Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1010
Version No:
Subject:New Release and Index Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:17 November 2008

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the August 2008 Release

This patch includes:

Summary of changes:

Central Return Forms
KH03 3   Changed Description
 
Supporting Information
ACCIDENT & EMERGENCY CODING TABLES renamed from ACCIDENT & EMERGENCY DIAGNOSIS TABLES STRUCTURE   Changed Description, Aliases, Name
CLINICAL CODING   Changed Description
CLINICAL CODING INTRODUCTION   Changed Description
INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-10)   Changed Description
MAIN MENU   Changed Description
OPCS CLASSIFICATION OF INTERVENTIONS AND PROCEDURES renamed from OPCS CLASSIFICATION OF INTERVENTIONS & PROCEDURES   Changed Description, Name
READ CODED CLINICAL TERMS   Changed Description
WHAT'S NEW: AUGUST 2008 renamed from WHAT'S NEW: MAY 2008   Changed Description, Name
 
Class Definitions
APPOINTMENT OFFER   Changed Attributes
 
Attribute Definitions
ATTENDED OR DID NOT ATTEND   Changed Description
 
Data Elements
HEADCOUNT TURNOVER RATE (ORGANISATION IN REPORTING PERIOD)   Changed Description
MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION   Changed linked Attribute
 
Binary
NHSDD PRINT1   Changed attached binary file
 

Date:17 November 2008
Sponsor:Nicholas Oughtibridge, NHS Connecting for Health

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

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KH03 3

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KH03 - Bed Availability and Occupancy

Part 2 Bed Availability and occupancy: beds in Wards open overnight (continued)

Mental Illness - Children, Short Stay
an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness' and a CLINICAL CARE INTENSITY of National Code 52 'for short stay: patients intended to stay less than a year'.

Mental Illness - Children, Long Stay
an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness' and a CLINICAL CARE INTENSITY of National Code 53 'for long stay: patients intended to stay a year or more'.

Mental Illness - Elderly, Short Stay
an AGE GROUP INTENDED of National Code 3 'Elderly', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness' and a CLINICAL CARE INTENSITY of National Code 52 'for short stay: patients intended to stay less than a year'.

Mental Illness - Elderly, Long Stay
an AGE GROUP INTENDED of National Code 3 'Elderly', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness' and a CLINICAL CARE INTENSITY of National Code 53 'for long stay: patients intended to stay a year or more'.

Mental Illness - Other ages, Secure unit
an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness' and a CLINICAL CARE INTENSITY of National Code 51 'for intensive care: specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward'.

Mental Illness - Other ages, Short Stay
an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness' and a CLINICAL CARE INTENSITY of National Code 52 'for short stay: patients intended to stay less than a year'.

Mental Illness - Other ages, Long Stay
an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness' and a CLINICAL CARE INTENSITY of National Code 53 'for long stay: patients intended to stay a year or more'.

Learning disabilities - Children, Short Stay
an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents', a BROAD PATIENT GROUP CODE of National Code 5 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 52 'for patients intended to stay less than a year'.an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 62 'for patients intending to stay less than a year'.

Learning disabilities - Children, Long Stay
an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 53 'for patients intended to stay a year or more'.an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 63 'for patients intending to stay a year or more'.

Learning disabilities - Other ages, Secure unit
an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning difficulties' and a CLINICAL CARE INTENSITY of National Code 61 'designated or interim secure unit'.

Learning disabilities - Other ages, Short Stay
an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 52 'for patients intended to stay less than a year'.an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 62 'for patients intending to stay less than a year'.

Learning disabilities - Other ages, Long Stay
an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 53 'for patients intended to stay a year or more'.an AGE GROUP INTENDED of National Code 8 'Any age', a BROAD PATIENT GROUP CODE of National Code 6 'Patients with learning disabilities' and a CLINICAL CARE INTENSITY of National Code 63 'for patients intending to stay a year or more'.

