISCHARGE REASON FOR MOTHER MATERNITY SERVICES
ESTIMATED DATE OF DELIVERY
FIRST REGULAR DAY OR NIGHT ADMISSION
HOLISTIC NEEDS ASSESSMENT POINT OF PATHWAY FOR CANCER
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT IN DATE
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES STEPPED CARE INTENSITY DELIVERED
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MATERNAL CRITICAL INCIDENT INDICATOR
MENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY
MENTAL HEALTH CONDITIONAL DISCHARGE END REASON
MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE
MENTAL HEALTH DELAYED DISCHARGE REASON
MONITORING INTENT
NEONATAL CRITICAL INCIDENT TYPE
NEONATAL LEVEL OF CARE
NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR
NHS CONTINUING HEALTHCARE REFERRAL EXCEEDING 28 DAYS TIME BAND CATEGORY
NHS CONTINUING HEALTHCARE TYPE
NON SMOKING CONFIRMATION STATUS AT 4 WEEKS
OPERATION FUNDING FOR NATIONAL JOINT REGISTRY
OUTCOME AT 4 WEEK FOLLOW UP FOR STOP SMOKING
PALLIATIVE CARE SPECIALIST SEEN INDICATOR
PALLIATIVE TREATMENT REASON CODE FOR UPPER GASTROINTESTINAL
PATIENT ATTENDANCE SYMPTOMATIC INDICATOR FOR SEXUAL HEALTH SERVICE
PATIENT CLASSIFICATION
PATIENT RECEIVING ONE TO ONE NURSING CARE INDICATOR
PHARMACOTHERAPY STOP SMOKING AID RECEIVED
PLANNED DELIVERY SETTING CHANGE REASON
PREGNANCY OUTCOME
PREGNANCY OUTCOME CODE
PSYCHIATRIC PATIENT STATUS
SOURCE OF ADMISSION

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CANCER STAGING

Change to Class: Changed Description

A subtype of PERSON PROPERTY.

CANCER STAGING describes the severity of a PERSON’s cancer based on the extent of the original (primary) Tumour and whether or not cancer has spread in the body.

For further information on CANCER STAGINGS, see the National Cancer Institute website.For further information on CANCER STAGINGS, see the National Cancer Institute website.

 

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CARE CONTACT

Change to Class: Changed Attributes

Attributes of this Class are:
A and E ATTENDANCE CATEGORY
A and E INITIAL ASSESSMENT TRIAGE CATEGORY
A and E STREAM
ACCIDENT AND EMERGENCY ARRIVAL MODE
ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL
BRIEF INTERVENTION PROVIDED INDICATOR
BRIEF INTERVENTION TYPE FOR NHS HEALTH CHECK
CARE CONTACT CANCELLATION REASON
CARE CONTACT SUBJECT
CARE CONTACT TYPE
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
CHILD DIFFICULT TO TEST REASON
CLINICAL NURSE SPECIALIST INDICATION CODE
CLINIC ATTENDANCE PURPOSE CODE FOR HIV
CONSULTATION TYPE
DIETARY ADVICE REASON CODE
EMERGENCY CARE ATTENDANCE CATEGORY
FACE TO FACE COMMUNICATION MODE
FIRST ATTENDANCE
GROUP THERAPY INDICATOR
INFORMATION AND ADVICE PROVIDED INDICATOR
INFORMATION AND ADVICE TYPE PROVIDED FOR FEMALE GENITAL MUTILATION
INFORMATION AND ADVICE TYPE PROVIDED FOR NHS HEALTH CHECK
INITIAL CONTACT INDICATOR
INITIAL DIAGNOSIS CARE SETTING OR SERVICE FOR HIV
LATE ANTENATAL BOOKING APPOINTMENT REASON
MEDICAL STAFF TYPE SEEING PATIENT
MENTAL HEALTH PREDICTION AND DETECTION INDICATOR
MULTIPROFESSIONAL OR MULTIDISCIPLINARY INDICATION CODE
NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR
OTHER PERSON IN ATTENDANCE AT CARE CONTACT
OUTCOME OF ATTENDANCE
PATIENT HIV CARE STATUS
POST EXPOSURE PROPHYLAXIS INDICATOR
POSTNATAL CARE INDICATOR
PRE EXPOSURE PROPHYLAXIS INDICATOR
PSYCHIATRIC CARE INDICATOR FOR HIV
SIGNPOSTING TO SERVICE INDICATOR
SIGNPOSTING TO SERVICE TYPE FOR NHS HEALTH CHECK
SKIN TO SKIN CONTACT INDICATOR
TWO YEAR NEONATAL OUTCOMES ASSESSMENT NOT CARRIED OUT REASON

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PERSON SCORE

Change to Class: Changed Attributes

Attributes of this Class are:
ADULT COMORBIDITY EVALUATION 27 SCORE
CHILD PUGH SCORE
EUROPEAN GROUP FOR THE IMMUNOLOGICAL CLASSIFICATION OF LEUKAEMIA SCORING SYSTEM SCORE
PERSON SCORE

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ACCIDENT AND EMERGENCY ARRIVAL MODE

Change to Attribute: Changed Description

The mode by which a PATIENT arrived at an Accident and Emergency Department.

National Codes:

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

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL

Change to Attribute: Changed Description

A code to identify how an Accident and Emergency Attendance concluded.

National Codes:

01Admitted to a Hospital Bed /became a LODGED PATIENT of the same Health Care Provider 
02Discharged - follow up treatment to be provided by GENERAL PRACTITIONER 
03Discharged - did not require any follow up treatment
04Referred to A&E Clinic
05Referred to Fracture Clinic
06Referred to other Out-Patient Clinic 
07Transferred to other Health Care Provider 
10Died in Department
11Referred to other health CARE PROFESSIONAL 
12Left Department before being seen for treatment
13Left Department having refused treatment
14Other

For the Accident and Emergency Clinical Quality Indicators, further guidance on National Code 'Left Department before being seen for treatment' is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For the Accident and Emergency Clinical Quality Indicators, further guidance on National Code 'Left Department before being seen for treatment' is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

 

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ACTIVITY DATE TYPE

Change to Attribute: Changed Description

The type of date that defines the usage with regard to the ACTIVITY.

