NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1776
Version No:1.0
Subject:June 2020 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:26 June 2020

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.

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

Summary of changes:

Diagrams
NATIONAL WORKFORCE DIAGRAM   Changed Diagram
 
Data Set
CANCER OUTCOMES AND SERVICES DATA SET - BREAST   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - CENTRAL NERVOUS SYSTEM   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - CHILDREN TEENAGERS AND YOUNG ADULTS   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - COLORECTAL   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - CORE   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - GYNAECOLOGICAL   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - HAEMATOLOGICAL   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - HEAD AND NECK   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - LIVER   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - LUNG   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - PATHOLOGY   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - SARCOMA   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - SKIN   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - UPPER GASTROINTESTINAL   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET - UROLOGICAL   Changed Description
COMMUNITY SERVICES DATA SET   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET   Changed Description
 
Supporting Information
CLINICAL DATA SETS MESSAGE DOCUMENTATION   Changed Description
CLINICAL DATA SETS MESSAGE DOCUMENTATION MENU   Changed Description
CONTACT DETAILS   Changed Description
HAEMODIALYSIS   Changed Description
HAEMOFILTRATION   Changed Description
MAIN MENU   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE   Changed Description
PATHOLOGY DEPARTMENT   Changed Description
PATHOLOGY LABORATORY INVESTIGATION   Changed Description
PERITONEAL DIALYSIS   Changed Description
RADIOLOGY DEPARTMENT   Changed Description
RENAL DIALYSIS   Changed Description
WHAT'S NEW: JUNE 2020 renamed from WHAT'S NEW: MAY 2020   Changed Description, Name
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
APPOINTMENT OFFER   Changed Attributes
EMPLOYEE TRAINING ACTIVITY   Changed Attributes
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION   Changed Description
 
Attribute Definitions
CARE PACKAGE REVIEW ELIGIBILITY OUTCOME FOR NHS CONTINUING HEALTHCARE renamed from CARE PACKAGE REVIEW ELIGIBILITY OUTCOME FOR NHS CONTINUING HEALTHCARE   Changed Name
ELIGIBLE POPULATION TOTAL   Changed Description
OVERSEAS VISITOR EXEMPT CATEGORY   Changed Description
OVERSEAS VISITOR UK ARRIVAL DATE   Changed Description
PERSON NAME START DATE   Changed Description
PERSON PROPERTY OBSERVED TIME   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE   Changed Description
SOURCE OF REFERRAL FOR OUT-PATIENTS   Changed Description
TREATMENT FUNCTION CODE   Changed Description
WARD OPERATIONAL PLAN START DATE   Changed Description
 
Data Elements
DIAGNOSIS TIME   Changed Description
DIASTOLIC BLOOD PRESSURE   Changed Description
OBSERVATION DATE (BLOOD PRESSURE)   Changed Description
PERSON HEIGHT IN CENTIMETRES   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE   Changed Description
SYSTOLIC BLOOD PRESSURE   Changed Description
UNIFORM RESOURCE LOCATOR (URL)   Changed Description
 

Date:26 June 2020
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.

Click here for a printer friendly view of this page.


NATIONAL WORKFORCE DIAGRAM

Change to Diagram: Changed Diagram

top


CANCER OUTCOMES AND SERVICES DATA SET - BREAST

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Breast.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

TRIPLE DIAGNOSTIC ASSESSMENT - BREAST

To carry diagnostic details for Breast cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
MBREAST TRIPLE DIAGNOSTIC ASSESSMENT INDICATOR

PROGNOSTIC INDEX - BREAST

To carry prognostic details for Breast cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
MNOTTINGHAM PROGNOSTIC INDEX SCORE

CLINICAL NURSE SPECIALIST AND RISK FACTOR ASSESSMENT: NATIONAL AUDIT OF BREAST CANCER IN OLDER PATIENTS (NABCOP) - BREAST

To carry National Audit of Breast Cancer in Older Patients assessment details for Breast cancer.
One occurrence of this group is permitted per Core Clinical Nurse Specialist and Risk Factor Assessment.
M/RData Set Data Elements
RFITNESS ASSESSMENT FOR OLDER PATIENTS WITH BREAST CANCER INDICATOR
RFITNESS ASSESSMENT FOR OLDER PATIENTS WITH BREAST CANCER COMPLETED DATE
RCLINICAL FRAILTY SCALE POINT
RABBREVIATED MENTAL TEST SCORE
RSEVERE CARDIORESPIRATORY DISEASE INDICATOR
ROTHER NON BREAST LOCALLY ADVANCED METASTATIC MALIGNANCY INDICATOR

top


CANCER OUTCOMES AND SERVICES DATA SET - CENTRAL NERVOUS SYSTEM

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Central Nervous System.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

IMAGING - CENTRAL NERVOUS SYSTEM (CNS)

To carry imaging details for Central Nervous System (CNS) cancer.
One occurrence of this group is permitted per Core Imaging.
M/RData Set Data Elements
RLESION LOCATION (RADIOLOGICAL)
RNUMBER OF LESIONS (RADIOLOGICAL)
RLESION SIZE (RADIOLOGICAL)
RPRINCIPAL DIAGNOSTIC IMAGING TYPE

CANCER CARE PLAN - CENTRAL NERVOUS SYSTEM (CNS)

To carry cancer care plan details for Central Nervous System (CNS) cancer.
One occurrence of this group is permitted Core Cancer Care Plan.
M/RData Set Data Elements
RPROVISIONAL DIAGNOSIS (ICD)

SURGERY - TREATMENT - CENTRAL NERVOUS SYSTEM (CNS)

To carry surgery details for Central Nervous System (CNS) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RTUMOUR LOCATION (SURGICAL)
RBIOPSY TYPE (CENTRAL NERVOUS SYSTEM TUMOURS)
REXCISION TYPE (CENTRAL NERVOUS SYSTEM TUMOURS)

SURGERY - TREATMENT: CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA) - CENTRAL NERVOUS SYSTEM (CNS)

To carry surgery  details for Children, Teenagers and Young Adults (CTYA) for Central Nervous System (CNS) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RRESECTION STATUS

DIAGNOSIS: LOW GRADE GLIOMA - CENTRAL NERVOUS SYSTEM (CNS)

To carry diagnostic Low Grade Glioma details for Central Nervous System (CNS) cancer.
One occurrence of this group is permitted per Core Diagnosis
.
M/RData Set Data Elements
RVISUAL ACUITY TEST RESULT (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
RVISUAL FIELD TEST RESULT (AT DIAGNOSIS)
Multiple occurrences of this item are permitted

SITE SPECIFIC STAGING: CEREBROSPINAL FLUID (CSF) - CENTRAL NERVOUS SYSTEM (CNS)

To carry site specific staging Cerebrospinal Fluid (CSF) details for Central Nervous System (CNS) cancer.
One occurrence of this group is required per Core Site Specific Staging.
M/RData Set Data Elements
MCHANG STAGING SYSTEM STAGE

LABORATORY RESULTS: GERM CELL CENTRAL NERVOUS SYSTEM (CNS) TUMOURS CHOICE - CENTRAL NERVOUS SYSTEM (CNS)

One occurrence of this group is permitted per Core Laboratory Results
One of the following Germ Cell Central Nervous System (CNS) tumour laboratory result details MUST be provided per Core Laboratory Results
CHOICE 1 - ALPHA FETOPROTEIN
To carry Germ Cell Central Nervous System (CNS) tumour laboratory result details.
One occurrence of this group is required per Core Laboratory Results if selected as the choice
.
M/RData Set Data Elements
MALPHA FETOPROTEIN (CEREBROSPINAL FLUID)
OR
CHOICE 2 - BETA HUMAN CHORIONIC GONADOTROPIN
To carry Germ Cell Central Nervous System (CNS) tumour laboratory result details.
One occurrence of this group is required per Core Laboratory Results if selected as the choice
.
M/RData Set Data Elements
MBETA HUMAN CHORIONIC GONADOTROPIN (CEREBROSPINAL FLUID)

top


CANCER OUTCOMES AND SERVICES DATA SET - CHILDREN TEENAGERS AND YOUNG ADULTS

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Children, Teenagers and Young Adults.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

REFERRALS - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry referral details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted per Core Referrals and First Stage of Patient Pathway.
M/RData Set Data Elements
RCARE PROFESSIONAL MAIN SPECIALTY CODE (CANCER REFERRAL)

DIAGNOSIS - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry diagnostic details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted per Core Diagnosis.
M/RData Set Data Elements
RCARE PROFESSIONAL MAIN SPECIALTY CODE (DIAGNOSIS)
RCHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (CONSULTANT AT DIAGNOSIS)

DIAGNOSIS: NEUROBLASTOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry diagnostic Neuroblastoma details for  Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted per Core Diagnosis.
M/RData Set Data Elements
RLIFE THREATENING SYMPTOMS AT DIAGNOSIS INDICATOR (NEUROBLASTOMA)

SITE SPECIFIC STAGING CHOICE - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

One of the following Site Specific Staging Sections MUST be provided per Core Site Specific Staging
CHOICE 1 - WILMS
To carry staging renal tumour details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is required per Core Site Specific Staging group if selected as the choice.
M/RData Set Data Elements
MWILMS TUMOUR STAGE
OR
CHOICE 2 - INTERNATIONAL NEUROBLASTOMA RISK GROUP
To carry staging Neuroblastoma details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is required per Core Site Specific Staging group if selected as the choice.
M/RData Set Data Elements
MINTERNATIONAL NEUROBLASTOMA RISK GROUP STAGING SYSTEM STAGE
OR
CHOICE 3 - INTERNATIONAL NEUROBLASTOMA RISK GROUP
To carry staging Hepatoblastoma details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is required per Core Site Specific Staging group if selected as the choice.
M/RData Set Data Elements
MPRETEXT STAGING SYSTEM STAGE
MPRETEXT STAGING SYSTEM STAGE ANNOTATION FACTORS
OR
CHOICE 4 - RETINOBLASTOMA
To carry staging Retinoblastoma details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is required per Core Site Specific Staging group if selected as the choice.
M/RData Set Data Elements
MINTERNATIONAL STAGING SYSTEM STAGE (RETINOBLASTOMA)

TREATMENT: PRINCIPAL TREATMENT CENTRE CHOICE - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

One of the following Principal Treatment Centre Sections MUST be provided per Core Treatment
CHOICE 1 - CHILDREN
To carry Treatment details for the nominated children's  Principal Treatment Centre for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is required per Core Treatment if selected as the choice.
M/RData Set Data Elements
MORGANISATION IDENTIFIER (CHILDRENS NOMINATED PRINCIPAL TREATMENT CENTRE)
Multiple occurrences of this item are permitted
OR
CHOICE 2 - TEENAGE YOUNG ADULT (TYA)
To carry Treatment details for the nominated Teenage Young Adult's (TYA) Principal Treatment Centre for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is required per Core Treatment if selected as the choice.
M/RData Set Data Elements
MORGANISATION IDENTIFIER (TEENAGE YOUNG ADULTS NOMINATED PRINCIPAL TREATMENT CENTRE)
Multiple occurrences of this item are permitted

TREATMENT: CHILDREN'S CANCER AND LEUKAEMIA GROUP (CCLG) - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry treatment details for the Children's Cancer and Leukaemia Group (CCLG) guidelines for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted per Core Treatment.
M/RData Set Data Elements
RPATIENT TREATED TO CHILDRENS CANCER AND LEUKAEMIA GROUP GUIDELINES INDICATOR
RCHILDRENS CANCER AND LEUKAEMIA GROUP GUIDELINE NAME

LABORATORY RESULTS: NEUROBLASTOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry Neuroblastoma laboratory result details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted per Core Laboratory Results.
M/RData Set Data Elements
RURINE VANILLYLMANDELIC ACID CREATININE RATIO

RENAL TUMOURS - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry renal tumour details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
RPATHOLOGICAL RISK CLASSIFICATION CODE (AFTER NEPHRECTOMY)
RPATHOLOGICAL RISK CLASSIFICATION CODE (AFTER PREOPERATIVE CHEMOTHERAPY)

RETINOBLASTOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry Retinoblastoma details for Children, Teenagers and Young Adults (CTYA) cancer.
Multiple occurrences of this group are permitted.
M/RData Set Data Elements
RRETINOBLASTOMA ASSESSMENT LATERALITY
RINTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA

CHEMOTHERAPY - CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA)

To carry chemotherapy details for Children, Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
RCHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (CONSULTANT PRESCRIBING CHEMOTHERAPY)

top


CANCER OUTCOMES AND SERVICES DATA SET - COLORECTAL

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Colorectal.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

DIAGNOSIS - COLORECTAL

To carry diagnostic details for Colorectal cancer.
One occurrence of this group is permitted per Core Diagnosis.
M/RData Set Data Elements
RSYNCHRONOUS TUMOUR COLON LOCATION (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
RTUMOUR HEIGHT ABOVE ANAL VERGE

CLINICAL NURSE SPECIALIST - COLORECTAL

To carry details of the Clinical Nurse Specialist.
Multiple occurrences of this group are permitted per Core Clinical Nurse Specialist and Risk Factor.
M/RData Set Data Elements
RCLINICAL NURSE SPECIALIST TYPE

top


CANCER OUTCOMES AND SERVICES DATA SET - CORE

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets.

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Core.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

The Mandatory, Required or Optional (M/R/O) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

SUBMISSION HEADER

To carry the submission header details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MCOSDS SUBMISSION IDENTIFIER
MORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
MCOSDS SUBMISSION RECORD COUNT
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MDATE AND TIME DATA SET CREATED

RECORD IDENTIFIER

To carry the record identifier details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MCOSDS UNIQUE IDENTIFIER

LINKAGE: IDENTIFIER CHOICE - CORE

One of the following Core Linkage Identifier sections MUST be provided
CHOICE 1 - NHS NUMBER
To carry patient identity details for linkage.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
MNHS NUMBER
OR
CHOICE 2 - LOCAL PATIENT IDENTIFIER
To carry patient identity details for linkage.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)

LINKAGE: PATIENT IDENTITY DETAILS - CORE

To carry patient identity details for linkage.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
MNHS NUMBER STATUS INDICATOR CODE
MPERSON BIRTH DATE
MORGANISATION IDENTIFIER (CODE OF PROVIDER)

DIAGNOSTIC: CANCER PATHWAY CHOICE - CORE

One of the following Cancer Pathway sections MUST be provided
CHOICE 1 - PRIMARY CANCER PATHWAY
To carry diagnostic details for linkage.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
MPRIMARY DIAGNOSIS (ICD)
MTUMOUR LATERALITY
MDATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)
OR
CHOICE 2 - NON PRIMARY CANCER PATHWAY
To carry diagnostic details for linkage.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
MDATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)

DIAGNOSTIC: NON PRIMARY CANCER PATHWAY - CORE

One of the following Core Diagnosis sections MUST be provided per Non Primary Cancer Pathway
CHOICE 1 - CANCER RECURRENCE
To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Recurrence.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
RPRIMARY DIAGNOSIS (ICD ORIGINAL)
MCANCER METASTATIC DISEASE TYPE
Multiple occurrences of this item are permitted
MMETASTATIC SITE (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
RPALLIATIVE CARE SPECIALIST SEEN INDICATOR (CANCER RECURRENCE)
RRELAPSE METHOD DETECTION TYPE
Multiple occurrences of this item are permitted
OR
CHOICE 2 - CANCER PROGRESSION
To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Progression.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
MCANCER PROGRESSION (ICD ORIGINAL)
MCANCER METASTATIC DISEASE TYPE
Multiple occurrences of this item are permitted
MMETASTATIC SITE (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
OR
CHOICE 3 - CANCER TRANSFORMATION
To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Transformation.
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
RMORPHOLOGY (ICD-O CANCER TRANSFORMATION ORIGINAL)
RMORPHOLOGY (SNOMED CANCER TRANSFORMATION ORIGINAL)

DIAGNOSTIC: NON PRIMARY CANCER PATHWAY: TRANSFORMATION CURRENT MORPHOLOGY CHOICE - CORE

At least one of the following MUST be provided per Cancer Transformation
CHOICE 1 - CANCER TRANSFORMATION: CURRENT MORPHOLOGY ICD
To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Transformation Current Morphology (ICD).
One occurrence of this group is required if selected as the choice.
M/R/OData Set Data Elements
MMORPHOLOGY (ICD-O CANCER TRANSFORMATION)
OR
CHOICE 2 - CANCER TRANSFORMATION: CURRENT MORPHOLOGY SNOMED
To carry patient pathway details required to define the Non Primary Cancer Pathway for Cancer Transformation Current Morphology (SNOMED).
One occurrence of this group is permitted if selected as the choice.
M/R/OData Set Data Elements
MMORPHOLOGY (SNOMED CANCER TRANSFORMATION)
MSNOMED VERSION (CANCER TRANSFORMATION)

DEMOGRAPHICS - CORE

To carry patient demographic details.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RPERSON FAMILY NAME
RPERSON GIVEN NAME
RPATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS STRUCTURED
or
PATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS UNSTRUCTURED
RPOSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)
RPERSON STATED GENDER CODE
RPERSON STATED SEXUAL ORIENTATION CODE (AT DIAGNOSIS)`
RGENERAL MEDICAL PRACTITIONER (SPECIFIED)
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RPERSON FAMILY NAME (AT BIRTH)
RETHNIC CATEGORY

REFERRALS AND FIRST STAGE OF PATIENT PATHWAY - CORE

To carry patient referral details to the trust that receives the first referral.
These details include information relating to the first stage of the Patient Pathway.
One occurrence of this group is permitted per Primary Cancer Pathway.
M/R/OData Set Data Elements
RSOURCE OF REFERRAL FOR OUT-PATIENTS
RDATE FIRST SEEN
MPROFESSIONAL REGISTRATION ISSUER CODE (CANCER FIRST SEEN)
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (CANCER FIRST SEEN)
RORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)
RDATE FIRST SEEN (CANCER SPECIALIST)
RORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)
RCANCER SYMPTOMS FIRST NOTED DATE

NON PRIMARY CANCER PATHWAY: REFERRAL - CORE

To carry non primary cancer pathway details.
One occurrence of this group is permitted per Non Primary Cancer Pathway.
M/R/OData Set Data Elements
RSOURCE OF REFERRAL FOR OUT-PATIENTS (NON PRIMARY CANCER PATHWAY)
RDATE FIRST SEEN (NON CANCER PRIMARY PATHWAY)
RORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)

IMAGING - CORE

To carry imaging details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MORGANISATION SITE IDENTIFIER (OF IMAGING)
MPROCEDURE DATE (CANCER IMAGING)
RCANCER IMAGING OUTCOME

IMAGING: CANCER SITE LOCATION CHOICE - CORE

One of the following Core Imaging data items or sections can be provided per Core Imaging
CHOICE 1 - NICIP
To carry imaging NICIP details.
Multiple occurrences of this group are permitted per Core Imaging.
M/R/OData Set Data Elements
MIMAGING CODE (NICIP)
OR
CHOICE 2 - SNOMED CT
To carry imaging SNOMED CT details.
Multiple occurrences of this group are permitted per Core Imaging.
M/R/OData Set Data Elements
MIMAGING CODE (SNOMED CT)
OR
CHOICE 3 - CANCER SITE IMAGING LOCATION GROUP
To carry imaging details.
Multiple occurrences of this group are permitted per Core Imaging.
M/R/OData Set Data Elements
MCANCER IMAGING MODALITY
RIMAGING ANATOMICAL SITE
RANATOMICAL SIDE (IMAGING)

To carry imaging details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RIMAGING REPORT TEXT
RLESION SIZE (RADIOLOGICAL)

DIAGNOSTIC PROCEDURES - CORE

To carry diagnostic procedure details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)
MPROCEDURE DATE (DIAGNOSTIC PROCEDURE)

DIAGNOSTIC PROCEDURES: CHOICE - CORE

One of the following Core Diagnostic procedures data items MUST be provided per Core Diagnostic Procedures
CHOICE 1 - OPCS
To carry OPCS diagnostic procedure details.
Multiple occurrences of this group are permitted per Core Diagnostic Procedures.
M/R/OData Set Data Elements
MDIAGNOSTIC PROCEDURE (OPCS)
OR
CHOICE 2 - SNOMED CT
To carry SNOMED CT diagnostic procedure details.
Multiple occurrences of this group are permitted per Core Diagnostic Procedures.
M/R/OData Set Data Elements
MDIAGNOSTIC PROCEDURE (SNOMED CT)

DIAGNOSTIC PROCEDURES: SENTINEL NODE BIOPSY - CORE

To carry diagnostic details for Sentinel Node Biopsy.
One occurrence of this group is permitted per Core Diagnostic Procedures.
M/R/OData Set Data Elements
RSENTINEL LYMPH NODE BIOPSY OUTCOME

DIAGNOSIS - CORE

To carry diagnostic details for the Primary Diagnosis.
One occurrence of this group is permitted per Primary Cancer Pathway.
M/R/OData Set Data Elements
RORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)
RBASIS OF DIAGNOSIS (CANCER)
RMORPHOLOGY (ICD-O DIAGNOSIS)
MMORPHOLOGY (SNOMED DIAGNOSIS)
MSNOMED VERSION (DIAGNOSIS)
RTOPOGRAPHY (ICD-O)
RGRADE OF DIFFERENTIATION (AT DIAGNOSIS)
RPERFORMANCE STATUS (ADULT)
RDIAGNOSIS (SNOMED CT)
MCANCER METASTATIC DISEASE TYPE
Multiple occurrences of this item are permitted
MMETASTATIC SITE (AT DIAGNOSIS)
Multiple occurrences of this item are permitted

DIAGNOSIS: ADDITIONAL ITEMS - CORE

To carry additional diagnostic details.
One occurrence of this group is permitted per Core Diagnosis.
M/R/OData Set Data Elements
RPRIMARY DIAGNOSIS (CANCER COMMENT)
RSECONDARY DIAGNOSIS (ICD)
Multiple occurrences of this item are permitted
RSECONDARY DIAGNOSIS (CANCER COMMENT)
RFAMILIAL CANCER SYNDROME INDICATOR
RFAMILIAL CANCER SYNDROME COMMENT

