NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1750
Version No:1.0
Subject:December 2019 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:23 December 2019

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the new 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.

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Summary of changes:

Diagrams
CANCER OUTCOMES AND SERVICES DIAGRAM   Changed Diagram
CARE PROFESSIONAL DIAGRAM   Changed Diagram
MATERNITY SERVICES DIAGRAM   Changed Diagram
 
Supporting Information
CONTACT DETAILS   Changed Description
DA1   Changed Description
DATA COORDINATION BOARD   Changed Description
DUCTAL CARCINOMA IN SITU   New Supporting Information
FOLLICULAR LYMPHOMA INTERNATIONAL PROGNOSTIC INDEX 2   Changed Description
HUMAN TISSUE AUTHORITY   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE   Changed Description
NEONATAL CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
ROYAL COLLEGE OF ANAESTHETISTS   Changed Description
ROYAL COLLEGE OF PATHOLOGISTS   Changed Description
STOP SMOKING SERVICE QUARTERLY DATA SET OVERVIEW   Changed Description
SUBMITTING A QUERY   Changed Description
WHAT'S NEW: DECEMBER 2019 renamed from WHAT'S NEW: OCTOBER 2019   Changed Description, Name
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
CANCER STAGING   Changed Attributes
CARE PROFESSIONAL   Changed Attributes
GENERAL PRACTITIONER   Changed Description
LIVING ORGAN OR TISSUE DONOR   Changed Attributes
OPHTHALMIC MEDICAL PRACTITIONER   Changed Attributes, Supertype, Description
 
Attribute Definitions
BREAST ASSESSMENT OUTCOME   Changed Description
BREAST BIOPSY REFERRAL OUTCOME   Changed Description
BREAST CANCER HISTOLOGICAL TYPE   Changed Description
BREAST CANCER INVASIVE STATUS   Changed Description
BREAST INVASIVE GRADE   Changed Description
BREAST SCREENING AGE GROUP FOR KC62 PARTS 1 TO 3   Changed Description
BREAST SCREENING AGE GROUP FOR KC62 PARTS 4 TO 5   Changed Description
BREAST SCREENING AGE GROUP FOR KC63   Changed Description
BREAST SCREENING CALL STATUS   Changed Description
BREAST SCREENING HIGH RISK CATEGORY   Changed Description
BREAST SCREENING MAMMOGRAPHY OUTCOME CODE   Changed Description
BREAST SCREENING READING TYPE   Changed Description
CARE PROFESSIONAL TYPE FOR PREGNANCY FIRST CONTACT renamed from CARE PROFESSIONAL TYPE FOR PREGANCY FIRST CONTACT   Changed Name
CONSULTATION MEDIUM USED   Changed Description
DIAGNOSIS SCHEME IN USE   Changed Description
DISCHARGE METHOD   Changed Description
DUCTAL CARCINOMA IN SITU GRADE   Changed Description
MAIN SPECIALTY CODE   Changed Description
MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION   New Attribute
PROCEDURE SCHEME IN USE   Changed Description
PROFESSIONAL REGISTRATION BODY CODE   Changed Description
REFERRED OUT OF AREA REASON FOR ADULT ACUTE MENTAL HEALTH   Changed Description
SMOKING STATUS   Changed Description
TREATMENT FUNCTION CODE   Changed Description
TUMOUR GRADE FOR BREAST SCREENING   New Attribute
WAITING TIME MEASUREMENT TYPE   Changed Description
 
Data Elements
BREAST CANCER GRADE NOT KNOWN (PERCENTAGE OF DUCTAL CARCINOMA IN-SITU)   Changed Description
CHILDHOOD IMMUNISATION TYPE (COVER)   Changed Description
CHILDHOOD IMMUNISATION TYPE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER)   Changed Description
CHILDHOOD IMMUNISATION TYPE COMBINED (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER)   Changed Description
CLINICAL TRIAL IDENTIFIER   Changed Description
DISEASE OUTBREAK NOTIFICATION   Changed Description
INTENDED AGE GROUP   Changed Description
INVASIVE BREAST CANCER TOTAL OBSERVED   Changed Description
MAIN SPECIALTY CODE (MENTAL HEALTH)   Changed Description
MATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (NATIONAL NEONATAL DATA SET)   Changed Description
MATERNITY MEDICAL DIAGNOSIS TYPE (CURRENT PREGNANCY)   Changed Description
MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION   Changed Description, linked Attribute
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)   Changed Description
PROFESSIONAL REGISTRATION ISSUER CODE   Changed Description
SAFEGUARDING CONCERN (SNOMED CT)   Changed Description
TREATMENT FUNCTION CODE (MATERNITY)   Changed Description
TREATMENT FUNCTION CODE (MENTAL HEALTH)   Changed Description
TUMOUR GRADE (FOR BREAST SCREENING)   Changed Description, linked Attribute
WOMEN TOTAL (HIGH RISK EPISODE)   Changed Description
WOMEN WITH CANCER DIAGNOSED WITHOUT CYTOLOGY OR HISTOLOGY TOTAL   Changed Description
WOMEN WITH CANCER TOTAL   Changed Description
 

Date:23 December 2019
Sponsor:Nicholas Oughtibridge, Head of Clinical Data Architecture, 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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CANCER OUTCOMES AND SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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CARE PROFESSIONAL DIAGRAM

Change to Diagram: Changed Diagram

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MATERNITY SERVICES DIAGRAM

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CONTACT DETAILS

Change to Supporting Information: Changed Description

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DA1

Change to Supporting Information: Changed Description

The DA1 form is presented to the social security institution in the state of residence or stay to gain entitlement to healthcare benefits. 

The DA1 entitles people to receive medical treatment under special conditions reserved for accidents at work and occupational diseases in another European Union country.

Note: prior to 1 May 2010, the DA1 was known as the  E123.

For further information on the DA1, see the European Union website at: Useful forms for social security rights.For further information on the DA1, see the European Union website at: Useful forms for social security rights.

 

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DATA COORDINATION BOARD

Change to Supporting Information: Changed Description

The Data Coordination Board (DCB) is an Organisation.

The Data Coordination Board replaced the Standardisation Committee for Care Information (SCCI) on 1 April 2017.

The Data Coordination Board is one of three sub-groups of the Digital Delivery Board, the other two being the Enterprise Architecture Board and the Technology and Data Investment Board.

The Data Coordination Board:

For further information on the Data Coordination Board, see the NHS Digital website at: Information standards and data collections (including extractions).For further information on the Data Coordination Board, see the NHS Digital website at: Data Coordination Board.

 

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DUCTAL CARCINOMA IN SITU

Change to Supporting Information: New Supporting Information

A Ductal Carcinoma In Situ (DCIS) is a PATIENT DIAGNOSIS.

A Ductal Carcinoma In Situ is a non-invasive breast cancer.

  • Ductal means that the cancer starts inside the milk ducts
  • Carcinoma refers to any cancer that begins in the skin or other TISSUES (including breast TISSUE) that cover or line the internal organs
  • In situ means "in its original place".

For further information on Ductal Carcinomas In Situ, see:

 

This supporting information is also known by these names:
ContextAlias
schemaDCIS
pluralDuctal Carcinomas In Situ

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FOLLICULAR LYMPHOMA INTERNATIONAL PROGNOSTIC INDEX 2

Change to Supporting Information: Changed Description

The Follicular Lymphoma International Prognostic Index 2 (FLIPI2) is an ASSESSMENT TOOL.

The Follicular Lymphoma International Prognostic Index 2 was developed to categorise the prognostic score for PATIENTS with untreated follicular lymphoma and is derived from:

  • Age of the PATIENT in years
  • Serum beta 2 microglobulin
  • Haemoglobin
  • Bone marrow involvement
  • Longest diameter of the largest involved node.

The Follicular Lymphoma International Prognostic Index 2 calculator can be found at: Follicular Lymphoma International Prognostic Index 2 (FLIPI2) Calculator.The Follicular Lymphoma International Prognostic Index 2 calculator can be found at: Follicular Lymphoma International Prognostic Index 2 (FLIPI2) Calculator.

 

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HUMAN TISSUE AUTHORITY

Change to Supporting Information: Changed Description

The Human Tissue Authority (HTA) is an ORGANISATION.The Human Tissue Authority (HTA) is an Organisation.

The Human Tissue Authority (HTA) is an executive agency of the Department of Health and Social Care.

The Human Tissue Authority is the regulator for human TISSUE and organs.

For further information on the Human Tissue Authority, see the Human Tissue Authority website at: About Us.

 

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MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE

Change to Supporting Information: Changed Description


For further information regarding the definition and use of MAIN SPECIALTY see the attribute MAIN SPECIALTY CODE.

For further information regarding the definition and use of TREATMENT FUNCTION see the attribute TREATMENT FUNCTION CODE.

For additional queries contact the NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".

Table 1 Main Specialty codes

 CodeMain Specialty Title
Surgical Specialties 
 100GENERAL SURGERY
 101UROLOGY
 110TRAUMA & ORTHOPAEDICS
 120ENT
 130OPHTHALMOLOGY
 140ORAL SURGERY
 141RESTORATIVE DENTISTRY
 142PAEDIATRIC DENTISTRY
 143ORTHODONTICS
 145ORAL & MAXILLO FACIAL SURGERY
 146ENDODONTICS
 147PERIODONTICS
 148PROSTHODONTICS
 149SURGICAL DENTISTRY
 150NEUROSURGERY
 160PLASTIC SURGERY
 170CARDIOTHORACIC SURGERY
 171PAEDIATRIC SURGERY
 180ACCIDENT & EMERGENCY
 191 PAIN MANAGEMENT (Retired 1 April 2004)  
 191PAIN MANAGEMENT (Retired 1 April 2004)
Medical Specialties 
 190ANAESTHETICS
 192CRITICAL CARE MEDICINE
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
*312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010) 
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
 325SPORT AND EXERCISE MEDICINE
 326ACUTE INTERNAL MEDICINE
 330DERMATOLOGY
 340RESPIRATORY MEDICINE (also known as thoracic medicine)
 350INFECTIOUS DISEASES
 352TROPICAL MEDICINE
 360GENITOURINARY MEDICINE
 361NEPHROLOGY
 370MEDICAL ONCOLOGY
 371NUCLEAR MEDICINE
 400NEUROLOGY
 401CLINICAL NEURO-PHYSIOLOGY
 410RHEUMATOLOGY
 420PAEDIATRICS
 421PAEDIATRIC NEUROLOGY
 430GERIATRIC MEDICINE
 450DENTAL MEDICINE SPECIALTIES
 451SPECIAL CARE DENTISTRY
 460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
 501OBSTETRICS
 502GYNAECOLOGY
 504COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
 510 ANTENATAL CLINIC (Retired 1 April 2004)  
 520 POSTNATAL CLINIC (Retired 1 April 2004) 
 510ANTENATAL CLINIC (Retired 1 April 2004)
 520POSTNATAL CLINIC (Retired 1 April 2004)
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610 MATERNITY FUNCTION (Retired 1 April 2004) 
 620 OTHER THAN MATERNITY (Retired 1 April 2004) 
 610MATERNITY FUNCTION (Retired 1 April 2004)
 620OTHER THAN MATERNITY (Retired 1 April 2004)
Psychiatry 
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
Radiology 
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
Pathology 
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY AND VIROLOGY
 832 NEUROPATHOLOGY (Retired 1 April 2004) 
 832NEUROPATHOLOGY (Retired 1 April 2004)
 833MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
 834MEDICAL VIROLOGY
Other 
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990 JOINT CONSULTANT CLINICS (Retired 1 April 2004) 
 990JOINT CONSULTANT CLINICS (Retired 1 April 2004)

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
*Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.