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ACCIDENT & EMERGENCY CODING TABLES  renamed from ACCIDENT & EMERGENCY DIAGNOSIS TABLES STRUCTURE

Change to Supporting Information: Changed Description, Aliases, Name

CLINICAL CODING

  1. Accident and Emergency Diagnosis Tables Structure
  2. A review of the Accident and Emergency Commissioning Data Set identified the need for a national set of codes to be used in Accident And Emergency Departments to reflect ACTIVITY relating to diagnosis. These codes were developed and are used in the Accident and Emergency Commissioning Data Set.

    In developing the coding and classification structure, the following criteria were used:

    • the coding should involve minimal change from structures currently used in computerised Accident And Emergency Departments;

    • the information produced should be relevant for Commissioning Data Set purposes and therefore specify the minimum level of detail that users of Accident and Emergency information would require;
    • the coding structure should facilitate coding for more detailed analysis at the discretion of individual Accident And Emergency Departments;

    • the structure should, where possible, avoid potential ambiguities where more than one code would accurately reflect an Accident and Emergency attender's condition.

  3. The recommended classifications and coding structure are presented in the following tables:

    Accident and Emergency Diagnosis Tables

    Accident and Emergency Investigation Table

    Accident and Emergency Treatment Tables

The Accident and Emergency Commissioning Data Set identified the need for a national set of codes to to be used in Accident And Emergency Departments  to reflect ACTIVITY relating to Diagnosis, Investigation and Treatment. These are presented in the following tables:

Accident and Emergency Diagnosis Tables

Accident and Emergency Investigation Table

Accident and Emergency Treatment Tables

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ACCIDENT & EMERGENCY CODING TABLES  renamed from ACCIDENT & EMERGENCY DIAGNOSIS TABLES STRUCTURE

Change to Supporting Information: Changed Description, Aliases, Name


CLINICAL CODING

Change to Supporting Information: Changed Description

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CLINICAL CODING INTRODUCTION

Change to Supporting Information: Changed Description

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INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-10)

Change to Supporting Information: Changed Description

CLINICAL CODING

  1. International Classification of Diseases (ICD-10)
    1. The International Statistical Classification of Diseases and Related Health Problems (ICD) is a comprehensive classification of causes of morbidity and mortality, and is published by the World Health Organisation. The previous 9th revision (ICD-9) was published in 1975 and came into use in hospital information systems in 1979. It was superseded by the 10th revision (ICD-10) from April 1995.

    2. ICD permits the systematic analysis, interpretation, and comparison of morbidity data collected in different areas and at different times. Thus, the specified purpose of the ICD is to provide a means of classifying medical terminology and is defined as a system of categories to which morbid entries are assigned according to established criteria.

    3. Categories have been chosen and logically sequenced to facilitate the statistical study of disease phenomena. A specific disease entity that is of particular public health importance, or that occurs frequently, has its own category. Otherwise, categories are assigned to groups of separate but related conditions.

    4. Each category has a title reflecting its composition, and an alphanumeric code as a means of unique identification.

    5. ICD-10 is published as a three volume set:

      • Volume 1 is the Tabular List, comprising a descriptive classification of diseases and injuries, supplementary classifications, and appendices;
      • Volume 2 is the Instruction Manual which contains the World Health Organisation's guidelines for coding;
      • Volume 3 is the Alphabetical Index to diseases and nature of injury. It covers external causes of injury and provides a Table of drugs and chemicals.
    6. In addition, NHS Data Standards & Products also distributes the following files:

      • codes and titles file, containing a list of ICD-10 codes together with abbreviated titles;
      • metadata file, containing codes, titles and validation criteria for each ICD-10 code;
      • tables of equivalence files, identifying the relationship between ICD-9 and ICD-10 codes.
    7. Further details regarding the use of individual diagnostic fields within the minimum data set HES record format will be found within each listed HES record, see Commissioning Data Sets Menu.

      Coding Standards
    8. The following standards have been developed to provide specific instruction in areas where ICD-10 allows a variety of approaches to be taken. Readers may wish to refer to Volume 2 of ICD-10 to obtain further information. Further detailed standards are included in the Clinical Coding Instruction Manual. The Coding Clinic insert of the Data Quality Review Newsletter publishes changes to national standards and these are included in the next following amendment set to the Instruction manual. The Data Quality Review Newsletter is available from NHS Classifications Service.