DIAGNOSIS: CANCER PROGRESSION - CORE

To carry additional diagnostic details for Cancer Progression.
May be multiple occurrences per Core Diagnosis.
M/R/OData Set Data Elements
MCANCER METASTATIC DISEASE TYPE
Multiple occurrences of this item are permitted
MMETASTATIC SITE (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
MCANCER PROGRESSION AGREED DATE (PRIMARY CANCER PATHWAY)

DIAGNOSIS: CANCER TRANSFORMATION - CORE

To carry additional diagnostic details for Cancer Transformation.
May be multiple occurrences per Core Diagnosis.
M/R/OData Set Data Elements
MCANCER TRANSFORMATION AGREED DATE (PRIMARY CANCER PATHWAY)

DIAGNOSIS: CANCER TRANSFORMATION CHOICE - CORE

At least one of the following MUST be provided per Cancer Transformation
CHOICE 1 - ICD
To carry ICD additional diagnostic details for Cancer Transformation.
One occurrence of this group is required per Core Diagnosis Cancer Transformation.
M/R/OData Set Data Elements
MMORPHOLOGY (ICD-O CANCER TRANSFORMATION)
OR
CHOICE 2 - SNOMED
To carry additional diagnostic details for Cancer Transformation.
One occurrence of this group is required per Core Diagnosis Cancer Transformation.
M/R/OData Set Data Elements
MMORPHOLOGY (SNOMED CANCER TRANSFORMATION)
MSNOMED VERSION (CANCER TRANSFORMATION)

DIAGNOSIS: BANKED TISSUE - CORE

To carry Banked Tissue details.
One occurrence of this group is permitted per Core Diagnosis.
M/R/OData Set Data Elements
RPATIENT CONSENT FOR TISSUE BANKED AT DIAGNOSIS INDICATION CODE
RTISSUE TYPE BANKED AT DIAGNOSIS (CANCER)
Multiple occurrences of this item are permitted

PERSON OBSERVATION - CORE

To carry person observation details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RPERSON HEIGHT IN METRES
RPERSON WEIGHT
RBODY MASS INDEX
MOBSERVATION DATE

CLINICAL NURSE SPECIALIST AND RISK FACTOR ASSESSMENT - CORE

To carry Clinical Nurse Specialist and risk factor assessment details.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RCLINICAL NURSE SPECIALIST INDICATION CODE
RSMOKING STATUS (CANCER)
RTOBACCO SMOKING CESSATION TREATMENT INDICATION CODE
RALCOHOL HISTORY (CANCER IN LAST THREE MONTHS)
RALCOHOL HISTORY (CANCER BEFORE LAST THREE MONTHS)
RPATIENT DIAGNOSIS INDICATOR (DIABETES)
RMENOPAUSAL STATUS (AT DIAGNOSIS)
RPHYSICAL ACTIVITY VITAL SIGN LEVEL (CURRENT)

CLINICAL NURSE SPECIALIST: HOLISTIC NEEDS ASSESSMENT (HNA) - CORE

To carry details of Clinical Nurse Specialist, Holistic Needs Assessments.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
ROFFER STATUS (HOLISTIC NEEDS ASSESSMENT)
RHOLISTIC NEEDS ASSESSMENT COMPLETED DATE
RHOLISTIC NEEDS ASSESSMENT POINT OF PATHWAY (CANCER)
RSTAFF ROLE CARRYING OUT HOLISTIC NEEDS ASSESSMENT

CLINICAL NURSE SPECIALIST: PERSONALISED CARE AND SUPPORT PLANNING - CORE

To carry details of Clinical Nurse Specialist, Personalised Care and Supportive Planning Assessments.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
ROFFER STATUS (PERSONALISED CARE AND SUPPORT PLANNING)
RPERSONALISED CARE AND SUPPORT PLANNING COMPLETED DATE
RPERSONALISED CARE AND SUPPORT PLANNING POINT OF CANCER PATHWAY
RSTAFF ROLE CARRYING OUT PERSONALISED CARE AND SUPPORT PLANNING

MULTIDISCIPLINARY TEAM MEETINGS CHOICE - CORE

One of the following Core Multidisciplinary Team Meeting data items MUST be provided per Core Multidisciplinary Team Meeting
CHOICE 1 - NOT DISCUSSED
To carry details of all multidisciplinary team meetings where the patient was not discussed.
One occurrence of this group is required per Core Multidisciplinary Team Meetings if selected as the choice.
M/R/OData Set Data Elements
MMULTIDISCIPLINARY TEAM MEETING CANCER CARE PLAN NOT DISCUSSED INDICATION CODE
OR
CHOICE 2 - DISCUSSED
To carry details of all multidisciplinary team meetings where the patient was discussed.
One occurrence of this group is required per Core Multidisciplinary Team Meetings if selected as the choice.
M/R/OData Set Data Elements
MMULTIDISCIPLINARY TEAM MEETING CANCER CARE PLAN DISCUSSION TYPE
MMULTIDISCIPLINARY TEAM MEETING DATE (CANCER)
MORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)
MMULTIDISCIPLINARY TEAM MEETING TYPE (CANCER)
RMULTIDISCIPLINARY TEAM MEETING TYPE COMMENT (CANCER)

CANCER CARE PLAN - CORE

To carry cancer care plan details.
One occurrence of this group is permitted per Primary Cancer Pathway.
M/R/OData Set Data Elements
RMULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)
MPROFESSIONAL REGISTRATION ISSUER CODE (MULTIDISCIPLINARY TEAM LEAD)
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MULTIDISCIPLINARY TEAM LEAD)
RCANCER CARE PLAN INTENT
RPLANNED CANCER TREATMENT TYPE
Multiple occurrences of this item are permitted
RNO CANCER TREATMENT REASON
OADULT COMORBIDITY EVALUATION - 27 SCORE

MOLECULAR AND BIOMARKERS - GERMLINE TESTING FOR CANCER PREDISPOSITION - CORE

To carry Molecular and Biomarkers (Germline Testing for Cancer Predisposition) details for a patient.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
ROFFER STATUS (GERMLINE GENETIC TEST)
RGERMLINE GENETIC TEST TYPE OFFERED
Multiple occurrences of this item are permitted
ROTHER GERMLINE GENETIC TEST TYPE OFFERED COMMENT
Multiple occurrences of this item are permitted
RACTIVITY OFFER DATE (GERMLINE GENETIC TEST)
RORGANISATION IDENTIFIER (REPORTING LABORATORY)
ROFFER STATUS (REFERRAL TO REGIONAL CLINICAL GENETICS SERVICE)

MOLECULAR AND BIOMARKERS - SOMATIC TESTING FOR TARGETED THERAPY AND PERSONALISED MEDICINE - CORE

To carry Molecular and Biomarkers (Somatic Testing for Targeted Therapy and Personalised Medicine) details for a patient, where these have been performed by the clinical teams.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RGENE OR STRATIFICATION BIOMARKER TYPE ANALYSED
Multiple occurrences of this item are permitted
ROTHER GENE OR STRATIFICATION BIOMARKER TYPE ANALYSED COMMENT
Multiple occurrences of this item are permitted
RGENE OR STRATIFICATION BIOMARKER REPORTED DATE
RORGANISATION IDENTIFIER (REPORTING LABORATORY)

CLINICAL TRIALS - CORE

To carry details for a patient who is eligible for a cancer clinical trial.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RPATIENT TRIAL STATUS (CANCER)
RCLINICAL TRIAL DECISION DATE
RCLINICAL TRIAL START DATE
RCANCER CLINICAL TRIAL TREATMENT TYPE

STAGING - CORE

To carry the staging details at the time that the first cancer care plan is agreed.
One occurrence of this group is permitted per Primary Cancer Pathway.
M/R/OData Set Data Elements
RT CATEGORY (FINAL PRETREATMENT)
RN CATEGORY (FINAL PRETREATMENT)
RM CATEGORY (FINAL PRETREATMENT)
RTNM STAGE GROUPING (FINAL PRETREATMENT)
RORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)
RTNM STAGE GROUPING DATE (FINAL PRETREATMENT)
RT CATEGORY (INTEGRATED STAGE)
RN CATEGORY (INTEGRATED STAGE)
RM CATEGORY (INTEGRATED STAGE)
RTNM STAGE GROUPING (INTEGRATED)
RORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)
RTNM STAGE GROUPING DATE (INTEGRATED)
MTNM CODING EDITION
MTNM VERSION NUMBER (STAGING)

SITE SPECIFIC STAGING - CORE

To carry the site specific cancer staging details. These fields are only required where there is a site specific stage recorded for a patient and will not be applicable to every cancer.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)
MSTAGE DATE (CANCER SITE SPECIFIC STAGE)

TREATMENT - CORE

To carry the cancer treatment details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RADJUNCTIVE THERAPY TYPE
RCANCER TREATMENT INTENT
MTREATMENT START DATE (CANCER)
MCANCER TREATMENT MODALITY (REGISTRATION)
MORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)
MPROFESSIONAL REGISTRATION ISSUER CODE (TREATMENT)
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (TREATMENT)
OCANCER END OF TREATMENT SUMMARY PLAN COMPLETION DATE
Multiple occurrences of this item are permitted
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)

TREATMENT: SURGERY - CORE

To carry the surgery details.
One occurrence of this group is permitted per Core Treatment.
M/R/OData Set Data Elements
MPROCEDURE DATE
RCANCER SURGICAL ADMISSION TYPE
MPROFESSIONAL REGISTRATION ISSUER CODE (RESPONSIBLE SURGEON)
Multiple occurrences of this item are permitted
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE SURGEON)
Multiple occurrences of this item are permitted
RPRIMARY PROCEDURE (OPCS)
RPRIMARY PROCEDURE (SNOMED CT)
RPROCEDURE (OPCS)
Multiple occurrences of this item are permitted
RPROCEDURE (SNOMED CT)
Multiple occurrences of this item are permitted
RADDITIONAL UNPLANNED PROCEDURE REQUIRED INDICATOR
RASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
RSURGICAL ACCESS TYPE

TREATMENT: STEM CELL TRANSPLANTATION - CORE

To carry surgery Stem Cell Transplantation details.
One occurrence of this group is permitted per Core Treatment.
M/R/OData Set Data Elements
RSTEM CELL INFUSION SOURCE CODE
RSTEM CELL INFUSION DONOR TYPE
RSTEM CELL TRANSPLANT CONDITIONING REGIMEN

ACUTE ONCOLOGY - CORE

To carry Acute Oncology details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RACUTE ONCOLOGY ASSESSMENT COMPLETED DATE
RORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)
RACUTE ONCOLOGY ASSESSMENT LOCATION
RACUTE ONCOLOGY ASSESSMENT PATIENT PRESENTATION TYPE
Multiple occurrences of this item are permitted
RACUTE ONCOLOGY EPISODE OUTCOME

LABORATORY RESULTS - CORE

To carry laboratory result details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MLABORATORY RESULT AUTHORISED DATE
MORGANISATION IDENTIFIER (OF LABORATORY RESULT)

LABORATORY RESULTS: GENERAL - CORE

To carry general laboratory result details.
One occurrence of this group is permitted per Core Laboratory Results.
M/R/OData Set Data Elements
RLACTATE DEHYDROGENASE LEVEL (PEAK AT DIAGNOSIS)
RBETA HUMAN CHORIONIC GONADOTROPIN (MAXIMUM AT DIAGNOSIS)
RALPHA FETOPROTEIN (MAXIMUM AT DIAGNOSIS)

top


CANCER OUTCOMES AND SERVICES DATA SET - GYNAECOLOGICAL

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Gynaecological.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

SITE SPECIFIC STAGING - GYNAECOLOGICAL

To carry staging details for Gynaecological cancer.
One occurrence of this group is permitted per Core Site Specific Staging.
M/RData Set Data Elements
MFINAL FIGO STAGE

TREATMENT: SURGERY - GYNAECOLOGICAL

To carry surgery details for Gynaecological cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RCARE PROFESSIONAL SENIOR OPERATING SURGEON GRADE (CANCER)
RRESIDUAL DISEASE SIZE (GYNAECOLOGICAL CANCER)

top


CANCER OUTCOMES AND SERVICES DATA SET - HAEMATOLOGICAL

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Haematological.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

CANCER CARE PLAN CHOICE - HAEMATOLOGICAL

One of the following Cancer Care Plan Sections MUST be provided per Core Cancer Care Plan
CHOICE 1 - CHRONIC MYELOID LEUKAEMIA (CML)
To carry cancer care plan details specific to Chronic Myeloid Leukaemia (CML) for Haematological cancer.
One occurrence of this group is required per Core Cancer Care Plan if selected as the choice.
M/RData Set Data Elements
MCHRONIC MYELOID LEUKAEMIA INDEX SCORE (SOKAL)
OR
CHOICE 2 - MYELODYSPLASIA
To carry cancer care plan details specific to Myelodysplasia for Haematological cancer.
One occurrence of this group is required per Core Cancer Care Plan if selected as the choice.
M/RData Set Data Elements
MREVISED INTERNATIONAL PROGNOSTIC SCORING SYSTEM SCORE
OR
CHOICE 3 - CHRONIC LYMPHOID LEUKAEMIA (CLL)
To carry cancer care plan details specific to Chronic Lymphoid Leukaemia (CLL) for Haematological cancer. 
One occurrence of this group is required per Core Cancer Care Plan if selected as the choice.
M/RData Set Data Elements
MSPLENOMEGALY INDICATOR
OR
CHOICE 4 - FOLLICULAR LYMPHOMA
To carry cancer care plan details specific to Follicular Lymphoma for Haematological cancer.
One occurrence of this group is required per Core Cancer Care Plan if selected as the choice.
M/RData Set Data Elements
RNUMBER OF ABNORMAL NODAL AREAS 
RFOLLICULAR LYMPHOMA INTERNATIONAL PROGNOSTIC INDEX 2 SCORE
OR
CHOICE 5 - DIFFUSE LARGE B-CELL LYMPHOMA (DLBCL)
To carry cancer care plan details specific to Diffuse Large B-Cell Lymphoma (DLBCL) for Haematological cancer.
One occurrence of this group is required per Core Cancer Care Plan if selected as the choice.
M/RData Set Data Elements
RNUMBER OF ABNORMAL NODAL AREAS 
RPRIMARY EXTRANODAL CANCER SITE
RNUMBER OF EXTRANODAL SITES CODE
RREVISED INTERNATIONAL PROGNOSTIC INDEX SCORE
OR
CHOICE 6 - HODGKIN LYMPHOMA
To carry cancer care plan details specific to Hodgkin Lymphoma for Haematological cancer.
One occurrence of this group is required per Core Cancer Care Plan if selected as the choice.
M/RData Set Data Elements
RNUMBER OF ABNORMAL NODAL AREAS 
RPRIMARY EXTRANODAL CANCER SITE
RHASENCLEVER INDEX SCORE
OR
CHOICE 7 - ACUTE LYMPHOBLASTIC LEUKAEMIA (ALL)
To carry cancer care plan details specific to Acute Lymphoblastic Leukaemia (ALL) for Haematological cancer.
One occurrence of this group is required per Core Cancer Care Plan if selected as the choice.
M/RData Set Data Elements
MEXTRAMEDULLARY DISEASE SITE
Multiple occurrences of this item are permitted

SITE SPECIFIC STAGING - HAEMATOLOGICAL

One of the following Site Specific Staging Sections MUST be provided per Core Site Specific Staging
CHOICE 1 - ANN ARBOR
To carry Ann Arbor site specific staging details for various haematological diseases for Haematological cancer.
One occurrence of this group is required per Core Site Specific Staging if selected as the choice.
M/RData Set Data Elements
MANN ARBOR STAGE
OR
CHOICE 2 - CHRONIC LYMPHOID LEUKAEMIA (CLL)
To carry Chronic Lymphoid Leukaemia (CLL) staging details for Haematological cancer.
One occurrence of this group is required per Core Site Specific Staging if selected as the choice.
M/RData Set Data Elements
MBINET STAGE
OR
CHOICE 3 - MYELOMA
To carry Myeloma staging details for Haematological cancer.
One occurrence of this group is permitted per Core Site Specific Staging if selected as the choice.
M/RData Set Data Elements
MREVISED INTERNATIONAL STAGING SYSTEM STAGE FOR MULTIPLE MYELOMA
OR
CHOICE 4 - NON HODGKIN LYMPHOMA (NHL)
To carry Non Hodgkin Lymphoma (NHL) staging details for Haematological cancer.
One occurrence of this group is required per Core Site Specific Staging if selected as the choice.
M/RData Set Data Elements
MMURPHY ST JUDE STAGE

ANN ARBOR: EXTENSIONS - HAEMATOLOGICAL

To carry supporting Ann Arbor staging details for various haematological diseases as specified.
One occurrence of this group is permitted.
M/RData Set Data Elements
RANN ARBOR SYMPTOMS INDICATION CODE
RANN ARBOR EXTRANODALITY INDICATION CODE
RANN ARBOR BULKY DISEASE INDICATION CODE
RANN ARBOR SPLENIC INDICATION CODE

LABORATORY RESULTS CHOICE - HAEMATOLOGICAL

One occurrence of this group is required per Core Laboratory Results
One of the following Laboratory Results MUST be provided per Core Laboratory Results
CHOICE 1 - VARIOUS HAEMATOLOGICAL DISEASES
To carry laboratory results for various haematological diseases for Haematological cancer.
One occurrence of this group is required per Core Laboratory Results if selected as the choice.
M/RData Set Data Elements
REUROPEAN LEUKAEMIA NET GENETIC RISK CODE
RWHITE BLOOD CELL COUNT (HIGHEST PRETREATMENT)
OR
CHOICE 2 - VARIOUS HAEMATOLOGICAL DISEASES: CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA).
To carry laboratory results for various haematological diseases for Children Teenagers and Young Adults (CTYA) Haematological cancer.
One occurrence of this group is required per Core Laboratory Results if selected as the choice.
M/RData Set Data Elements
RBONE MARROW BLAST CELLS PERCENTAGE
RCYTOGENETIC FINDINGS COMMENT
OR
CHOICE 3 - PAEDIATRIC MYELODYSPLASIA
To carry Paediatric Myelodysplasia laboratory result details for Haematological cancer.
One occurrence of this group is required per Core Laboratory Results if selected as the choice.
M/RData Set Data Elements
RCELLULARITY PERCENTAGE
RDIEPOXYBUTANE TEST RESULT
RDYSPLASTIC HAEMOPOIESIS TYPE
OR
CHOICE 4 - ACUTE LYMPHOBLASTIC LEUKAEMIA (ALL) - RESPONSE
To carry Acute Lymphoblastic Leukaemia (ALL) Response laboratory result details for Haematological cancer.
One occurrence of this group is required per Core Laboratory Results if selected as the choice.
M/RData Set Data Elements
MLEUKAEMIC CELLS PRESENT POST MINIMAL RESIDUAL DISEASE INDUCTION PERCENTAGE

DIAGNOSIS CHOICE - HAEMATOLOGICAL

One of the following can be provided per Core Diagnosis
CHOICE 1 - MIXED PHENOTYPE ACUTE LEUKAEMIA (MPAL)
To carry diagnostic Mixed Phenotype Acute Leukaemia (MPAL) details for Haematological cancer.
One occurrence of this group is required per Core Diagnosis if selected as the choice.
M/RData Set Data Elements
RMIXED PHENOTYPE ACUTE LEUKAEMIA SYMPTOMS (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
REUROPEAN GROUP FOR THE IMMUNOLOGICAL CLASSIFICATION OF LEUKAEMIA SCORING SYSTEM SCORE
OR
CHOICE 2 - ACUTE MYELOID LEUKAEMIA (AML)
To carry diagnostic Acute Myeloid Leukaemia (AML) details for Haematological cancer.
One occurrence of this group is required per Core Diagnosis if selected as the choice.
M/RData Set Data Elements
RFRENCH AMERICAN BRITISH CLASSIFICATION (ACUTE MYELOID LEUKAEMIA)
RCYTOGENETIC RISK GROUP (PAEDIATRIC MOLECULAR GENETIC ABNORMALITIES)
RACUTE MYELOID LEUKAEMIA RISK FACTORS (AT DIAGNOSIS)
OR
CHOICE 3 - PAEDIATRIC MYELODYSPLASIA
To carry diagnostic Paediatric Myelodysplasia details for Haematological cancer.
One occurrence of this group is required per Core Diagnosis if selected as the choice.
M/RData Set Data Elements
RPAEDIATRIC MYELODYSPLASIA CLINICAL FINDINGS (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
RUNDERLYING DISEASE ASSOCIATED WITH MYELODYSPLASIA (AT DIAGNOSIS)
Multiple occurrences of this item are permitted
RCONGENITAL ANOMALIES COMMENT
ROTHER MYELODYSPLASIA SYMPTOMS AT DIAGNOSIS
Multiple occurrences of this item are permitted

ACUTE LEUKAEMIAS - HAEMATOLOGICAL

To carry treatment details for Acute Leukaemias for Haematological cancer.
One occurrence of this group is permitted per Core Treatment.
M/RData Set Data Elements
RPRIMARY INDUCTION CHEMOTHERAPY FAILURE INDICATOR

MOLECULAR AND BIOMARKERS  - SOMATIC TESTING FOR TARGETED THERAPY AND PERSONALISED THERAPY: NON HODGKIN LYMPHOMA - HAEMATOLOGICAL

To carry Molecular and Biomarkers Result details for Non Hodgkin Lymphoma (NML) for Haematological cancer.
One occurrence of this group is permitted per Core Molecular and Biomarkers - Somatic Testing for Targeted Therapy and Personalised Medicine.
M/RData Set Data Elements
MALK GENE FUSION STATUS (ANAPLASTIC LARGE CELL LYMPHOMA)

top


CANCER OUTCOMES AND SERVICES DATA SET - HEAD AND NECK

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Head and Neck.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