Table 2 Treatment Function codes

CodeTreatment Function TitleComments
Surgical Specialties 
100GENERAL SURGERYIncludes sub-categories not elsewhere listed e.g. endocrine surgery
101UROLOGYSurgical treatment of disorders of the urinary system and male reproductive system
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERYSurgical treatment of disorders of the upper parts of the gastrointestinal tract
107VASCULAR SURGERYSurgical treatment of diseases of the vascular system
108SPINAL SURGERY SERVICESurgery concentrating on specialised and complex treatment of the back and spine. The SERVICE has a significantly different composition and profile from the SERVICE provided in TREATMENT FUNCTION CODE - 110 Trauma & Orthopaedic. Excludes Spinal Injuries - see TREATMENT FUNCTION CODE 323 
110TRAUMA & ORTHOPAEDICSSurgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
120ENTEar, nose and throat
130OPHTHALMOLOGYThe surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology - see TREATMENT FUNCTION CODE 460
140ORAL SURGERYThe diagnosis and surgical treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRYDentistry SERVICES dedicated to children with appropriate facilities and support staff
143ORTHODONTICSThe treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery
150NEUROSURGERYThe prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
160PLASTIC SURGERYSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
161BURNS CARETo be used by recognised specialist units and associated outreach SERVICES only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERYSurgical treatment of the heart or great vessels
173THORACIC SURGERYSurgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services
180ACCIDENT & EMERGENCYSERVICES to care for PATIENTS with urgent problems delivered as part of an Accident and Emergency Attendance or admission at an Accident and Emergency Department 
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialist Services - The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.
211PAEDIATRIC UROLOGYSurgical treatment of disorders of the urinary system and male reproductive system
212PAEDIATRIC TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
213PAEDIATRIC GASTROINTESTINAL SURGERYSurgical treatment of disorders of the gastrointestinal tract
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSSurgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
215PAEDIATRIC EAR NOSE AND THROATEar, nose and throat
216PAEDIATRIC OPHTHALMOLOGYThe surgical treatment of disorders and diseases of the eye.
217PAEDIATRIC MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery
218PAEDIATRIC NEUROSURGERYThe prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
219PAEDIATRIC PLASTIC SURGERYSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
220PAEDIATRIC BURNS CARETo be used by recognised specialist units and associated outreach SERVICES only
221PAEDIATRIC CARDIAC SURGERYSurgical treatment of the heart or great vessels
222PAEDIATRIC THORACIC SURGERYSurgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
223PAEDIATRIC EPILEPSYDesignated clinic which provides SERVICES to children led by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff
241PAEDIATRIC PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYThe treatment of disorders of the digestive system
252PAEDIATRIC ENDOCRINOLOGYThe treatment of disorders of the endocrine system
253PAEDIATRIC CLINICAL HAEMATOLOGYExcludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
254PAEDIATRIC AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY SERVICEClinical Immunology is the treatment of disorders of the immune system. Allergy Service is the diagnosis  and management of allergic disease
256PAEDIATRIC INFECTIOUS DISEASESSERVICES to diagnose and treat contagious or communicable diseases
257PAEDIATRIC DERMATOLOGYSERVICES for the treatment of diseases of the skin
258PAEDIATRIC RESPIRATORY MEDICINEAlso known as Thoracic Medicine
259PAEDIATRIC NEPHROLOGYSERVICES to treat kidney conditions and abnormalities
260PAEDIATRIC MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy of PATIENTS with cancer
261PAEDIATRIC METABOLIC DISEASEThe diagnosis and management of inherited metabolic conditions
262PAEDIATRIC RHEUMATOLOGYSERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
263PAEDIATRIC DIABETIC MEDICINESERVICES to diagnose, treat and support PATIENTS with diabetes
264PAEDIATRIC CYSTIC FIBROSISSpecialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDiagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and Looked After Children. Excludes Paediatric Neuro-Disability
291PAEDIATRIC NEURO-DISABILITYDedicated SERVICES for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability
Medical Specialties 
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed e.g. Metabolic Medicine.
301GASTROENTEROLOGYThe treatment of disorders of the digestive system
302ENDOCRINOLOGYThe treatment of disorders of the endocrine system
303CLINICAL HAEMATOLOGYExcludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Excludes Clinical Neurophysiology - see TREATMENT FUNCTION CODE 401, Audiology - see TREATMENT FUNCTION CODE 840 or Respiratory Physiology - see TREATMENT FUNCTION CODE 341
305CLINICAL PHARMACOLOGYSERVICES providing drug information, medication safety and other aspects of pharmacy practice
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINESERVICES to diagnose, treat and support PATIENTS with diabetes
308BLOOD AND MARROW TRANSPLANTATIONPreviously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303). Includes haemopoietic stem cell transplantation
309HAEMOPHILIA SERVICEPreviously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303).
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
311CLINICAL GENETICSDiagnosis of disorders caused by genetic mechanisms and counselling SERVICE to PATIENTS and affected family members. To be used by recognised specialist units and associated outreach SERVICES only
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGY SERVICEShould only be used where there are no separate SERVICES for Clinical Immunology and Allergy
314REHABILITATION SERVICESERVICES to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725
315PALLIATIVE MEDICINEThe treatment for curable illnesses and those living with chronic diseases, as well as PATIENTS who are nearing the end of life
316CLINICAL IMMUNOLOGYThe treatment of disorders of the immune system
317ALLERGY SERVICEThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary SERVICES designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARESERVICES providing temporary care of a dependant person, providing relief for their usual caregivers
320CARDIOLOGYSERVICES treating diseases and abnormalities of the heart
321PAEDIATRIC CARDIOLOGYDedicated SERVICES to children with diseases and abnormalities of the heart, with appropriate facilities and support staff
322CLINICAL MICROBIOLOGYSERVICES to treat diseases caused by bacteria, viruses, fungi and parasites
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach SERVICES only, Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only
325SPORT AND EXERCISE MEDICINEThe diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment
327CARDIAC REHABILITATIONRehabilitation SERVICE for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328STROKE MEDICINEFor stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329TRANSIENT ISCHAEMIC ATTACKA multidisciplinary SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke
330DERMATOLOGYSERVICES for the treatment of diseases of the skin
331CONGENITAL HEART DISEASE SERVICEThe management and treatment of congenital heart disease, this includes the ongoing care of children in to adulthood
340RESPIRATORY MEDICINEAlso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea)
342PROGRAMMED PULMONARY REHABILITATIONA multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy
343ADULT CYSTIC FIBROSIS SERVICESpecialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
344COMPLEX SPECIALISED REHABILITATION SERVICEComplex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service. For further information see the NHS Specialised Services website
345SPECIALIST REHABILITATION SERVICESpecialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service. For further information see the NHS Specialised Services website
346LOCAL SPECIALIST REHABILITATION SERVICELocal specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service. For further information see the NHS Specialised Services website
350INFECTIOUS DISEASESSERVICES to diagnose and treat contagious or communicable diseases
352TROPICAL MEDICINESERVICES to diagnose and treat diseases that are found most often in tropical  or sub-tropical regions
360GENITOURINARY MEDICINEPrimarily related to medicine dealing with sexually transmitted diseases
361NEPHROLOGYSERVICES to treat kidney conditions and abnormalities
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer
371NUCLEAR MEDICINEThe treatment of PATIENTS through the use of radioactive substances
400NEUROLOGYSERVICES to diagnose and treat conditions and diseases of the central nervous system
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes Electroencephalogram (EEG)
410RHEUMATOLOGYSERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
420PAEDIATRICSSERVICES to treat infants, children, and adolescents
421PAEDIATRIC NEUROLOGYDedicated SERVICES to children to diagnose and treat conditions and diseases of the central nervous system, with appropriate facilities and support staff
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care
424WELL BABIESUse when NEONATAL LEVEL OF CARE = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. See Well Baby
424WELL BABIESUse when NEONATAL LEVEL OF CARE = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. See Well Baby
430GERIATRIC MEDICINESERVICES to treat diseases and disabilities in older adults. There is no set age at which PATIENTS may be under the care of Geriatric Medicine, this decision should be determined by the individual PATIENT's needs
450DENTAL MEDICINE SPECIALTIESIncludes Oral Medicine.
460MEDICAL OPHTHALMOLOGYSERVICES to diagnose and treat medical conditions affecting the eye, orbits, and visual pathways
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages and still births but excluding planned terminations. Excludes Midwifery Service see TREATMENT FUNCTION CODE 560
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations
503GYNAECOLOGICAL ONCOLOGYSERVICES to treat cancers of the female reproductive system
510RetiredRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520RetiredRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560MIDWIFERY SERVICESERVICES provided under the direct care of a MIDWIFE. Excludes Obstetrics see TREATMENT FUNCTION CODE 501
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
Therapies
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery see TREATMENT FUNCTION CODE 663
654DIETETICSThe application of the science of nutrition to devise eating plans for PATIENTS to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders
657PROSTHETICSThe supply of prosthetics for PATIENTS
658ORTHOTICSThe supply of orthoses for PATIENTS
659DRAMA THERAPYThe use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes
660ART THERAPYThe use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication
661MUSIC THERAPYThe use of music and all of its facets to help clients to improve or maintain their health
662OPTOMETRYThe diagnosis and non-surgical treatment of disorders of the eye and vision care
663PODIATRIC SURGERYThe treatment of foot problems, including soft tissue, bone and joint surgery of the foot, ankle and associated structures, excludes Podiatry see TREATMENT FUNCTION CODE - 653
Psychiatry 
700LEARNING DISABILITYSERVICES provided to PATIENTS with a Learning Disability
710ADULT MENTAL ILLNESSSERVICES provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness
711CHILD and ADOLESCENT PSYCHIATRYSERVICES providing diagnosis, treatment, and prevention of psychopathological disorders of children and adolescents
712FORENSIC PSYCHIATRYSERVICES to assess PATIENTS who have committed an offence and are receiving treatment in high, medium and low secure units or prisons
713PSYCHOTHERAPYSERVICES providing therapy used to treat emotional problems and mental health conditions
715OLD AGE PSYCHIATRYSERVICES providing the diagnosis, treatment, and prevention of mental and emotional disorders in older adult PATIENTS
720EATING DISORDERSA specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating
721ADDICTION SERVICESThe prevention and treatment of substance misuse including drugs and alcohol. If PATIENTS have both severe mental illness and problematic substance misuse, see TREATMENT FUNCTION CODE 726 Dual Diagnosis Service
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to PATIENTS attending general hospitals including out-patient clinics, Accident and Emergency Departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric SERVICES to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings
724PERINATAL PSYCHIATRYA specialist psychiatric SERVICE for the diagnosis and treatment of ante-natal and post-natal psychiatric problems
725MENTAL HEALTH RECOVERY AND REHABILITATION SERVICESERVICES provided to support recovery from mental illness that maximises the PATIENT's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy
726MENTAL HEALTH DUAL DIAGNOSIS SERVICESERVICES to provide support to PATIENTS with both severe mental illness and substance misuse problems. Personality disorder may coexist with psychiatric illness and/or substance misuse
727DEMENTIA ASSESSMENT SERVICESERVICES for the assessment of PATIENTS with dementia, which may complicate care giving and can occur at any stage of the illness. In addition to memory impairment, dementia may include behavioural and psychological problems
Radiology 
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYDiagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, Ultrasound Scan, MRI Scan, PET Scan or CT Scan.
Pathology 
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
834MEDICAL VIROLOGYThe diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and viruses such as SARS and avian flu
Other 
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss
900not a Treatment Function 
901not a Treatment Function 
920DIABETIC EDUCATION SERVICESERVICES providing dedicated small group education courses regarding self management for diabetic PATIENTS
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990Retired 

Notes:

 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
 TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES 
 GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
  Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service
 Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

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NEONATAL CRITICAL CARE MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Neonatal Critical Care Minimum Data Set (NCCMDS) provides a record of what happens to a PATIENT when they receive Neonatal Critical Care in a Neonatal Intensive Care Unit, Maternity WARD, or Neonatal Transitional Care WARD.