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

National Codes:

001Angiogram Date (Retired July 2012)
002Arrival Date At Accident and Emergency Department
003Breast Assessment Date (Retired 1 January 2013)
004Cancer Dental Assessment Date (Retired September 2018)
005Colorectal or Stoma Nurse Seen Date (Retired 1 January 2013)
006Coronary Angiography Date (Retired July 2012)
007Care Programme Approach Review Date (Retired September 2018)
008Date Biopsy Taken (Retired 01 April 2014)
009Discharge Date
010Discharge Ready Date
011End Date
012Event Date (Retired July 2012)
013Expected Delivery Date (Retired September 2012)
014First Antenatal Assessment Date
015Full Postnatal Examination Date (Retired September 2012)
016Initial Patient Contact Date (Retired July 2012)
017Investigation Transfer Date (Retired July 2012)
018Intrauterine Device Application Date (Retired September 2012)
019Intrauterine Device Fitted Date (Retired September 2012)
020Last Dosage Date
021Mental Health Care Assessment Date (Retired September 2012)
022Miscarriage Date (Retired September 2012)
023Pathology Result Due Date
024Patient Informed Biopsy Result Date
025Patient Informed Of Outcome Date (Retired September 2012)
026Smoking Quit Date (Retired October 2017)
027Review Planned Date (Retired 01 April 2014)
028Screening Result Date (Retired 01 April 2014)
029Screening Result Sent Date
030Specialist Palliative Care Date (Retired 01 April 2014)
031Start Date
032Cancer Symptoms First Noted Date (Retired September 2018)
033Attendance Date (Retired September 2018)
034Clinical Intervention Date
035Immunisation Completion Date (Retired 01 September 2015)
036Clinical Status Assessment Date (Retired September 2018)
037Dose Given Date (Retired September 2012)
038Test Date (Retired September 2012)
039Contact Date (Retired September 2018)
040Appointment Date (Retired September 2018)
041Primary Procedure Date (Retired September 2018)
042Second Operation Date (Retired 01 April 2014)
043Speech and Language Assessment Date (Retired September 2018)
044Third Operation Date (Retired 01 April 2014)
045Date First Seen (Retired September 2018)
046Statutory Assessment Date (Retired 01 January 2016)
047Screening Test Date (Retired September 2018)
048Genitourinary Care Contact Date (Retired January 2014)
049Consultant Upgrade Date
101Referral Closure Date (Community Care) (Retired 01 September 2015)
102Discharge Letter Issued Date (Community Care) (Retired 01 September 2015)
103Systemic Anti-Cancer Therapy Administration Date (Retired September 2018)
104Procedure Date
105Immunisation Date (Retired September 2018)
106Antenatal Appointment Date (Retired 1 April 2019)
107Antenatal Booking Appointment Date (Retired September 2018)
108Pregnancy First Contact Date
109Screening Test Information Given Date (Retired 1 April 2019)
110Assessment Date For Transplant Suitability
111Accident and Emergency Initial Assessment Date
111Accident and Emergency Initial Assessment Date
112Accident and Emergency Date Seen For Treatment
113Accident and Emergency Attendance Conclusion Date
114Accident and Emergency Departure Date
115Clinical Assessment Date (Retired September 2018)
116Imaging or Radiodiagnostic Event Date (Retired September 2018)
117Neonatal Critical Care Daily Care Date
118Two Year Neonatal Outcomes Assessment Date (Retired September 2018)
119Date of Pregnancy Outcome (Current Fetus) (Retired1 April 2019)
120Neonatal Critical Incident Date (Retired 1 April 2019)
121American Joint Committee on Cancer Stage Date (Retired September 2018)
122Ann Arbor Stage Date (Retired September 2018)
123Barcelona Clinic Liver Cancer Stage Date (Retired September 2018)
124Binet Stage Date (Retired September 2018)
125Chang Staging System Stage Date (Retired September 2018)
126Clinical Stage Date (Pancreatic Cancer) (Retired September 2018)
127Final Figo Stage Date (Retired September 2018)
128Holistic Needs Assessment Completed Date (Retired September 2018)
129Intergroup Rhabdomyosarcoma Study Post Surgical Group Date (Retired September 2018)
130International Neuroblastoma Staging System Date (Retired 01 April 2017)
131Myeloma International Staging System Stage Date (Retired September 2018)
132Modified Dukes Stage Date (Retired September 2018)
133Multidisciplinary Team Discussion Date (Cancer)
134Multidisciplinary Team Meeting Date (Cancer)
135Murphy St Jude Stage Date (Retired September 2018)
136Rai Stage Date (Retired 01 April 2017)
137Retinoblastoma Assessment Date (Retired September 2018)
138TNM Stage Grouping Date (Final Pretreatment) (Retired September 2018)
139TNM Stage Grouping Date (Integrated) (Retired September 2018)
140Wilms Tumour Stage Date (Retired September 2018)
141Care Contact Cancellation Date
142Care Contact Date
143Child Protection Plan End Date (Retired September 2018)
144Child Protection Plan Start Date (Retired September 2018)
145Discharge Letter Issued Date (Mental Health and Community Care)
146Health Visitor First Antenatal Visit Date (Retired September 2018)
147Infant Physical Examination Date (Retired September 2018)
148Onward Referral Date (Retired September 2018)
149Referral Closure Date
150Referral Rejection Date
151Replacement Appointment Booked Date
152Replacement Appointment Date Offered
153Service Discharge Date (Retired September 2018)
154Date of Restrictive Intervention (Retired 01 April 2019)
155Indirect Activity Date
156Mental Health Crisis Plan Creation Date (Retired 01 April 2017)
157Mental Health Crisis Plan Last Updated Date (Retired 01 April 2017)
158Care Plan Agreed Date
159Care Plan Creation Date
160Care Plan Implementation Date
161Care Plan Last Updated Date
162Five Forensic Pathways Assessment Date (Retired September 2018)
163International Neuroblastoma Risk Group Staging System Stage Date (Retired September 2018)
164Stage Grouping Date (Testicular Cancer) (Retired September 2018)
165Emergency Care Arrival Date
166Emergency Care Initial Assessment Date
167Emergency Care Date Seen For Treatment
168Emergency Care Attendance Conclusion Date
169Emergency Care Departure Date
170Injury Date (Retired September 2018)
171Referred To Service Assessment Date (Retired September 2018)
172Intended Smoking Quit Date (Moved to PLANNED ACTIVITY DATE TYPE ## 2018)
172Intended Smoking Quit Date (Moved to PLANNED ACTIVITY DATE TYPE September 2018)
173Cancer Transformation Agreed Date (Primary Cancer Pathway)
174Cancer Progression Agreed Date (Primary Cancer Pathway)
175Clinical Trial Decision Date
176Treatment Start Date (Cancer) (Retired September 2018)
177Cancer Faster Diagnosis Pathway End Date (Retired September 2018)
178Cancer Referral To Treatment Period Start Date (Retired September 2018)
179Cancer Treatment Period Start Date (Retired September 2018)
180Observable Entity Date

Note: This list is not in alphabetical order.

 

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APPOINTMENT SLOT SHORT NOTICE CANCELLATION INDICATOR

Change to Attribute: Changed Description

An indication of whether the APPOINTMENT SLOT could be reallocated, where the ATTENDED OR DID NOT ATTEND National Code is 'APPOINTMENT cancelled by, or on behalf of, the PATIENT', where the APPOINTMENT was cancelled at short notice.

Note: For the Improving Access to Psychological Therapies Data Set, short notice is determined locally. See the NHS Digital website at: Improving Access to Psychological Therapies Data Set for further guidance. See the NHS Digital website at: Improving Access to Psychological Therapies Data Set for further guidance.

National Codes:

YYes - APPOINTMENT SLOT could be reallocated
NNo - APPOINTMENT SLOT could not be reallocated
 

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CANCER CARE SPELL DELAY REASON COMMENT

Change to Attribute: Changed Description

A comment why a CANCER CARE SPELL DELAY REASON was experienced.