TREATMENT: SURGERY - HEAD AND NECK

To carry surgery details for Head and Neck cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RSURGICAL ACCESS TYPE (HEAD AND NECK CANCER)
ROTHER SURGICAL ACCESS TYPE (HEAD AND NECK CANCER)

PRE TREATMENT ASSESSMENT - HEAD AND NECK

To carry pre treatment assessment details for Head and Neck cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
RCANCER DENTAL ASSESSMENT DATE
RCARE CONTACT DATE (DIETITIAN INITIAL)
RCARE CONTACT DATE (SPEECH AND LANGUAGE THERAPIST INITIAL)

POST TREATMENT ASSESSMENT - HEAD AND NECK

To carry post treatment assessment details for Head and Neck cancer.
Multiple occurrences of this group are permitted.
M/RData Set Data Elements
RCLINICAL STATUS ASSESSMENT DATE (CANCER)
RPRIMARY TUMOUR STATUS
RNODAL STATUS
RMETASTATIC STATUS
RSPEECH AND LANGUAGE ASSESSMENT DATE

top


CANCER OUTCOMES AND SERVICES DATA SET - LIVER

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Liver.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

DIAGNOSIS - LIVER

To carry diagnostic details for Liver cancer.
One occurrence of this group is permitted per Core Diagnosis.
M/RData Set Data Elements
RLIVER CANCER SURVEILLANCE SCAN INDICATOR
RLIVER CIRRHOSIS TYPE
RLIVER CIRRHOSIS CAUSE TYPE
Multiple occurrences of this item are permitted

DIAGNOSIS: CHOLANGIOCARCINOMA - LIVER

To carry diagnostic details for Cholangiocarcinoma for Liver cancer.
One occurrence of this group is permitted per Core Diagnosis.
M/RData Set Data Elements
MCHOLANGIOCARCINOMA PRESENCE CATEGORY

SITE SPECIFIC STAGING - LIVER

To carry site specific staging details for Liver cancer.
One occurrence of this group is permitted per Core Site Specific Staging.
M/RData Set Data Elements
MBARCELONA CLINIC LIVER CANCER STAGE

TREATMENT AND PROGNOSTIC INDICATORS - LIVER

To carry treatment and prognostic details for Liver cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
RPORTAL VEIN INVASION INDICATION CODE
RUNITED KINGDOM MODEL FOR END-STAGE LIVER DISEASE SCORE
RCHILD PUGH SCORE

TREATMENT - LIVER

To carry other procedure details for Liver Metastasis and Liver Hepatocellular Carcinoma (HCC) for Liver cancer.
One occurrence of this group is permitted per Core Treatment.
M/RData Set Data Elements
RABLATIVE THERAPY TYPE
RLIVER TRANSARTERIAL EMBOLISATION MATERIAL INJECTION TYPE

TRANSPLANTATION - LIVER

To carry liver transplantation details for Liver cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
RLIVER TRANSPLANT WAITING LIST INDICATOR

TREATMENT: SURGERY - LIVER

To carry surgery details for Liver cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RLIVER SURGERY PERFORMED TYPE

top


CANCER OUTCOMES AND SERVICES DATA SET - LUNG

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Lung.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

DIAGNOSTIC PROCEDURES CHOICE - LUNG

One of the following may be provided per Diagnostic Procedure
CHOICE 1 - TRANSTHORACIC ECHOCARDIOGRAM
To carry Transthoracic Echocardiogram details for the National Lung Cancer Audit (NLCA), to be captured once only for each care pathway for Lung cancer.
One occurrence of this group is required per Core Diagnostic Procedures if selected as the choice.
M/RData Set Data Elements
MTRANSTHORACIC ECHOCARDIOGRAM TEST RESULT
OR
CHOICE 2 - DIFFUSION CAPACITY
To carry Diffusion Capacity details for the National Lung Cancer Audit (NLCA), to be captured once only for each care pathway for Lung cancer.
One occurrence of this group is required per Core Diagnostic Procedures if selected as the choice.
M/RData Set Data Elements
MDIFFUSION CAPACITY TEST RESULT
OR
CHOICE 3 - FEV1
To carry FEV1 details for the National Lung Cancer Audit (NLCA), to be captured once only for each care pathway for Lung cancer.
One occurrence of this group is required per Core Diagnostic Procedures if selected as the choice.
M/RData Set Data Elements
RFORCED EXPIRATORY VOLUME IN 1 SECOND (PERCENTAGE)
RFORCED EXPIRATORY VOLUME IN 1 SECOND (ABSOLUTE AMOUNT)
OR
CHOICE 4 - CARDIOPULMONARY TEST
To carry Cardiopulmonary Test details required for the National Lung Cancer Audit (NLCA) for Lung cancer.
One occurrence of this group is required per Core Diagnostic Procedures if selected as the choice.
M/RData Set Data Elements
RCARDIOPULMONARY EXERCISE TEST TYPE
RCARDIOPULMONARY EXERCISE TEST RESULT
OR
CHOICE 5 - BRONCHOSCOPY
To carry bronchoscopy details for Lung cancer.
One occurrence of this group is required per Core Diagnostic Procedures if selected as the choice.
M/RData Set Data Elements
MBRONCHOSCOPY PERFORMED TYPE

MEDIASTINAL SAMPLING - LUNG

To carry Mediastinal Sampling details for the National Lung Cancer Audit (NLCA), to be captured once only for each care pathway for Lung cancer.
One occurrence of this group is permitted.
M/RData Set Data Elements
RMEDIASTINAL SAMPLING INDICATOR

MOLECULAR AND BIOMARKERS - SOMATIC TESTING FOR TARGETED THERAPY AND PERSONALISED MEDICINE - LUNG

To carry Molecular details for Lung cancer.
One occurrence of this group is permitted per Core - Molecular and Biomarkers - Somatic Testing for Targeted Therapy and Personalised Medicine.
M/RData Set Data Elements
REPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS
RALK GENE FUSION STATUS (LUNG CANCER)
RROS1 FUSION STATUS
RPD-L1 EXPRESSION PERCENTAGE

TREATMENT - SURGERY: LUNG CANCER CONSULTANT OUTCOME PUBLICATION (LCCOP) - LUNG

To carry surgery details for the Lung Cancer Consultant Outcome Publication (LCCOP) for Lung cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RREGIONAL ANAESTHETIC TECHNIQUE (CANCER)

top


CANCER OUTCOMES AND SERVICES DATA SET - PATHOLOGY

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Pathology.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

The Mandatory, Required or Optional (M/R/O) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

SUBMISSION HEADER

To carry the submission header details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MCOSDS SUBMISSION IDENTIFIER
MORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
MCOSDS SUBMISSION RECORD COUNT
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MDATE AND TIME DATA SET CREATED

RECORD IDENTIFIER

To carry the record identifier details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MCOSDS UNIQUE IDENTIFIER

LINKAGE IDENTIFIER CHOICE - CORE - PATHOLOGY

One of the following Core Linkage sections MUST be provided
CHOICE 1 - NHS NUMBER
To carry patient identity details for linkage.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER
OR
CHOICE 2 - LOCAL PATIENT IDENTIFIER
To carry patient identity details for linkage.
One occurrence of this group is required.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)

LINKAGE IDENTIFIER - CORE - PATHOLOGY

To carry patient identity details for linkage.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER STATUS INDICATOR CODE
MPERSON BIRTH DATE
MORGANISATION IDENTIFIER (CODE OF PROVIDER)

DEMOGRAPHICS - CORE - PATHOLOGY

To carry patient demographic details.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RPERSON FAMILY NAME
RPERSON GIVEN NAME
RPATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS STRUCTURED
or
PATIENT USUAL ADDRESS (AT DIAGNOSIS) - ADDRESS UNSTRUCTURED
RPOSTCODE OF USUAL ADDRESS (AT DIAGNOSIS)
RPERSON STATED GENDER CODE

PATHOLOGY DETAILS - CORE - PATHOLOGY
 
To carry pathology details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MINVESTIGATION RESULT DATE
MSERVICE REPORT IDENTIFIER
RPATHOLOGY OBSERVATION REPORT IDENTIFIER
RSERVICE REPORT STATUS
MPROFESSIONAL REGISTRATION ISSUER CODE (PATHOLOGY TEST REQUESTED BY)
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY)
RORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)
RSAMPLE COLLECTION DATE
RSAMPLE RECEIPT DATE
RORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)
MPROFESSIONAL REGISTRATION ISSUER CODE (PATHOLOGY REPORT AUTHORISED BY)
MPROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY)
RCANCER SPECIMEN NATURE

TOPOGRAPHY/MORPHOLOGY - CORE - PATHOLOGY

To carry Topography/Morphology SNOMED pathology details.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
MSNOMED VERSION (PATHOLOGY)

TOPOGRAPHY/MORPHOLOGY CHOICE - CORE - PATHOLOGY

One of the following MUST be provided
CHOICE 1 - TOPOGRAPHY SNOMED
To carry pathology Topography SNOMED details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MTOPOGRAPHY (SNOMED PATHOLOGY)
Multiple occurrences of this item are permitted
OR
CHOICE 2 - MORPHOLOGY SNOMED
To carry pathology Morphology SNOMED details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MMORPHOLOGY (SNOMED PATHOLOGY)
Multiple occurrences of this item are permitted

PATHOLOGY DETAILS - CORE - PATHOLOGY

To carry pathology details.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RDIAGNOSIS (ICD PATHOLOGICAL)
Multiple occurrences of this item are permitted
RTUMOUR LATERALITY (PATHOLOGICAL)
RPATHOLOGY INVESTIGATION TYPE
RPATHOLOGY REPORT TEXT
RLESION SIZE (PATHOLOGICAL)
RGRADE OF DIFFERENTIATION (PATHOLOGICAL)
RCANCER VASCULAR OR LYMPHATIC INVASION
REXCISION MARGIN INDICATION CODE
RSYNCHRONOUS TUMOUR INDICATOR
RNUMBER OF NODES EXAMINED
RNUMBER OF NODES POSITIVE
RTNM CODING EDITION
RTNM VERSION NUMBER (PATHOLOGICAL)
RT CATEGORY (PATHOLOGICAL)
RN CATEGORY (PATHOLOGICAL)
RM CATEGORY (PATHOLOGICAL)
RTNM STAGE GROUPING (PATHOLOGICAL)
RNEOADJUVANT THERAPY INDICATOR
RKI-67 STAINING PERFORMED INDICATION CODE
RKI-67 PERCENTAGE RESULT
RMLH1 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RPMS2 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RMSH2 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RMSH6 IMMUNOHISTOCHEMISTRY NUCLEAR EXPRESSION INTACT INDICATION CODE
RMICROSATELLITE INSTABILITY TESTING RESULT

BREAST - PATHOLOGY

To carry pathology details for Breast cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMULTIFOCAL TUMOUR INDICATOR (BREAST)
RDUCTAL CARCINOMA IN SITU GRADE
RNON INVASIVE TUMOUR SIZE
RWHOLE TUMOUR SIZE
RMETASTASIS EXTENT CODE
RDISTANCE TO MARGIN
OALLRED SCORE (ESTROGEN RECEPTOR)
RESTROGEN RECEPTOR STATUS
OALLRED SCORE (PROGESTERONE RECEPTOR)
OBREAST PROGESTERONE RECEPTOR STATUS
RHUMAN EPIDERMAL GROWTH FACTOR RECEPTOR STATUS (BREAST)
RHUMAN EPIDERMAL GROWTH FACTOR IN SITU HYBRIDISATION RECEPTOR STATUS (BREAST)
RCYTOLOGY RESULT CODE (BREAST)
RCYTOLOGY RESULT CODE (NODE)
RNEEDLE CORE BIOPSY RESULT CODE (BREAST)
RNEEDLE CORE BIOPSY RESULT CODE (AXILLARY LYMPH NODE)

CENTRAL NERVOUS SYSTEM (CNS) - PATHOLOGY

To carry pathology details for Central Nervous System (CNS) cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMOLECULAR DIAGNOSTIC CODE
Multiple occurrences of this item are permitted
RHORMONE EXPRESSION TYPE
Multiple occurrences of this item are permitted

COLORECTAL - PATHOLOGY

To carry pathology details for Colorectal cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMARGIN INVOLVED INDICATION CODE (COLORECTAL PROXIMAL OR DISTAL RESECTION MARGIN)
RDISTANCE TO CLOSEST NON PERITONEALISED RESECTION MARGIN
RPLANE OF SURGICAL EXCISION INDICATOR
RDISTANCE FROM DENTATE LINE
RDISTANCE BEYOND MUSCULARIS PROPRIA
RPREOPERATIVE THERAPY RESPONSE TYPE
RMARGIN INVOLVED INDICATION CODE (CIRCUMFERENTIAL MARGIN)

CHILDREN, TEENAGERS AND YOUNG ADULTS (CTYA): RENAL PATHOLOGY (PAEDIATRIC KIDNEY) - PATHOLOGY

To carry renal (paediatric kidney) pathology details for Children, Teenagers, and Young Adults (CTYA) cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RTUMOUR RUPTURE INDICATOR (PATHOLOGICAL)
RANAPLASTIC NEPHROBLASTOMA TYPE
RTUMOUR INVASION INDICATOR (PERIRENAL FAT)
RTUMOUR INVASION INDICATOR (RENAL SINUS)
RRENAL VEIN TUMOUR INDICATOR (PAEDIATRIC KIDNEY)
RVIABLE TUMOUR EVIDENCE AT RESECTION MARGIN
RINTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY TUMOUR LOCAL STAGE

GYNAECOLOGICAL - PATHOLOGY

To carry pathology details for Gynaecological cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RMICROSCOPIC INVOLVEMENT INDICATION CODE (FALLOPIAN TUBE)
RMICROSCOPIC INVOLVEMENT INDICATION CODE (OVARIAN)
RMICROSCOPIC INVOLVEMENT INDICATION CODE (UTERINE SEROSA)
ROMENTUM INVOLVEMENT INDICATION CODE

GYNAECOLOGICAL: FALLOPIAN TUBE, OVARIAN EPITHELIAL AND PRIMARY PERITONEAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Fallopian Tube, Ovarian Epithelial and Primary Peritoneal.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RGYNAECOLOGICIAL CAPSULE STATUS
ROVARY SURFACE INVOLVEMENT INDICATOR
RPERITONEAL CYTOLOGY RESULT CODE
RPERITONEAL INVOLVEMENT INDICATION CODE

GYNAECOLOGICAL: ENDOMETRIAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Endometrial.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RMICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL STROMA)
RMYOMETRIAL INVASION IDENTIFICATION CODE
RMICROSCOPIC INVOLVEMENT INDICATOR (PARAMETRIUM)
RPERITONEAL WASHINGS IDENTIFIED
RPERITONEAL INVOLVEMENT INDICATOR (ENDOMETRIAL CANCER)
RGYNAECOLOGICIAL CANCER SITE OF PERITONEAL INVOLVEMENT

GYNAECOLOGICAL: CERVICAL - PATHOLOGY

To carry pathology details for Gynaecological cancer for Cervical.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RCERVICAL GLANDULAR INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
RCERVICAL INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
RSMILE INDICATION CODE
RRESECTION MARGIN INVOLVEMENT INDICATOR
RPARACERVICAL OR PARAMETRIAL INVOLVEMENT INDICATOR
RUNINVOLVED CERVICAL STROMA THICKNESS
RMICROSCOPIC INVOLVEMENT INDICATOR (VAGINAL)
RINVASIVE THICKNESS

GYNAECOLOGICAL: NODES - PATHOLOGY

To carry pathology details for Gynaecological cancer for Nodes.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RNUMBER OF NODES EXAMINED (PARA-AORTIC)
RNUMBER OF NODES POSITIVE (PARA-AORTIC)
RNUMBER OF NODES EXAMINED (PELVIC)
RNUMBER OF NODES POSITIVE (PELVIC)
RNUMBER OF NODES EXAMINED (INGUINO-FEMORAL)
RNUMBER OF NODES POSITIVE (INGUINO-FEMORAL)
REXTRANODAL SPREAD INDICATOR

HEAD AND NECK: VARIOUS - PATHOLOGY

To carry pathology details for various Head and Neck cancers.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RMAXIMUM DEPTH OF INVASION
RBONE INVASION INDICATION CODE
RCARTILAGE INVASION INDICATION CODE
RANATOMICAL SIDE (NECK DISSECTION)

HEAD AND NECK: SALIVARY - PATHOLOGY

To carry salivary pathology details for Head and Neck cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
MMACROSCOPIC EXTRAGLANDULAR EXTENSION INDICATION CODE

HEAD AND NECK: GENERAL AND SALIVARY - PATHOLOGY

To carry general and salivary pathology details for Head and Neck cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RANATOMICAL SIDE (POSITIVE NODES)
RLARGEST METASTASIS (LEFT NECK)
RLARGEST METASTASIS (RIGHT NECK)
REXTRACAPSULAR SPREAD INDICATION CODE

HEAD AND NECK: HUMAN PAPILLOMAVIRUS (HPV) - PATHOLOGY

To carry human papilloma virus pathology details for Head and Neck cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RP16 IMMUNOHISTOCHEMISTRY TEST RESULT
RHUMAN PAPILLOMAVIRUS IN SITU HYBRIDISATION TEST RESULT

LUNG - PATHOLOGY

To carry pathology details for Lung cancer.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
REXTENT OF ATELECTASIS
REXTENT OF PLEURAL INVASION
RTUMOUR INVASION INDICATOR (PERICARDIUM)
RTUMOUR INVASION INDICATOR (DIAPHRAGM)
RTUMOUR INVASION INDICATOR (GREAT VESSELS)
RTUMOUR INVASION INDICATOR (HEART)
RMALIGNANT PLEURAL EFFUSION INDICATOR
RTUMOUR INVASION INDICATOR (MEDIASTINUM) 
RSATELLITE TUMOUR NODULES LOCATION

SARCOMA: BONE AND SOFT TISSUE - PATHOLOGY

To carry pathology details for Sarcoma for Bone and Soft Tissue.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RGENETIC CONFIRMATION INDICATOR

SARCOMA: BONE - PATHOLOGY

To carry pathology details for Sarcoma for Bone.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSARCOMA TUMOUR BREACH IDENTIFIER
RTUMOUR NECROSIS PERCENTAGE

SARCOMA: SOFT TISSUE - PATHOLOGY

To carry pathology details for Sarcoma for Soft Tissue.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSARCOMA TUMOUR DEPTH
RMITOTIC RATE (SARCOMA)

SKIN: BASAL CELL CARCINOMAS (BCC) - PATHOLOGY

To carry pathology details for Basal Cell Carcinoma (BCC) for skin cancer.
One occurrence of this group is required.
M/R/OData Set Data Elements
RSKIN CANCER LESION SPECIMEN IDENTIFIER
RPERINEURAL INVASION INDICATOR (SKIN)  
RLESION DIAMETER GREATER THAN 20MM INDICATION CODE

SKIN: SQUAMOUS CELL CARCINOMA (SCC) - PATHOLOGY

To carry pathology details for Squamous Cell Carcinoma (SCC) for skin cancer.
One occurrence of this group is required.
M/R/OData Set Data Elements
RSKIN CANCER LESION SPECIMEN IDENTIFIER
RPERINEURAL INVASION INDICATOR (SKIN)  
RLESION DIAMETER GREATER THAN 20MM INDICATION CODE
RCLARKS LEVEL IV INDICATION CODE
RLESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE

SKIN: MALIGNANT MELANOMA (MM) - PATHOLOGY

To carry pathology details for Malignant Melanoma (MM) for skin cancer.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSKIN CANCER LESION SPECIMEN IDENTIFIER
RSKIN ULCERATION INDICATION CODE
RMITOTIC RATE (SKIN)
RMICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE
RTUMOUR REGRESSION INDICATION CODE (SKIN)
RBRESLOW THICKNESS
RTUMOUR INFILTRATING LYMPHOCYTE TYPE
RNUMBER OF SENTINEL NODES SAMPLED
RNUMBER OF SENTINEL NODES POSITIVE
RNUMBER OF NODES SAMPLED (POST SENTINEL NODE COMPLETION LYMPHADENECTOMY)
RNUMBER OF NODES POSITIVE (POST SENTINEL NODE COMPLETION LYMPHADENECTOMY)

UPPER GASTROINTESTINAL (GI): VARIOUS - PATHOLOGY

To carry pathology details for various Upper Gastrointestinal (GI) cancers.
One occurrence of this data group is permitted.
M/R/OData Set Data Elements
RNUMBER OF COLORECTAL METASTASES IN LIVER
RMARGIN INVOLVED INDICATION CODE (PROXIMAL OR DISTAL RESECTION MARGIN)
RMARGIN INVOLVED INDICATION CODE (CIRCUMFERENTIAL MARGIN)

UROLOGICAL: BLADDER - PATHOLOGY

To carry pathology details for Urological cancer for the bladder.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RDETRUSOR MUSCLE PRESENCE INDICATION CODE
RTUMOUR GRADE (UROLOGY)

UROLOGICAL: KIDNEY - PATHOLOGY

To carry pathology details for Urological cancer for the kidney.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RTUMOUR NECROSIS INDICATION CODE
RTUMOUR INVASION INDICATOR (PERINEPHRIC FAT)
RTUMOUR INVASION INDICATION CODE (DIRECT ADRENAL)
RRENAL VEIN TUMOUR THROMBUS INDICATION CODE (UROLOGICAL)
RTUMOUR INVASION INDICATOR (GEROTAS FASCIA)

UROLOGICAL: PENIS - PATHOLOGY

To carry pathology details for Urological cancer for the penis.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RTUMOUR INVASION INDICATOR (CORPUS SPONGIOSUM)
RTUMOUR INVASION INDICATOR (CORPUS CAVERNOSUM)
RTUMOUR INVASION INDICATOR (URETHRA OR PROSTATE)