The primary purpose of the Neonatal Critical Care Minimum Data Set is to allow the operation of the National Tariff Payment System within neonatal critical care. The Neonatal Critical Care Minimum Data Set supports the National Tariff Payment System by capturing the data needed to generate a Healthcare Resource Group (HRG) for each calendar day (or part thereof) of a period of neonatal critical care; these Healthcare Resource Groups are then used to inform the annual aggregate costing exercise, NHS Reference Costs.

Scope and Uses

The scope of the Neonatal Critical Care Minimum Data Set is:

a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '13 - Neonatal Intensive Care Unit (Neonatal critical care patients predominate)'.

b) All PATIENTS (excluding Mothers) on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code:

  • 14 - Facility for Babies on a Neonatal Transitional Care Ward
  • 15 - Facility for Babies on a Maternity Ward

to whom one or more of the following CRITICAL CARE ACTIVITY CODES applies for a period greater than 4 hours:

01Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided)
02Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day)
04Exchange Transfusion (PATIENT received exchange transfusion)
05Peritoneal Dialysis (PATIENT received Peritoneal Dialysis)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin)
07Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids))
08Convulsions (PATIENT having convulsions requiring treatment)
09Oxygen Therapy (PATIENT receiving additional oxygen)
10Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome)
11Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain)
12Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion)
13Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))
14Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE)
15Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours)
16Haemofiltration (PATIENT received Haemofiltration)
22Continuous monitoring (PATIENT requiring continuous monitoring (by mechanical monitoring equipment) of respiration or heart rate, or by transcutaneous transducers or by Saturation Monitors. Note: apnoea alarms and monitors are excluded as forms of continuous monitoring)
23Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions)
24Tube-fed (PATIENT being tube-fed)
25Barrier nursed (PATIENT being barrier nursed)
26Phototherapy (PATIENT receiving phototherapy)
27Special monitoring (PATIENT receiving special monitoring of blood glucose or serum bilirubin measurement at a minimum frequency of more than one per calendar day)
28Observations at regular intervals (PATIENT requiring recorded observations for temperature, heart rate, respiratory rate, blood pressure or scoring for neonatal abstinence syndrome. Recorded observations must be at a minimum frequency of 4 hourly)
29Intravenous medication (PATIENT receiving intravenous medication)
80Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT)
81Presence of an umbilical venous line
82Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin)
83Therapeutic hypothermia (PATIENT receiving therapeutic hypothermia)
84PATIENT has a Replogle tube in situ
85PATIENT has an epidural catheter in situ
86PATIENT has an abdominal silo
87Administration of intravenous (IV) blood products
88PATIENT has a central venous or long line (Peripherally Inserted Central Catheter line) in situ
89PATIENT has an indwelling urinary or suprapubic catheter in situ
90PATIENT has a trans-anastomotic tube in situ following oesophageal atresia repair
91PATIENT has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM)
92PATIENT has a ventricular tap via needle or reservoir today
93PATIENT has a stoma

This data is captured and recorded locally and may be used for the purposes of direct care, clinical audit, Reference Costs, and other local uses. Any transmission of the Neonatal Critical Care Minimum Data Set must be covered by fair processing arrangements in accordance with information governance criteria and appropriate local arrangements. 

Commissioning Data Set Transmission

Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Neonatal Critical Care Minimum Data Set is carried into the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, see SCCI0075:

The Secondary Uses Service groups this data into neonatal critical care Healthcare Resource Groups; these are a mandated currency under the National Tariff Payment System. Further guidance can be found on the NHS Digital website at: SCCI0075. Further guidance can be found on the NHS Digital website at: SCCI0075.

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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Paediatric Critical Care Minimum Data Set (PCCMDS) provides a record of what happens to a PATIENT when they receive Paediatric Critical Care in a Paediatric Intensive Care Unit, or other critical care setting suitable for children.

The primary purpose of the Paediatric Critical Care Minimum Data Set is to allow the operation of the National Tariff Payment System within paediatric critical care. The Paediatric Critical Care Minimum Data Set supports the National Tariff Payment System by capturing the data needed to generate a Healthcare Resource Group (HRG) for each calendar day (or part thereof) of a period of paediatric critical care; these Healthcare Resource Groups are then used to inform the annual aggregate costing exercise, NHS Reference Costs.

Scope and Uses

The scope of the Paediatric Critical Care Minimum Data Set is:

a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '04 - Paediatric Intensive Care Unit (Paediatric critical care patients predominate)'

b) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code of either:

  • 16 - Ward for children and young people
  • 17 - High Dependency Unit for children and young people
  • 18 - Renal Unit for children and young people
  • 19 - Burns Unit for children and young people
  • 92 - Non standard location using the operating department for children and young people

to whom one or more of the following CRITICAL CARE ACTIVITY CODES applies for a period greater than 4 hours: 

04Exchange Transfusion (PATIENT received exchange transfusion)
05Peritoneal dialysis (acute PATIENTS only i.e. excluding chronic) *
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin)
09Oxygen Therapy (supplementary Oxygen Therapy, irrespective of ventilatory state) **
13Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))
16Haemofiltration (PATIENT received Haemofiltration)
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute PATIENTS only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS)
73Continuous pulse oximetry
74PATIENT nursed in single occupancy cubicle
80Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT)
85PATIENT has an epidural catheter in situ
94PATIENT has arrhythmia requiring intravenous anti-arrhythmic therapy
95PATIENT has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring
96Intravenous infusion of sedative agent (PATIENT receiving continuous intravenous infusion of sedative agent)
97PATIENT has status epilepticus requiring treatment with continuous intravenous infusion

Notes:

  • * National Code 05 applies as an inclusion criterion for acute PATIENTS only: it does not apply with chronic PATIENTS.
  • ** National Code 09 applies as an inclusion criterion when the PATIENT receives supplementary Oxygen Therapy, irrespective of their ventilatory state.

This data is captured and recorded locally and may be used for the purposes of direct care, clinical audit, Reference Costs, and other local uses. Any transmission of the Paediatric Critical Care Minimum Data Set must be covered by fair processing arrangements in accordance with information governance criteria and appropriate local arrangements.

Commissioning Data Set Transmission

Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Paediatric Critical Care Minimum Data Set is sent to the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, SCCI0076:Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Paediatric Critical Care Minimum Data Set is sent to the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, SCCI0076:

The Secondary Uses Service groups this data into paediatric critical care Healthcare Resource Groups. Further guidance can be found on the NHS Digital website at: SCCI0076. Further guidance can be found on the NHS Digital website at: SCCI0076.

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ROYAL COLLEGE OF ANAESTHETISTS

Change to Supporting Information: Changed Description

The Royal College of Anaesthetists (RCoA) is an Organisation.

The Royal College of Anaesthetists is the professional body responsible for the specialty of anaesthesia throughout the UK.

For further information on the Royal College of Anaesthetists, see the Royal College of Anaesthetists website at: About the College.For further information on the Royal College of Anaesthetists, see the Royal College of Anaesthetists website at: About the College.

 

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ROYAL COLLEGE OF PATHOLOGISTS

Change to Supporting Information: Changed Description

The Royal College of Pathologists is an ORGANISATION.The Royal College of Pathologists is an Organisation.

The Royal College of Pathologists is a professional membership ORGANISATION with charitable status, concerned with all matters relating to the science and practice of pathology.The Royal College of Pathologists is a professional member Organisation with charitable status, concerned with all matters relating to the science and practice of pathology.

For further information on the Royal College of Pathologists, see the Royal College of Pathologists website at: About the College.

 

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STOP SMOKING SERVICE QUARTERLY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Stop Smoking Services Quarterly Data Set is used to monitor and evaluate the effectiveness and coverage of Stop Smoking Services. It is designed to provide consistent information on people who have sought and received quitting help from an evidence-based service.

Collection and Submission

The Stop Smoking Services Quarterly Data Set is required by Public Health England and is collected from Local Authorities.

The Stop Smoking Services Quarterly Data Set relates to ACTIVITY taking place over a 3 month period and should be submitted by the thirty second working day after the end of the quarter to which it relates.

The Stop Smoking Services Quarterly Data Set is transmitted at aggregate level to the NHS Digital Strategic Data Collection Service (SDCS) available at NHS Stop Smoking Services Collection.The Stop Smoking Services Quarterly Data Set is transmitted at aggregate level to the NHS Digital Strategic Data Collection Service (SDCS) available at NHS Stop Smoking Services Collection.

Further guidance

Further information on the NHS Stop Smoking Services and the monitoring guidance can be found on the National Centre for Smoking Cessation and Training website at Local Stop Smoking Services: Service and Delivery Guidance 2014.

 

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SUBMITTING A QUERY

Change to Supporting Information: Changed Description


Before you contact the Information Standards Service Desk, please attempt to resolve your NHS Data Model and Dictionary query by one of the following means:

For queries submitted to the Information Standards Service Desk, please email information.standards@nhs.net.

The subject of your email should read 'NHS Data Model and Dictionary Query'. Please include your:

  • Full name
    • Job title
    • Telephone number
    • Full postal address
    • Organisation code (if you are an NHS user) and
    • A full description of your query with a suggested resolution.

You should expect to receive a response within 6 working days from the day when your request was originally received by the NHS Data Model and Dictionary Service.

After receiving a response you will be asked to complete a customer satisfaction survey, this is your opportunity to rate the quality of our NHS Data Model and Dictionary Service and the quality of the response you received.

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

Before you contact the Information Standards Service Desk, please attempt to resolve your NHS Data Model and Dictionary query by one of the following means:

For queries submitted to the Information Standards Service Desk, please email information.standards@nhs.net.

The subject of your email should read 'NHS Data Model and Dictionary Query'. Please include your:

  • Full name
  • Job title
  • Telephone number
  • Organisation
  • A full description of your query with a suggested resolution.

You should expect to receive a response within 6 working days from the day when your request was originally received by the NHS Data Model and Dictionary Service.

After receiving a response you will be asked to complete a customer satisfaction survey, this is your opportunity to rate the quality of our NHS Data Model and Dictionary Service and the quality of the response you received.