This can be recorded for:

after any patient pauses have been taken into account.

The standards for which a CANCER CARE SPELL DELAY REASON COMMENT can be given are:

Notes:

* Breast, bowel, cervical and testicular cancer and acute leukaemia are defined by International Classification of Diseases (ICD) diagnosis codes. The full list of diagnosis codes can be found on the NHS Digital website at: Cancer Waiting Times.

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

Time PeriodNumber of Calendar Days
Two Weeks14
Twenty Eight Days28
One Month31
Two Months62
 

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COUNTRY CODE

Change to Attribute: Changed Description

A unique code representing a COUNTRY.

References:

Note:
This was e-GIF approved for use in NHS England.
e-GIF and the Government Data Standards Catalogue have been archived and are available for reference only.

 

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GENERAL MEDICAL COUNCIL REFERENCE NUMBER

Change to Attribute: Changed Description

The General Medical Council allocates all doctors a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on their first contact with the General Medical Council.

Note - 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" (LRMP). For further information on doctor registration, see the General Medical Council website. For further information on doctor registration, see the General Medical Council website.

GENERAL MEDICAL COUNCIL REFERENCE NUMBER FORMAT

Practitioner
Code Type

Character Position

Allocated
By
Allocated
To
Known
As
Notes

1

 

2

 

3

 

4

 

5

 

6

 

7

 
GENERAL MEDICAL COUNCIL REFERENCE NUMBER 0-90-90-90-90-90-90-9General Medical Council GENERAL MEDICAL PRACTITIONERS and CONSULTANTS in the UKGMCThe General Medical Council is a Regulatory Body - all doctors receive a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on their first contact with the General Medical Council.
 

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INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA

Change to Attribute: Changed Description

The International Classification for Intraocular Retinoblastoma group for a PATIENT during a Children Teenagers and Young Adults Cancer Care Spell.

National Codes:

ASmall Tumours away from the foveola and disc:
  • Tumours less than 3mm in greatest dimension confined to the retina and
  • Located at least 3mm from the foveola and 1.5mm from the optic disc
B

All remaining Tumours confined to the retina:

  • All Tumours confined to the retina not in group A
  • Subretinal fluid (without subretinal seeding) less than 3mm from the base of the Tumour
C

Local subretinal fluid or seeding:

  • Subretinal fluid alone greater than 3mm to less than 6mm from the Tumour
  • Vitreous seeding or subretinal seeding less than 3mm from Tumour
D

Diffuse subretinal fluid or seeding:

  • Subretinal fluid alone greater than 6mm from the Tumour
  • Vitreous seeding or subretinal seeding greater than 3 mm from Tumour
E

Presence of one or more of the these poor prognosis features:

  • Greater than 2/3 globe filled with Tumour
  • Tumour in anterior segment
  • Tumour in or on the ciliary body
  • Iris neovascularisation
  • Neovascular glaucoma
  • Opaque media from haemorrhage
  • Tumour necrosis with septic orbital cellulitis
  • Pthisis bulbi
BAll remaining Tumours confined to the retina:
  • All Tumours confined to the retina not in group A
  • Subretinal fluid (without subretinal seeding) less than 3mm from the base of the Tumour
CLocal subretinal fluid or seeding:
  • Subretinal fluid alone greater than 3mm to less than 6mm from the Tumour
  • Vitreous seeding or subretinal seeding less than 3mm from Tumour
DDiffuse subretinal fluid or seeding:
  • Subretinal fluid alone greater than 6mm from the Tumour
  • Vitreous seeding or subretinal seeding greater than 3 mm from Tumour
EPresence of one or more of these poor prognosis features:
  • Greater than 2/3 globe filled with Tumour
  • Tumour in anterior segment
  • Tumour in or on the ciliary body
  • Iris neovascularisation
  • Neovascular glaucoma
  • Opaque media from haemorrhage
  • Tumour necrosis with septic orbital cellulitis
  • Pthisis bulbi
 

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NHS OCCUPATION CODE

Change to Attribute: Changed Description

An NHS OCCUPATION CODE for an EMPLOYEE filling a POSITION.

The NHS OCCUPATION CODES are maintained by NHS Digital, on behalf of the Department of Health and Social Care and can be viewed in the NHS Occupation Code Manual.The NHS OCCUPATION CODES are maintained by NHS Digital, on behalf of the Department of Health and Social Care and can be viewed in the NHS Occupation Code Manual.

 

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ORGANISATION CODE

Change to Attribute: Changed Description

ORGANISATION CODE will be replaced with ORGANISATION IDENTIFIER, which is the most recent approved national information standard to describe the required definition.

An ORGANISATION CODE is a code which identifies an Organisation uniquely.

ORGANISATION CODES are managed by:

Notes:

ORGANISATION CODING FRAMES

  • All NHS Organisations are coded using coding frames, as shown in the tables below:

Character
Position

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

Format

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

A Frame

 

Organisation
Type Identifier

 

Organisation Identifier

 
   

B Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

C Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

D Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

E Frame

 

Organisation Identifier

 
       

F Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
    

G Frame

 

Organisation Type Identifier

 

Practice Identifier

 
  

H Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

I Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

K Frame

 

Organisation Identifier

 
     

 L Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

Organisation Type Identifier

 
   

M Frame

 

Organisation and Organisation Type Identifier

 
     

N Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

A Frame:

Example
Non NHS Organisation (Independent Provider) e.g. 8HA03

  • 8 = Organisation Type Identifier
  • Remainder = Organisation Identifier

B Frame:

Example
Local Service Provider e.g. LSP01

  • LSP = Organisation Type Identifier
  • 01 = Organisation Identifier

Also:

Application Service Providere.g. YGM01
Education Establishmente.g. YDF01
NHS Support Agencye.g. YDD01

C Frame:

Example
School e.g. EE134290

  • EE = Organisation Type Identifier
  • Remainder = Organisation Identifier

D Frame:

Example
Care Trust e.g. TAK

  • T = Organisation Type Identifier
  • AK = Organisation Identifier

Also:

Commissioning Support Unit (CSU) / 
Data Services for Commissioners Regional Office (DSCRO)
e.g. 0AA
Commissioning Support Unit (CSU) / 
Data Services for Commissioners Regional Office (DSCRO)
e.g. 0AA
High Level Health Geography, e.g. NHS England (Region Local Office)e.g. Q72
Local Health Board (Wales)e.g. 7A1
NHS Truste.g. RH8
Justice Organisatione.g. VAA

E Frame:

Example
Government Office Region (GOR) e.g. K

  • K = Organisation Identifier
Note: Government Office Region (GOR) is identified by a one character code; no other one character code exists.