UROLOGICAL: PROSTATE - PATHOLOGY

To carry pathology details for Urological cancer for prostate.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RGLEASON GRADE (PRIMARY)
RGLEASON GRADE (SECONDARY)
RGLEASON GRADE (TERTIARY)
RPERINEURAL INVASION INDICATOR (UROLOGICAL)
RTURP TUMOUR PERCENTAGE

UROLOGICAL: TESTICULAR - PATHOLOGY

To carry pathology details for Urological cancer for testicular.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
MTUMOUR INVASION INDICATOR (RETE TESTIS)

top


CANCER OUTCOMES AND SERVICES DATA SET - SARCOMA

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Sarcoma.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

DIAGNOSIS - SARCOMA

To carry diagnostic details for Bone and Soft Tissue for Sarcoma cancer.
One occurrence of this group is permitted per Core Diagnosis.
M/RData Set Data Elements
RSARCOMA TUMOUR SITE (BONE)
RSARCOMA TUMOUR SUBSITE (BONE)
RSARCOMA TUMOUR SITE (SOFT TISSUE)
RSARCOMA TUMOUR SUBSITE (SOFT TISSUE)
RMULTIFOCAL OR SYNCHRONOUS TUMOUR INDICATOR

DIAGNOSIS CHOICE - SARCOMA

One of the following can be provided per Core Diagnosis
CHOICE 1 - RHABDOMYOSARCOMA AND OTHER SOFT TISSUE SARCOMAS
To carry diagnostic Rhabdomyosarcoma and other Soft Tissue Sarcoma details for Sarcoma cancer.
One occurrence of this group is required per Core Diagnosis if selected as the choice.
M/RData Set Data Elements
RINTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUP
RINTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUP DATE
RRHABDOMYOSARCOMA SITE PROGNOSIS CODE
OR
CHOICE 2 - EWINGS
To carry diagnostic Ewings details for Sarcoma cancer.
One occurrence of this group is required per Core Diagnosis if selected as the choice.
M/RData Set Data Elements
MTUMOUR VOLUME AT DIAGNOSIS CODE

LABORATORY RESULTS CHOICE - SARCOMA

One of the following can be provided per Core Laboratory Results
CHOICE 1 - RHABDOMYOSARCOMA AND OTHER SOFT TISSUE SARCOMAS
To carry Rhabdomyosarcoma and other Soft Tissue Sarcoma laboratory result details for Sarcoma cancer.
One occurrence of this group is required per Core Laboratory Results
if selected as the choice.
M/RData Set Data Elements
MCYTOGENETIC PRESENCE TYPE (RHABDOMYOSARCOMA)
OR
CHOICE 2 - EWINGS
To carry Ewings laboratory result details for Sarcoma cancer.
One occurrence of this group is required per Core Laboratory Results
if selected as the choice.
M/RData Set Data Elements
MCYTOGENETIC ANALYSIS CODE

top


CANCER OUTCOMES AND SERVICES DATA SET - SKIN

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Skin.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

TREATMENT - SURGERY: BASAL CELL CARCINOMAS (BCC), SQUAMOUS CELL CARCINOMA (SCC), MALIGNANT MELANOMA (MM) - SKIN

To carry surgery details for Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC) and Malignant Melanoma (MM) for Skin cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RCARE PROFESSIONAL OPERATING SURGEON TYPE (CANCER)
RMEMBER OF SPECIALIST MULTIDISCIPLINARY TEAM INDICATOR

top


CANCER OUTCOMES AND SERVICES DATA SET - UPPER GASTROINTESTINAL

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets. 

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Upper Gastrointestinal.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

TREATMENT - SURGERY: GENERAL - UPPER GASTROINTESTINAL (GI)

To carry surgery details for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
MPALLIATIVE TREATMENT REASON (UPPER GASTROINTESTINAL)

TREATMENT - SURGERY: OESO-GASTRIC - UPPER GASTROINTESTINAL (GI)

To carry surgery details for Oeso-Gastric for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
MPOST OPERATIVE TUMOUR SITE (UPPER GASTROINTESTINAL)

TREATMENT - SURGERY: ESODATA - UPPER GASTROINTESTINAL (GI)

To carry surgery details for the Esophageal Database (ESODATA) for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RINTERNATIONAL ESOPHAGEAL DATABASE SURGICAL COMPLICATIONS
Multiple occurrences of this item are permitted
ROESOPHAGOENTERIC LEAK SEVERITY TYPE
ROESOPHAGECTOMY OESOPHAGEAL CONDUIT NECROSIS FAILURE TYPE
RRECURRENT LARYNGEAL NERVE INJURY INVOLVEMENT TYPE
RCHYLE LEAK SEVERITY TYPE
RCALVIEN-DINDO CLASSIFICATION OF SURGICAL CLASSIFICATIONS
RADDITIONAL INTERNATIONAL ESOPHAGEAL DATABASE SURGICAL COMPLICATIONS
Multiple occurrences of this item are permitted

TREATMENT - SURGERY: OUTCOME MEASURES - UPPER GASTROINTESTINAL (GI)

To carry surgery outcome measures for the Esophageal Database (ESODATA) for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
RESCALATION IN LEVEL OF PATIENT CARE FOLLOWING OESOPHAGECTOMY INDICATOR
RBLOOD PRODUCTS REQUIRED FOLLOWING OESOPHAGECTOMY INDICATION CODE
RUNITS OF BLOOD TRANSFUSED FOLLOWING OESOPHAGECTOMY

TREATMENT - SURGERY: OESOPHAGECTOMY - UPPER GASTROINTESTINAL (GI)

To carry surgery details for the Oesophagectomy for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
ROESOPHAGECTOMY SURGICAL APPROACH TYPE
ROPEN OESOPHAGECTOMY SURGICAL APPROACH TYPE
RMINIMALLY INVASIVE OESOPHAGECTOMY SURGICAL APPROACH TYPE
ROESOPHAGECTOMY ANASTOMOSIS TYPE
ROESOPHAGECTOMY OESOPHAGEAL CONDUIT TYPE
ROESOPHAGECTOMY NECK DISSECTION INDICATOR

TREATMENT - SURGERY: LIVER CHOLANGIOCARCINOMA AND PANCREATIC - UPPER GASTROINTESTINAL (GI)

To carry surgery details for Liver Cholangiocarcinoma and Pancreatic for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
MSURGICAL PALLIATION TYPE

TREATMENT - SURGERY: ENDOSCOPIC OR RADIOLOGICAL PROCEDURES (PANCREATIC AND OESO-GASTRIC) - UPPER GASTROINTESTINAL (GI)

To carry surgery details for endoscopic and radiological procedures for Pancreatic and Oeso-Gastric for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
MENDOSCOPIC PROCEDURE TYPE
Multiple occurrences of this item are permitted

TREATMENT - SURGERY: ENDOSCOPIC OR RADIOLOGICAL PROCEDURES (MAIN) - UPPER GASTROINTESTINAL (GI)

To carry surgery details for endoscopic and radiological procedures for Upper Gastrointestinal (GI) cancer.
One occurrence of this group is permitted per Core Treatment Surgery.
M/RData Set Data Elements
MENDOSCOPIC OR RADIOLOGICAL COMPLICATION TYPE
Multiple occurrences of this item are permitted

top


CANCER OUTCOMES AND SERVICES DATA SET - UROLOGICAL

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

Due to the rapidly changing situation with Covid-19, the implementation date of the Cancer Outcomes and Services Data Set (COSDS) has been deferred until 1 July 2020.

This will be reviewed and continued to be moved forward 3 months until there is a stable position nationally to resume the upgrade process.

For further information please contact: COSD@phe.gov.uk.

The previous version of the data set can be found at: COSDS Data Sets.

For a "Full Screen" view, click Cancer Outcomes and Services Data Set: Urological.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button. 

The Mandatory or Required (M/R) column in the COSDS XML Schema indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc..) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

DIAGNOSTIC PROCEDURES: PROSTATE - UROLOGICAL

To carry cancer diagnostic procedure details for Urological cancer for the prostate.
One occurrence of this group is permitted per Core Diagnostic Procedures.
M/RData Set Data Elements
MPRETREATMENT PROSTATE BIOPSY TECHNIQUE TYPE
MBIOPSY ANAESTHETIC TYPE

DIAGNOSIS: PROSTATE - UROLOGICAL

To carry the diagnosis details for Urological cancer for the prostate.
One occurrence of this group is permitted per Core Diagnosis.
M/RData Set Data Elements
RMULTIPARAMETRIC MRI SCAN INDICATOR
RMRI ULTRASOUND FUSION GUIDED BIOPSY INDICATOR
RPROSTATE SPECIFIC ANTIGEN (DIAGNOSIS)

CANCER CARE PLAN - UROLOGICAL

To carry cancer care plan details for Urological cancer.
One occurrence of this group is permitted per Core Cancer Care Plan.
M/RData Set Data Elements
RESTIMATED GLOMERULAR FILTRATION RATE
RHYDRONEPHROSIS CODE
RS CATEGORY CODE

LABORATORY RESULTS - UROLOGICAL

To carry Laboratory Result details for Urological cancer.
One occurrence of this group is permitted per Core Laboratory Results.
M/RData Set Data Elements
RS CATEGORY (ALPHA FETOPROTEIN)
RS CATEGORY (HUMAN CHORIONIC GONADOTROPIN)
RS CATEGORY (LACTATE DEHYDROGENASE)
RLACTATE DEHYDROGENASE LEVEL (NORMAL UPPER LIMIT)

STAGING: TESTICULAR - UROLOGICAL

To carry staging details for Urological cancer for testicular.
One occurrence of this group is permitted per Core Site Specific Staging
.
M/RData Set Data Elements
RSTAGE GROUPING (TESTICULAR CANCER)
REXTENT OF METASTATIC SPREAD
Multiple occurrences of this item are permitted
RLUNG METASTASES SUB-STAGE GROUPING

TREATMENT: BLADDER CHOICE - UROLOGICAL

One of the following can be provided per Urological Treatment
CHOICE 1 - INTRAVESICAL CHEMOTHERAPY
To carry treatment details for Urological cancer for the bladder.
One occurrence of this group is required per Core Treatment if selected as the choice.
M/RData Set Data Elements
MINTRAVESICAL CHEMOTHERAPY RECEIVED INDICATOR
OR
CHOICE 2 - INTRAVESICAL IMMUNOTHERAPY
To carry treatment details for Urological cancer for the bladder.
One occurrence of this group is required per Core Treatment if selected as the choice.
M/RData Set Data Elements
MINTRAVESICAL IMMUNOTHERAPY RECEIVED INDICATOR

TREATMENT: PROSTATE - UROLOGICAL

To carry cancer treatment details for Urological cancer for the prostate.
One occurrence of this group is required per Core Treatment.
M/RData Set Data Elements
RPROSTATE NERVE SPARING SURGERY TYPE
RRADICAL PROSTATECTOMY MARGIN STATUS

top


COMMUNITY SERVICES DATA SET

Change to Data Set: Changed Description

Community Services Data Set Overview

Due to the rapidly changing situation with Covid-19 for both providers and NHS Digital, the transition from Community Services Data Set v1.0 to v1.5 has been postponed until 1 July 2020.

The situation will be reviewed regularly and any decision regarding a further extension will be made at least two weeks prior to the new go-live date.July 2020 data will start being submitted from 1 August 2020

For further information please contact: enquiries@nhsdigital.nhs.uk.

Version 1.0 of the data set can be found at: Community Services Data Set.

For a "Full Screen" view, click Community Services Data Set.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

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

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

For guidance on the Data Set constraints, see the Community Services Data Set Constraints.

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

SUBMISSION IDENTIFIER

M/R/OData Set Data Elements
MDATA SET VERSION NUMBER
MORGANISATION IDENTIFIER (CODE OF PROVIDER)
MORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
MPRIMARY DATA COLLECTION SYSTEM IN USE
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MDATE AND TIME DATA SET CREATED

PATIENT DEMOGRAPHICS

Master Patient Index and Risk Indicators:
To carry the personal details of the patient and the associated mother's NHS number (where applicable).
One occurrence of this group is required for each patient.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
RORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)
RORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT)
RNHS NUMBER
RNHS NUMBER STATUS INDICATOR CODE
RPERSON BIRTH DATE
RPOSTCODE OF USUAL ADDRESS
RPERSON STATED GENDER CODE
RETHNIC CATEGORY
RLANGUAGE CODE (PREFERRED)
RPERSON RELATIONSHIP (MAIN CARER)
RHEALTH VISITOR FIRST ANTENATAL VISIT DATE
RLOOKED AFTER CHILD INDICATOR
RSAFEGUARDING VULNERABILITY FACTORS INDICATOR
RCONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR
REDUCATIONAL ASSESSMENT OUTCOME
RPREFERRED DEATH LOCATION DISCUSSED INDICATOR
RPERSON AT RISK OF UNEXPECTED DEATH INDICATOR
RDEATH LOCATION TYPE CODE (PREFERRED)
RPERSON DEATH DATE
RDEATH LOCATION TYPE CODE (ACTUAL)
RDEATH NOT AT PREFERRED LOCATION REASON
RNHS NUMBER (MOTHER)
RNHS NUMBER STATUS INDICATOR CODE (MOTHER)

GP Practice Registration:
To carry details of the GP Practice Registration of the patient.
One occurrence of this group is required for each change of GP Practice Registration.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RSTART DATE (GMP PATIENT REGISTRATION)
REND DATE (GMP PATIENT REGISTRATION)
RORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Accommodation Type:
To carry details of the type of accommodation for the patient.
One occurrence of this group is permitted for each accommodation status.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MACCOMMODATION STATUS CODE
RACCOMMODATION STATUS RECORDED DATE

Care Plan Type:
To carry details of Care Plans created for a patient by the organisation.
One occurrence of this group is permitted for each Care Plan created for the patient.
M/R/OData Set Data Elements
MCARE PLAN IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MCARE PLAN TYPE (COMMUNITY CARE)
MCARE PLAN CREATION DATE
RCARE PLAN CREATION TIME
RCARE PLAN LAST UPDATED DATE
RCARE PLAN LAST UPDATED TIME
RCARE PLAN IMPLEMENTATION DATE

Care Plan Agreement:
To carry details of any agreements to a Care Plan by a patient, team or organisation.
One occurrence of this group is permitted for each agreement of a Care Plan.
M/R/OData Set Data Elements
MCARE PLAN IDENTIFIER
MCARE PLAN AGREED BY
RCARE PLAN AGREED DATE
RCARE PLAN AGREED TIME

Social and Personal Circumstances:
To carry details of social and personal circumstances of a patient.
One occurrence of this group is permitted for each social and personal circumstance recorded.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
MSOCIAL AND PERSONAL CIRCUMSTANCE RECORDED DATE

Employment Status:
To carry details of the employment status of the patient.
One occurrence of this group is permitted for each employment status.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MEMPLOYMENT STATUS
REMPLOYMENT STATUS RECORDED DATE
RWEEKLY HOURS WORKED

REFERRALS

Service or Team Referral:
To carry details of the Service or Team referral that the patient is subject to.
One occurrence of this group is permitted for each referral.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MREFERRAL REQUEST RECEIVED DATE
RREFERRAL REQUEST RECEIVED TIME
ONHS SERVICE AGREEMENT LINE NUMBER
RSOURCE OF REFERRAL FOR COMMUNITY
RORGANISATION IDENTIFIER (REFERRING)
RREFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH AND COMMUNITY CARE)
RPRIORITY TYPE CODE
RPRIMARY REASON FOR REFERRAL (COMMUNITY CARE)
RSERVICE DISCHARGE DATE
RDISCHARGE LETTER ISSUED DATE (MENTAL HEALTH AND COMMUNITY CARE)

Service or Team Type Referred To:
To carry details of the Service or Team that the patient has been referred to.
One occurrence of this group is permitted for each service or team that a patient has been referred to.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MSERVICE OR TEAM TYPE REFERRED TO (COMMUNITY CARE)
RREFERRAL CLOSURE DATE
RREFERRAL REJECTION DATE
RREFERRAL CLOSURE REASON
RREFERRAL REJECTION REASON

Other Reason for Referral:
To carry details of additional reasons why a patient has been referred to a specific service.
One occurrence of this group is permitted for each additional referral reason.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MOTHER REASON FOR REFERRAL (COMMUNITY CARE)

Referral To Treatment (RTT):
To carry Referral to Treatment details for the patient referral.
One occurrence of this group is permitted for each change in Referral To Treatment Period Status.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
RPATIENT PATHWAY IDENTIFIER
RORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)
RWAITING TIME MEASUREMENT TYPE
RREFERRAL TO TREATMENT PERIOD START DATE
RREFERRAL TO TREATMENT PERIOD START TIME
RREFERRAL TO TREATMENT PERIOD END DATE
RREFERRAL TO TREATMENT PERIOD END TIME
RREFERRAL TO TREATMENT PERIOD STATUS

Onward Referral:
To carry details of any onward referral of the patient which has taken place.
One occurrence of this group is permitted for each onward referral.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MONWARD REFERRAL DATE
RONWARD REFERRAL REASON
RORGANISATION IDENTIFIER (RECEIVING)

CARE CONTACT AND ACTIVITIES

Care Contact:
To carry details of any contacts with a patient which have taken place as result of a referral.
One occurrence of this group is permitted for each Care Contact.
M/R/OData Set Data Elements
MCARE CONTACT IDENTIFIER
MSERVICE REQUEST IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MCARE CONTACT DATE
RCARE CONTACT TIME
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RADMINISTRATIVE CATEGORY CODE
RCLINICAL CONTACT DURATION OF CARE CONTACT
RCONSULTATION TYPE
RCARE CONTACT SUBJECT
RCONSULTATION MEDIUM USED
RACTIVITY LOCATION TYPE CODE
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RGROUP THERAPY INDICATOR
RATTENDED OR DID NOT ATTEND CODE
REARLIEST REASONABLE OFFER DATE
REARLIEST CLINICALLY APPROPRIATE DATE
RCARE CONTACT CANCELLATION DATE
RCARE CONTACT CANCELLATION REASON
RREPLACEMENT APPOINTMENT DATE OFFERED
RREPLACEMENT APPOINTMENT BOOKED DATE

Care Activity:
To carry details of any activities which have taken place as part of a contact with a patient.
One occurrence of this group is permitted for each Care Activity.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MCARE CONTACT IDENTIFIER
MCOMMUNITY CARE ACTIVITY TYPE
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCLINICAL CONTACT DURATION OF CARE ACTIVITY
RPROCEDURE SCHEME IN USE
RCODED PROCEDURE (CLINICAL TERMINOLOGY)
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
ROBSERVATION SCHEME IN USE
RCODED OBSERVATION (CLINICAL TERMINOLOGY)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT

GROUP SESSIONS

Group Session:
To carry details of any group sessions which have been provided to a group of people during the reporting period.
One occurrence of this group is permitted for each Group Session activity.
M/R/OData Set Data Elements
MGROUP SESSION IDENTIFIER
MGROUP SESSION DATE
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RCLINICAL CONTACT DURATION OF GROUP SESSION
RGROUP SESSION TYPE (COMMUNITY CARE)
RNUMBER OF GROUP SESSION PARTICIPANTS
OACTIVITY LOCATION TYPE CODE
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RCARE PROFESSIONAL LOCAL IDENTIFIER
ONHS SERVICE AGREEMENT LINE NUMBER

SOCIAL CIRCUMSTANCES

Special Educational Need Identified:
To carry details of the child's or young person's Special Educational Need.
One occurrence of this group is permitted for each Special Educational Need identified.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSPECIAL EDUCATIONAL NEED TYPE

Safeguarding Vulnerability Factor:
To carry details when the child's or young person is subject to any safeguarding concerns.
One occurrence of this group is permitted for each safeguarding concern.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSAFEGUARDING VULNERABILITY FACTORS TYPE

Child Protection Plan:
To carry details when the child or young person is subject to a child protection plan.
One occurrence of this group is permitted for each child protection plan.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MCHILD PROTECTION PLAN REASON CODE
MCHILD PROTECTION PLAN START DATE
RCHILD PROTECTION PLAN END DATE

Assistive Technology to Support Disability Type:
To carry details when assistive technology is used to help support a disabled child or young person.
One occurrence of this group is permitted for each assistive technology type.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MASSISTIVE TECHNOLOGY FINDING (SNOMED CT)
RPRESCRIPTION DATE (ASSISTIVE TECHNOLOGY)

IMMUNISATIONS

Coded Immunisation:
To carry details of coded immunisation activity for a patient.
One occurrence of this group is permitted for each coded immunisation activity.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MIMMUNISATION DATE
MPROCEDURE SCHEME IN USE
MIMMUNISATION PROCEDURE (CLINICAL TERMINOLOGY)
RORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION)

Immunisation:
To carry details of immunisation activity for a child or young person.
One occurrence of this group is permitted for each immunisation activity.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MIMMUNISATION DATE
MCHILDHOOD IMMUNISATION TYPE (CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICES)
RORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION)

DIAGNOSES, TESTS AND OBSERVATIONS

Medical History (Previous Diagnosis):
To carry details of any previous diagnoses for a patient, which are stated by the patient or patient proxy or recorded in medical notes.
These do not have to have been diagnosed by the organisation submitting the data.
One occurrence of this group is permitted for each previous diagnosis.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MDIAGNOSIS SCHEME IN USE
MPREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
RDIAGNOSIS DATE

Disability Type:
To carry details of the type of disability affecting a patient, based on their perception or the perception of a patient proxy.
One occurrence of this group is permitted for each disability identified.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MDISABILITY CODE
RDISABILITY IMPACT PERCEPTION