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

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WHAT'S NEW: DECEMBER 2019  renamed from WHAT'S NEW: OCTOBER 2019

Change to Supporting Information: Changed Description, Name

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

Release: December 2019

  • CR1746 (Immediate) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
  • CR1747 (Immediate) - DCB2212 Drugs Patient Level Contract Monitoring Data Set
  • CR1724 (1 January 2020) - DCB1533 National Workforce Data Set Version 3.1
  • CR1756 (Immediate) - DDCN 1756/2019 Social Work England
  • CR1703 (Immediate) - DDCN 1703/2019 Update to GP Default Code V81998 Definition
  • CR1741 (Immediate) - DDCN 1741/2019 Critical Care Minimum Data Set

Release: October 2019

  • CR1668 (Immediate) - DDCN 1668/2019 Retirement of National Renal Data Set

Release: August 2019

  • CR1661 (1 September 2019) - DCB1533 Systemic Anti-Cancer Therapy Data Set Version 3
  • CR1734 (Immediate) - DDCN 1734/2019 Consultation Medium Used Update
  • CR1731 (Immediate) - DDCN 1731/2019 Retirement of Quarterly Bed Availability and Occupancy Data Set (KH03)
  • CR1735 (Immediate) - DDCN 1735/2019 Retirement of Mixed Sex Accommodation Data Set
  • CR1641 (Immediate) - DDCN 1641/2019 Retirement of Emergency Care Weekly Situation Report Data Set

Release: July 2019

  • CR1634 (Immediate) - DCB2123 Patient Level Information Costing System (PLICS) Acute Data Set
  • CR1696 (Immediate) - DDCN 1696/2019 SNOMED CT Subsets
  • CR1722 (Immediate) - DDCN 1722/2019 GUMCAD Sexually Transmitted Infection Surveillance System Data Set

Release: May 2019

  • CR1611 (Immediate) - DCB2050 Introduction of the Aggregate Contract Monitoring Data Set
  • CR1613 (Immediate) - DCB3003 Introduction of Patient Level Contract Monitoring Data Set
  • CR1612 (Immediate) - DCB3002 Introduction of Devices Patient Level Contract Monitoring Data Set
  • CR1615 (Immediate) - DCB2212 Introduction of Drugs Patient Level Contract Monitoring Data Set
  • CR1713 (Immediate) - DCB1593 Venous Thromboembolism Risk Assessment Data Set Update
  • CR1730 (Immediate) - DDCN 1730/2019 Retirement of Diagnostics Waiting Times and Activity Data Set
  • CR1729 (Immediate) - DDCN 1729/2019 Retirement of Diagnostics Waiting Times Census Data Set
  • CR1728 (Immediate) - DDCN 1728/2019 Retirement of Referral To Treatment Data Set
  • CR1727 (Immediate) - DDCN 1727/2019 Retirement of National Direct Access Audiology Data Set
  • CR1725 (Immediate) - DDCN 1725/2019 Retirement of Quarterly Monitoring Cancelled Operations Data Set (QMCO)

Release: April 2019

  • CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
  • CR1708 (Immediate) - DDCN 1708/2019 Retirement of KC50: Immunisation Programmes Activity Data Set (KC50)
  • CR1700 (Immediate) - DDCN 1700/2019 Retirement of KC65: Colposcopy Clinics: Referrals, Treatments and Outcomes
  • CR1699 (Immediate) - DDCN 1699/2019 Retirement of KC53: Adult Screening Programmes - Cervical Screening
  • CR1698 (Immediate) - DDCN 1698/2019 Retirement of Edifact Items
  • CR1568 (Immediate) - DDCN 1568/2019 Retirement of KC61: Pathology Laboratories: Cervical Screening and Outcome of Referrals
  • CR1536 (Immediate) - DDCN 1536/2019 Retirement of KH12: Imaging and Radiological Examinations or Tests in any Part of a Hospital
  • CR1499 (Immediate) - DDCN 1499/2019 Retirement of NHS Health Checks Data Set

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 Emergency Care
  • 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
  • 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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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
CONSULTANT EPISODE COMPLETION STATUS FOR PATIENT LEVEL INFORMATION COSTING
CONTINUITY OF CARER PATHWAY INDICATOR
DAUGHTER BORN AT THIS ENCOUNTER 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
LAST EPISODE IN SPELL INDICATOR CODE
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MATERNAL CRITICAL INCIDENT INDICATOR
MENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY
MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION
MENTAL HEALTH CONDITIONAL DISCHARGE END REASON
MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE
MENTAL HEALTH DELAYED DISCHARGE REASON
MONITORING INTENT
NEONATAL CRITICAL INCIDENT INDICATOR
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 Attributes

Attributes of this Class are:
AMERICAN JOINT COMMITTEE ON CANCER STAGE
ANN ARBOR BULKY DISEASE INDICATION CODE
ANN ARBOR EXTRANODALITY INDICATION CODE
ANN ARBOR SPLENIC INDICATION CODE
ANN ARBOR STAGE
ANN ARBOR SYMPTOMS INDICATION CODE
BARCELONA CLINIC LIVER CANCER STAGE
BINET STAGE
BREAST INVASIVE GRADE
CERVICAL INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
CHANG STAGING SYSTEM STAGE
CLINICAL STAGE FOR PANCREATIC CANCER
DUCTAL CARCINOMA IN SITU GRADE
FRENCH AMERICAN BRITISH CLASSIFICATION FOR ACUTE MYELOID LEUKAEMIA
GLEASON GRADE
INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUP
INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA
INTERNATIONAL FEDERATION OF GYNECOLOGY AND OBSTETRICS STAGE
INTERNATIONAL NEUROBLASTOMA RISK GROUP STAGING SYSTEM STAGE
INTERNATIONAL STAGING SYSTEM STAGE FOR RETINOBLASTOMA
MODIFIED DUKES STAGE
MURPHY ST JUDE STAGE
MYELOMA INTERNATIONAL STAGING SYSTEM STAGE
PRETEXT STAGING SYSTEM STAGE
PRETEXT STAGING SYSTEM STAGE OUTSIDE LIVER
STAGE GROUPING FOR TESTICULAR CANCER
TNM CATEGORY
TNM CODING EDITION
TNM VERSION NUMBER
TUMOUR GRADE FOR BREAST SCREENING
WILMS TUMOUR STAGE

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CARE PROFESSIONAL

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE PROFESSIONAL IDENTIFIER
CARE PROFESSIONAL DISCHARGE RESPONSIBILITY INDICATOR FOR EMERGENCY CARE
CARE PROFESSIONAL FIRST ASSISTANT GRADE FOR JOINT REPLACEMENT
CARE PROFESSIONAL LEAD OPERATING SURGEON GRADE FOR JOINT REPLACEMENT
CARE PROFESSIONAL OPERATING SURGEON TYPE FOR CANCER
CARE PROFESSIONAL SENIOR OPERATING SURGEON GRADE FOR CANCER
CARE PROFESSIONAL STAFF GROUP FOR COMMUNITY CARE
CARE PROFESSIONAL STAFF GROUP FOR MATERNITY
CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH
CARE PROFESSIONAL TIER FOR EMERGENCY CARE
CARE PROFESSIONAL TYPE
CARE PROFESSIONAL TYPE FOR HIV
CARE PROFESSIONAL TYPE FOR PREGANCY FIRST CONTACT
CARE PROFESSIONAL TYPE FOR PREGNANCY FIRST CONTACT
GENERAL MEDICAL COUNCIL REFERENCE NUMBER
PRIVATE CONTROLLED DRUG PRESCRIBER CODE
REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE

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GENERAL PRACTITIONER

Change to Class: Changed Description

A subtype of CARE PROFESSIONAL.

A health care practitioner qualified for General Practice, providing healthcare for a particular Organisation; a GENERAL PRACTITIONER may act as either a GENERAL MEDICAL PRACTITIONER or a GENERAL DENTAL PRACTITIONER.A health care practitioner qualified for General Practice, providing healthcare for a particular Organisation.

Subtypes of GENERAL PRACTITIONER are:

GENERAL PRACTITIONER may be abbreviated to GP.

For GENERAL PRACTITIONERS working in hospitals, the following codes should be used:

 

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LIVING ORGAN OR TISSUE DONOR

Change to Class: Changed Attributes

Attributes of this Class are:
NEPHRECTOMY TYPE
This class has no attributes.

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OPHTHALMIC MEDICAL PRACTITIONER

Change to Class: Changed Attributes, Supertype, Description

A subtype of CARE PROFESSIONAL.A subtype of GENERAL PRACTITIONER which is a type of CARE PROFESSIONAL.

A PERSON whose name is registered with the General Medical Council and the Ophthalmic Qualifications Committee and who is contracted as an OPHTHALMIC MEDICAL PRACTITIONER to an Organisation to provide general ophthalmic services.

 

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OPHTHALMIC MEDICAL PRACTITIONER

Change to Class: Changed Attributes, Supertype, Description

Attributes of this Class are:
GENERAL MEDICAL COUNCIL REFERENCE NUMBER
This class has no attributes.

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OPHTHALMIC MEDICAL PRACTITIONER

Change to Class: Changed Attributes, Supertype, Description
  • Changed Attributes
  • Changed Supertype from Data_Dictionary.Classes.C.CARE_PROFESSIONAL to Data_Dictionary.Classes.G.GENERAL_PRACTITIONER
  • Changed Description

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BREAST ASSESSMENT OUTCOME

Change to Attribute: Changed Description

The result of a Breast Assessment.

In the case of a Breast Assessment, it is the final outcome, recorded when the assessment is complete.

National Codes:

01Routine recall
02Short term recall
03Cancer diagnosed
04Not known
01Routine recall
02Short term recall
03Cancer diagnosed
04Not known
 

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BREAST BIOPSY REFERRAL OUTCOME

Change to Attribute: Changed Description

A code used to reference an outcome of a REFERRAL REQUEST.

For NHS Breast Screening Programme Central Return Data Set (KC62) purposes.

National Codes:

100Benign or negative
200Inconclusive
300Positive; i.e. cancer detected
310i.non-invasive or possibly micro-invasive
31a a.low (DCIS only detected)
31b b.intermediate (DCIS only detected)
31c c.high (DCIS only detected)
31a a.low (DCIS only detected)
31b b.intermediate (DCIS only detected)
31c c.high (DCIS only detected)
31d d.grade not known (DCIS only detected)
320ii.definitely micro-invasive
32a a.low (DCIS only detected)
32b b.intermediate (DCIS only detected)
32c c.high (DCIS only detected)
32d d.grade not known (DCIS only detected)
32a a.low (DCIS only detected)
32b b.intermediate (DCIS only detected)
32c c.high (DCIS only detected)
32d d.grade not known (DCIS only detected)
330iii.invasive size not known
33a a.Grade I
33b b.Grade II
33c c.Grade III
33d d.grade not known
340iv.invasive size known
34a a.Grade I
34b b.Grade II
34c c.Grade III
34d d.grade not known
34v v.invasive status not known
400Biopsy not done or result not yet known
 

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BREAST CANCER HISTOLOGICAL TYPE

Change to Attribute: Changed Description

The histological type for a breast cancer, for the purpose of NHS Breast Screening Programme Central Return Data Set (KC62).

National Codes:

DNDuctal (NST)
LPLobular
MEMedullary
MPMucinous
OMOther malignant
OPOther primary cancer
OXOther (mixed)
TMTubular (mixed)
TPTubular (pure)
DNDuctal (NST)
LPLobular
MEMedullary
MPMucinous
OMOther malignant
OPOther primary cancer
OXOther (mixed)
TMTubular (mixed)
TPTubular (pure)
 

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BREAST CANCER INVASIVE STATUS

Change to Attribute: Changed Description

The invasive status for breast cancer.

National Codes:

IInvasive
NNon-invasive or possibly micro-invasive
MDefinitely micro-invasive
IInvasive
NNon-invasive or possibly micro-invasive
MDefinitely micro-invasive
 

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BREAST INVASIVE GRADE

Change to Attribute: Changed Description

The invasive histological grade of the Tumour as defined by the Bloom-Richardson Grading System for a PATIENT with breast cancer during a Cancer Care Spell.

National Codes:

CODEGRADEDESCRIPTION
11Well differentiated (Best prognosis)
22Moderately differentiated (Medium prognosis)
33Poorly differentiated (Worst prognosis)
XNot AssessableNo sample, sample damaged
1Grade 1: Well differentiated (Best prognosis)
2Grade 2: Moderately differentiated (Medium prognosis)
3Grade 3: Poorly differentiated (Worst prognosis)
XNot Assessable: No SAMPLE, SAMPLE damaged
 

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BREAST SCREENING AGE GROUP FOR KC62 PARTS 1 TO 3

Change to Attribute: Changed Description

The age group for women for the NHS Breast Screening Programme Central Return Data Set (KC62) parts 1 to 3.