F Frame:

Example
Pharmacy Headquarters e.g. P001

  • P = Organisation Type Identifier
  • 001 = Organisation Identifier

Also:

Care Home Headquarterse.g.CA0A
Optical Headquarters e.g.T1A1

G Frame:

Example
GP Practices in England and Wales e.g. Y00001

  • Y = Organisation Type Identifier
  • 00001 = Practice Identifier

Also:

Dental Practicee.g.V20052

H Frame:

Example
Cancer Network e.g. N01

  • N0 (where the 2nd character is numeric and not alpha) = Organisation Type Identifier
  • 1 = Organisation Identifier

Also:

Booking Management System (BMS) Call Centre Establishmente.g. YF1
Government Departmente.g. XDA
Independent Sector Healthcare Provider (ISHP) (where the 2nd character is alpha)e.g. NV7
National Application Service Providere.g. YEA
Other Statutory Authority (OSA)e.g. X16

I Frame:

Example
Special Health Authority (SpHA) e.g. T1150

  • T1 = Organisation Type Identifier
  • 150 = Organisation Identifier

K Frame:

Example
NHS Wales Informatics Service e.g. W00

  • W00 = Organisation Identifier

L Frame:

Example
Northern Ireland Local Commissioning Group e.g. ZC010

  • Characters 1-3 (ZC0) AND character 5 (0) = Organisation Type Identifier
  • Character 4 = Organisation Identifier

Note: this is a 5 character method of displaying Northern Ireland Local Commissioning Group identifiers.
Characters 3 and 5 are ‘fillers’. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory) zeros can be omitted, e.g. ZC1.
The 3 character method of displaying the Northern Ireland Local Commissioning Group identifiers fit under the H Frame.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009.Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009.


M Frame:

Example
Clinical Commissioning Group (CCG) e.g. 12A

  • 12A = Organisation and Organisation Type Identifier

Also:

Local Authoritye.g.000


N Frame:

Example
GP Abeyance and Dispersal GP Practice e.g. G7817414

  • G78 = Organisation Type Identifier
  • 17414 = Organisation Identifier

The structure and format of ORGANISATION CODES maintained by the Organisation Data Service, NHS Prescription Services, NHS Dental Services and other agencies are detailed in the tables below.

ORGANISATION CODES TABLES

Table 1: CODING FORMATS FOR ORGANISATIONS IN ENGLAND AND WALES

Organisation Type

Frame Type

Character Position

Code allocated by:

Notes/Comments

 

See Coding Frames Table

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 
  

Application Service Provider

 

B

 

Y

 

G

 

M

 

A-9

 

A-9

 
   

ODS 

 

e.g. YGM01

 

Booking Management System (BMS) Call Centre Establishment

 

H

 

Y

 

F

 

A-9

 
     

ODS

 

e.g. YF1

 

Cancer Network

 

H

 

N

 

0-9

 

A-9

 
     

ODS

 

e.g. N01

 

Cancer Registry

A

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. Y0401

All Cancer Registries in England are now part of the National Cancer Registration and Analysis Service

Care Home Headquarters

 

F

 

A, C or D

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. CA0A

 

Care Trust (CT)

 

D

 

T

 

A-Y

 

A-Y

 
     

ODS

 

e.g. TAK

 

Clinical Commissioning Group (CCG

M

 

0-9

 

0-9

 

A-Y

 
     

ODS

 

e.g. 12A

 

Clinical Network

B

 

Y

 

D

 

G

 

A-9

 

A-9

 
   

ODS

 

e.g. YDG01

 

Commissioning Support Unit (CSU) / Data Services for Commissioners Regional Office (DSCRO)

D

 

0

 

A-Y

 

A-Y

 
     

ODS

 

e.g. 0AA

 

Commissioning Support Unit (CSU) / Data Services for Commissioners Regional Office (DSCRO)

D

 

0

 

A-Y

 

A-Y

 
     

ODS

 

e.g. 0AA

 

Dental Practice - England and Wales

 

G

 

V

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Dental Services

 

e.g. V20052

 

Education Establishment

 

B

 

Y

 

D

 

F

 

A-9

 

A-9

 
   

ODS

 

e.g. YDF01

 

Executive Agency

 

N/A

See Note 1 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X09

 

Executive Agency Programme

 

N/A

See Note 1 

X

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

ODS

 

First three characters denote Executive Agency

e.g. X09001

 

Government Department

 

H

 

X

 

A-Y

 

A-Y

 
     

ODS

 

e.g. XDA

 

Government Office Region (GOR)

 

E

A-Y

 
       

ONS

 

e.g. K

Government Office Regions (GORs) closed 31 March 2011 - from 1 April 2011 referred to as Regions

 

GP Abeyance and Dispersal GP Practice

 

N

G

 

7

 

8

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

ODS

 

e.g. G7817414

 

GP Practices in England and Wales

G

 

A-H,
J-N,
P,
W &
Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Prescription Services

 

Char 1 = W for Welsh GP Practice.

All other values represent GP Practices in England.

Note: from 2003, ALL newly allocated Practice Codes in England begin with a Y

e.g. Y00001

 
Justice Organisation

D

 

V or W

 

A-Y

 

A-9

 

 

 

 

 

 

 

 

 

 

 

ODS

 

e.g. VAA

 

High Level Health Geography, e.g. NHS England (Region Local Office)

 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. Q72

 

Independent Sector Healthcare Provider (ISHP)

H

 

A, B, D, G, I, K, L, M , N, O, S, U, V, W

 

A-Y

 

A-Y, 0-9

 
     

ODS

 

e.g. NV7

 

Local Authority (LA)

 

M

 

0-9

 

0-9

 

0-9

 
     

ODS

 

e.g. 000

 

Local Health Board (Wales)

 

B

 

7

 

A-9

 

A-9

 
     

ODS 

 

e.g. 7A1 

 

Local Service Provider (LSP)

 

B

 

L

 

S

 

P

 

0-9

 

0-9

 
   

ODS

 

e.g. LSP01

 

Military Hospital

B

 

X

 

M

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g.XMDA1

 

National Application Service Provider

H

 

Y

 

E

 

A-9

 
     

ODS

 

e.g. YEA

 

National Groupings (England) 

H

Y

 

5

 

0-9

 
     

ODS

 

e.g. Y51

 

NHS Support Agency 

B

 

Y

 

D

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g. YDD01

 

NHS Trust

 

D

 

R

 

A-9

 

A-9

 
     

ODS

 

e.g. RH8

 

NHS Wales Informatics Service (NWIS)

 

K

 

W

 

0

 

0

 
     

ODS

 

Only one organisation of this type exists for Wales

e.g. W00

 

Non NHS Organisation (Independent Provider)

 

A

 

8

 

A-Y

 

A-9

 

0-9

 

0-9

 
   

ODS

 

e.g. 8HA03

 

Northern Ireland Health & Social Care Board

N/A

 

Z

 

B

 

0

 

0

 

1

 
   

ODS

 

e.g. ZB001

 

Northern Ireland Health & Social Care Trust

 

I

 

Z

 

T

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. ZT001

 

Northern Ireland Local Commissioning Group

 

L

 

Z

 

C

 

0

 

0-9

 

0

 
   

Department for Health, Social Services and Public Safety (DHSSPS), Northern Ireland

 

e.g. ZC010

Note that characters 3 and 5 are ‘fillers’ to create a 5 character code. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory), zeros can be omitted and fits under the H frame: e.g. ZC1.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009. 