Newborn Hearing Screening Audiology Referral:
To carry details of how concerns following Newborn Hearing Screening are followed up.
One occurrence of this group is permitted for each newborn hearing audiology test.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
RNEWBORN HEARING SCREENING OUTCOME
RSERVICE REQUEST DATE (NEWBORN HEARING AUDIOLOGY)
RPROCEDURE DATE (NEWBORN HEARING AUDIOLOGY)
RNEWBORN HEARING AUDIOLOGY OUTCOME

Blood Spot Result:
To carry details of the results of newborn blood spot tests.
One occurrence of this group is permitted for each newborn blood spot test.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
RBLOOD SPOT CARD COMPLETION DATE
RNEWBORN BLOOD SPOT TEST RESULT RECEIVED DATE
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (PHENYLKETONURIA)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (SICKLE CELL DISEASE)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (CYSTIC FIBROSIS)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (CONGENITAL HYPOTHYROIDISM)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (MEDIUM CHAIN ACYL-COA DEHYDROGENASE DEFICIENCY)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (HOMOCYSTINURIA)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (MAPLE SYRUP URINE DISEASE)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (GLUTARIC ACIDURIA TYPE 1)
RNEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (ISOVALERIC ACIDURIA)

Infant Physical Examination (General Medical Practitioner Delivered):
To carry details of the Infant Physical Examination carried out by the General Medical Practitioner.
One occurrence of this group is permitted for each Infant Physical Examination.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MINFANT PHYSICAL EXAMINATION DATE
RINFANT PHYSICAL EXAMINATION RESULT (HIPS)
RINFANT PHYSICAL EXAMINATION RESULT (HEART)
RINFANT PHYSICAL EXAMINATION RESULT (EYES)
RINFANT PHYSICAL EXAMINATION RESULT (TESTES)

Provisional Diagnosis:
To carry details of a provisional diagnosis for a patient made by the service that the patient was referred to.
One occurrence of this group is permitted for each provisional diagnosis.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MPROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
RPROVISIONAL DIAGNOSIS DATE

Primary Diagnosis:
To carry details of the primary diagnosis for a patient made by the service that the patient was referred to.
One occurrence of this group is permitted for the primary diagnosis. The primary diagnosis can change during a reporting period.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MPRIMARY DIAGNOSIS (CODED CLINICAL ENTRY)
RDIAGNOSIS DATE

Secondary Diagnosis:
To carry details of a secondary diagnosis for a patient made by the service that the patient was referred to.
One occurrence of this group is permitted for each secondary diagnosis.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MSECONDARY DIAGNOSIS (CODED CLINICAL ENTRY)
RDIAGNOSIS DATE

Coded Scored Assessment (Referral):
To carry details of scored assessments that are issued and completed as part of a referral period where a specific service or team is responsible for the patient, but do not take place at a specific contact.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a contact.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
RASSESSMENT TOOL COMPLETION DATE

Breastfeeding Status:
To carry details of a child's breastfeeding status as recorded at a contact.
One occurrence of this group is permitted containing the most recently recorded breastfeeding status.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MBREASTFEEDING STATUS

Observation:
To carry details of observations of a patient which take place at a contact.
One occurrence of this group is permitted containing the most recently recorded observation(s).
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER
RPERSON WEIGHT
RPERSON HEIGHT IN METRES
RPERSON LENGTH IN CENTIMETRES

Coded Scored Assessment (Contact):
To carry details of scored assessments that are issued and completed as part of a specific contact.
One occurrence of this group is permitted for each coded scored assessment question or dimension.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE

ANONYMOUS SELF-ASSESSMENT

Anonymous Self-Assessment:
To carry details of anonymous assessments that are issued by the Community Health Service.
One occurrence of this group is permitted when an anonymous self-assessment is received from a patient.
M/R/OData Set Data Elements
MASSESSMENT TOOL COMPLETION DATE
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
RACTIVITY LOCATION TYPE CODE
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

STAFF DETAILS

Staff Details:
To carry details of the staff involved in the treatment of a patient.
One occurrence of this group is permitted for each staff member.
M/R/OData Set Data Elements
MCARE PROFESSIONAL LOCAL IDENTIFIER
RPROFESSIONAL REGISTRATION BODY CODE
RPROFESSIONAL REGISTRATION ENTRY IDENTIFIER
RCARE PROFESSIONAL STAFF GROUP (COMMUNITY CARE)
ROCCUPATION CODE
RCARE PROFESSIONAL (JOB ROLE CODE)

top


IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET

Change to Data Set: Changed Description

The Improving Access to Psychological Therapies Data Set will be in included in a future version of the Mental Health Services Data Set.

Improving Access to Psychological Therapies Data Set Overview

Due to the rapidly changing situation with Covid-19 for both providers and NHS Digital, the transition from Improving Access to Psychological Therapies (IAPT) Data Set v1.5 to v2.0 has been postponed until 1 July 2020.0 has been postponed until 1 August 2020.

The situation will be reviewed regularly and any decision regarding a further extension will be made at least two weeks prior to the new go-live date.August 2020 data will start being submitted from 1 September 2020.

For further information please contact: enquiries@nhsdigital.nhs.uk.

Version 1.5 of the data set can be found at: IAPT Data Set.

For a "Full Screen" view, click Improving Access to Psychological Therapies Data Set.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

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

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc.) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

For guidance on the Data Set constraints, see the Improving Access to Psychological Therapies Data Set Constraints.

HEADER

Header:
To carry header details for the submission.
One occurrence of this group is required.
M/R/OData Set Data Elements
MDATA SET VERSION NUMBER
MORGANISATION IDENTIFIER (CODE OF PROVIDER)
MORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
MPRIMARY DATA COLLECTION SYSTEM IN USE
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MDATE AND TIME DATA SET CREATED

PATIENT DEMOGRAPHICS

Master Patient Index:
To carry personal details of the patient.
One occurrence of this group is required.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
RORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)
RNHS NUMBER
RNHS NUMBER STATUS INDICATOR CODE
RPERSON BIRTH DATE
RPOSTCODE OF USUAL ADDRESS
RPERSON STATED GENDER CODE
RETHNIC CATEGORY
REX-BRITISH ARMED FORCES INDICATOR
RLANGUAGE CODE (PREFERRED)
REDUCATIONAL ESTABLISHMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

GP Practice Registration:
To carry details of the GP Practice Registration of the patient.
One occurrence of this group is required for each change of GP Practice Registration.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RSTART DATE (GMP PATIENT REGISTRATION)
REND DATE (GMP PATIENT REGISTRATION)
RORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Employment Status:
To carry details of the employment status of the patient.
One occurrence of this group is permitted for each employment status.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MEMPLOYMENT STATUS
REMPLOYMENT STATUS RECORDED DATE
RWEEKLY HOURS WORKED
RSELF EMPLOYED INDICATOR
RSICKNESS ABSENCE INDICATOR
RSTATUTORY SICK PAY RECEIPT INDICATOR
RBENEFIT RECEIPT INDICATOR (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
RJOBSEEKERS ALLOWANCE RECEIPT INDICATOR
REMPLOYMENT AND SUPPORT ALLOWANCE RECEIPT INDICATOR
RUNIVERSAL CREDIT RECEIPT INDICATOR
RPERSONAL INDEPENDENCE PAYMENT RECEIPT INDICATOR
ROTHER BENEFITS RECEIPT INDICATOR (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
REMPLOYMENT SUPPORT SUITABILITY INDICATOR
REMPLOYMENT SUPPORT REFERRAL DATE

Disability Type:
To carry details of the type of disability affecting a patient, based on formal diagnoses, the patient’s perception or the perception of a patient proxy.
One occurrence of this group is permitted for each disability identified.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MDISABILITY CODE

Social and Personal Circumstances
To carry details of social and personal circumstances of a patient.
One occurrence of this group is permitted for each social and personal circumstance recorded.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
RSOCIAL AND PERSONAL CIRCUMSTANCE RECORDED DATE

Overseas Visitor Charging Category
To carry details of the Overseas Visitor Charging Category of the patient.
Multiple occurrences of this group are permitted, one for each Overseas Visitor Charging Category recorded for the patient.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MOVERSEAS VISITOR CHARGING CATEGORY
ROVERSEAS VISITOR CHARGING CATEGORY APPLICABLE DATE

REFERRALS

Service or Team Referral:
To carry details of the Service or Team referral that the patient is subject to.
One occurrence of this group is required for each referral.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MREFERRAL REQUEST RECEIVED DATE
RSOURCE OF REFERRAL FOR MENTAL HEALTH
RYEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
RPREVIOUS DIAGNOSED CONDITION INDICATOR
RDISCHARGE FROM IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE REASON
RSERVICE DISCHARGE DATE

Onward Referral:
To carry details of any onward referral of the patient which has taken place.
One occurrence of this group is permitted for each onward referral.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MONWARD REFERRAL DATE
RONWARD REFERRAL TIME
RONWARD REFERRAL REASON
RORGANISATION IDENTIFIER (RECEIVING)

WAITING TIME PAUSES

Waiting Time Pauses:
To carry details of the Waiting Time Pauses.
One occurrence is permitted for each Waiting Time Pause.
M/RData Set Data Elements
MIMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER
MSERVICE REQUEST IDENTIFIER
MACTIVITY SUSPENSION START DATE
RACTIVITY SUSPENSION END DATE
RIMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION REASON

CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES

Care Contact:
To carry details of any contacts with a patient which have taken place as part of a referral.
One occurrence of this group is permitted for each Care Contact.
M/R/OData Set Data Elements
MCARE CONTACT IDENTIFIER
MSERVICE REQUEST IDENTIFIER
MCARE CONTACT DATE
RCARE CONTACT TIME
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RPLANNED CARE CONTACT INDICATOR
RATTENDED OR DID NOT ATTEND CODE
RAPPOINTMENT SLOT SHORT NOTICE CANCELLATION INDICATOR
RCLINICAL CONTACT DURATION OF CARE CONTACT
MINTEGRATED IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES LONG TERM CONDITION SERVICE INDICATOR
MAPPOINTMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
RCONSULTATION MEDIUM USED
RINTERNET ENABLED THERAPY PROGRAMME
RCARE CONTACT PATIENT THERAPY MODE
RNUMBER OF GROUP THERAPY PARTICIPANTS
RNUMBER OF GROUP THERAPY FACILITATORS
RPSYCHOTROPIC MEDICATION USAGE INDICATION CODE
RACTIVITY LOCATION TYPE CODE
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RLANGUAGE CODE (TREATMENT)
RINTERPRETER PRESENT AT CARE CONTACT INDICATION CODE

Care Activity:
To carry details of any activities which have taken place as part of a Care Contact.
One occurrence of this group is permitted for each Care Activity.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MCARE CONTACT IDENTIFIER
RCARE PERSONNEL LOCAL IDENTIFIER
RCLINICAL CONTACT DURATION OF CARE ACTIVITY
RCODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
RCODED OBSERVATION (SNOMED CT)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT

Internet Enabled Therapy Care Professional Activity Log:
To carry details of the summarised activity during a specified time period for the Care Professional supporting Internet Enabled Therapy for a patient.
One occurrence this group is permitted for each activity log.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MSTART DATE (INTERNET ENABLED THERAPY ACTIVITY LOG)
MEND DATE (INTERNET ENABLED THERAPY ACTIVITY LOG)
MINTERNET ENABLED THERAPY PROGRAMME
MDURATION OF INTERNET ENABLED THERAPY IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE PROFESSIONAL CLINICAL TIME
RCARE PERSONNEL LOCAL IDENTIFIER
RINTERNET ENABLED THERAPY INTEGRATED SOFTWARE ENGINE USED INDICATOR

CLINICALLY CODED TERMINOLOGY

Long Term Physical Health Condition:
To carry details of any Long Term Physical Health Conditions for a patient which are stated by the patient or recorded in medical notes
One occurrence of this group is permitted for each Long Term Physical Health Condition.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MFINDING SCHEME IN USE
MLONG TERM PHYSICAL HEALTH CONDITION (CODED CLINICAL ENTRY)

Presenting Complaints:
To carry details of the primary and any secondary presenting complaints recorded for a patient, made by the service that the patient was referred or admitted to.
One occurrence of this group is permitted for each presenting complaint.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MFINDING SCHEME IN USE
MPRESENTING COMPLAINT (CODED CLINICAL ENTRY)
RPRESENTING COMPLAINT CODING SIGNIFICANCE
RPRESENTING COMPLAINT RECORDED DATE

Coded Scored Assessment (Referral):
To carry details of scored assessments that are issued and completed as part of a Service Request, but do not take place at a specific contact.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a Care Contact.
M/R/OData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
MASSESSMENT TOOL COMPLETION DATE
RASSESSMENT TOOL COMPLETION TIME

Coded Scored Assessment (Care Activity):
To carry details of scored assessments that are issued and completed as part of a specific Care Activity.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a specific Care Activity.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE

CARE CLUSTERS

Care Cluster:
To carry details of the Care Cluster resulting from a clustering tool assessment.
One occurrence of this group is permitted for each period of time that a patient was allocated to a Care Cluster.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MADULT MENTAL HEALTH CARE CLUSTER CODE (FINAL)
MSTART DATE (CARE CLUSTER ASSIGNMENT PERIOD)
RSTART TIME (CARE CLUSTER ASSIGNMENT PERIOD)
REND DATE (CARE CLUSTER ASSIGNMENT PERIOD)
REND TIME (CARE CLUSTER ASSIGNMENT PERIOD)

CARE PERSONNEL QUALIFICATION

Care Personnel:
To carry details of each qualification attained or planned to be attained by the Care Personnel.
One occurrence of this group is permitted for each qualification.
M/R/OData Set Data Elements
MCARE PERSONNEL LOCAL IDENTIFIER
MQUALIFICATION ATTAINMENT LEVEL (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
REMPLOYEE QUALIFICATION AWARDED DATE
REMPLOYEE QUALIFICATION PLANNED COMPLETION DATE

top


CLINICAL DATA SETS MESSAGE DOCUMENTATION MENU

Change to Supporting Information: Changed Description

top


CONTACT DETAILS

Change to Supporting Information: Changed Description

top


HAEMODIALYSIS

Change to Supporting Information: Changed Description

Haemodialysis is a CLINICAL INTERVENTION

Haemodialysis is a form of Renal Dialysis which removes waste products from the blood by passing it out of the body through a filtering system (dialyser) and returning it, cleaned, to the body.

For further information on Haemodialysis, see Kidney Patient Guide - Haemodialysis.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information. 

top


HAEMOFILTRATION

Change to Supporting Information: Changed Description

Haemofiltration is a CLINICAL INTERVENTION.

Haemofiltration is a form of Renal Dialysis, mainly used in a critical care setting, which removes waste products from the blood by passing it out of the body through a set of tubing (filtration circuit) to a semi-permeable membrane (filter) and returning it, cleaned, to the body.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information. 

top


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".

Note:

  • New National Codes for MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard. Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas. Prior to these updates, health and care Organisations must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021. Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.
  • New National Codes for MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard.
    • Page 8 of the "Change Specification" provides a list of the new TREATMENT FUNCTION CODES.
    • Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas.
    • Prior to these updates, health and care Organisations must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021.
    • Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.

Table 1 Main Specialty codes

 CodeMain Specialty TitleComments
Surgical Specialties
 100General SurgeryFor further information, see: Royal College of Surgeons - General Surgery
 101UrologyFor further information, see: Royal College of Surgeons - Urology
 107Vascular SurgeryFor further information, see: Royal College of Surgeons - Vascular Surgery
 110Trauma and OrthopaedicsFor further information, see: Royal College of Surgeons - Orthopaedic Surgery
 120Ear Nose and ThroatFormerly known as ENT.
For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)
 130OphthalmologyFor further information, see: The Royal College of Ophthalmologists
 140Oral SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 141Restorative DentistryFor further information, see: The British Society for Restorative Dentistry (BSRD)
 142Paediatric DentistryFor further information, see: The British Society of Paediatric Dentistry
 143OrthodonticsFor further information, see: British Orthodontic Society
 145Oral and Maxillofacial SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 146EndodonticsFor further information, see: British Endodontic Society
 147PeriodonticsFor further information, see: British Society of Periodontology
 148ProsthodonticsFor further information, see: The British Society of Prosthodontics (BSSPD)
 149Surgical DentistryFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 150NeurosurgeryFor further information, see: Royal College of Surgeons - Neurosurgery
 160Plastic SurgeryFor further information, see: Royal College of Surgeons - Plastic and Reconstructive
 170Cardiothoracic SurgeryFor further information, see: Royal College of Surgeons - Cardiothoracic Surgery
 171Paediatric SurgeryFor further information, see: Royal College of Surgeons - Paediatric Surgery
 191Pain Management (Retired 1 April 2004) 
Medical Specialties
 180Emergency MedicineFormerly known as Accident and Emergency.
For further information, see: The Royal College of Emergency Medicine
 190AnaestheticsFor further information, see: Royal College of Anaesthetists
 192Intensive Care MedicineFormerly known as Critical Care Medicine.
For further information, see: The Faculty of Intensive Care Medicine
 200Aviation and Space MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine
 300General Internal MedicineFormerly known as General Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
 301GastroenterologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology
 302Endocrinology and DiabetesFormerly known as Endocrinology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
 303Clinical HaematologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
 304Clinical PhysiologyFor further information, see: The Registration Council for Clinical Physiologists
 305Clinical PharmacologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
 310Audio Vestibular MedicineFormerly known as Audiological Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine
 311Clinical GeneticsFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics
*312Clinical Cytogenetics and Molecular Genetics (Retired 1 April 2010) 
 313Clinical ImmunologyFormerly known as Clinical Immunology and Allergy.
For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology
 314Rehabilitation MedicineFormerly known as Rehabilitation.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine
 315Palliative MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine
 317AllergyFor further information, see: Joint Royal Colleges of Physicians Training Board - Allergy
 320CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology
 321Paediatric CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology
 325Sport and Exercise MedicineFor further information, see: Faculty of Sport and Exercise Medicine
 326Acute Internal MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine
 330DermatologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
 340Respiratory MedicineAlso known as Thoracic Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
 350Infectious DiseasesFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
 352Tropical MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine
 360Genitourinary MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine
 361Renal MedicineFormerly known as Nephrology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
 370Medical OncologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
 371Nuclear MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
 400NeurologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
 401Clinical NeurophysiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology
 410RheumatologyFor further information, see: British Society for Rheumatology
 420PaediatricsFor further information, see: Royal College of Paediatrics and Child Health - General Paediatrics
 421Paediatric NeurologyFor further information, see: Royal College of Paediatrics and Child Health - Neurology
 430Geriatric MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
 450Dental MedicineFormerly known as Dental Medicine Specialties.
For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 451Special Care DentistryFor further information, see: Special Care Dentistry Association (SCDA)
 460Medical OphthalmologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
500Obstetrics and GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 501ObstetricsFor further information, see: Royal College of Obstetricians and Gynaecologists
 502GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 504Community Sexual and Reproductive HealthFor further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists
 510Antenatal Clinic (Retired 1 April 2004) 
 520Postnatal Clinic (Retired 1 April 2004) 
 600General Medical PracticeFor further information, see: Royal College of General Practitioners
 601General Dental PracticeFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 610Maternity Function (Retired 1 April 2004) 
 620Other Than Maternity (Retired 1 April 2004) 
 831Medical Microbiology and VirologyFor further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology
 833Medical MicrobiologyAlso known as Microbiology and Bacteriology.
For further information, see: The Royal College of Pathologists - Medical Microbiology
 834Medical VirologyFor further information, See: The Royal College of Pathologists - Medical Virology
Psychiatry
 700Intellectual DisabilityFormerly known as Learning Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability
 710Adult Mental IllnessFor further information, see: NHS England - Adult and older adult mental health
 711Child and Adolescent PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
 712Forensic PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
 713Medical PsychotherapyFor further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy
 715Old Age PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
Other
 560MidwiferyFormerly known as Midwife Episode.
For further information, see: Royal College of Midwives
 800Clinical OncologyFormerly known as Radiotherapy.
For further information, see: The Royal College of Radiologists - Clinical Oncology
 810RadiologyFor further information, see: The Royal College of Radiologists (RCR)
 820General PathologyFor further information, see: The Royal College of Pathologists
 821Blood TransfusionFor further information, see: The Royal College of Pathologists - Blood Transfusion
 822Chemical PathologyFor further information, see: The Royal College of Pathologists
 823HaematologyFor further information, see: The Royal College of Pathologists - Haematology
 824HistopathologyFor further information, see: The Royal College of Pathologists - Histopathology
 830ImmunopathologyFor further information, see: The Royal College of Pathologists - Immunology
 832Neuropathology (Retired 1 April 2004) 
 900Community MedicineFor further information, see: Faculty of Public Health
 901Occupational MedicineFor further information, see: Royal College of Physicians - Faculty of Occupational Medicine
 902Community Health Services DentalFor further information, see: Faculty of Public Health
 903Public Health MedicineFor further information, see: Faculty of Public Health
 904Public Health DentalFor further information, see: GOV.uk - Oral Health
 950NursingFormerly known as Nursing Episode.
For further information, see: Nursing & Midwifery Council
 960Allied Health ProfessionalFormerly known as Allied Health Professional Episode.
For further information, see: Health and Care Professions Council
 990Joint Consultant Clinics (Retired 1 April 2004) 