National Codes:

001Under 45
00245 to 49
00350 to 52
00453 to 54
00555 to 59
00660 to 64
00765 to 69
00870
00971-74
01075 and over
011Target Group 50 to 70
999Total Ages
 

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BREAST SCREENING AGE GROUP FOR KC62 PARTS 4 TO 5

Change to Attribute: Changed Description

The age group for women for the NHS Breast Screening Programme Central Return Data Set (KC62) parts 4 to 5.

National Codes:

00150 to 64
00250 to 70
999Total Ages
 

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BREAST SCREENING AGE GROUP FOR KC63

Change to Attribute: Changed Description

The age group for women for the NHS Breast Screening Programme Central Return Data Set (KC63).

National Codes:

001Under 45
00245 to 49
00350
00451 to 52
00553 to 54
00655 to 59
00760 to 64
00865 to 69
00970
01071 to 73
01174
01275 and over
013Target Group 50 to 70
014Total 45 to 74
999Total Ages
 

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BREAST SCREENING CALL STATUS

Change to Attribute: Changed Description

The call status of the PATIENT in the NHS Breast Screening Programme.

National Codes:

01Call: a PATIENT who has never had a completed Mammography test (although they may have had more than one Breast Screening Episode)
02Routine recall: a PATIENT with a previously completed Breast Screening and is eligible for another test after a default recall interview
03Non-routine early/short term recall advised
04Recall ceased - bilateral mastectomy
05Recall ceased - PATIENT choice
01Call: a PATIENT who has never had a completed Mammography test (although they may have had more than one Breast Screening Episode)
02Routine recall: a PATIENT with a previously completed Breast Screening and is eligible for another test after a default recall interview
03Non-routine early/short term recall advised
04Recall ceased - bilateral mastectomy
05Recall ceased - PATIENT choice
 

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BREAST SCREENING HIGH RISK CATEGORY

Change to Attribute: Changed Description

The category of women, who are included in the NHS Breast Screening Programme who have a high risk of developing breast cancer due to their personal history, or a faulty gene.

National Codes:

01BRCA 1
02BRCA 2
03Equivalent (high) risk not tested
04TP53
05AT Gene - Homozygotes
06AT Gene - Heterozygotes
07Supradiaphragmatic radiotherapy under 30 years of age
08Multiple risks
01BRCA 1
02BRCA 2
03Equivalent (high) risk not tested
04TP53
05AT Gene - Homozygotes
06AT Gene - Heterozygotes
07Supradiaphragmatic radiotherapy under 30 years of age
08Multiple risks
 

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BREAST SCREENING MAMMOGRAPHY OUTCOME CODE

Change to Attribute: Changed Description

The outcome of a Mammography test undertaken by the NHS Breast Screening Programme.

National Codes:

01Normal
02Abnormal and diagnosis later confirmed
03Abnormal but not confirmed later
04Inadequate test
01Normal
02Abnormal and diagnosis later confirmed
03Abnormal but not confirmed later
04Inadequate test
 

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BREAST SCREENING READING TYPE

Change to Attribute: Changed Description

This is how a decision to recall a woman for further Breast Assessment is made if her Mammography films show abnormal features.

National Codes:

01Double reading: with automatic recall when unanimous (automatically choose opinion if unanimous)
02Double reading: automatically choose abnormal (automatically choose most pessimistic)
03Double reading: with arbitration when abnormal (arbitrate unless all readers agree normal)
04Double reading: with no automatic arbitration (direct entry but no automatic arbitration)
01Double reading: with automatic recall when unanimous (automatically choose opinion if unanimous)
02Double reading: automatically choose abnormal (automatically choose most pessimistic)
03Double reading: with arbitration when abnormal (arbitrate unless all readers agree normal)
04Double reading: with no automatic arbitration (direct entry but no automatic arbitration)
 

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CARE PROFESSIONAL TYPE FOR PREGNANCY FIRST CONTACT  renamed from CARE PROFESSIONAL TYPE FOR PREGANCY FIRST CONTACT

Change to Attribute: Changed Name
  • Changed Name from Data_Dictionary.Attributes.C.Card.CARE_PROFESSIONAL_TYPE_FOR_PREGANCY_FIRST_CONTACT to Data_Dictionary.Attributes.C.Card.CARE_PROFESSIONAL_TYPE_FOR_PREGNANCY_FIRST_CONTACT

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CONSULTATION MEDIUM USED

Change to Attribute: Changed Description

CONSULTATION MEDIUM USED identifies the communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE ACTIVITY.

The consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, types of CARE ACTIVITY.

A record of the consultation must be retained in the PATIENT's records.

Telephone contacts solely for informing PATIENTS of results are excluded.

Notes:

National Codes:

01Face to face communication
02Telephone
03Telemedicine
04Talk type for a PERSON unable to speak
05Email
06Short Message Service (SMS) - Text Messaging
07On-line Triage
98Other (not listed)
 

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DIAGNOSIS SCHEME IN USE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY used for the PATIENT DIAGNOSIS.

Notes:

National Codes:

01Accident & Emergency Diagnosis
02ICD-10
03Read Code 4Byte Version (retired 1 October 2009)
04Read Coded Clinical Terms Version 2
05Read Coded Clinical Terms Version 3 (CTV3)
06SNOMED CT®
 

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DISCHARGE METHOD

Change to Attribute: Changed Description

The method of discharge from a Hospital Provider Spell.

Note:

National Codes:

1PATIENT discharged on clinical advice or with clinical consent
2PATIENT discharged him/herself or was discharged by a relative or advocate
3PATIENT discharged by mental health review tribunal, Home Secretary or Court
4PATIENT died
5Stillbirth
6PATIENT discharged him/herself
7PATIENT discharged by a relative or advocate
 

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DUCTAL CARCINOMA IN SITU GRADE

Change to Attribute: Changed Description

The grade of the Ductal Carcinoma In Situ (DCIS), a non-invasive condition in which abnormal CELLS are found in the lining of a breast duct.The grade of the Ductal Carcinoma In Situ (DCIS), a non-invasive condition in which abnormal CELLS are found in the lining of a breast duct.

National Codes:

HHigh
IIntermediate
LLow
XNot Assessable
 

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MAIN SPECIALTY CODE

Change to Attribute: Changed Description

A unique code identifying each MAIN SPECIALTY designated by Royal Colleges. This is the same as the NHS OCCUPATION CODES describing specialties.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each CONSULTANT should be assigned a MAIN SPECIALTY by the Organisation to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.

The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.

The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with ACTIVITY and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.

This will be used to indicate the skill level of medical and dental employees.

Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.

The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice.

Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic.

For further information, contact NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".

National Codes:

 CodeMain Specialty Title
Surgical Specialties 
 100GENERAL SURGERY
 101UROLOGY
 110TRAUMA & ORTHOPAEDICS
 120ENT
 130OPHTHALMOLOGY
 140ORAL SURGERY
 141RESTORATIVE DENTISTRY
 142PAEDIATRIC DENTISTRY
 143ORTHODONTICS
 145ORAL & MAXILLO FACIAL SURGERY
 146ENDODONTICS
 147PERIODONTICS
 148PROSTHODONTICS
 149SURGICAL DENTISTRY
 150NEUROSURGERY
 160PLASTIC SURGERY
 170CARDIOTHORACIC SURGERY
 171PAEDIATRIC SURGERY
 180ACCIDENT & EMERGENCY
 191PAIN MANAGEMENT (Retired 1 April 2004)
Medical Specialties 
 190ANAESTHETICS
 192CRITICAL CARE MEDICINE
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
*312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010) 
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
 325SPORT AND EXERCISE MEDICINE
 326ACUTE INTERNAL MEDICINE
 330DERMATOLOGY
 340RESPIRATORY MEDICINE (also known as thoracic medicine)
 350INFECTIOUS DISEASES
 352TROPICAL MEDICINE
 360GENITOURINARY MEDICINE
 361NEPHROLOGY
 370MEDICAL ONCOLOGY
 371NUCLEAR MEDICINE
 400NEUROLOGY
 401CLINICAL NEURO-PHYSIOLOGY
 410RHEUMATOLOGY
 420PAEDIATRICS
 421PAEDIATRIC NEUROLOGY
 430GERIATRIC MEDICINE
 450DENTAL MEDICINE SPECIALTIES
 451SPECIAL CARE DENTISTRY
 460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
 501OBSTETRICS
 502GYNAECOLOGY
 504COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
 510 ANTENATAL CLINIC (Retired 1 April 2004)  
 520 POSTNATAL CLINIC (Retired 1 April 2004) 
 510ANTENATAL CLINIC (Retired 1 April 2004)
 520POSTNATAL CLINIC (Retired 1 April 2004)
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610 MATERNITY FUNCTION (Retired 1 April 2004) 
 620 OTHER THAN MATERNITY (Retired 1 April 2004) 
 610MATERNITY FUNCTION (Retired 1 April 2004)
 620OTHER THAN MATERNITY (Retired 1 April 2004)
Psychiatry 
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
Radiology 
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
Pathology 
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY AND VIROLOGY
 832NEUROPATHOLOGY (Retired 1 April 2004)
 833MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
 834MEDICAL VIROLOGY
Other 
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990JOINT CONSULTANT CLINICS (Retired 1 April 2004)

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
*Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.
 

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MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION

Change to Attribute: New Attribute

The classification of the admitted PATIENT during a Ward Stay for the Mental Health Services Data Set.

MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION is derived from the attributes WARD SETTING TYPE FOR MENTAL HEALTH, WARD SECURITY LEVELAGE GROUP INTENDED FOR MENTAL HEALTH, CLINICAL CARE INTENSITY and TREATMENT FUNCTION CODE.

National Codes:

 Adult
10Acute adult mental health care
11Acute older adult mental health care (organic and functional)
12Psychiatric Intensive Care Unit (acute mental health care)
13Eating Disorders
14Mother and baby
15Learning Disabilities
16Low secure/locked rehabilitation
17High dependency rehabilitation
18Long term complex rehabilitation/ Continuing Care
19Low secure
20Medium secure
21High secure
22Neuro-psychiatry / Acquired Brain Injury
 Children and Young people
23General Child and Adolescent Mental Health (CAMHS) inpatient - Child (including High Dependency)
24General Child and Adolescent Mental Health (CAMHS) inpatient - Adolescent (including High Dependency)
25Eating Disorders inpatient - Adolescent (above 12)
26Eating Disorders inpatient - Child (12 years and under)
27Low Secure Mental Illness
28Medium Secure Mental Illness
29Child Mental Health inpatient services for the Deaf
30Learning Disabilities / Autistic Spectrum Disorder inpatient
31Low Secure Learning Disabilities
32Medium Secure Learning Disabilities
33Severe Obsessive Compulsive Disorder and Body Dysmorphic Disorder - Adolescent
34Psychiatric Intensive Care Unit
 

This attribute is also known by these names:
ContextAlias
alsoknownasHOSPITAL BED TYPE (MENTAL HEALTH)
pluralMENTAL HEALTH ADMITTED PATIENT CLASSIFICATIONS

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MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION

Change to Attribute: New Attribute

MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION
 
Data Elements:
MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION

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PROCEDURE SCHEME IN USE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY used for the CLINICAL INTERVENTION.