      Adoption of basic coding guidelines (cf: Vol 2, 3.3 p28)
    9. The basic principles of the classification, particularly those relating to basic coding guidelines and the structure of the classification, as detailed at 2.3 and 2.4, pages 11-13 of Volume 2, are to be adopted as the standard for the implementation of ICD-10.

      Priority of Allocation to Special Groups (cf: Vol 2, 2.4, p13)
    10. Where a diagnosis could be coded to either a Special Group Chapter or any of the other chapters, then it should always be coded to the appropriate Special Group Chapters.

    11. Special Group Chapters include those chapters relating to epidemic diseases, constitutional and general diseases, developmental diseases and injuries. Therefore, these should be used in preference to chapters relating to local disease arranged by site.

      Use of U and other unused codes (cf: Vol 2, 2.4.7, p17)
    12. Codes U00 - U49 are reserved by the World Health Organisation for the future provisional assignment of diseases of uncertain etiology. Codes U50-U99 are potentially available for local use, for instance in research. However, no U codes may be used unless specifically designated for use by the NHS Classifications Service.

      Filler "X" character for three character codes
    13. Insertion of the character "X" into the fourth field of codes where only three characters exist is mandatory. This provides a standard "filler" character. The fourth character, "X", is only applicable to UNDIVIDED three-digit codes for which no valid fourth character exists; it is not an option for completing diagnoses which have not been coded to 4 - characters.

      Use of fifth character
    14. The fifth character will continue to be available for use within the entire Musculo-skeletal Chapter. Its use is recommended when the data is present in the source document, and where doing so adds information.

    15. The fifth character for open fractures/internal injuries will continue to be available for use within the entire "Injury" section within the "Injury, poisoning and certain consequences of external causes" Chapter. Use of fifth character is recommended.

      Use of Specialty-based adaptations
    16. The World Health Organisation have provided an undertaking to ensure that any such classification endorsed by them will be fully compatible with the main classification at the fourth character level, but will not necessarily be compatible either at the fifth character level or with each other. For instance the meaning of a five character code in one Specialty adaptation can be quite different in another.

    17. Use of such classifications, including the Royal College of Paediatrics & Child Health (formerly British Paediatric Association (BPA)) Classification of Diseases, and the application of the ICD to Dentistry and Stomatology is optional.

      UK extensions to ICD-10
    18. It is not intended to issue or support extensions to ICD-10. The other extensions previously issued for use with ICD-9 have either been incorporated into ICD-10, are no longer relevant, or are covered by separate arrangements.

      Guidelines on coding "main" and "other" conditions, etc
    19. Guidelines for coding "main condition" and "other" conditions, rules for reselection when the main code is incorrectly recorded, and chapter-specific notes are provided in Vol 2, 4.4.2-4.

    20. Primary Diagnosis has been defined and was mandated for use in England from 1 April 1996. It is:

      • the main condition treated or investigated during the relevant episode of healthcare,

      • and
      • where there is no definitive diagnosis, the main symptom, abnormal findings or problem.

      Using Secondary Diagnosis fields
    21. The secondary diagnoses fields follow the primary diagnosis.

      Status of "are for use with" characters (cf: Vol 1 pp276, 320, 680, 724, 1013, 1026, 1027, 1029, 1032, 1034, 1037, 1039, 1042, 1052)
    22. Where the phrase "are for use with" is seen, this instruction is mandatory, and the codes referred to must be used. Note: these characters represent the fourth character subdivision of the related categories.

      Status of "if desired" codes (cf: Vol 1 p496)
    23. Where the phrase "if desired" is seen, in relation to coding additional information, where that information is present in source documentation this instruction is not optional.

      Multiple body sites
    24. Single codes identifying multiple body sites must not be used where the information is available to enable use of individual codes, with the exception of those identifying bi-laterality of the same limbs and apart from those specific instances detailed in other paragraphs in this section.