Notes:
Code 500 is not acceptable for data sets/collections 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 Surgery ServiceSERVICES delivering surgical ACTIVITY not covered by other subspecialty areas. The majority of elective procedures, about 80 per cent, fall outside subspecialty areas.
For further information, see: Royal College of Surgeons - Surgical Specialties
101Urology ServiceSurgical SERVICES for the treatment of disorders of the urinary system and male reproductive system. This includes surgery for gender dysphoria.
For further information, see: Royal College of Surgeons - Urology
102Transplant Surgery ServiceSERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Cardiothoracic Transplantation Service - see TREATMENT FUNCTION CODE 174, corneal grafts carried out by Ophthalmology Service - see TREATMENT FUNCTION CODE 130 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
For further information, see: Royal College of Surgeons - General Surgery
103Breast Surgery ServiceSERVICES which include surgical treatment for cancer, suspected neoplasms, indeterminate breast lesions, benign breast lumps, disorders of the nipple-areolar complex, cysts and post-cancer reconstructive, revision and symmetrising surgery. Includes breast surgery for gender dysphoria. Excludes cosmetic surgery.
For further information, see: Association of Breast Surgery
104Colorectal Surgery ServiceSERVICES for the surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105Hepatobiliary and Pancreatic Surgery ServiceSpecialist surgical SERVICES for hepatobiliary and pancreatic (HPB) disorders. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Transplant Surgery Service - see TREATMENT FUNCTION CODE 102.
For further information, see: NHS England - A02. Hepatobiliary and Pancreas
106Upper Gastrointestinal Surgery ServiceSERVICES for surgical treatment of disorders of the upper parts of the gastrointestinal tract.
For further information, see: Royal College of Surgeons - General Surgery
107Vascular Surgery ServiceSERVICES for the surgical treatment of diseases of the vascular system.
For further information, see: Royal College of Surgeons - Vascular Surgery
108Spinal Surgery ServiceSurgery concentrating on specialised and complex treatment of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Service - see TREATMENT FUNCTION CODE 111, Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Injuries Service - see TREATMENT FUNCTION CODE 323.
For further information, see: British Association of Spine Surgeons
109Bariatric Surgery ServiceSERVICES assessing, managing and treating obesity, and specifically consideration of bariatric (weight loss) surgery. It includes PATIENTS who are obese and have, or are at risk of, other medical conditions. It does not cover preventing a PERSON from becoming overweight or obese, or lifestyle weight management programmes for a PERSON who is overweight or obese.
For further information, see: National Institute for Health and Care Excellence - Obesity
110Trauma and Orthopaedic ServiceSERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Orthopaedic Surgery Service - TREATMENT FUNCTION CODE 111 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Surgeons - Major Trauma Surgery and Royal College of Surgeons - Orthopaedic Surgery
111Orthopaedic ServiceSERVICES for the elective or planned surgical assessment or treatment of the musculoskeletal system. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. Where there is no dedicated Orthopaedic Service use Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110.
For further information, see: Royal College of Surgeons - Orthopaedic Surgery
113Endocrine Surgery ServiceSERVICES for the surgical treatment of diseases of the thyroid and/or other endocrine glands.
For further information, see: Royal College of Surgeons - General Surgery
115Trauma Surgery ServiceMajor trauma specialist SERVICES at a designated unit, with the specific exclusion of Spinal Surgery Service - see TREATMENT FUNCTION CODE 108.
Excludes elective or planned Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111. Where there is no major trauma centre use Trauma and Orthopaedics Service - see TREATMENT FUNCTION CODE 110.
For further information, see: Royal College of Surgeons - Major Trauma Surgery
120Ear Nose and Throat ServiceFormerly known as ENT.
Surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: Royal College of Surgeons - Ear, Nose & Throat (ENT)
130Ophthalmology ServiceThe surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology Service - see TREATMENT FUNCTION CODE 460 and Ophthalmic and Vision Science Service - see TREATMENT FUNCTION CODE 461.
For further information, see: Royal College of Ophthalmologists
140Oral Surgery ServiceRetained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
141Restorative Dentistry ServiceSERVICES providing examination and treatment of diseases of the oral cavity, the teeth and their supporting structures. Restorative Dentistry includes the dental specialties of Endodontics, Periodontics and Prosthodontics (including implantology), and its foundation is based upon how these interact in the management of cases requiring multifaceted care.
For further information, see: British Society for Restorative Dentistry
143Orthodontic ServiceSERVICES for the treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth.
For further information, see: British Orthodontic Society
144Maxillofacial Surgery ServiceRetained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
145Oral and Maxillofacial Surgery ServiceSERVICES for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck.
Formerly categorised as TREATMENT FUNCTION CODE 140 (Oral Surgery) and TREATMENT FUNCTION CODE 144 (Maxillofacial Surgery); however, professional recommendation is to use this TREATMENT FUNCTION CODE.
For further information, see: British Association of Oral & Maxillofacial Surgeons
149not a Treatment Function 
150Neurosurgical ServiceSurgical SERVICES for the treatment of disorders of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service – see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Surgeons - Neurosurgery
160Plastic Surgery ServiceSERVICES 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. For care given within specialist burn services, use Burns Care Service - see TREATMENT FUNCTION CODE 161. Excludes breast surgery for gender dysphoria, use Breast Surgery Service - see TREATMENT FUNCTION CODE 103.
For further information, see: Royal College of Surgeons - Plastic and Reconstructive
161Burns Care ServiceSERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
For further information, see: British Burn Association
170Cardiothoracic Surgery ServiceSERVICES delivering surgical treatment of diseases affecting the heart and organs inside the thorax (the chest). Should only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
172Cardiac Surgery ServiceSERVICES delivering surgical treatment of diseases affecting the heart. Procedures are often lengthy and complex, requiring support from advanced forms of technology during surgery and CRITICAL CARE LEVEL 2 and 3 for the PATIENT after surgery.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
173Thoracic Surgery ServiceSERVICES providing surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. Predominantly this is surgical treatment of malignant disease or its effects.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
174Cardiothoracic Transplantation ServiceSERVICES for pre- and post-operative care for heart and lung transplants. To be used by recognised specialist units and associated outreach services only.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
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.
142Paediatric Dentistry ServiceDedicated children's SERVICES for dentistry with appropriate facilities and support staff.
For further information, see: The British Society of Paediatric Dentistry
171Paediatric Surgery ServiceDedicated children's SERVICES for general surgery.
For further information, see: Royal College of Surgeons - Paediatric Surgery
211Paediatric Urology ServiceDedicated children's SERVICES for surgical treatment of disorders of the urinary system and male reproductive system.
For further information, see: British Association of Paediatric Surgeons - Urology
212Paediatric Transplantation Surgery ServiceDedicated children's SERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Paediatric Cardiac Surgery Service - see TREATMENT FUNCTION CODE 221, Paediatric Thoracic Surgery Service - see TREATMENT FUNCTION CODE 222, corneal grafts carried out by Paediatric Ophthalmology Service - see TREATMENT FUNCTION CODE 216 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
For further information, see: Royal College of Surgeons - General Surgery
213Paediatric Gastrointestinal Surgery ServiceDedicated children's SERVICES for surgical treatment of disorders of the gastrointestinal tract.
For further information, see: British Association of Paediatric Surgeons - Gastrointestinal
214Paediatric Trauma and Orthopaedic ServiceDedicated children's SERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
For further information, see: British Society for Children's Orthopaedic Surgery (BSCOS)
215Paediatric Ear Nose and Throat ServiceDedicated children's surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: British Association for Paediatric Otolaryngology
216Paediatric Ophthalmology ServiceDedicated children's SERVICES for the surgical treatment of disorders and diseases of the eye.
For further information, see: British & Irish Paediatric Ophthalmology and Strabismus Association
217Paediatric Oral and Maxillofacial Surgery ServiceDedicated children's SERVICES for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck.
For further information, see: British Association of Oral & Maxillofacial Surgeons
218Paediatric Neurosurgery ServiceDedicated children's SERVICES for the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.
For further information, see: Royal College of Surgeons - Neurosurgery
219Paediatric Plastic Surgery ServiceDedicated children's SERVICES for correction or to restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist paediatric burn services, use Paediatric Burns Care Service - see TREATMENT FUNCTION CODE 220.
For further information, see: NHS England: E02. Specialised Surgery in Children
220Paediatric Burns Care ServiceDedicated children's SERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
For further information, see: British Burn Association
221Paediatric Cardiac Surgery ServiceDedicated children's SERVICES for the surgical treatment of the heart or great vessels.
For further information, see: NHS England: E05. Congenital Heart Services
222Paediatric Thoracic Surgery ServiceDedicated children's SERVICES for the surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm.
For further information, see: British Association of Paediatric Surgeons - Thoracic
223Paediatric Epilepsy ServiceDedicated children's SERVICES by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff.
For further information, see: Royal College of Paediatrics and Child Health - Epilepsy
230Paediatric Clinical Pharmacology ServiceDedicated children's SERVICES providing advice and support locally and nationally regarding the introduction of new medicines, adverse drug reactions, poisoning and toxicity, and prescribing policies.
For further information, see: Royal College of Paediatrics and Child Health - Drugs and medicines
240Paediatric Palliative Medicine ServiceDedicated children's SERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other problems, physical, psychosocial and spiritual.
For further information, see: Royal College of Paediatrics and Child Health - Palliative care
241Paediatric Pain Management ServiceDedicated children's SERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team.
For further information, see: Royal College of Paediatrics and Child Health - Pain management
242Paediatric Intensive Care ServiceDedicated children's SERVICES only to be used by designated Paediatric Intensive Care Units.
For further information, see: Royal College of Paediatrics and Child Health - Intensive care medicine
250Paediatric Hepatology ServiceDedicated children's SERVICES for the treatment of disease of the liver.
For further information, see: Royal College of Paediatrics and Child Health - Hepatology
251Paediatric Gastroenterology ServiceDedicated children's SERVICES for the treatment of disorders of the digestive system.
For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology
252Paediatric Endocrinology ServiceDedicated children's SERVICES for the treatment of disorders of the endocrine system. Excludes Paediatric Diabetes Service - see TREATMENT FUNCTION CODES 263.
For further information, see: British Society for Paediatric Endocrinology and Diabetes
253Paediatric Clinical Haematology ServiceDedicated children's SERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
For further information, see: NHS England: E03. Paediatric Medicine
254Paediatric Audio Vestibular Medicine ServiceDedicated children's SERVICES for the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: British Association of Paediatricians in Audiology
255Paediatric Clinical Immunology and Allergy ServiceDedicated children's SERVICES for the treatment of disorders of the immune system and allergic disease.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
256Paediatric Infectious Diseases ServiceDedicated children's SERVICES for the diagnosis and treatment of contagious or communicable diseases.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
257Paediatric Dermatology ServiceDedicated children's SERVICES for the treatment of diseases of the skin.
For further information, see: The British Society for Paediatric Dermatology (BSPD)
258Paediatric Respiratory Medicine ServiceDedicated children's SERVICES for the diagnosis and treatment of respiratory conditions.
Also known as Thoracic Medicine and Pulmonary Medicine.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric respiratory medicine - sub-specialty
259Paediatric Nephrology ServiceDedicated children's SERVICES for the diagnosis and treatment of kidney conditions and abnormalities.
Also known as Renal Medicine.
For further information, see: Royal College of Paediatrics and Child Health - Nephrology
260Paediatric Medical Oncology ServiceDedicated children's SERVICES for the diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Paediatrics and Child Health - Oncology
261Paediatric Inherited Metabolic Medicine ServiceFormerly known as Paediatric Metabolic Disease.
Dedicated children's SERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
For further information, see: Royal College of Paediatrics and Child Health - Inherited metabolic medicine
262Paediatric Rheumatology ServiceDedicated children's SERVICES incorporating the investigation, multidisciplinary holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
For further information, see: Royal College of Paediatrics and Child Health - Rheumatology
263Paediatric Diabetes ServiceFormerly known as Paediatric Diabetes Medicine.
Dedicated children's SERVICES for the diagnosis, treatment and support of PATIENTS with diabetes.
For further information, see: Royal College of Paediatrics and Child Health - Diabetes
264Paediatric Cystic Fibrosis ServiceDedicated multidisciplinary children's SERVICES concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
For further information, see: NHS England: A01. Specialised Respiratory
270Paediatric Emergency Medicine ServiceDedicated children's SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Paediatrics and Child Health - Emergency Medicine
280Paediatric Interventional Radiology ServiceDedicated children's SERVICES for the diagnosis and treatment of diseases utilising minimally invasive image-guided procedures. Not to be used for Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
290Community Paediatric ServiceSERVICES providing assessment and care to vulnerable children, including those with developmental disorders and disabilities, complex behavioural presentations, and those at risk of abuse or are being abused. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291.
For further information, see: Royal College of Paediatrics and Child Health - Community child health - sub-specialty
291Paediatric Neurodisability ServiceDedicated children's SERVICES for the diagnosis and treatment of Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Intellectual Disability.
For further information, see: Royal College of Paediatrics and Child Health - Neurodisability
321Paediatric Cardiology ServiceDedicated children's SERVICES for diseases and abnormalities of the heart. Excludes Congenital Heart Disease Service - see TREATMENT FUNCTION CODE 331.
For further information, see: Joint Royal Colleges of Physicians Training Board – Paediatric Cardiology
421Paediatric Neurology ServiceDedicated children's SERVICES for diagnosis, management and medical treatment of conditions and diseases of the central nervous system, with appropriate facilities and support staff. Excludes Paediatric Epilepsy Service - see TREATMENT FUNCTION CODE 223.
For further information, see: Royal College of Paediatrics and Child Health - Neurology
Medical Specialties
180Emergency Medicine ServiceFormerly known as Accident & Emergency.
SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: The Royal College of Emergency Medicine
190Anaesthetic ServiceSERVICES for PATIENTS being assessed for anaesthesia, as well as the provision of sedation and anaesthesia for patients undergoing interventional radiology and radiotherapy.
This can be used in out-patients only. Pain Management Service should be recorded in TREATMENT FUNCTION CODE 191. Intensive Care Medicine Service should be recorded in TREATMENT FUNCTION CODE 192.
For further information, see: Royal college of Anaesthetists - Anaesthetists
191Pain Management ServiceSERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team
192Intensive Care Medicine ServiceFormerly known as Critical Care Medicine.
SERVICES using a body of specialist knowledge and practice concerned with the treatment of PATIENTS, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body’s organ systems. It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and PATIENT safety, ethics, end-of-life care, and the support of families. Typically, this will refer to CRITICAL CARE LEVEL 2 and 3 beds within the scope of the Critical Care Minimum Data Set.
For further information, see: Faculty of Intensive Care Medicine
200Aviation and Space Medicine ServiceAlso known as Aerospace Medicine Services.  
Aviation and Space Medicine SERVICES study all factors affecting the PERSON in flight. This may include pre-flight preparation and checks as well as inflight care to minimise the potentially harmful effects of their abnormal environment.
For further information, see: Royal College of Physicians - Aviation and Space Medicine
300General Internal Medicine ServiceFormerly known as General Medicine.
SERVICES include adults admitted as emergencies with acute medical problems, including multiple disorders. PATIENTS with problems that are not clearly within the remit of a particular medical specialty are referred for the opinion of a general physician.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
301Gastroenterology ServiceScreening, diagnostic and therapeutic endoscopy SERVICES including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see TREATMENT FUNCTION CODE 306.
302Endocrinology ServiceThe treatment of disorders of the endocrine system, excluding specific Diabetes Services - see TREATMENT FUNCTION CODE 307.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
303Clinical Haematology ServiceSERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
304Clinical Physiology ServicePhysiological measurement. Excludes Clinical Neurophysiology Service - see TREATMENT FUNCTION CODE 401, Audiology Service - see TREATMENT FUNCTION CODE 840, Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341, Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675, Gastrointestinal Physiology Service - see TREATMENT FUNCTION CODE 677, Urological Physiology Service - see TREATMENT FUNCTION CODE 670, Vascular Physiology Service - see TREATMENT FUNCTION CODE 673 and Ophthalmic and Vision Science - see TREATMENT FUNCTION CODE 461.
For further information, see: The Registration Council for Clinical Physiologists
305Clinical Pharmacology ServiceSERVICES undertaking and interpreting clinical investigations including clinical trials; optimising the therapeutic use of drugs; detection and analysis of adverse drug effects; contribution to medicines evaluation and management of poisoning.
For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
306Hepatology ServiceMedical SERVICES for the diagnosis and treatment of liver disease. Also known as liver medicine. For hepatobiliary endoscopy, use Gastroenterology Service - see TREATMENT FUNCTION CODE 301
307Diabetes ServiceFormerly known as Diabetes Medicine.
SERVICES to diagnose, treat and support PATIENTS with diabetes.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
308Blood and Marrow Transplantation ServiceSERVICES recognised as specialist units and associated outreach services only. Includes pre- and post-operative specialised services for autologous, allogeneic or syngeneic Blood and Marrow Transplantation.
For further information, see: British Society of Blood and Marrow Transplantation
309Haemophilia ServiceSpecialist SERVICES for the diagnosis, treatment and management of haemophilia.
For further information, see: NHS England - F02. Specialised Blood Disorders
310Audio Vestibular Medicine ServiceFormerly known as Audiological Medicine.
SERVICES concerned with the diagnosis and management of hearing and balance disorders, for example tinnitus, dysacusis and communication disorders. Rehabilitative/habilitative care is delivered by Multidisciplinary Teams and is aimed at improving the well-being and quality of life of the PATIENT concerned.
Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: Joint Royal College of Physicians Training Board - Audio vestibular Medicine
311Clinical Genetics ServiceSERVICES for the diagnosis and management of genetic disorders affecting individuals and their families.
For further information, see: Clinical Genetics
312not a Treatment Function 
313Clinical Immunology and Allergy ServiceSERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and allergic disease (abnormal immune responses to external substances). Should only be used where there are no separate SERVICES for Clinical Immunology and Allergy.
For separate services - See Clinical Immunology Service - TREATMENT FUNCTION CODE 316 and Allergy Service - TREATMENT FUNCTION CODE 317.
For further information, see: Welcome to the British Society for Allergy & Clinical Immunology (BSACI)
314Rehabilitation Medicine ServiceFormerley known as Rehabilitation Service.
SERVICES for the prevention, diagnosis, treatment and rehabilitation management of disabling conditions. Rehabilitation medicine is broadly divided into neurological rehabilitation, spinal cord injury, limb loss and prosthetics and/or musculoskeletal rehabilitation.
Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725, Cardiac Rehabilitation Service - see TREATMENT FUNCTION CODE 327, Pulmonary Rehabilitation Service - see TREATMENT FUNCTION CODE 342, Orthotics Service - See TREATMENT FUNCTION CODE 658 or Prosthetics Service - see TREATMENT FUNCTION CODE 657.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation medicine
314Rehabilitation Medicine ServiceFormerly known as Rehabilitation Service.
SERVICES for the prevention, diagnosis, treatment and rehabilitation management of disabling conditions. Rehabilitation medicine is broadly divided into neurological rehabilitation, spinal cord injury, limb loss and prosthetics and/or musculoskeletal rehabilitation.
Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725, Cardiac Rehabilitation Service - see TREATMENT FUNCTION CODE 327, Pulmonary Rehabilitation Service - see TREATMENT FUNCTION CODE 342, Orthotics Service - See TREATMENT FUNCTION CODE 658 or Prosthetics Service - see TREATMENT FUNCTION CODE 657.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation medicine
315Palliative Medicine ServiceSERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness and end of life care. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other physical, psychosocial and spiritual problems.
For further information, see: Joint Royal College of Physicians - Specialty spotlight – palliative medicine
316Clinical Immunology ServiceSERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy.
Allergy SERVICES should be recorded against Allergy Service - see TREATMENT FUNCTION CODE 317.
For further information, see: Joint Royal College of Physicians Training Board - Immunology
317Allergy ServiceSERVICES for the diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
For further information, see: Joint Royal College of Physicians Training Board - Allergy
318Intermediate Care ServiceSERVICES encompassing a range of multidisciplinary approaches, designed to safeguard independence by maximising rehabilitation and recovery after illness or injury.
For further information, see: National Institute for Health and Care Excellence - Understanding intermediate care, including reablement
319Respite Care ServiceSERVICES providing temporary care of a dependant PERSON, providing relief for their usual caregivers
320Cardiology ServiceSERVICES for PATIENTS with heart disease covering a wide range of clinical activities. Management can involve interventional treatment, cardiac imaging, preventative and therapeutic options. This includes both diagnostic and interventional procedures in the cardiac catheterisation laboratory.
For further information, see: Royal College of Physicians - Cardiology
322Clinical Microbiology ServiceSERVICES for the diagnosis, management and treatment of PATIENTS with diseases caused by bacteria, viruses, fungi and parasites.
323Spinal Injuries ServiceSERVICES for non-surgical management of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only.
Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324Anticoagulant ServiceSERVICES providing the 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 Medicine ServiceSpecific SERVICES providing 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. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111, and Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Joint Royal Colleges of Physicians Training Board - Sport and Exercise Medicine
326Acute Internal Medicine ServiceSERVICES concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness.
For further information, see: Acute Internal Medicine
327Cardiac Rehabilitation ServiceSERVICES for PATIENTS recovering from heart-related conditions such as heart attacks or procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328Stroke Medicine ServiceSERVICES for diagnosis, investigation, treatment and care of stroke PATIENTS. Excludes out-patients for Transient Ischaemic Attack Service - see TREATMENT FUNCTION CODE 329.
For further information, see: Joint Royal Colleges of Physicians Training Board - Stroke Medicine (sub-specialty)
329Transient Ischaemic Attack ServiceA multidisciplinary out-patient  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.
For further information, see: National Institute for Health and Care Excellence - Stroke and transient ischaemic attack
330Dermatology ServiceSERVICES for the treatment of diseases of the skin.
For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
331Congenital Heart Disease ServiceThe management and treatment of congenital heart disease, including the ongoing care of children into adulthood.
For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric cardiology
333Rare Disease ServiceSERVICES for rare diseases, many of which are present at birth and are either caused by a genetic problem or deficiencies or exposures to substances around the time of conception or during pregnancy. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
For further information, see: National Congenital Anomaly and Rare Disease Registration Service
335Inherited Metabolic Medicine ServiceSERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
For further information, see: Joint Royal Colleges of Physicians Training Board - Metabolic Medicine
340Respiratory Medicine ServiceRespiratory Medicine is also known as Thoracic Medicine and Pulmonary Medicine.
SERVICES for the investigation, diagnosis, management and treatment of PATIENTS with respiratory complaints. Excludes acute respiratory failure and adult respiratory distress syndrome (ARDS) - see Intensive Care Medicine Service TREATMENT FUNCTION CODE 192 and Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
341Respiratory Physiology ServiceSERVICES for the physiological measurement of the function of the respiratory system. Excludes Sleep Medicine Service - see TREATMENT FUNCTION CODE 347.
For further information, see: Association for Respiratory Technology & Physiology
342Pulmonary Rehabilitation ServiceFormerly known as Programmed Pulmonary Rehabilitation.
A multidisciplinary SERVICE for PATIENTS with chronic respiratory impairment.
For further information, see: NHS England: Pulmonary rehabilitation
343Adult Cystic Fibrosis ServiceMultidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
For further information, see: NHS England: A01. Specialised Respiratory
344Complex Specialised Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Complex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service
345Specialist Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service.
346Local Specialist Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Local specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service.
347Sleep Medicine ServiceSERVICES providing diagnosis and management of sleep disorders including parasomnias, excessive daytime sleepiness and sleep apnoea.
For further information, see: Royal Society of Medicine - Sleep Medicine Section
350Infectious Diseases ServiceSERVICES for the diagnosis, management and treatment of infectious diseases. Excludes Tropical Medicine Service - see TREATMENT FUNCTION CODE 352.
For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases
352Tropical Medicine ServiceSERVICES for the diagnosis, management and treatment of diseases that are found most often in tropical or sub-tropical regions. This TREATMENT FUNCTION CODE should be used by designated specialist centres only. Excludes Infectious Diseases Service - see TREATMENT FUNCTION CODE 350.
For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
360Genitourinary Medicine ServiceSERVICES for the investigation and management of sexually transmitted infections and HIV.
For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine (GUM)
361Renal Medicine ServiceFormerly known as Nephrology.
SERVICES for PATIENTS with acute renal failure and chronic kidney disease requiring long term care with the help of a Multidisciplinary Team. Most general medical problems in PATIENTS with kidney disease are managed by the Renal Medicine Service.
Excludes acute renal replacement therapy in the critical care setting, see Intensive Care Medicine Service - TREATMENT FUNCTION CODE 192.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
370Medical Oncology ServiceSERVICES for the specialised assessment and management of PATIENTS with cancer using chemotherapy. Includes treatment option discussions with PATIENTS, supervision of therapy and management of any complications of disease and/or treatment that may arise.
For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
371Nuclear Medicine ServiceSERVICES responsible for administration of unsealed radioactive substances to PATIENTS for the purposes of diagnosis, therapy or research.
For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
400Neurology ServiceSERVICES for the diagnosis, management and medical treatment of neurological conditions. Excludes Stroke Medicine Service - TREATMENT FUNCTION CODE 328, out-patients for Transient Ischaemic Attack Service – see TREATMENT FUNCTION CODE 329.
For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
401Clinical Neurophysiology ServicePrimarily diagnostic SERVICE concerned with recording electrical activity from the nervous system to aid diagnosis, classification and management of neurological disease. Includes Electroencephalogram (EEG) and Electromyography (EMG).
For further information, see: Joint Royal College of Physicians - Clinical Neurophysiology
410Rheumatology ServiceSERVICES incorporating the investigation, holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
For further information, see: Joint Royal College of Physicians - Rheumatology
420Paediatric ServiceDedicated children's SERVICES for the treatment of patients typically aged 0 to 18 for medical conditions, however the environments and other members of the multidisciplinary service are likely to care for surgical PATIENTS too.
For further information, see: Royal College of Paediatrics and Child Health - General paediatrics - level 3 training
422Neonatal Critical Care ServiceFormerly known as Neonatology.
SERVICES providing care for all babies that require on-going, enhanced medical care following birth. Neonatal critical care SERVICES are provided in a variety of settings dependent upon the interventions required for the baby and with dedicated transport services to support babies being transferred to and from neonatal care units. Use when NEONATAL LEVEL OF CARE = 1, 2 or 3. Includes Special Care Baby Units (SCBU), Local Neonatal Units (LNU) and Neonatal Intensive Care Units (NICU).
Any readmission would be to Paediatric Service - see TREATMENT FUNCTION CODE 420, or Paediatric Intensive Care Service - see TREATMENT FUNCTION CODE 242.
For further information, see: Royal College of Paediatrics and Child Health - Neonatal medicine - sub-specialty and NHS England - E08. Neonatal Critical Care
424Well Baby ServiceSERVICES for healthy infants born and referenced by the Maternity record who do not require any intervention other than health screening and prophylactic healthcare. General care given by the mother/substitute with healthcare education if needed.
Use when NEONATAL LEVEL OF CARE = 0 - Normal Care.
Excludes Neonatal Critical Care Service - see TREATMENT FUNCTION CODE 422
430Elderly Medicine ServiceFormerly known as Geriatric Medicine.
SERVICES to treat diseases and disabilities in older adults, particularly those with multiple morbidities. There is no set age at which PATIENTS may be under the care of the Elderly Medicine Service, this decision should be determined by the individual PATIENT's needs.
For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
431Orthogeriatric Medicine ServiceMultidisciplinary SERVICES addressing clinical and social needs in the management of PATIENTS with fragility fractures, including hip fractures. The care provided aims to be holistic and to include secondary prevention of fractures as well as acute care.
For further information, see: GM - Orthogeriatrics
450Dental Medicine ServiceSERVICES for dental treatment carried out in a hospital setting. Includes Oral Medicine.
For further information, see: British Dental Association
451Special Care Dentistry ServiceSERVICES concerned with the improvement of the oral health of PATIENTS and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or DISABILITY or, more often, a combination of these factors. The specialty focuses on adolescents and adults only and includes the important period of transition as the adolescent moves into adulthood.
For further information, see: Special Care Dentistry Association (SCDA)
460Medical Ophthalmology ServiceMedically-led SERVICES including assessment, investigation, diagnosis and management of inflammatory, vascular and neurological disorders affecting vision. May include public health screening, for example diabetic retinopathy screening.
For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
461Ophthalmic and Vision Science ServiceSERVICES providing physiological measurement of the function of the eye and vision. Includes diagnostic electrophysiology of vision, imaging and biometry.
For further information, see: NHS Health Education England: Ophthalmic and vision science
500not a Treatment Function 
501Obstetrics ServiceSERVICES managing high risk pregnancy and childbirth including miscarriages and stillbirths but specifically excluding planned terminations. Excludes Midwifery Service - see TREATMENT FUNCTION CODE 560.
For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
502Gynaecology ServiceSERVICES for the diagnosis, management and treatment of disorders of the female reproductive system. Includes planned terminations of pregnancy.
For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
503Gynaecological Oncology ServiceSERVICES to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team.
For further information, see: British Gynaecological Cancer Society
504Community Sexual and Reproductive Health ServiceSERVICES supporting people to have a positive and respectful approach to sexuality and sexual relationships and to have pleasurable and safe sexual experiences, free of infection, coercion, discrimination and violence. The SERVICE also provides access to contraception and signposts Maternity Services to support pregnancy and childbirth.
Excludes Genitourinary Medicine Service - see TREATMENT FUNCTION CODE 360 and Midwifery Service - see TREATMENT FUNCTION CODE 560.
For further information, see: Faculty of Sexual and Reproductive Healthcare (FSRH)
505Fetal Medicine ServiceSERVICES providing specialist care at a designated centre for the fetus or fetuses and mother. This includes assessment of fetal growth and wellbeing; the diagnosis and management of identified fetal disorders (including fetal abnormalities); prenatal fetal intervention and surgery; and counselling and support for parents. Excludes routine maternity screening activities - see Midwifery Service TREATMENT FUNCTION CODE 560.
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
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
834Medical Virology ServiceClinical SERVICES for the diagnosis, management and prevention of blood-borne and/or airborne viral infections. For further information, see: Royal College of Pathologists - MEDICAL VIROLOGY
Mental Health Services
656Clinical Psychology ServiceMental Health Services for the assessment, management and treatment of problems including addiction, anxiety, depression, behavioural difficulties and relationship issues. Methods of assessment include psychometric tests, interviews and direct observation of behaviour. Assessment may lead to advice, counselling or therapy.
For further information, see: The British Psychological Society
700Intellectual Disability ServiceFormerly known as Learning Disability.
Mental Health Services provided to PATIENTS with an Intellectual Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability
710Adult Mental Health ServiceMental Health Services provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness and maintenance of mental health.
For further information, see: Royal College of Psychiatrists - Faculty of General Adult Psychiatry
711Child and Adolescent Psychiatry ServiceMental Health Services for children and young people with somatisation and complex presentations, behavioural challenges, eating disorders, mood disorders, anxiety, and other mental health presentations. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291 and specialist Eating Disorders Service - see TREATMENT FUNCTION CODE 720.
For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
712Forensic Psychiatry ServiceMental Health Services for the assessment, management and treatment of PATIENTS who are being held in high, medium and low secure units or prisons. This includes prevention of further harm in the community or to the individual themselves.
For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
713Medical Psychotherapy ServiceFormerly known as Psychotherapy.
Multidisciplinary Mental Health Services to assess, manage and treat children and adults with mental health problems using talking therapies and other psychotherapeutic techniques.
For further information, see: Faculty of Medical Psychotherapy
715Old Age Psychiatry ServiceMental Health Services providing the specialised assessment, treatment and continuing care for older adults suffering a range of mental illnesses, including dementia, depression or schizophrenia. Excludes specific Dementia Assessment Service - see TREATMENT FUNCTION CODE 727.
For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
720Eating Disorders ServiceA specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. This is usually a multidisciplinary service which needs to consider both physical and mental health aspects of the PATIENT's care.
For further information, see: Royal College of Psychiatrists - Faculty of Eating Disorders Psychiatry
721Addiction ServiceMental Health Services for the treatment of addictive behaviour, including substance misuse, drugs, alcohol, tobacco and gambling. Excludes PATIENTS with both severe mental illness and problematic substance misuse, see Mental Health Dual Diagnosis Service - TREATMENT FUNCTION CODE 726.
For further information, see: Royal College of Psychiatrists - Faculty of Addictions Psychiatry
722Liaison Psychiatry ServiceMental Health Services for the provision of psychiatric treatment to PATIENTS attending acute hospitals including Out-Patient ClinicsEmergency Care Departments and admission to WARDS. Deals with the interface between physical and psychological health.
For further information, see: Royal College of Psychiatrists - Faculty of Liaison Psychiatry
723Psychiatric Intensive Care ServiceMental Health Services provided to vulnerable individuals with severe disturbances who are admitted to Psychiatric Intensive Care Units from mental health acute wards and forensic settings.
For further information, see: Royal College of Psychiatrists - Quality Network for Psychiatric Intensive Care Units
724Perinatal Mental Health ServiceFormerly known as Perinatal Psychiatry.
Specialist Mental Health Services for the assessment, management and treatment of pre-existing or new mental health issues during pregnancy or after delivery.
For further information, see: Royal College of Psychiatrists - Faculty of Perinatal Psychiatry
725Mental Health Recovery and Rehabilitation ServiceMental Health Services provided to support recovery from mental illness that maximises the PATIENTS' quality of life and social inclusion by encouraging their skills, promoting independence and autonomy.
For further information, see: Faculty of Rehabilitation and Social Psychiatry
726Mental Health Dual Diagnosis ServiceMental Health Services to provide support to PATIENTS with both severe mental illness and substance misuse problems.
For further information, see: Mind: Recreational drugs and alcohol
727Dementia Assessment ServiceDesignated Mental Health Services for the assessment of PATIENTS who have or are suspected to have dementia. Dementia complicates care giving and can occur at any stage of the illness and at any age. In addition to memory impairment, dementia may include behavioural and psychological problems. For non-specific Old Age Psychiatry Service - see TREATMENT FUNCTION CODE 715.
For further information, see: Royal College of Psychiatrists - Dementia pathway
730Neuropsychiatry ServiceMental Health Services for brain disorders and integration of psychiatry within clinical neurosciences.
For further information, see: Royal College of Psychiatrists - Faculty of Neuropsychiatry
Other Services
560Midwifery ServiceSERVICES for managing antenatal and perinatal care during pregnancy, and postnatal care following delivery, provided under the direct care of a MIDWIFE. Excludes Obstetrics Service - see TREATMENT FUNCTION CODE 501.
For further information, see: Royal College of Midwives
650Physiotherapy ServiceSERVICES helping PATIENTS affected by injury, illness or DISABILITY through movement and exercise, manual therapy, education and advice to manage pain and prevent disease. To encourage development and facilitate recovery, enabling maintenance of work and independence for as long as possible.
For further information, see: Chartered Society of Physiotherapy (CSP) - Physiotherapy
651Occupational Therapy ServiceSERVICES using specific activities to limit the effects of DISABILITY and promote independence in all aspects of daily life
652Speech and Language Therapy ServiceSERVICES providing assessment, management and treatment of speech, language, communication and swallowing issues in PATIENTS of all ages.
For further information, see: Royal College of Speech & Language Therapists - Speech and language therapy
653Podiatry ServiceAlso known as Chiropody.
SERVICES for the diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery Service - see TREATMENT FUNCTION CODE 663.
For further information, see: The College of Podiatry
654Dietetics ServiceSERVICES applying the science of nutrition to improve health and treat diseases/conditions by educating and giving practical, personalised advice to PATIENTS, Patient Proxies and other members of the Multidisciplinary Team. They advise on and help to maintain nutritional status during dietary interventions such as exclusion diets and to recommend nutritional supplements.
For further information, see: British Dietetic Association
655Orthoptics ServiceSERVICES providing the diagnosis and treatment of visual problems involving eye movement and alignment.
For further information, see: British and Irish Orthoptic Society
657Prosthetics ServiceSERVICES providing gait analysis and engineering solutions to patients with limb loss. They design and provide prostheses that replicate the structural or functional characteristics of the PATIENTS absent limb. They often work autonomously or part of Multidisciplinary Teams working closely with Physiotherapists and Occupational Therapists as part of multidisciplinary amputee rehabilitation teams.
For further information, see: British Association of Prosthetists and Orthotists (BAPO) - Prosthetists
658Orthotics ServiceSERVICES providing gait analysis and engineering solutions to PATIENTS with needs of the neuro, muscular and skeletal systems. They design and provide orthoses that modify the structural or functional characteristics of the PATIENTS neuro-muscular and skeletal systems enabling patients to mobilise, eliminate gait deviations, reduce falls, reduce pain, prevent and facilitate healing of ulcers. They often work autonomously or part of Multidisciplinary Teams such as within the diabetic foot team or neuro-rehabilitation team.
For further information, see: The British Association of Prosthetists and Orthotists (BAPO) - Orthotists
659Dramatherapy ServiceSERVICES providing dramatherapy which is a form of psychological therapy focussing on the use of performance arts within the therapeutic relationship.
For further information, see: British Association of Dramatherapists
660Art Therapy ServiceSERVICES delivering a form of psychotherapy that uses art media as its primary mode of expression and communication. Within this context, art is not used as diagnostic tool but as a medium to address emotional issues which may be confusing and distressing.
For further information, see: British Association of Art Therapists
661Music Therapy ServiceSERVICES delivering a form of psychotherapy that uses music to support psychological, emotional, cognitive, physical, communicative and/or social needs.
For further information, see: British Association for Music Therapy
662Optometry ServiceSERVICES providing the diagnosis and non-surgical treatment of disorders of the eye and vision care
663Podiatric Surgery ServiceSERVICES involved in the complex management of the foot and ankle involving surgery under both local and general anaesthetic. Excludes Podiatry Service - see TREATMENT FUNCTION CODE - 653.
For further information, see: The College of Podiatry
670Urological Physiology ServiceDiagnostic SERVICES for the study of erectile, upper and lower urinary tract function, including urodynamics.
For further information, see: The British Association of Urological Surgeons
673Vascular Physiology ServiceDiagnostic SERVICES for the study of arterial and venous circulation primarily using Doppler ultrasound but including tests such as pressure measurement and plethysmography. Excludes Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675.
For further information, see: The Society for Vascular Technology
675Cardiac Physiology ServiceSERVICES providing physiological measurements of the heart structure/function and response to therapeutic/surgical intervention through the means of a wide spectrum of non-invasive and invasive cardiac diagnostic testing. Examples include echocardiography, cardiac device management.
For further information, see: Society for Cardiological Science and Technology (SCST)
677Gastrointestinal Physiology ServiceSERVICES providing physiological measurement of the gastrointestinal tract. This includes standard catheter based oesophageal pH studies, oesophageal pH impedance, oesophageal manometry, ano-rectal manometry, wireless capsule studies. Excludes Gastroenterology Service - see TREATMENT FUNCTION CODE 301.
For further information, see: Association of Gastro-Intestinal Physiologists (AGIP)
800Clinical Oncology ServiceFormerly known as Radiotherapy.
The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Radiologists - Clinical oncology
810not a Treatment Function 
811Interventional Radiology ServiceSERVICES delivering a range of techniques using radiological image guidance including X-ray fluoroscopy, ultrasound, Computerised Tomography Scan, or Magnetic Resonance Imaging Scan (MRI) to precisely target therapy. Excludes Interventional Cardiology - see Cardiology Service TREATMENT FUNCTION CODE 320, and Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
812Diagnostic Imaging ServiceSERVICES providing medical imaging, especially X-ray based examinations, Ultrasound scan, MRI Scan, PET Scan or CT Scan. Diagnostic imaging is used to confirm, assess and document diseases, as well as to assess responses to treatment.
For further information, see: WHO: Diagnostic imaging
820not a Treatment Function 
821not a Treatment Function 
822Chemical Pathology ServiceSERVICES interpreting biochemical investigation results to assess, diagnose and treat diseases. To be used for the clinical management of PATIENTS by chemical pathology only.
For further information, see: Royal College of Pathologists - CHEMICAL PATHOLOGY
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
840Audiology ServiceSERVICES providing physiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss. Include hearing services activity, such as hearing tests and the fitting of hearing aids.
For further information, see: British Society of Audiology
900not a Treatment Function 
901not a Treatment Function 
902not a Treatment Function 
903not a Treatment Function 
904not 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 data sets/collections including Hospital Episode Statistics
 TREATMENT FUNCTION CODES should be used for all data sets/collections unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES
 TREATMENT FUNCTION CODES should be used for all data sets/collections unless otherwise stated e.g. 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