Notes:

National Codes:

01Accident & Emergency Treatment
02OPCS-4
03Read Code 4Byte Version (retired 1 October 2009)
04Read Coded Clinical Terms Version 2
05Read Coded Clinical Terms Version 3 (CTV3)
06SNOMED CT®
 

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PROFESSIONAL REGISTRATION BODY CODE

Change to Attribute: Changed Description

A code which identifies the PROFESSIONAL REGISTRATION BODY.

Notes:

National Codes:

01General Chiropractic Council 
02General Dental Council 
03General Medical Council 
04General Optical Council 
05Social Care Wales
06Scottish Social Services Council (Retired 01 April 2013)
07General Social Care Council (for England) (Retired 01 August 2012)
08Health and Care Professions Council 
09Nursing and Midwifery Council
10Royal Pharmaceutical Society (Retired 27 September 2010)
11British Psychological Society (Retired 01 October 2017)
12Association for Operating Department Practitioners (Retired January 2015)
13Association of Chartered Certified Accountants (Retired 01 October 2017)
14Chartered Institute of Personnel and Development (Retired 01 October 2017)
15Chartered Institute of Management Accountants (Retired 01 October 2017)
16General Pharmaceutical Council
17General Osteopathic Council
18Social Work England
 

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REFERRED OUT OF AREA REASON FOR ADULT ACUTE MENTAL HEALTH

Change to Attribute: Changed Description

The reason a PATIENT:

  • with assessed acute mental health needs and
  • requiring adult mental health admitted PATIENT care

was referred to an ORGANISATION:was referred to an Organisation:

For further information, see the Department of Health and Social Care part of the gov.uk website at: Guidance on Out of Area Placements.uk website at: Out of area placements in mental health services for adults in acute inpatient care.

National Codes:

10Unavailability of bed at referring Organisation
11Safeguarding
12Offending restrictions
13Staff member or family/friend within the referring Organisation
14PATIENT choice
 

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SMOKING STATUS

Change to Attribute: Changed Description

The SMOKING STATUS of the PERSON at the time the TOBACCO USAGE is recorded.

National Codes:

1Current smoker
2Ex-smoker
3Non-smoker - history unknown
4Never smoked
ZNot Stated (PERSON asked but declined to provide a response) *
ZNot Stated (PERSON asked but declined to provide a response)

* Note: Code valid for use in the Cancer Outcomes and Services Data Set only. 

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TREATMENT FUNCTION CODE

Change to Attribute: Changed Description

TREATMENT FUNCTION CODE is a unique identifier for a TREATMENT FUNCTION.

TREATMENT FUNCTION CODE is recorded to report the specialised service within which the PATIENT is treated.

It is based on MAIN SPECIALTY but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including CONSULTANTS.

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets.

TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES.

GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated.

Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service.

Assigning a Treatment Function Code:

For further information, contact NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".

National Codes:

CodeTreatment Function TitleComments
Surgical Specialties 
100GENERAL SURGERYIncludes sub-categories not elsewhere listed e.g. endocrine surgery
101UROLOGYSurgical treatment of disorders of the urinary system and male reproductive system
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERYSurgical treatment of disorders of the upper parts of the gastrointestinal tract
107VASCULAR SURGERYSurgical treatment of diseases of the vascular system
108SPINAL SURGERY SERVICESurgery concentrating on specialised and complex treatment of the back and spine. The SERVICE has a significantly different composition and profile from the SERVICE provided in TREATMENT FUNCTION CODE - 110 Trauma & Orthopaedic. Excludes Spinal Injuries - see TREATMENT FUNCTION CODE 323 
110TRAUMA & ORTHOPAEDICSSurgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
120ENTEar, nose and throat
130OPHTHALMOLOGYThe surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology - see TREATMENT FUNCTION CODE 460
140ORAL SURGERYThe diagnosis and surgical treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRYDentistry SERVICES dedicated to children with appropriate facilities and support staff
143ORTHODONTICSThe treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery
150NEUROSURGERYThe prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
160PLASTIC SURGERYSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
161BURNS CARETo be used by recognised specialist units and associated outreach SERVICES only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERYSurgical treatment of the heart or great vessels
173THORACIC SURGERYSurgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services
180ACCIDENT & EMERGENCYSERVICES to care for PATIENTS with urgent problems delivered as part of an Accident and Emergency Attendance or admission at an Accident and Emergency Department 
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialist Services - The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.
211PAEDIATRIC UROLOGYSurgical treatment of disorders of the urinary system and male reproductive system
212PAEDIATRIC TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
213PAEDIATRIC GASTROINTESTINAL SURGERYSurgical treatment of disorders of the gastrointestinal tract
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSSurgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
215PAEDIATRIC EAR NOSE AND THROATEar, nose and throat
216PAEDIATRIC OPHTHALMOLOGYThe surgical treatment of disorders and diseases of the eye.
217PAEDIATRIC MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery
218PAEDIATRIC NEUROSURGERYThe prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
219PAEDIATRIC PLASTIC SURGERYSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
220PAEDIATRIC BURNS CARETo be used by recognised specialist units and associated outreach SERVICES only
221PAEDIATRIC CARDIAC SURGERYSurgical treatment of the heart or great vessels
222PAEDIATRIC THORACIC SURGERYSurgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
223PAEDIATRIC EPILEPSYDesignated clinic which provides SERVICES to children led by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff
241PAEDIATRIC PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYThe treatment of disorders of the digestive system
252PAEDIATRIC ENDOCRINOLOGYThe treatment of disorders of the endocrine system
253PAEDIATRIC CLINICAL HAEMATOLOGYExcludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
254PAEDIATRIC AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY SERVICEClinical Immunology is the treatment of disorders of the immune system. Allergy Service is the diagnosis  and management of allergic disease
256PAEDIATRIC INFECTIOUS DISEASESSERVICES to diagnose and treat contagious or communicable diseases
257PAEDIATRIC DERMATOLOGYSERVICES for the treatment of diseases of the skin
258PAEDIATRIC RESPIRATORY MEDICINEAlso known as Thoracic Medicine
259PAEDIATRIC NEPHROLOGYSERVICES to treat kidney conditions and abnormalities
260PAEDIATRIC MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy of PATIENTS with cancer
261PAEDIATRIC METABOLIC DISEASEThe diagnosis and management of inherited metabolic conditions
262PAEDIATRIC RHEUMATOLOGYSERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
263PAEDIATRIC DIABETIC MEDICINESERVICES to diagnose, treat and support PATIENTS with diabetes
264PAEDIATRIC CYSTIC FIBROSISSpecialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDiagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and Looked After Children. Excludes Paediatric Neuro-Disability
291PAEDIATRIC NEURO-DISABILITYDedicated SERVICES for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability
Medical Specialties 
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed e.g. Metabolic Medicine.
301GASTROENTEROLOGYThe treatment of disorders of the digestive system
302ENDOCRINOLOGYThe treatment of disorders of the endocrine system
303CLINICAL HAEMATOLOGYExcludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Excludes Clinical Neurophysiology - see TREATMENT FUNCTION CODE 401, Audiology - see TREATMENT FUNCTION CODE 840 or Respiratory Physiology - see TREATMENT FUNCTION CODE 341
305CLINICAL PHARMACOLOGYSERVICES providing drug information, medication safety and other aspects of pharmacy practice
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINESERVICES to diagnose, treat and support PATIENTS with diabetes
308BLOOD AND MARROW TRANSPLANTATIONPreviously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303). Includes haemopoietic stem cell transplantation
309HAEMOPHILIA SERVICEPreviously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303).
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
311CLINICAL GENETICSDiagnosis of disorders caused by genetic mechanisms and counselling SERVICE to PATIENTS and affected family members. To be used by recognised specialist units and associated outreach SERVICES only
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGY SERVICEShould only be used where there are no separate SERVICES for Clinical Immunology and Allergy
314REHABILITATION SERVICESERVICES to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725
315PALLIATIVE MEDICINEThe treatment for curable illnesses and those living with chronic diseases, as well as PATIENTS who are nearing the end of life
316CLINICAL IMMUNOLOGYThe treatment of disorders of the immune system
317ALLERGY SERVICEThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary SERVICES designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARESERVICES providing temporary care of a dependant person, providing relief for their usual caregivers
320CARDIOLOGYSERVICES treating diseases and abnormalities of the heart
321PAEDIATRIC CARDIOLOGYDedicated SERVICES to children with diseases and abnormalities of the heart, with appropriate facilities and support staff
322CLINICAL MICROBIOLOGYSERVICES to treat diseases caused by bacteria, viruses, fungi and parasites
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach SERVICES only, Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only
325SPORT AND EXERCISE MEDICINEThe diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment
327CARDIAC REHABILITATIONRehabilitation SERVICE for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328STROKE MEDICINEFor stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329TRANSIENT ISCHAEMIC ATTACKA multidisciplinary SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke
330DERMATOLOGYSERVICES for the treatment of diseases of the skin
331CONGENITAL HEART DISEASE SERVICEThe management and treatment of congenital heart disease, this includes the ongoing care of children in to adulthood
340RESPIRATORY MEDICINEAlso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea)
342PROGRAMMED PULMONARY REHABILITATIONA multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy
343ADULT CYSTIC FIBROSIS SERVICESpecialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
344COMPLEX SPECIALISED REHABILITATION SERVICEComplex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service. For further information see the NHS Specialised Services website
345SPECIALIST REHABILITATION SERVICESpecialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service. For further information see the NHS Specialised Services website
346LOCAL SPECIALIST REHABILITATION SERVICELocal specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service. For further information see the NHS Specialised Services website
350INFECTIOUS DISEASESSERVICES to diagnose and treat contagious or communicable diseases
352TROPICAL MEDICINESERVICES to diagnose and treat diseases that are found most often in tropical  or sub-tropical regions
360GENITOURINARY MEDICINEPrimarily related to medicine dealing with sexually transmitted diseases
361NEPHROLOGYSERVICES to treat kidney conditions and abnormalities
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer
371NUCLEAR MEDICINEThe treatment of PATIENTS through the use of radioactive substances
400NEUROLOGYSERVICES to diagnose and treat conditions and diseases of the central nervous system
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes Electroencephalogram (EEG)
410RHEUMATOLOGYSERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
420PAEDIATRICSSERVICES to treat infants, children, and adolescents
421PAEDIATRIC NEUROLOGYDedicated SERVICES to children to diagnose and treat conditions and diseases of the central nervous system, with appropriate facilities and support staff
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care
424WELL BABIESUse when NEONATAL LEVEL OF CARE = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. See Well Baby
424WELL BABIESUse when NEONATAL LEVEL OF CARE = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. See Well Baby
430GERIATRIC MEDICINESERVICES to treat diseases and disabilities in older adults. There is no set age at which PATIENTS may be under the care of Geriatric Medicine, this decision should be determined by the individual PATIENT's needs
450DENTAL MEDICINE SPECIALTIESIncludes Oral Medicine.
460MEDICAL OPHTHALMOLOGYSERVICES to diagnose and treat medical conditions affecting the eye, orbits, and visual pathways
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages and still births but excluding planned terminations. Excludes Midwifery Service see TREATMENT FUNCTION CODE 560
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations
503GYNAECOLOGICAL ONCOLOGYSERVICES to treat cancers of the female reproductive system
510RetiredRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520RetiredRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560MIDWIFERY SERVICESERVICES provided under the direct care of a MIDWIFE. Excludes Obstetrics see TREATMENT FUNCTION CODE 501
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
Therapies
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery see TREATMENT FUNCTION CODE 663
654DIETETICSThe application of the science of nutrition to devise eating plans for PATIENTS to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders
657PROSTHETICSThe supply of prosthetics for PATIENTS
658ORTHOTICSThe supply of orthoses for PATIENTS
659DRAMA THERAPYThe use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes
660ART THERAPYThe use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication
661MUSIC THERAPYThe use of music and all of its facets to help clients to improve or maintain their health
662OPTOMETRYThe diagnosis and non-surgical treatment of disorders of the eye and vision care
663PODIATRIC SURGERYThe treatment of foot problems, including soft tissue, bone and joint surgery of the foot, ankle and associated structures, excludes Podiatry see TREATMENT FUNCTION CODE - 653
Psychiatry 
700LEARNING DISABILITYSERVICES provided to PATIENTS with a Learning Disability
710ADULT MENTAL ILLNESSSERVICES provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness
711CHILD and ADOLESCENT PSYCHIATRYSERVICES providing diagnosis, treatment, and prevention of psychopathological disorders of children and adolescents
712FORENSIC PSYCHIATRYSERVICES to assess PATIENTS who have committed an offence and are receiving treatment in high, medium and low secure units or prisons
713PSYCHOTHERAPYSERVICES providing therapy used to treat emotional problems and mental health conditions
715OLD AGE PSYCHIATRYSERVICES providing the diagnosis, treatment, and prevention of mental and emotional disorders in older adult PATIENTS
720EATING DISORDERSA specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating
721ADDICTION SERVICESThe prevention and treatment of substance misuse including drugs and alcohol. If PATIENTS have both severe mental illness and problematic substance misuse, see TREATMENT FUNCTION CODE 726 Dual Diagnosis Service
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to PATIENTS attending general hospitals including out-patient clinics, Accident and Emergency Departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric SERVICES to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings
724PERINATAL PSYCHIATRYA specialist psychiatric SERVICE for the diagnosis and treatment of ante-natal and post-natal psychiatric problems
725MENTAL HEALTH RECOVERY AND REHABILITATION SERVICESERVICES provided to support recovery from mental illness that maximises the PATIENT's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy
726MENTAL HEALTH DUAL DIAGNOSIS SERVICESERVICES to provide support to PATIENTS with both severe mental illness and substance misuse problems. Personality disorder may coexist with psychiatric illness and/or substance misuse
727DEMENTIA ASSESSMENT SERVICESERVICES for the assessment of PATIENTS with dementia, which may complicate care giving and can occur at any stage of the illness. In addition to memory impairment, dementia may include behavioural and psychological problems
Radiology 
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYDiagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, Ultrasound Scan, MRI Scan, PET Scan or CT Scan.
Pathology 
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
834MEDICAL VIROLOGYThe diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and viruses such as SARS and avian flu
Other 
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss
900not a Treatment Function 
901not a Treatment Function 
920DIABETIC EDUCATION SERVICESERVICES providing dedicated small group education courses regarding self management for diabetic PATIENTS
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990Retired 