      Dagger and asterisk system (Vol 2, 3.1.3, p20)
    25. Provision has been made for dual classification by aetiology (denoted by a "†" or dagger symbol), and manifestation (denoted by a "*" or asterisk symbol).

    26. Where conditions to be coded correspond to dagger/asterisk pairs, both should be recorded, in succeeding fields, with the dagger code first. Multiple asterisk codes with one dagger code are not allowed, due to validational difficulties. Each asterisk code must, therefore, be preceded by its own dagger code, even where this means repeating dagger codes.

    27. Alpha characters are to be used instead of daggers and asterisks because of possible confusion with other characters (not all keyboards carry a uniform dagger symbol, but all carry uniform alpha characters). Upper case "A" (asterisk) and upper case "D" (dagger) should be used.

    28. For those codes which include a dagger or an asterisk, the appropriate symbol should always be entered at the sixth position in the code.

      Identification of Infecting Organism (cf: Vol 2, 3.1.3, p22 and Vol 1, p178)
    29. Where the name of the Infecting Organism is not identified in the title of the three character rubric, an additional code must be used when the infecting organism has been identified.

      Functional Activity of Neoplasms (cf: Vol 2, 3.1.3, p22, and Vol 1, pp182, 271)
    30. These codes should be used as appropriate i.e. as defined in national standard training.

      Organic, including Symptomatic, Mental Disorders (F00-F09) (cf: Vol 2, 3.1.3, p22 and Vol 1, p312)
    31. The use of these categories is mandatory when the data is present in source documents and when recording it helps to identify all the elements of the diagnostic statement as presented in the case note.

      Toxic Agents (cf: Vol 2, 3.1.3, p22)
    32. The use of external cause codes (Chapter XX: External causes of morbidity and mortality) is mandatory when the data is present in the source documents.

      Multiple coding of multiple injuries (cf: Vol 1, p892)
    33. The single code for "multiple injuries" is only to be used where no further detail is present in source documents.

      Nature of Injury (cf: Vol 2, 3.1.3, p22 and Vol 1, p1011)
    34. Coding of both the external cause and the actual injury is mandatory where the information is present in source documents.

    35. The code for the injury and the associated external cause code should be recorded in succeeding fields on the patient data record. In the case of more than one injury caused by the same event, one external cause code will serve all injuries, and must be sequenced after the final injury.

      Alcohol Involvement (cf: Vol 1, p1122)
    36. The use of these codes is recommended when the data is present in the source documents. These codes must not be used in isolation.

      Use of Morphology codes
    37. The use of morphology codes is optional. They can be used for local purposes, or where systems are provided for their transfer to Cancer Registers, but must be kept distinct from ICD-10 diagnosis codes.

      Use of ICD-0
    38. Where data is collected using ICD-0 (Oncology) classification, recording of both topographical and morphological codes is mandatory, as is translation of the data to ICD-10 using the appropriate conversion tables. Conversion tables are obtainable from the National Cancer Institute, EPN343J, Bethesda, Maryland, 2089, USA.

      Unknown/unspecified causes of morbidity/mortality (cf: Vol 1 pp879, 890)
    39. ICD-9 code 799.9 was used in cases of undiagnosed disease where the site or system involved had not been specified, and for unknown causes of morbidity and mortality. These categories must not be used where further information is available from any source e.g. test results, admission books, casualty records, X-ray records.

    40. ICD-10 has two codes for these purposes:

      • R69X Unknown and unspecified causes of morbidity;

      • R99X Other ill-defined and unspecified causes of mortality.
      Diarrhoea and Gastroenteritis (cf: Vol 1, p112)
    41. Currently in the UK Diarrhoea and Gastroenteritis are presumed non-infectious in origin and must be coded to K52.9 in the absence of a clinical description of the disease as infectious.