top


PATHOLOGY DEPARTMENT

Change to Supporting Information: Changed Description

A Pathology Department is a Department.

A Pathology Department is a unit which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing which deals with DIAGNOSTIC TEST REQUESTS for pathology.

The Pathology Department may consist of one or more Pathology Laboratories that may be located on one or more sites.

A Pathology Department may carry out Post Mortems.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


PATHOLOGY LABORATORY INVESTIGATION

Change to Supporting Information: Changed Description

A Pathology Laboratory Investigation is a Clinical Investigation.

A Pathology Laboratory Investigation is a single (Laboratory) service resulting from a DIAGNOSTIC TEST REQUEST, to be carried out in respect of a specified subject of investigation that leads to the production of one or more results.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


PERITONEAL DIALYSIS

Change to Supporting Information: Changed Description

Peritoneal Dialysis is a CLINICAL INTERVENTION

Peritoneal Dialysis is a form of Renal Dialysis which cleans the blood inside the body by running a Renal Dialysis fluid (dialysate) through a tube into the peritoneal cavity. The dialysate is left for a period of time to absorb the waste products and then drained out through the tube and discarded.

For further information on Peritoneal Dialysis, see An Introduction to peritoneal dialysis.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

 

top


RADIOLOGY DEPARTMENT

Change to Supporting Information: Changed Description

A Radiology Department is a Department.

A Radiology Department is a unit based in one or more LOCATIONS which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing in the MAIN SPECIALTY of radiology which deals with requests for radiological or isotope procedures.

A Radiology Department may perform Imaging or Radiodiagnostic Events and provide radiology CLINICAL INVESTIGATION RESULT ITEMS.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


RENAL DIALYSIS

Change to Supporting Information: Changed Description

Renal Dialysis is a CLINICAL INTERVENTION.

Renal Dialysis is primarily used to provide an artificial replacement for lost kidney function (Renal Replacement Therapy) due to renal failure.

Types of Dialysis:

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

 

top


WHAT'S NEW: JUNE 2020  renamed from WHAT'S NEW: MAY 2020

Change to Supporting Information: Changed Description, Name

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

June 2020

  • CR1773 (Immediate) - DDCN 1773/2020 Retirement of PDS Birth Notification Data Sets

May 2020

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2021:

  • CR1751 (1 April 2021) - DCB3085 NHS Continuing Healthcare Patient Level Data Set

April 2020

  • CR1667 (Immediate) - DCB1077 AIDC for Patient Identification Data Set Update
  • CR1760 (1 April 2021) - DCB0028 Main Specialty Code and Treatment Function Code Updates
  • Note: New National Codes were introduced from 2 April 2020 and should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets. A note has been added to the affected items to provide further guidance.