 

Northern Ireland Local Commissioning Group

 

L

 

Z

 

C

 

0

 

0-9

 

0

 
   

Department for Health, Social Services and Public Safety (DHSSPS), Northern Ireland

 

e.g. ZC010

Note that characters 3 and 5 are ‘fillers’ to create a 5 character code. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory), zeros can be omitted and fits under the H frame: e.g. ZC1.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009. 

 

Optical Headquarters

 

 

 

0-9

 

A-9

 

A-9

 
    

ODS 

 

e.g. T1A1 

 

Other Statutory Authority (OSA)

 

H

 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X16

 

Pharmacy

 

A

 

F

 

A-Y

 

A-9

 

A-9

 

A-9

 
   

ODS

 

e.g. FA002

 

Pharmacy Headquarters

 

F

 

P

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. P001

 

Primary Care Trust (PCT)

 

D

 

5

 

A-9

 

A-9

 
     

ODS

 

e.g. 5CT

All Primary Care Trusts closed 31 March 2013

Prison Health Service

B

 

Y

 

D

 

E

 

A-9

 

A-9

 
   

ODS

 

e.g. YDE01

 

School

 

C

 

E

 

E

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

Department for Education and ODS

 

e.g. EE134290

 

Special Health Authority (SpHA)

 

I

 

T

 

1

 

0-9

 

0-9

 

0

 
   

ODS

 

e.g. T1150

 

Strategic Health Authority (SHA)

 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. Q30

All Strategic Health Authorities in England closed 31 March 2013

Welsh Assembly

 

D

 

W

 

0-9

 

0-9

 

 

 

 
   

ODS

 

e.g. W01

 

Welsh Health Commission 

A

 

W

 

0-9

 

0-9

 

A-Y

 

A-Y

 
   

ODS

 

e.g. W01HC

 

Notes:

  • Codes for Executive Agency, Executive Agency Programme, Executive Agency Site and Executive Agency Programme Department do not easily fit into the coding frames as shown above and are therefore not included. This is due to their unusual structure in that there are more hierarchical 'tiers' than with other organisations.

Executive Agency and Executive Agency Programme are both considered Organisation level entities, although each Programme does have a relationship to an Executive Agency. Executive Agency codes are three characters long. Executive Agency Programme codes are six, and their first three characters are the same as the Executive Agency they are associated to.

Department codes of eight characters long can then be allocated underneath a Programme code (sharing the first six characters). Executive Agency Site codes of five characters long can be allocated under an Executive Agency code (and share the first three characters).

 

Table 2: CODING FORMATS FOR ORGANISATIONS IN SCOTLAND

Scottish ORGANISATION CODES are supplied by the Information Standards Directorate (ISD) from NHS Scotland and published by the Organisation Data Service.

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Scotland 

S

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS

 
 

Scottish GP Fundholder

 

S

 

A-Z

 

B

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the GPFH reports to.
3rd character (always B) shows GPFH status.

 

Scottish Health Agency

 

S

 

D

 

0-9

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character (D) identifies Scottish Office agencies

 

Scottish Health Board

 

S

 

A-Z

 

9

 

9

 

9

 
 

 ISD, Scotland

 

 

Scottish Provider

 

S

 

A-Z

 

A,C,D

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the organisation reports to.
3rd character identifies the organisation type:
A= Health Unit
C = Hospital Trust
D = Nursing Home

 

Table 3: CODING FORMATS for ORGANISATIONS in OTHER HOME COUNTRIES

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Alderney

 

A

 

L

 

D

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Guernsey

 

G

 

U

 

E

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Isle of Man (IOM)

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Jersey

 

J

 

E

 

R

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

Primary Healthcare Directorate (Isle of Man)

 

Y

 

K

 

A-9

 
   

ODS

 

e.g. YK1

 

Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity).

 

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PERSON STATED NATIONALITY

Change to Attribute: Changed Description

The NATIONALITY of a PERSON, as specified by a PERSON.

For the National Workforce Data Set, the codes are provided by NHS Digital and can be found in the National Workforce Data Set v2.8 Data Set Specification document on the NHS Digital website at: National Workforce Data Set (NWD) and NHS occupation codes.8 Data Set Specification document on the NHS Digital website at: National Workforce Data Set (NWD) and NHS occupation codes.

 

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PRETEXT STAGING SYSTEM STAGE

Change to Attribute: Changed Description

The Pretext Staging System stage relating to the sectors of the liver involved for a PATIENT during a Children Teenagers and Young Adults Cancer Care Spell.

National Codes:

1Stage 1: Tumour involves only 1 quadrant
2Stage 2: Tumour involves 2 adjoining quadrants; 2 adjoining sections free
3Stage 3: Tumour involves 3 adjoining quadrants; only 1 quadrant free or 2 non-adjoining quadrants free
4Stage 3: Tumour involves all 4 quadrants
4Stage 4: Tumour involves all 4 quadrants
 

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PRIORITY TYPE

Change to Attribute: Changed Description

The priority of a SERVICE REQUEST.

In the case of SERVICES to be provided by a CONSULTANT, it is as assessed by or on behalf of the CONSULTANT.

National Codes:

1Routine
2Urgent
3Two Week Wait
 

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PRIVATE CONTROLLED DRUG PRESCRIBER CODE

Change to Attribute: Changed Description

A PRIVATE CONTROLLED DRUG PRESCRIBER CODE is allocated by the NHS Prescription Services to private prescribers who prescribe schedule 2 and 3 controlled drugs that are intended to be dispensed by registered pharmacies.

Note: A registered pharmacy means Pharmacy Premises registered with the General Pharmaceutical Council and listed on the General Pharmaceutical Council Register.

For information on Controlled Drugs, see the NHS Business Services Authority Prescription Pricing Division website.For information on Controlled Drugs, see the NHS Business Services Authority Prescription Pricing Division website.

Private Controlled Drug Prescribers fall into one of the following types:

  • Private General Practitioners
  • Private Nurses
  • Private Pharmacists
  • Private Optometrists
  • Private Physiotherapists
  • Private Radiographers
  • Private Podiatrists.

Each Private Controlled Drug Prescriber is linked to one NHS England (Region Local Office). This is the NHS England (Region Local Office) that is responsible for the Private Controlled Drug Prescriber and may not necessarily be the geographic NHS England (Region Local Office).

Private Controlled Drug Prescriber Code format

Practitioner
Code Type

Character Position

Allocated
By
Allocated
To
Known
As
Notes

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 
PRIVATE CONTROLLED DRUG PRESCRIBER CODEQ0-90-90-90-90-90-90-9NHS Prescription Services Private Prescribers of Controlled Drugs in England and WalesPCDPLast character is a check digit
 

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REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION DATA SET

Change to Attribute: Changed Description

The code for the region of the country as specified for the Female Genital Mutilation Data Set.