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
 

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TUMOUR GRADE FOR BREAST SCREENING

Change to Attribute: New Attribute

The BREAST INVASIVE GRADE or the grade of the Ductal Carcinoma In Situ for a PATIENT with breast cancer during a Cancer Care Spell.

National Codes:

1Brest Invasive Grade 1 - Well differentiated (Best prognosis)
2Brest Invasive Grade 2 - Moderately differentiated (Medium prognosis)
3Brest Invasive Grade 3 - Poorly differentiated (Worst prognosis)
XBrest Invasive Grade not known or not assessable
HDCIS Grade High
IDCIS Grade Intermediate
LDCIS Grade Low
NDDCIS Grade not known or not assessable
 

This attribute is also known by these names:
ContextAlias
pluralTUMOUR GRADES FOR BREAST SCREENING

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TUMOUR GRADE FOR BREAST SCREENING

Change to Attribute: New Attribute

TUMOUR GRADE FOR BREAST SCREENING
 
Data Elements:
TUMOUR GRADE (FOR BREAST SCREENING)

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WAITING TIME MEASUREMENT TYPE

Change to Attribute: Changed Description

The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY.

The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health and Social Care policy.

Notes:

National Codes:

01Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement 
02Allied Health Professional Referral To Treatment Measurement
03Improving Access to Psychological Therapies Referral To Treatment Measurement
04Early Intervention in Psychosis Waiting Time Measurement
09Other Referral To Treatment Measurement Type

 

 

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BREAST CANCER GRADE NOT KNOWN (PERCENTAGE OF DUCTAL CARCINOMA IN-SITU)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes:
BREAST CANCER GRADE NOT KNOWN (PERCENTAGE OF DUCTAL CARCINOMA IN-SITU) is the percentage of women diagnosed with breast cancer, where the BREAST BIOPSY REFERRAL OUTCOME National Code is 'Positive; i.e. cancer detected - non-invasive or possibly micro-invasive - grade not known (DCIS only detected)' or 'Positive; i.e. cancer detected - definitely micro-invasive - grade not known (DCIS only detected)'.BREAST CANCER GRADE NOT KNOWN (PERCENTAGE OF DUCTAL CARCINOMA IN-SITU) is the percentage of women diagnosed with breast cancer, where the BREAST BIOPSY REFERRAL OUTCOME National Code is 'Positive; i.e. cancer detected - non-invasive or possibly micro-invasive - grade not known (DCIS only detected)' or 'Positive; i.e. cancer detected - definitely micro-invasive - grade not known (DCIS only detected)'. 

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CHILDHOOD IMMUNISATION TYPE (COVER)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
CHILDHOOD IMMUNISATION TYPE (COVER) is the same as attribute CHILDHOOD IMMUNISATION TYPE for the Cover of Vaccination Evaluated Rapidly (COVER) Data Set.

Permitted National Codes:

011 D3 - Diphtheria
012 D4 - Diphtheria booster
021 aP3 - Pertussis
022 aP4 - Pertussis booster
031 T3 - Tetanus
032 T4 - Tetanus booster
041 Po3 – Polio
042 Po4 - Polio booster
051 Hib3 - Haemophilus influenzae type b
061 MMR1 - Measles, Mumps, Rubella 1
062 MMR2 - Measles, Mumps, Rubella 2
011D3 - Diphtheria
012D4 - Diphtheria booster
021aP3 - Pertussis
022aP4 - Pertussis booster
031T3 - Tetanus
032T4 - Tetanus booster
041Po3 - Polio
042Po4 - Polio booster
051Hib3 - Haemophilus influenzae type b
061MMR1 - Measles, Mumps, Rubella 1
062MMR2 - Measles, Mumps, Rubella 2
070 Meningococcal serogroup C (MenC) (Retired 01 July 2018)
080 Haemophilus influenzae type b and Meningococcal C (booster) (Hib/MenC (booster))
091 PCV2 - Pneumococcal
092 PCV (booster) - Pneumococcal (booster)
120 Rotavirus
131 Hepatitis B (Hep B3) - Routine
132 Hepatitis B (Hep B) - Selective
140 Tuberculosis (BCG)
151 MenB2 - Meningococcal serogroup B
152 MenB (booster) - Meningococcal serogroup B (booster)
080Haemophilus influenzae type b and Meningococcal C (booster) (Hib/MenC (booster))
091PCV2 - Pneumococcal
092PCV (booster) - Pneumococcal (booster)
120Rotavirus
131Hepatitis B (Hep B3) - Routine
132Hepatitis B (Hep B) - Selective
140Tuberculosis (BCG)
151MenB2 - Meningococcal serogroup B
152MenB (booster) - Meningococcal serogroup B (booster)
 

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CHILDHOOD IMMUNISATION TYPE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
CHILDHOOD IMMUNISATION TYPE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) is the same as attribute CHILDHOOD IMMUNISATION TYPE for the Cover of Vaccination Evaluated Rapidly (COVER) Data Set.

CHILDHOOD IMMUNISATION TYPE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) is the type of childhood immunisation given to a child born to a Hepatitis B surface antigen (HBsAG) positive mother on the IMMUNISATION DATE.

Permitted National Codes:

131 Hepatitis B (Hep B3) - Routine
132 Hepatitis B (Hep B) - Selective
131Hepatitis B (Hep B3) - Routine
132Hepatitis B (Hep B) - Selective
 

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CHILDHOOD IMMUNISATION TYPE COMBINED (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
CHILDHOOD IMMUNISATION TYPE COMBINED (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) is the same as attribute CHILDHOOD IMMUNISATION TYPE COMBINED for the Cover of Vaccination Evaluated Rapidly (COVER) Data Set.

CHILDHOOD IMMUNISATION TYPE COMBINED (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) is the type of combined childhood immunisation given to a child born to a Hepatitis B surface antigen (HBsAG) positive mother on the IMMUNISATION DATE.

Permitted National Code:

300 DTaP/IPV/Hib/HepB - Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b and Hepatitis B
300DTaP/IPV/Hib/HepB - Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b and Hepatitis B
 

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CLINICAL TRIAL IDENTIFIER

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes:
CLINICAL TRIAL IDENTIFIER is the same as attribute CLINICAL TRIAL IDENTIFIER.

Use in the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set / CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set:

 

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DISEASE OUTBREAK NOTIFICATION

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes:
DISEASE OUTBREAK NOTIFICATION is the same as attribute PERSON OBSERVATION TEXT STRING.

DISEASE OUTBREAK NOTIFICATION is used in the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set / CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set to support collection of nationally-notifiable data relating to outbreaks of disease which are identified in Emergency Care Departments. Where a SNOMED CT CODE is available, the DISEASE OUTBREAK NOTIFICATION field should contain this.  If a SNOMED CT CODE is NOT available, then it is permissible to submit free-text detail of the disease.

DISEASE OUTBREAK NOTIFICATION is collected for a specified purpose at national level only and will not be available from the Secondary Uses Service for use by unauthorised ORGANISATIONS or individuals.DISEASE OUTBREAK NOTIFICATION is collected for a specified purpose at national level only and will not be available from the Secondary Uses Service for use by unauthorised Organisations or individuals. 

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INTENDED AGE GROUP

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes:
INTENDED AGE GROUP is the same as attribute AGE GROUP INTENDED.

INTENDED AGE GROUP is based on the AGE GROUP INTENDED National Codes, with the addition of Home Leave:   

Permitted National Codes:

1Neonates
2Children and /or adolescents
3Elderly
8Any age
9Home Leave
 

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INVASIVE BREAST CANCER TOTAL OBSERVED

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes:
INVASIVE BREAST CANCER TOTAL OBSERVED is the total number of breast cancers with a  BREAST CANCER INVASIVE STATUS of National Code 'Invasive' detected through Breast Screening in the REPORTING PERIOD

INVASIVE BREAST CANCER TOTAL OBSERVED should only be reported in Table A, B and C1 in the NHS Breast Screening Programme Central Return Data Set (KC62).

 

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MAIN SPECIALTY CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
MAIN SPECIALTY CODE (MENTAL HEALTH) is the same as attribute MAIN SPECIALTY CODE.

MAIN SPECIALTY CODE (MENTAL HEALTH) is the MAIN SPECIALTY CODE of the CARE PROFESSIONAL working in a Mental Health Service, who is responsible for the PATIENT within the REPORTING PERIOD.

Permitted National Codes:

600General Medical Practice
700Learning Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Psychotherapy
715Old Age Psychiatry
950Nursing Episode
960Allied Health Professional Episode
600GENERAL MEDICAL PRACTICE
700LEARNING DISABILITY
710ADULT MENTAL ILLNESS
711CHILD and ADOLESCENT PSYCHIATRY
712FORENSIC PSYCHIATRY
713PSYCHOTHERAPY
715OLD AGE PSYCHIATRY
950NURSING EPISODE
960ALLIED HEALTH PROFESSIONAL EPISODE
 

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MATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (NATIONAL NEONATAL DATA SET)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
MATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (NATIONAL NEONATAL DATA SET) is the same as attribute MATERNITY COMPLICATING MEDICAL DIAGNOSIS, for the purpose of the  National Neonatal Data Set - Episodic and Daily Care.