March 2020

  • CR1690 (1 April 2020) - DCB1069 Community Services Data Set Version 1.5
  • CR1714 (1 April 2020) - DCB1521 Cancer Outcomes and Services Data Set Version 9
  • CR1719 (1 April 2020) - DCB1520 Improving Access to Psychological Therapies Data Set Version 2
  • CR1732 (1 April 2020) - DCB0011 Mental Health Services Data Set Version 4.1
  • CR1723 (1 April 2020) - DCB0084 Introduction of OPCS-4.9
  • CR1743 (1 April 2020) - DCB1533 Aggregate Contract Monitoring Data Set Update
  • CR1744 (1 April 2020) - DCB1533 Patient Level Contract Monitoring Data Set Update
  • CR1753 (1 April 2020) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
  • CR1757 (1 April 2020) - DDCN 1757/2020 Organisation Data Service Information Update
  • CR1752 (Immediate) - DDCN 1752/2020 Practitioners with a Special Interest Name Change

Release: December 2019

  • CR1746 (Immediate) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
  • CR1747 (Immediate) - DCB2212 Drugs Patient Level Contract Monitoring Data Set Update
  • 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

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

top


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
CARE PACKAGE IDENTIFIER FOR NHS CONTINUING HEALTHCARE
CARE PACKAGE REVIEW ELIGIBILITY OUTCOME FOR NHS CONTINUING HEALTHCARE
CARE PACKAGE REVIEW OUTCOME CODE FOR NHS CONTINUING HEALTHCARE
CARE PACKAGE REVIEW TYPE FOR NHS CONTINUING HEALTHCARE
CARER RESIDENT INDICATION CODE FOR NATIONAL NEONATAL DATA SET
CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY
CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION OUTCOME FOR NHS CONTINUING HEALTHCARE
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 FROM IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE REASON
DISCHARGE METHOD
DISCHARGE REASON FOR MOTHER MATERNITY SERVICES
ESTIMATED DATE OF DELIVERY
FIRST REGULAR DAY OR NIGHT ADMISSION
FITNESS ASSESSMENT FOR OLDER PATIENTS WITH BREAST CANCER INDICATOR
HOLISTIC NEEDS ASSESSMENT POINT OF PATHWAY FOR CANCER
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
MULTIDISCIPLINARY TEAM RECOMMENDATION FOR NHS CONTINUING HEALTHCARE STANDARD
NEONATAL CRITICAL INCIDENT INDICATOR
NEONATAL LEVEL OF CARE
NHS CONTINUING HEALTHCARE ACTIVITY TYPE
NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR
NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE DECISION OUTCOME
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 FOR UPPER GASTROINTESTINAL
PATIENT ATTENDANCE SYMPTOMATIC INDICATOR FOR SEXUAL HEALTH SERVICE
PATIENT CLASSIFICATION
PATIENT RECEIVING ONE TO ONE NURSING CARE INDICATOR
PERSONALISED CARE AND SUPPORT PLANNING POINT OF CANCER PATHWAY
PHARMACOTHERAPY STOP SMOKING AID RECEIVED
PLANNED DELIVERY SETTING CHANGE REASON
PREGNANCY OUTCOME
PREGNANCY OUTCOME CODE
PSYCHIATRIC PATIENT STATUS
SOURCE OF ADMISSION

top


APPOINTMENT OFFER

Change to Class: Changed Attributes

Attributes of this Class are:
KAPPOINTMENT DATE OFFERED
KAPPOINTMENT TIME OFFERED
APPOINTMENT ACCEPTED DATE
INVITATION OFFER DATE SENT

top


EMPLOYEE TRAINING ACTIVITY

Change to Class: Changed Attributes

Attributes of this Class are:
TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT
TRAINING ACTIVITY ACTUAL COMPLETION DATE
TRAINING ACTIVITY ASSESSOR TYPE
TRAINING ACTIVITY COMPLETION DATE CHANGE REASON
TRAINING ACTIVITY DELIVERY METHOD
TRAINING ACTIVITY NAME
TRAINING ACTIVITY PLANNED COMPLETION DATE
TRAINING ACTIVITY START DATE
TRAINING ACTIVITY TYPE

top


RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION

Change to Class: Changed Description

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

 

top


CARE PACKAGE REVIEW ELIGIBILITY OUTCOME FOR NHS CONTINUING HEALTHCARE  renamed from CARE PACKAGE REVIEW ELIGIBILITY OUTCOME FOR NHS CONTINUING HEALTHCARE

Change to Attribute: Changed Name
  • Changed Name from Data_Dictionary.Attributes.C.Card.CARE_PACKAGE_REVIEW_ELIGIBILITY_OUTCOME_FOR_NHS_ CONTINUING_HEALTHCARE to Data_Dictionary.Attributes.C.Card.CARE_PACKAGE_REVIEW_ELIGIBILITY_OUTCOME_FOR_NHS_CONTINUING_HEALTHCARE

top


ELIGIBLE POPULATION TOTAL

Change to Attribute: Changed Description

The total number of eligible PEOPLE covered by a HEALTH PROGRAMME The total number of eligible PEOPLE covered by a HEALTH PROGRAMME. 

top


OVERSEAS VISITOR EXEMPT CATEGORY

Change to Attribute: Changed Description

This item is not used in a data set in the NHS Data Model and Dictionary. It has been retained as it is collected locally.

A category indicating the circumstances in which Overseas Visitors are not liable to have to pay to use the National Health Service.

For further information and the categories, see the NHS website at: How to access NHS services in England.

 This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

 

top


OVERSEAS VISITOR UK ARRIVAL DATE

Change to Attribute: Changed Description

This item is not used in a data set in the NHS Data Model and Dictionary. It has been retained as it is collected locally.The date that a PATIENT being treated as an Overseas Visitor last arrived in the United Kingdom.

The date that a PATIENT being treated as an Overseas Visitor last arrived in the United Kingdom.This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

 

top


PERSON NAME START DATE

Change to Attribute: Changed Description

The date that a name of a PERSON comes into existence. If this is the first name known, it will be from the time recorded, if it is a name change, it will be from the time it was changed.

 If this is the first name known, it will be from the time recorded, if it is a name change, it will be from the time it was changed.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

 

top


PERSON PROPERTY OBSERVED TIME

Change to Attribute: Changed Description

The time when the PERSON PROPERTY was observed by a PERSON.

 This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

 

top


RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Attribute: Changed Description

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

Where applicable, RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is aligned with descriptors for "Religious and Other Belief System Affiliation" in SNOMED CT® as follows:

SNOMED CT Refset Metadata:

  • Refset FSN: Religious or other belief system affiliation simple reference set (foundation metadata concept)
  • Refset Id: 999000531000000100

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or Other Belief System Affiliation.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

Notes:

National Codes:

 Baha'i
A1Baha'i
 Buddhist
B1Buddhist
B2Mahayana Buddhist
B3New Kadampa Tradition Buddhist
B4Nichiren Buddhist
B5Pure Land Buddhist
B6Theravada Buddhist
B7Tibetan Buddhist
B8Zen Buddhist
 Christian
C1Christian
C2Amish
C3Anabaptist
C4Anglican
C5Apostolic Pentecostalist
C6Armenian Catholic
C7Armenian Orthodox
C8Baptist
C9Brethren
C10Bulgarian Orthodox
C11Calvinist
C12Catholic: Not Roman Catholic
C13Celtic Christian
C14Celtic Orthodox Christian
C15Chinese Evangelical Christian
C16Christadelphian
C17Christian Existentialist
C18Christian Humanist
C19Christian Scientists
C20Christian Spiritualist
C21Church in Wales
C22Church of England
C23Church of God of Prophecy
C24Church of Ireland
C25Church of Scotland
C26Congregationalist
C27Coptic Orthodox
C28Eastern Catholic
C29Eastern Orthodox
C30Elim Pentecostalist
C31Ethiopian Orthodox
C32Evangelical Christian
C33Exclusive Brethren
C34Free Church
C35Free Church of Scotland
C36Free Evangelical Presbyterian
C37Free Methodist
C38Free Presbyterian
C39French Protestant
C40Greek Catholic
C41Greek Orthodox
C42Independent Methodist
C43Indian Orthodox
C44Jehovah's Witness
C45Judaic Christian
C46Lutheran
C47Mennonite
C48Messianic Jew
C49Methodist
C50Moravian
C51Mormon
C52Nazarene Church
Synonym: Nazarene
C53New Testament Pentacostalist
C54Nonconformist
C55Old Catholic
C56Open Brethren
C57Orthodox Christian
C58Pentecostalist
Synonym: Pentacostal Christian
C59Presbyterian
C60Protestant
C61Plymouth Brethren
C62Quaker
C63Rastafari
C64Reformed Christian
C65Reformed Presbyterian
C66Reformed Protestant
C67Roman Catholic
C68Romanian Orthodox
C69Russian Orthodox
C70Salvation Army Member
C71Scottish Episcopalian
C72Serbian Orthodox
C73Seventh Day Adventist
C74Syrian Orthodox
C75Ukrainian Catholic
C76Ukrainian Orthodox
C77Uniate Catholic
C78Unitarian
C79United Reform
C80Zwinglian
 Hindu
D1Hindu
D2Advaitin Hindu
D3Arya Samaj Hindu
D4Shakti Hindu
D5Shiva Hindu
D6Vaishnava Hindu
Synonym: Hare Krishna
 Jain
E1Jain
 Jewish
F1Jewish
F2Ashkenazi Jew
F3Haredi Jew
F4Hasidic Jew
F5Liberal Jew
F6Masorti Jew
F7Orthodox Jew
F8Reform Jew
 Muslim
G1Muslim
G2Ahmadi
G3Druze
G4Ismaili Muslim
G5Shi'ite Muslim
G6Sunni Muslim
 Pagan
H1Pagan
H2Asatruar
H3Celtic Pagan
H4Druid
H5Goddess
H6Heathen
H7Occultist
H8Shaman
H9Wiccan
 Sikh
I1Sikh
 Zoroastrian
J1Zoroastrian
 Other
K1Agnostic
K2Ancestral Worship
K3Animist
K4Anthroposophist
K5Black Magic
K6Brahma Kumari
K7British Israelite
K8Chondogyo
K9Confucianist
K10Deist
K11Humanist
K12Infinite Way
K13Kabbalist
K14Lightworker
K15New Age Practitioner
K16Native American Religion
K17Pantheist
K18Peyotist
K19Radha Soami
Synonym: Sant Mat
K20Religion (Other Not Listed)
K21Santeri
K22Satanist
K23Scientologist
K24Secularist
K25Shumei
K26Shinto
K27Spiritualist
K28Swedenborgian
Synonym: Neo-Christian
K29Taoist
K30Unitarian-Universalist
K31Universalist
K32Vodun
K33Yoruba
 None
L1Atheist
L2Not Religious
 Declines to Disclose
M1Religion not given - PATIENT refused
 Unknown
N1PATIENT Religion Unknown

Notes:

 

top


RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE

Change to Attribute: Changed Description

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION group of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE is aligned with descriptors for "Religious or other belief system affiliation groups" in SNOMED CT® as follows:

SNOMED CT Refset Metadata:

  • Refset FSN: Religious or other belief system affiliation groups simple reference set (foundation metadata concept)
  • Refset Id : 999002601000000106

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or other belief system affiliation groups.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

National Codes:

ABaha'i
BBuddhist
CChristian
DHindu
EJain
FJewish
GMuslim
HPagan
ISikh
JZoroastrian
KOther
LNone
MDeclines to Disclose
NPatient Religion Unknown
 

top


SOURCE OF REFERRAL FOR OUT-PATIENTS

Change to Attribute: Changed Description

The source of referral of each Consultant Out-Patient Episode.

Notes:

National Codes:

01CONSULTANT initiated following an emergency admission
02CONSULTANT initiated following a Domiciliary Consultation 
10CONSULTANT initiated following an Accident and Emergency Attendance (including Minor Injuries Units and Walk In Centres)
11CONSULTANT initiated: Other (not listed)
03CONSULTANT initiated following a referral from a GENERAL MEDICAL PRACTITIONER 
03CONSULTANT not initiated following a referral from a GENERAL MEDICAL PRACTITIONER 
92CONSULTANT not initiated following a referral from a GENERAL DENTAL PRACTITIONER 
12CONSULTANT not initiated following a referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)
04CONSULTANT not initiated following a referral from an Accident and Emergency Department (including Minor Injuries Units and Walk In Centres)
05CONSULTANT not initiated following a referral from a CONSULTANT, other than in an Accident and Emergency Department 
06CONSULTANT not initiated following a self-referral
07CONSULTANT not initiated following a referral from a Prosthetist 
13CONSULTANT not initiated following a referral from a Specialist NURSE (Secondary Care)
14CONSULTANT not initiated following a referral from an Allied Health Professional
15CONSULTANT not initiated following a referral from an OPTOMETRIST 
16CONSULTANT not initiated following a referral from an Orthoptist 
17CONSULTANT not initiated following a referral from a National Screening Programme 
93CONSULTANT not initiated following a referral from a Community Dental Service
97CONSULTANT not initiated following a referral: Other (not listed)

Note: The classification has been listed in logical sequence rather than numeric order.

 

top


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 data sets/collections unless otherwise stated e.g. 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".

Further information on the groupings and scope of each TREATMENT FUNCTION CODE is provided at: Main Specialty and Treatment Function Codes Table.

Note:

  • New National Codes for TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard. Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas. Prior to these updates, health and care Organisations must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021. Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.
  • New National Codes for TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard.
    • Page 8 of the "Change Specification" provides a list of the new TREATMENT FUNCTION CODES.
    • Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas.
    • Prior to these updates, health and care Organisations must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021.
    • Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.

National Codes:

100General Surgery Service
101Urology Service
102Transplant Surgery Service
103Breast Surgery Service
104Colorectal Surgery Service
105Hepatobiliary and Pancreatic Surgery Service
106Upper Gastrointestinal Surgery Service
107Vascular Surgery Service
108Spinal Surgery Service
109Bariatric Surgery Service
110Trauma and Orthopaedic Service
111Orthopaedic Service
113Endocrine Surgery Service
115Trauma Surgery Service
120Ear Nose and Throat Service
130Ophthalmology Service
140Oral Surgery Service
141Restorative Dentistry Service
143Orthodontic Service
144Maxillofacial Surgery Service
145Oral and Maxillofacial Surgery Service
149not a Treatment Function
150Neurosurgical Service
160Plastic Surgery Service
161Burns Care Service
170Cardiothoracic Surgery Service
172Cardiac Surgery Service
173Thoracic Surgery Service
174Cardiothoracic Transplantation Service
191Pain Management Service
142Paediatric Dentistry Service
171Paediatric Surgery Service
211Paediatric Urology Service
212Paediatric Transplantation Surgery Service
213Paediatric Gastrointestinal Surgery Service
214Paediatric Trauma and Orthopaedic Service
215Paediatric Ear Nose and Throat Service
216Paediatric Ophthalmology Service
217Paediatric Oral and Maxillofacial Surgery Service
218Paediatric Neurosurgery Service
219Paediatric Plastic Surgery Service
220Paediatric Burns Care Service
221Paediatric Cardiac Surgery Service
222Paediatric Thoracic Surgery Service
223Paediatric Epilepsy Service
230Paediatric Clinical Pharmacology Service
240Paediatric Palliative Medicine Service
241Paediatric Pain Management Service
242Paediatric Intensive Care Service
250Paediatric Hepatology Service
251Paediatric Gastroenterology Service
252Paediatric Endocrinology Service
253Paediatric Clinical Haematology Service
254Paediatric Audio Vestibular Medicine Service
255Paediatric Clinical Immunology and Allergy Service
256Paediatric Infectious Diseases Service
257Paediatric Dermatology Service
258Paediatric Respiratory Medicine Service
259Paediatric Nephrology Service
260Paediatric Medical Oncology Service
261Paediatric Inherited Metabolic Medicine Service
262Paediatric Rheumatology Service
263Paediatric Diabetes Service
264Paediatric Cystic Fibrosis Service
270Paediatric Emergency Medicine Service
280Paediatric Interventional Radiology Service
290Community Paediatric Service
291Paediatric Neurodisability Service
321Paediatric Cardiology Service
421Paediatric Neurology Service
180Emergency Medicine Service
190Anaesthetic Service
192Intensive Care Medicine Service
200Aviation and Space Medicine Service
300General Internal Medicine Service
301Gastroenterology Service
302Endocrinology Service
303Clinical Haematology Service
304Clinical Physiology Service
305Clinical Pharmacology Service
306Hepatology Service
307Diabetes Service
308Blood and Marrow Transplantation Service
309Haemophilia Service
310Audio Vestibular Medicine Service
311Clinical Genetics Service
312not a Treatment Function
313Clinical Immunology and Allergy Service
314Rehabilitation Medicine Service
315Palliative Medicine Service
316Clinical Immunology Service
317Allergy Service
318Intermediate Care Service
319Respite Care Service
320Cardiology Service
322Clinical Microbiology Service
323Spinal Injuries Service
324Anticoagulant Service
325Sport and Exercise Medicine Service
326Acute Internal Medicine Service
327Cardiac Rehabilitation Service
328Stroke Medicine Service
329Transient Ischaemic Attack Service
330Dermatology Service
331Congenital Heart Disease Service
333Rare Disease Service
335Inherited Metabolic Medicine Service
340Respiratory Medicine Service
341Respiratory Physiology Service
342Pulmonary Rehabilitation Service
343Adult Cystic Fibrosis Service
344Complex Specialised Rehabilitation Service
345Specialist Rehabilitation Service
346Local Specialist Rehabilitation Service
347Sleep Medicine Service
350Infectious Diseases Service
352Tropical Medicine Service
360Genitourinary Medicine Service
361Renal Medicine Service
370Medical Oncology Service
371Nuclear Medicine Service
400Neurology Service
401Clinical Neurophysiology Service
410Rheumatology Service
420Paediatric Service
422Neonatal Critical Care Service
424Well Baby Service
430Elderly Medicine Service
431Orthogeriatric Medicine Service
450Dental Medicine Service
451Special Care Dentistry Service
460Medical Ophthalmology Service
461Ophthalmic and Vision Science Service
500not a Treatment Function
501Obstetrics Service
502Gynaecology Service
503Gynaecological Oncology Service
504Community Sexual and Reproductive Health Service
505Fetal Medicine Service
510Retired
520Retired
560Midwifery Service
600not a Treatment Function
601not a Treatment Function
610Retired
620Retired
656Clinical Psychology Service
700Intellectual Disability Service
710Adult Mental Health Service
711Child and Adolescent Psychiatry Service
712Forensic Psychiatry Service
713Medical Psychotherapy Service
715Old Age Psychiatry Service
720Eating Disorders Service
721Addiction Service
722Liaison Psychiatry Service
723Psychiatric Intensive Care Service
724Perinatal Mental Health Service
725Mental Health Recovery and Rehabilitation Service
726Mental Health Dual Diagnosis Service
727Dementia Assessment Service
730Neuropsychiatry Service
800Clinical Oncology Service
810not a Treatment Function
811Interventional Radiology Service
812Diagnostic Imaging Service
820not a Treatment Function
821not a Treatment Function
822Chemical Pathology Service
823not a Treatment Function
824not a Treatment Function
830not a Treatment Function
831not a Treatment Function
832Retired
834Medical Virology Service
650Physiotherapy Service
651Occupational Therapy Service
652Speech and Language Therapy Service
653Podiatry Service
654Dietetics Service
655Orthoptics Service
657Prosthetics Service
658Orthotics Service
659Dramatherapy Service
660Art Therapy Service
661Music Therapy Service
662Optometry Service
663Podiatric Surgery Service
670Urological Physiology Service
673Vascular Physiology Service
675Cardiac Physiology Service
677Gastrointestinal Physiology Service
840Audiology Service
900not a Treatment Function
901not a Treatment Function
902not a Treatment Function
903not a Treatment Function
904not a Treatment Function
920Diabetic Education Service
950not a Treatment Function
960not a Treatment Function
990Retired
 

top


WARD OPERATIONAL PLAN START DATE

Change to Attribute: Changed Description

The date on which the operational planning intent for a particular WARD starts.

 This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

 

top


DIAGNOSIS TIME

Change to Data Element: Changed Description

Format/Length:an8 HH:MM:SS
National Codes: 
Default Codes: 

Notes:
DIAGNOSIS TIME is the PERSON PROPERTY OBSERVED TIME for the PATIENT DIAGNOSISThis item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

 

top


DIASTOLIC BLOOD PRESSURE

Change to Data Element: Changed Description

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

Notes: DIASTOLIC BLOOD PRESSURE is the result of the Clinical Investigation which measures the PATIENT's Diastolic Blood Pressure, where the UNIT OF MEASUREMENT is 'Millimetres of mercury (mmHg)'.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


OBSERVATION DATE (BLOOD PRESSURE)

Change to Data Element: Changed Description

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

Notes:
OBSERVATION DATE (BLOOD PRESSURE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Clinical Intervention Date'.

OBSERVATION DATE (BLOOD PRESSURE) is the date when the PATIENT's Blood Pressure was measured.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information. 

top


PERSON HEIGHT IN CENTIMETRES

Change to Data Element: Changed Description

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

Notes:
PERSON HEIGHT IN CENTIMETRES is the result of the Clinical Investigation which measures the PATIENT's Height, where the UNIT OF MEASUREMENT is 'Centimetres (cm)'.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Data Element: Changed Description

Format/Length:an4
National Codes:See RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE
Default Codes: 

Notes:
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is the same as attribute RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE
Default Codes: 

Notes:
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE is the same as attribute RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


SYSTOLIC BLOOD PRESSURE

Change to Data Element: Changed Description

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

Notes:
SYSTOLIC BLOOD PRESSURE is the result of the Clinical Investigation which measures the PATIENT's Systolic Blood Pressure, where the UNIT OF MEASUREMENT is 'Millimetres of mercury (mmHg)'.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent. It has been retained for information.

 

top


UNIFORM RESOURCE LOCATOR (URL)

Change to Data Element: Changed Description

Format/Length:URL
National Codes: 
Default Codes: 

Notes:
This item is not used in a data set in the NHS Data Model and Dictionary. It has been retained as it is collected locally.

UNIFORM RESOURCE LOCATOR (URL) is the syntax and semantics for a compact string representation for a resource available via the Internet. These strings are called 'UNIFORM RESOURCE LOCATORS (URLS)'.

UNIFORM RESOURCE LOCATORS (URLS) are sequences of characters, i.e., letters, digits, and special characters. The characters ";", "/", "?", ":", "@", "=" and "&" are the characters which have been reserved for special meaning.

UNIFORM RESOURCE LOCATOR (URL) is the same as COMMUNICATION CONTACT STRING where the COMMUNICATION CONTACT METHOD is National Code 'Uniform Resource Locator (URL)'.

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

 This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

 

top


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

ISO 9001 CERTIFICATION EUROPE