      HIV Coding
    42. Use of the fourth character sub-divisions of B20-B23 to identify specific conditions is recommended where the information exists. Conditions classifiable to two or more subcategories of the same category should be coded to the .7 subcategory of the relevant category; the resulting conditions should then be coded as "other conditions". Double coding should only occur where value and specific detail is added. The exceptions to the rule are malignant neoplasms, where there is a need to identify malignant neoplasms for Cancer Registers. It is therefore necessary to double code these conditions with the appropriate B21 code plus the neoplasm code from Chapter II.

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MAIN MENU

Change to Supporting Information: Changed Description

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OPCS CLASSIFICATION OF INTERVENTIONS AND PROCEDURES  renamed from OPCS CLASSIFICATION OF INTERVENTIONS & PROCEDURES

Change to Supporting Information: Changed Description, Name

CLINICAL CODING

  1. OPCS Classification of Interventions and Procedures
    1. The classification of Surgical Operations and Procedures was originally issued by the Office of Population Censuses and Surveys (OPCS). The 4th revision was first implemented in hospital information systems in 1987. This was subject to a significant number of amendments and a consolidated version was reproduced in 1990 with future updates to reflect on-going maintenance.

    2. The classification of interventions and procedures (OPCS-4.2) was substantially enhanced and a new version implemented in 2006 (OPCS-4.3) with a commitment to undertake annual review and potential update. This will be continued until further notice.
    3. From OPCS version 4.3 onwards, the classification comprises a list of alphanumeric codes with mainly anatomically based chapters, most of which relate to the whole or part of a system of the body. Each is designated alphabetically e.g. Chapter A covers the nervous system and Chapter K the heart. The alphabetic character for each chapter forms the leading digit of the 3 and 4 digit codes within it. Chapters are based on body systems with specific operations being listed for individual organs.

    4. There are instances where an existing category needs extension. In such cases, and dependent on the chapter capacity, an extended category is added within the Tabular List chapter. These categories are referred to as principal category or extended category and identified by an accompanying note to ease navigation.

    5. Chapters that have reached capacity are then extended using alphanumeric categories which are assigned using the free alpha O. This has occurred within three chapters (Chapters L, W and Z). Codes created in this way still form part of an existing chapter even though they have a different alpha prefix to the rest of that chapter. Such new codes will, therefore, logically sit at the end of the body system chapter and are readily identified within the alphabetical index. There is an additional (Chapter X) for operations on multiple systems using miscellaneous procedures.

    6. The list of High Cost Drugs can be found in the Alphabetical Index. A separate detailed listing of common chemotherapy regimens used in the treatment of neoplasms is provided on the website at Chemotherapy Regimens for OPCS-4.4.

    7. The classification is published in two volumes. The Tabular List and Alphabetical Index are available from The Stationary office.

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READ CODED CLINICAL TERMS

Change to Supporting Information: Changed Description

CLINICAL CODING

  1. Read Coded Clinical Terms
    1. The Read Coded Clinical Terms are a comprehensive computerised coded thesaurus for use by clinicians. They are available in three main formats, known as Version 3, Version 2 and the 4-Byte sets, and are designed for use in the electronic health care record. Version 3 of the Read Codes is a "Superset" of the earlier versions as it contains all codes and terms from Version 2 and the 4-Byte set.

    2. Read Coded Clinical Terms may be used for coding within local systems but are not acceptable directly for coding Hospital Episode Statistics which are extracted from Admitted Patient Care Commissioning Data Set. Version 3 and Version 2 of the Read Codes both, however, contain mapping tables which can be used to generate ICD-10 and OPCS-4 codes.

    3. For further information; see Contact Details.

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WHAT'S NEW: AUGUST 2008  renamed from WHAT'S NEW: MAY 2008

Change to Supporting Information: Changed Description, Name

 

Release: August 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CP965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CP879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CP910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CP900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CP934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CP935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CP925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CP942 (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

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CP881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CP904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CP824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CP814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CP930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CP834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CP875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CP880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CP831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CP825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CP833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CP801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CP856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CP869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CP827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CP817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CP849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CP822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CP850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CP786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CP826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CP813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CP768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CP798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema

Release: September 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CP792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CP719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CP791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CP774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP764 (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