Details of the National Codes for use in the Female Genital Mutilation Data Set, which are allocated to the regions can be found in the Female Genital Mutilation Data Set Information Standards Notice (ISN) on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.Details of the National Codes for use in the Female Genital Mutilation Data Set, which are allocated to the regions can be found in the Female Genital Mutilation Data Set Information Standards Notice (ISN) on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

 

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ACCIDENT AND EMERGENCY INVESTIGATION - FIRST

Change to Data Element: Changed Description

Format/Length:an6
National Codes:See Accident and Emergency Investigation Table
Default Codes: 

Notes:
ACCIDENT AND EMERGENCY INVESTIGATION - FIRST is the same as attribute ACCIDENT AND EMERGENCY INVESTIGATION.

ACCIDENT AND EMERGENCY INVESTIGATION - FIRST is the first recorded CLINICAL INTERVENTION for an Accident and Emergency Attendance.

ACCIDENT AND EMERGENCY INVESTIGATION - FIRST is required for recording within an Accident and Emergency Attendance Commissioning Data Set.

For Commissioning Data Set and XML Schema version 6 onwards, ACCIDENT AND EMERGENCY INVESTIGATION - FIRST will be recognised as Primary Investigation (Accident and Emergency).

ACCIDENT AND EMERGENCY INVESTIGATION - FIRST is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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ACCIDENT AND EMERGENCY INVESTIGATION - SECOND

Change to Data Element: Changed Description

Format/Length:an6
National Codes:See Accident and Emergency Investigation Table
Default Codes: 

Notes:
ACCIDENT AND EMERGENCY INVESTIGATION - SECOND is the same as attribute ACCIDENT AND EMERGENCY INVESTIGATION.

ACCIDENT AND EMERGENCY INVESTIGATION - SECOND is the second or subsequent CLINICAL INTERVENTION for an Accident and Emergency Attendance.

ACCIDENT AND EMERGENCY INVESTIGATION - SECOND is required for recording within an Accident and Emergency Attendance Commissioning Data Set.

For Commissioning Data Set and Schema version 6 onwards, ACCIDENT AND EMERGENCY INVESTIGATION - SECOND will be recognised as Secondary Investigation (Accident and Emergency).

For Commissioning Data Set version 6 onwards there are no restrictions on the number of Secondary Investigations (Accident and Emergency) recorded.

ACCIDENT AND EMERGENCY INVESTIGATION - SECOND is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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ACCIDENT AND EMERGENCY TREATMENT - FIRST

Change to Data Element: Changed Description

Format/Length:an6
National Codes:See Accident and Emergency Treatment Tables
Default Codes: 

Notes:
ACCIDENT AND EMERGENCY TREATMENT - FIRST is the same as attribute ACCIDENT AND EMERGENCY TREATMENT.

ACCIDENT AND EMERGENCY TREATMENT - FIRST is the first recorded CLINICAL INTERVENTION for an Accident and Emergency Attendance.

ACCIDENT AND EMERGENCY TREATMENT - FIRST is required for recording within an Accident and Emergency Attendance Commissioning Data Set.

For Commissioning Data Set and XML Schema version 6 onwards, ACCIDENT AND EMERGENCY TREATMENT - FIRST will be recognised as Primary Treatment (Accident and Emergency).

ACCIDENT AND EMERGENCY TREATMENT - FIRST is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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ACCIDENT AND EMERGENCY TREATMENT - SECOND

Change to Data Element: Changed Description

Format/Length:an6
National Codes:See Accident and Emergency Treatment Tables
Default Codes: 

Notes:
ACCIDENT AND EMERGENCY TREATMENT - SECOND is the same as attribute ACCIDENT AND EMERGENCY TREATMENT.

ACCIDENT AND EMERGENCY TREATMENT - SECOND is the second or subsequent recorded CLINICAL INTERVENTION for an Accident and Emergency Attendance.

ACCIDENT AND EMERGENCY TREATMENT - SECOND is required for recording within an Accident and Emergency Attendance Commissioning Data Set.

For Commissioning Data Set and XML Schema version 6 onwards, ACCIDENT AND EMERGENCY TREATMENT - SECOND will be recognised as Secondary Treatment (Accident and Emergency).

For Commissioning Data Set version 6 onwards there are no restrictions on the number of Secondary Treatment (Accident and Emergency) recorded.

ACCIDENT AND EMERGENCY TREATMENT - SECOND is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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ACTIVITY TREATMENT FUNCTION CODE

Change to Data Element: Changed Description

Format/Length:an3
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:
ACTIVITY TREATMENT FUNCTION CODE is the same as attribute TREATMENT FUNCTION CODE.

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

ACTIVITY TREATMENT FUNCTION CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ADMISSION METHOD
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD.

ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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ADVANCED CARDIOVASCULAR SUPPORT DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more days of advanced cardiovascular support
 999 - occurred but day count not known

Notes:
ADVANCED CARDIOVASCULAR SUPPORT DAYS is the total number of days that the PATIENT received advanced cardiovascular support during a CRITICAL CARE PERIOD, ranging from 000 to 997 days.

ADVANCED CARDIOVASCULAR SUPPORT DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 'Advanced Cardiovascular Support' within the CRITICAL CARE PERIOD.

ADVANCED CARDIOVASCULAR SUPPORT DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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ADVANCED RESPIRATORY SUPPORT DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more days of advanced respiratory support
 999 - occurred but day count not known

Notes:
ADVANCED RESPIRATORY SUPPORT DAYS is the total number of days that the PATIENT received advanced respiratory support during a CRITICAL CARE PERIOD, ranging from 000 to 997 days.

ADVANCED RESPIRATORY SUPPORT DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 'Advanced Respiratory Support' within the CRITICAL CARE PERIOD.

ADVANCED RESPIRATORY SUPPORT DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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AGE AT CDS ACTIVITY DATE

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated

Notes:
AGE AT CDS ACTIVITY DATE is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the CDS ACTIVITY DATE.

AGE AT CDS ACTIVITY DATE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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AGE ON ADMISSION

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated

Notes:
AGE ON ADMISSION is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the START DATE (HOSPITAL PROVIDER SPELL).

AGE ON ADMISSION is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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BASIC CARDIOVASCULAR SUPPORT DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more days of basic cardiovascular support
 999 - occurred but day count not known

Notes:
BASIC CARDIOVASCULAR SUPPORT DAYS is the total number of days that the PATIENT received basic cardiovascular support during a CRITICAL CARE PERIOD, ranging from 000 to 997 days.

BASIC CARDIOVASCULAR SUPPORT DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 'Basic Cardiovascular Support' within the CRITICAL CARE PERIOD.

BASIC CARDIOVASCULAR SUPPORT DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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BASIC RESPIRATORY SUPPORT DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more days of basic respiratory support
 999 - occurred but day count not known

Notes:
BASIC RESPIRATORY SUPPORT DAYS is the total number of days that the PATIENT received basic respiratory support during a CRITICAL CARE PERIOD, ranging from 000 to 997 days.

BASIC RESPIRATORY SUPPORT DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 'Basic Respiratory Support' within the CRITICAL CARE PERIOD.