Relevant MATERNITY COMPLICATING MEDICAL DIAGNOSES may be recorded at any time during the Maternity Episode.

Permitted National Codes:

01Hypertension
02Cardiac disease
03Renal disease
04Mental health disorder
05Thromboembolic disorder
06Haematological disorder
07Central nervous system disorder
07Central nervous system (CNS) disorder
08Diabetes
09Autoimmune disease
10Cancer
12Infectious Hepatitis A
13Serum Hepatitis B
14Hepatitis C
16Endocrine disorder
17Respiratory disease
18Gastrointestinal disorder
19Musculoskeletal disorder
20Gynaecological problems
 

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MATERNITY MEDICAL DIAGNOSIS TYPE (CURRENT PREGNANCY)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
MATERNITY MEDICAL DIAGNOSIS TYPE (CURRENT PREGNANCY) is the same as attribute MATERNITY MEDICAL DIAGNOSIS TYPE.

The following Permitted National Codes apply. 

Permitted National Codes:

01Rubella
02Varicella
03Group B streptococcus
04Asymptomatic bacteriuria
05Toxoplamosis
08Tuberculosis
08Tuberculosis (TB)
09Cytomegalovirus
10Parvovirus
11Malaria
13Cardiac disease
14Renal disease
15Mental health disorder
16Thromboembolic disorder
17Haematological disorder
18Central nervous system disorder
19Diabetes
20Autoimmune disease
21Cancer
22Infectious Hepatitis A
23Hepatitis B
24Hepatitis C
25Endocrine disorder
26Respiratory disease
27Gastrointestinal disorder
28Musculoskeletal disorder
29Gynaecological problems
 

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MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION

Change to Data Element: Changed Description, linked Attribute

Format/Length:an2
National Codes: 
National Codes:See MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION
Default Codes: 

Notes:
MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION is a derived from the attribute WARD SETTING TYPE FOR MENTAL HEALTH, WARD SECURITY LEVELAGE GROUP INTENDED FOR MENTAL HEALTH, CLINICAL CARE INTENSITY and TREATMENT FUNCTION CODE.

MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION is the classification of the admitted PATIENT during a Ward Stay for the Mental Health Services Data Set.

Permitted National Codes:

 Adult
10Acute adult mental health care
11Acute older adult mental health care (organic and functional)
12Psychiatric Intensive Care Unit (acute mental health care)
13Eating Disorders
14Mother and baby
15Learning Disabilities
16Low secure/locked rehabilitation
17High dependency rehabilitation
18Long term complex rehabilitation/ Continuing Care
19Low secure
20Medium secure
21High secure
22Neuro-psychiatry / Acquired Brain Injury
 Children and Young people
23General Child and Adolescent Mental Health (CAMHS) inpatient - Child (including High Dependency)
24General Child and Adolescent Mental Health (CAMHS) inpatient - Adolescent (including High Dependency)
25Eating Disorders inpatient - Adolescent (above 12)
26Eating Disorders inpatient - Child (12 years and under)
27Low Secure Mental Illness
28Medium Secure Mental Illness
29Child Mental Health inpatient services for the Deaf
30Learning Disabilities / Autistic Spectrum Disorder inpatient
31Low Secure Learning Disabilities
32Medium Secure Learning Disabilities
33Severe Obsessive Compulsive Disorder and Body Dysmorphic Disorder - Adolescent
34Psychiatric Intensive Care Unit
MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION is the same as attribute MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION. 

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MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION

Change to Data Element: Changed Description, linked Attribute

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PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)

Change to Data Element: Changed Description

Format/Length:max an12
National Codes: 
Default Codes: 

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) is the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the CARE PROFESSIONAL carrying out a Patient Procedure.  Where more than one CARE PROFESSIONAL is involved in the Patient Procedure, the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the main/lead CARE PROFESSIONAL should be recorded.

In Commissioning Data Set version 6-2, this data element must be accompanied by the PROFESSIONAL REGISTRATION ISSUER CODE, which indicates the body which issued the PROFESSIONAL REGISTRATION of the main/lead CARE PROFESSIONAL, where it is one of the following:In Commissioning Data Set version 6-2, PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) must be accompanied by the PROFESSIONAL REGISTRATION ISSUER CODE, which indicates the body which issued the PROFESSIONAL REGISTRATION of the main/lead CARE PROFESSIONAL, where it is one of the following:

 

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PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)

Change to Data Element: Changed Description

Format/Length:max an12
National Codes: 
Default Codes: 

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) is the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the CARE PROFESSIONAL providing anaesthesia during a Patient Procedure.  Where more than one CARE PROFESSIONAL is involved in providing anaesthesia during the Patient Procedure, the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the main/lead anaesthetist should be recorded.

In Commissioning Data Set version 6-2, this data element must be accompanied by the PROFESSIONAL REGISTRATION ISSUER CODE, which indicates the body which issued the PROFESSIONAL REGISTRATION of the main/lead anaesthetist, where it is one of the following:In Commissioning Data Set version 6-2, PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) must be accompanied by the PROFESSIONAL REGISTRATION ISSUER CODE, which indicates the body which issued the PROFESSIONAL REGISTRATION of the main/lead anaesthetist, where it is one of the following:

 

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PROFESSIONAL REGISTRATION ISSUER CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
PROFESSIONAL REGISTRATION ISSUER CODE is the same as attribute PROFESSIONAL REGISTRATION BODY CODE but only the following National Codes are permitted:

Notes:

Permitted National Codes:

02General Dental Council 
03General Medical Council 
04General Optical Council 
08Health and Care Professions Council 
09Nursing and Midwifery Council

Note:

 

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SAFEGUARDING CONCERN (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
SAFEGUARDING CONCERN (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

SAFEGUARDING CONCERN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an unresolved issue or concern regarding adult and child safeguarding that requires communication to another ORGANISATION or care agency.SAFEGUARDING CONCERN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an unresolved issue or concern regarding adult and child safeguarding that requires communication to another Organisation or care agency.

SNOMED CT Refset Metadata:

  • Refset FSN: Safeguarding issues simple reference set (foundation metadata concept)
  • Refset Id: 999002381000000108

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Safeguarding issues.

 

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TREATMENT FUNCTION CODE (MATERNITY)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
TREATMENT FUNCTION CODE (MATERNITY) is the same as attribute TREATMENT FUNCTION CODE.

TREATMENT FUNCTION CODE (MATERNITY) is the TREATMENT FUNCTION CODE for the PATIENT treated by a Maternity Service.

Permitted National Codes:

501Obstetrics
502Gynaecology
560Midwifery Service
501OBSTETRICS
502GYNAECOLOGY
560MIDWIFERY SERVICE
 

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TREATMENT FUNCTION CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
TREATMENT FUNCTION CODE (MENTAL HEALTH) is the same as attribute TREATMENT FUNCTION CODE.

TREATMENT FUNCTION CODE (MENTAL HEALTH) is the TREATMENT FUNCTION CODE for the PATIENT treated by a Mental Health Service.

Permitted National Codes:

319Respite Care
700Learning Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Psychotherapy
715Old Age Psychiatry
720Eating Disorders
721Addiction Services
722Liaison Psychiatry
723Psychiatric Intensive Care
724Perinatal Psychiatry
725Mental Health Recovery and Rehabilitation Service
726Mental Health Dual Diagnosis Service
727Dementia Assessment Service
319RESPITE CARE
700LEARNING DISABILITY
710ADULT MENTAL ILLNESS
711CHILD and ADOLESCENT PSYCHIATRY
712FORENSIC PSYCHIATRY
713PSYCHOTHERAPY
715OLD AGE PSYCHIATRY
720EATING DISORDERS
721ADDICTION SERVICES
722LIAISON PSYCHIATRY
723PSYCHIATRIC INTENSIVE CARE
724PERINATAL PSYCHIATRY
725MENTAL HEALTH RECOVERY AND REHABILITATION SERVICE
726MENTAL HEALTH DUAL DIAGNOSIS SERVICE
727DEMENTIA ASSESSMENT SERVICE
 

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TUMOUR GRADE (FOR BREAST SCREENING)

Change to Data Element: Changed Description, linked Attribute

Format/Length:max an2
National Codes: 
National Codes:See TUMOUR GRADE FOR BREAST SCREENING
Default Codes:NA - Grade not applicable

Notes:
TUMOUR GRADE (FOR BREAST SCREENING) is based on the National Codes in attributes BREAST INVASIVE GRADE and DUCTAL CARCINOMA IN SITU GRADE as below:

Permitted National Codes:

CODEDESCRIPTION
1Brest Invasive Grade 1 - Well differentiated (Best prognosis)
2Brest Invasive Grade 2 - Moderately differentiated (Medium prognosis)
3Brest Invasive Grade 3 - Poorly differentiated (Worst prognosis)
XBrest Invasive Grade not known or not assessable
HDCIS Grade High
IDCIS Grade Intermediate
LDCIS Grade Low
NDDCIS Grade not known or not assessable

TUMOUR GRADE (FOR BREAST SCREENING) is the same as attribute TUMOUR GRADE FOR BREAST SCREENING. 

 

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TUMOUR GRADE (FOR BREAST SCREENING)

Change to Data Element: Changed Description, linked Attribute

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WOMEN TOTAL (HIGH RISK EPISODE)

Change to Data Element: Changed Description

Format/Length:Max n5
Format/Length:max n5
National Codes: 
Default Codes: 

Notes:
WOMEN TOTAL (HIGH RISK EPISODE) is the total number of women in the REPORTING PERIOD with a High Risk Breast Screening Episode following a high risk REFERRAL REQUEST for Breast Screening

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WOMEN WITH CANCER DIAGNOSED WITHOUT CYTOLOGY OR HISTOLOGY TOTAL

Change to Data Element: Changed Description

Format/Length:Max n4
Format/Length:max n4
National Codes: 
Default Codes: 

Notes:
WOMEN WITH CANCER DIAGNOSED WITHOUT CYTOLOGY OR HISTOLOGY TOTAL is the number of women with a Breast Assessment date and a BREAST ASSESSMENT OUTCOME recorded as National Code 'Cancer diagnosed', but who had no PATHOLOGY INVESTIGATION TYPE FOR BREAST SCREENING

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WOMEN WITH CANCER TOTAL

Change to Data Element: Changed Description

Format/Length:Max n4
Format/Length:max n4
National Codes: 
Default Codes: 

Notes:
WOMEN WITH CANCER TOTAL is the number of women with a proven diagnosis of breast cancer.  This is derived by counting all women with a proven diagnosis of cancer (OUTCOME OF ASSESSMENT UP TO AND INCLUDING CYTOLOGY AND/OR CORE BIOPSY NOT REFERRED FOR OPEN BIOPSY CANCER TOTAL and OUTCOME OF ASSESSMENT UP TO AND INCLUDING OPEN BIOPSY CANCER DIAGNOSED TOTAL). WOMEN WITH CANCER TOTAL is derived by counting all women with a proven diagnosis of cancer (OUTCOME OF ASSESSMENT UP TO AND INCLUDING CYTOLOGY AND/OR CORE BIOPSY NOT REFERRED FOR OPEN BIOPSY CANCER TOTAL and OUTCOME OF ASSESSMENT UP TO AND INCLUDING OPEN BIOPSY CANCER DIAGNOSED TOTAL).

 

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For enquiries about this Change Request, please email information.standards@nhs.net

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