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CP756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CP724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CP754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CP763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CP767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CP690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CP715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CP706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CP691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

NHS Data Model and Dictionary: Change Menu

Data Set Change Notice (DSCN) Website

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APPOINTMENT OFFER

Change to Class: Changed Attributes

Attributes of this Class are:
KAPPOINTMENT DATE OFFERED
KAPPOINTMENT TIME OFFERED
APPOINTMENT ACCEPTED DATE
APPOINTMENT CLASSIFICATION CODE
APPOINTMENT OFFER ACCEPTED OR REFUSED
APPOINTMENT OFFER REFUSED REASON
APPOINTMENT OFFER SLOT STATUS
INVITATION OFFER DATE SENT
INVITATION TYPE
PATIENT PREFERRED CLINIC INDICATOR
REASONABLE OFFER INDICATOR
REQUEST OR INVITATION

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ATTENDED OR DID NOT ATTEND

Change to Attribute: Changed Description

This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given.

When an APPOINTMENT is cancelled the APPOINTMENT CANCELLED DATE should also be recorded.

National Codes:

5Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT
6Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen
7PATIENT arrived late and could not be seen
2Appointment cancelled by, or on behalf of, the PATIENT
3Did not attend - no advance warning given
4Appointment cancelled or postponed by the Health Care Provider
0Not applicable - Appointment occurs in the future

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

Use in the Future Outpatient Commissioning Data Set:
For referral records with no appointment yet made, or for future appointments, code 0 - Not applicable should be used.For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, code 0 - Not applicable should be used.
Where the future attendance has been cancelled, use the appropriate value from the national codes.

 

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HEADCOUNT TURNOVER RATE (ORGANISATION IN REPORTING PERIOD)

Change to Data Element: Changed Description

Format/length:nnn.nn (including decimal point)
HES item: 
National codes 
Default codes 

Notes:
The percentage of EMPLOYEES leaving employment with the ORGANISATION within the REPORTING PERIOD, it is calculated as follows:

1. Count the number of EMPLOYEES with one or more EMPLOYMENT CONTRACTS with an ORGANISATION at the start of the REPORTING PERIOD where:
  a.the EMPLOYMENT CONTRACT START DATE is before or on the REPORTING PERIOD START DATE 
 and  
  b.the EMPLOYMENT CONTRACT END DATE is on or after the REPORTING PERIOD START DATE 
   or
   no EMPLOYMENT CONTRACT END DATE has been recorded i.e. the employee is still employed
2. Count the number of EMPLOYEES with one or more EMPLOYMENT CONTRACTS with an ORGANISATION at the end of the REPORTING PERIOD where:
  c.the EMPLOYMENT CONTRACT END DATE is on or after the REPORTING PERIOD END DATE 
   or
   no EMPLOYMENT CONTRACT END DATE has been recorded i.e. the employee is still employed
 and  
  d.the EMPLOYMENT CONTRACT START DATE is on or before the REPORTING PERIOD END DATE 
3. Add the resulting count of the number of EMPLOYEES at the start of the REPORTING PERIOD to the resulting count of the number of EMPLOYEES at the end of the REPORTING PERIOD divided by 2.
  For example if the number of employees at the start of the reporting period is 150 and the number of employees at the end of the reporting period is 120 the average staff in employment is:
   (120 +150) / 2 = 54
   (120 +150) / 2 = 135
4. Count the number of EMPLOYEES leaving employment in an ORGANISATION with a recorded EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE where:
  e.the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is on or after the REPORTING PERIOD START DATE 
 and  
  f.the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is on or before the REPORTING PERIOD END DATE 
5. Divide the count of the number of EMPLOYEES leaving employment by the average staff in employment multiplied by 100.
  For example if the number of employees leaving employment is 11 and the average staff in employment is 54 the headcount turnover rate is:
   (11 / 54) * 100 = 20.37%
 

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MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION

Change to Data Element: Changed linked Attribute

MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION
 
Attribute:
There are no data links on this item.
MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION

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NHSDD PRINT1

Change to Binary: Changed attached binary file

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