BASIC RESPIRATORY SUPPORT DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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CARE PROFESSIONAL MAIN SPECIALTY CODE

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See MAIN SPECIALTY CODE 
Default Codes:199 - Non-UK provider; specialty function not known, treatment mainly surgical
 499 - Non-UK provider; specialty function not known, treatment mainly medical

Notes:
CARE PROFESSIONAL MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.

CARE PROFESSIONAL MAIN SPECIALTY CODE is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.

All Non-Consultant Led Activity is identified by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE of:

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

For the purposes of the Quarterly Bed Availability and Occupancy Data Set (KH03), the applicable list of CARE PROFESSIONAL MAIN SPECIALTY CODES is available by emailing unify2@dh.gsi.gov.uk.

CARE PROFESSIONAL MAIN SPECIALTY CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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COMMISSIONING SERIAL NUMBER

Change to Data Element: Changed Description

Format/Length:an6
National Codes: 
Default Codes: 

Notes:
COMMISSIONING SERIAL NUMBER is the same as attribute NHS SERVICE AGREEMENT NUMBER.

From 01/04/2001 this data item will be used to identify PATIENTS treated under Non-Contract Activities. NHS Trusts and NHS Foundation Trusts are required to insert the letters 'OAT' (mandated input as capitals) in the first three characters of the COMMISSIONING SERIAL NUMBER field of the Admitted Patient Care Commissioning Data Set. The remaining three characters will continue to be defined locally, see DSCN 17/2000. The remaining three characters will continue to be defined locally, see DSCN 17/2000.

From 01/04/2005 an '=' (equals) as the last significant character in this six character field will indicate an episode that should be excluded from the National Tariff Payment System tariff.

The position of the last character depends on any preceding characters eg 1st character if field is otherwise blank, 4th character if following 'OAT', up to a maximum of 6th position. This provides a general exclusion facility for unusual circumstances or where more specific rules regarding coding in other fields cannot be implemented due to local software restrictions.

 

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COSDS SUBMISSION IDENTIFIER

Change to Data Element: Changed Description

Format/Length:an36
National Codes: 
Default Codes: 

Notes:
The COSDS SUBMISSION IDENTIFIER provides a unique identifier (per ORGANISATION CODE (CODE OF PROVIDER) of Cancer Services) to identify each Cancer Outcomes and Services Data Set submission to the National Cancer Registration and Analysis Service.The COSDS SUBMISSION IDENTIFIER provides a unique identifier (per ORGANISATION IDENTIFIER (CODE OF PROVIDER) of Cancer Services) to identify each Cancer Outcomes and Services Data Set submission to the National Cancer Registration and Analysis Service. It is used to uniquely identify and, if necessary, to sequence check Cancer Outcomes and Services Data Set submissions.

For each submission, the COSDS SUBMISSION IDENTIFIER should be incremented by 1.

The COSDS SUBMISSION IDENTIFIER may appear on data quality reports, error reports, and audit logs exchanged between the National Cancer Registration and Analysis Service and submitting ORGANISATION CODE (CODE OF PROVIDER).The COSDS SUBMISSION IDENTIFIER may appear on data quality reports, error reports, and audit logs exchanged between the National Cancer Registration and Analysis Service and submitting ORGANISATION IDENTIFIER (CODE OF PROVIDER).

The COSDS SUBMISSION IDENTIFIER must be populated in the COSDS Submission Identifier group within the COSDS XML Schema, by the sender of the data set submission, prior to transmission of the data to the National Cancer Registration and Analysis Service.

 

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COUNTRY CODE (BIRTH)

Change to Data Element: Changed Description

Format/Length:a3
National Codes: 
Default Codes:XXX - Unknown *
ZZZ - Not stated (PERSON asked but declined to provide a response)*

Notes:
COUNTRY CODE (BIRTH) is the same as attribute COUNTRY CODE.

COUNTRY CODE (BIRTH) is the country where the PERSON was born.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website https://www.iso.org/iso/home.htm.org/home.html. The 2-char alphabetic code must not be used.

* Note - Default Codes XXX and ZZZ are only valid for use in the Female Genital Mutilation Data Set.

 

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COUNTRY CODE (FATHER BIRTH)

Change to Data Element: Changed Description

Format/Length:a3
National Codes: 
Default Codes:XXX - Unknown
ZZZ - Not stated (PERSON asked but declined to respond)

Notes:
COUNTRY CODE (FATHER BIRTH) is the same as attribute COUNTRY CODE.

COUNTRY CODE (FATHER BIRTH) is the country code of the father of a REGISTRABLE BIRTH.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website https://www.iso.org/iso/home.htm.org/home.html. The 2-char alphabetic code must not be used.

 

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COUNTRY CODE (FATHER ORIGIN)

Change to Data Element: Changed Description

Format/Length:a3
National Codes: 
Default Codes:XXX - Unknown
ZZZ - Not stated (PERSON asked but declined to provide a response)

Notes:
COUNTRY CODE (FATHER ORIGIN) is the same as attribute COUNTRY CODE.

COUNTRY CODE (FATHER ORIGIN) is the country code of origin of the father of a REGISTRABLE BIRTH.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website https://www.iso.org/iso/home.htm.org/home.html. The 2-char alphabetic code must not be used.

For the Female Genital Mutilation Data Set, this is the country which the PERSON believes reflects their cultural heritage.

 

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COUNTRY CODE (FEMALE GENITAL MUTILATION PERFORMED)

Change to Data Element: Changed Description

Format/Length:a3
National Codes: 
Default Codes:XXX - Unknown
ZZZ - Not stated (PERSON asked bur declined to provide a response)

Notes:
COUNTRY CODE (FEMALE GENITAL MUTILATION PERFORMED) is the same as attribute COUNTRY CODE.

COUNTRY CODE (FEMALE GENITAL MUTILATION PERFORMED) is the country where female genital mutilation was performed.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website https://www.iso.org/iso/home.htm.org/home.html. The 2-char alphabetic code must not be used.

 

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COUNTRY CODE (ORIGIN)

Change to Data Element: Changed Description

Format/Length:a3
National Codes: 
Default Codes:XXX - Unknown
ZZZ - Not stated (PERSON asked but declined to provide a response)

Notes:
COUNTRY CODE (ORIGIN) is the same as attribute COUNTRY CODE.

COUNTRY CODE (ORIGIN) is the PERSON's country of origin.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website https://www.iso.org/iso/home.htm.org/home.html. The 2-char alphabetic code must not be used.

For the Female Genital Mutilation Data Set, this is the country which the PATIENT believes reflects their cultural heritage.

 

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CRITICAL CARE DISCHARGE DATE

Change to Data Element: Changed Description, linked Attribute

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
CRITICAL CARE DISCHARGE DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'End Date' for the CRITICAL CARE PERIOD.

CRITICAL CARE DISCHARGE DATE may be the:

  • date the PATIENT is discharged from the critical care unit
  • date the PATIENT died or
  • date of declaration of brainstem death.

CRITICAL CARE DISCHARGE DATE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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CRITICAL CARE DISCHARGE DATE

Change to Data Element: Changed Description, linked Attribute

CRITICAL CARE DISCHARGE DATE
 
Attribute:
ACTIVITY DATE

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CRITICAL CARE LEVEL 2 DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more level 2 days
 999 - level 2 days occurred but day count not known

Notes:
CRITICAL CARE LEVEL 2 DAYS is the total number of days a PATIENT received level 2 care during a CRITICAL CARE PERIOD. From 000 to 997 days can be recorded; if 998 or more days have occurred the default code should be used.

CRITICAL CARE LEVEL 2 DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 02 'Level 2' within the CRITICAL CARE PERIOD.

CRITICAL CARE LEVEL 2 DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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CRITICAL CARE LEVEL 3 DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more level 3 days
 999 - level 3 days occurred but day count not known

Notes:
CRITICAL CARE LEVEL 3 DAYS is the total number of days a PATIENT received level 3 care during a CRITICAL CARE PERIOD. From 000 to 997 days can be recorded; if 998 or more days have occurred the default code should be used.

CRITICAL CARE LEVEL 3 DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the CRITICAL CARE LEVEL is National Code 03 'Level 3' within the CRITICAL CARE PERIOD.

CRITICAL CARE LEVEL 3 DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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CRITICAL CARE START DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
CRITICAL CARE START DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Start Date' of the CRITICAL CARE PERIOD.

CRITICAL CARE START DATE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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CRITICAL CARE UNIT FUNCTION

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See CRITICAL CARE UNIT FUNCTION
Default Codes: 

Notes:
CRITICAL CARE UNIT FUNCTION is the same as attribute CRITICAL CARE UNIT FUNCTION.

The National Codes for non standard locations may be recorded where the delivery of care is CRITICAL CARE LEVEL National Code 02 'Level 2' or 03 'level 3' and the duration of care is greater than four hours.

CRITICAL CARE UNIT FUNCTION is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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DATE OF ASSAULT ON PATIENT

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DATE OF ASSAULT ON PATIENT is the same as attribute PERSON PROPERTY EFFECTIVE START DATE.

DATE OF ASSAULT ON PATIENT is the date that an instance of assault occurred on the PATIENT by another PATIENT.

For the Mental Health Services Data Set, DATE OF ASSAULT ON PATIENT is during a Hospital Provider Spell and assault is defined as:

The intentional application of force to the person of another, without lawful justification, resulting in physical injury or personal discomfort.

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DATE OF BIRTH (PATIENT IDENTIFICATION)

Change to Data Element: Changed Description

Format/Length:an11 (DD-Mmm-CCYY)
National Codes: 
Default Codes: 

Notes:
DATE OF BIRTH (PATIENT IDENTIFICATION) is the date of birth of the PATIENT as displayed in human readable forms, for example PATIENT identity bands. The date format is displayed in accordance with the NHS Common User Interface Standard - Date Display (ISB 1503). The date format is displayed in accordance with the NHS Common User Interface Standard - Date Display (ISB 1503).

For neonates and newborn babies, the data element TIME OF BIRTH (PATIENT IDENTIFICATION) must be recorded.

 

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DATE OF SELF-HARM

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DATE OF SELF-HARM is the same as attribute PERSON PROPERTY EFFECTIVE START DATE.

DATE OF SELF-HARM is the date that an incident of self-harm by a PATIENT occurred.

For the Mental Health Services Data Set, DATE OF SELF-HARM is during a Hospital Provider Spell and self-harm is defined as:

Intentional self-poisoning or injury, irrespective of the apparent purpose of the act.  Self-harm includes poisoning, asphyxiation, cutting, burning and other self-inflicted injuries.

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DEATH CAUSE ICD CODE

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes: 

Notes:
DEATH CAUSE ICD CODE is the same as attribute CLINICAL CLASSIFICATION CODE.

DEATH CAUSE ICD CODE is the International Classification of Diseases (ICD) code derived from the DEATH CAUSE RECORDED TEXT by the Office for National Statistics (ONS).

The information for the following DEATH CAUSE ICD CODE Data Elements is taken from the Medical Certificate of Cause of Death:

Note: DEATH CAUSE ICD CODE (UNDERLYING CONDITION) is the International Classification of Diseases (ICD) code derived by the Office for National Statistics (ONS) taken from the death certificate codes above.

For further information regarding the Medical Certificate of Cause of Death, see:

 

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DEATH CAUSE RECORDED TEXT

Change to Data Element: Changed Description

Format/Length:max an75
National Codes: 
Default Codes: 

Notes:
DEATH CAUSE RECORDED TEXT is the same as attribute PERSON OBSERVATION TEXT STRING.

DEATH CAUSE RECORDED TEXT is the cause of death as recorded on the death certificate.

The information for the following DEATH CAUSE RECORDED TEXT Data Elements is taken from the Medical Certificate of Cause of Death:

For further information regarding the Medical Certificate of Cause of Death, see:

 

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DELIVERY DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DELIVERY DATE is the same as attribute PERSON BIRTH DATE.DELIVERY DATE records the date of delivery for each REGISTRABLE BIRTH

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DERMATOLOGICAL SUPPORT DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more days of dermatological support
 999 - occurred but day count not known

Notes:
The total number of days that the PATIENT received dermatological system support during a CRITICAL CARE PERIOD, ranging from 000 to 997 days.

This is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 08 'Dermatological Support' within the CRITICAL CARE PERIOD.

DERMATOLOGICAL SUPPORT DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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DIAGNOSTIC TEST (ENDOSCOPY)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC TEST (ENDOSCOPY) is the intended or actual endoscopy diagnostic test or procedure split by Colonoscopy, Flexi sigmoidoscopy, Cystoscopy and Gastroscopy for a SERVICE REQUEST derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity.DIAGNOSTIC TEST (ENDOSCOPY) is the intended or actual endoscopy diagnostic test or procedure split by Colonoscopy, Flexi sigmoidoscopy, Cystoscopy and Gastroscopy for a SERVICE REQUEST derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity. 

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DIAGNOSTIC TEST (ENDOSCOPY CENSUS)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC TEST (ENDOSCOPY CENSUS) is the intended endoscopy diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity.DIAGNOSTIC TEST (ENDOSCOPY CENSUS) is the intended endoscopy diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity. 

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DIAGNOSTIC TEST (IMAGING)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC TEST (IMAGING) is the intended or actual Imaging Test or Procedure, for a SERVICE REQUEST, split by:

DIAGNOSTIC TEST (IMAGING) is derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity.DIAGNOSTIC TEST (IMAGING) is derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity.

 

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DIAGNOSTIC TEST (IMAGING CENSUS)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC TEST (IMAGING CENSUS) is the intended imaging diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity.DIAGNOSTIC TEST (IMAGING CENSUS) is the intended imaging diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity. 

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DIAGNOSTIC TEST (PATHOLOGY CENSUS)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC TEST (PATHOLOGY CENSUS) is the intended pathology diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity.DIAGNOSTIC TEST (PATHOLOGY CENSUS) is the intended pathology diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity. 

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DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)</