Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1048
Version No:1.0
Subject:December Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:22 December 2008

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the December 2008 Release.
This patch includes:

Summary of changes:

Data Set
PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90)   Changed Aliases
RADIOTHERAPY DATA SET renamed from RADIOTHERAPY DATA SET    Changed Name, Description
SUMMARISED STOCKS DATA SET   Changed Description
 
Supporting Information
CLASS DEFINITIONS INTRO   Changed Aliases
CLINICAL DATA SETS MENU   Changed Description
CONSULTANT LED ACTIVITY   Changed Description
INDEX   Changed Description
MAIN MENU   Changed Description
MENTAL HEALTH   Changed Description
METADATA FILES   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90) OVERVIEW   Changed Description
SECURITY ISSUES AND PATIENT CONFIDENTIALITY   Changed Description
WHAT'S NEW: DECEMBER 2008 renamed from WHAT'S NEW: NOVEMBER 2008   Changed Name, Description
 
Attribute Definitions
ATTENDED OR DID NOT ATTEND   Changed Aliases
CATEGORY VALUED PERSON OBSERVATION TYPE   Changed Description
 
Data Elements
ACTUAL FRACTIONS   New Data Element
ATTENDED OR DID NOT ATTEND   Changed Aliases
CDS COPY RECIPIENT IDENTITY   Changed Description
DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE)   New Data Element
DECISION TO TREAT DATE (SPECIALIST PALLIATIVE TREATMENT COURSE)   Changed Description
OCCUPATION CODE   Changed Description
OCCUPATION CODE (CLINICAL SECOND SPECIALTY)   Changed Description
OCCUPATION CODE (CLINICAL SPECIALTY)   Changed Description
OCCUPATION CODE DESCRIPTION   Changed Description
PERSON AGE IN YEARS (REPORTING PERIOD END DATE)   Changed Description
PRESCRIBED FRACTIONS   New Data Element
REFERRAL TO TREATMENT PERIOD EXCEEDS 18 WEEKS TIME BAND   Changed Description
TREATMENT START DATE (RADIOTHERAPY TREATMENT COURSE)   New Data Element
 
Binary
NHSDD FIX CSS1   Changed attached binary file
 

Date:22 December 2008
Sponsor:Richard Kavanagh, 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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PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90)

Change to Data Set: Changed Aliases


RADIOTHERAPY DATA SET  renamed from RADIOTHERAPY DATA SET

Change to Data Set: Changed Name, Description

Radiotherapy Data Set Overview

Commissioning Data Set Item (Yes/No)Data Set Data Element
Demographics:
To carry the personal details of the PATIENT. One occurrence of this group is required.
YesATTENDANCE IDENTIFIER 
YesAPPOINTMENT DATE 
YesORGANISATION CODE (CODE OF PROVIDER) 
Radiotherapy Episode Details:
To carry the ACTIVITY details of each radiotherapy episode. One or more occurrences of Radiotherapy Episode Details are permitted for each Tumour.
NoRADIOTHERAPY EPISODE IDENTIFIER 
NoEARLIEST CLINICALLY APPROPRIATE DATE 
NoRADIOTHERAPY PRIORITY 
NoBAD_REFERENCE
NoBAD_REFERENCE
NoDECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE)
NoTREATMENT START DATE (RADIOTHERAPY TREATMENT COURSE)
Prescription Details:
To carry the details of the PRESCRIPTION . One or more occurrences of Prescription Details are permitted for each Course.
NoPRESCRIPTION IDENTIFIER 
NoRADIOTHERAPY TREATMENT MODALITY 
NoRADIOTHERAPY TREATMENT REGION
NoANATOMICAL TREATMENT SITE (RADIOTHERAPY) 
NoNUMBER OF TELETHERAPY FIELDS
NoRADIOTHERAPY PRESCRIBED DOSE 
NoBAD_REFERENCE
NoPRESCRIBED FRACTIONS
NoRADIOTHERAPY ACTUAL DOSE
NoBAD_REFERENCE
NoACTUAL FRACTIONS
Exposure Details:
To carry the details of the radiotherapy exposure, per prescription. One or more occurrences of Exposure Details are permitted for each Course.
NoRADIOTHERAPY FIELD IDENTIFIER 
NoTIME OF EXPOSURE 
NoMACHINE IDENTIFIER 
NoTELETHERAPY BEAM TYPE 
NoTELETHERAPY BEAM ENERGY 

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SUMMARISED STOCKS DATA SET

Change to Data Set: Changed Description

Summarised Stocks Data Set Overview

The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient and out-patient stocks for Trauma and Orthopaedics; and in-patient stocks for ordinary admissions for care procedures of CABG, PTCA, Valves and Angiography.The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient and out-patient stocks for Trauma and Orthopaedics; and in-patient stocks for ordinary admissions for care procedures of CABG, PTCA, Valves and Angiography. 

This central information requirement provides performance management measures of waiting times and helps to identify those organisations failing to meet the standards of the NHS Plan.This central information requirement provides performance management measures of waiting times and helps to identify those ORGANISATIONS failing to meet the standards of the NHS Plan.

The Summarised Stocks Data Set is provider or commissioner based depending upon the ORGANISATION submitting the data set. Providers are care ORGANISATIONS providing admitted patient care and treatment for NHS PATIENTS. Commissioners are the ORGANISATIONS commissioning in-patient care for NHS PATIENTS. For commissioner based data sets, the provider is required to supply data to the commissioner.

The Summarised Stocks Data Set contains the admitted PATIENT waiting to be admitted stocks as at the end of the specified REPORTING PERIOD.

Data Set Data Elements 
Organisation and Reporting Period
COMMISSIONER OR PROVIDER STATUS INDICATOR 
ORGANISATION CODE (CODE OF COMMISSIONER) 
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATA SET PREPARATION DATE 
DATA SET PREPARATION TIME 
Admitted Patient Stock Group for Specialties
To carry the in-patient stock details for a MAIN SPECIALTY CODE. Where no stocks are present, zero should be recorded. There should be 1 occurrence of this group for each PATIENTS WAITING FOR ADMISSION TIME BANDS for each MAIN SPECIALTY CODE
MAIN SPECIALTY CODE
WAITING FOR ADMISSION INTENDED MANAGEMENT 
PATIENTS WAITING FOR ADMISSION TIME BAND 
PATIENTS WAITING FOR ADMISSION 
Summarised Admitted Patient Stock Group for particular intended procedures for ordinary admissions:
To carry the sub group stock details for ordinary admissions for the INTENDED PROCEDURE. Where no stocks are present in the Reporting Period then zero values should be recorded. There should only be 1 occurrence of this group permitted for each PATIENTS WAITING FOR ADMISSION TIME BAND for ordinary admissions for each INTENDED PROCEDURE.
ADMISSION INTENDED PROCEDURE 
WAITING FOR ADMISSION INTENDED MANAGEMENT 
PATIENTS WAITING FOR ADMISSION TIME BAND 
PATIENTS WAITING FOR ADMISSION 
Out-Patient Stock Group
To carry the out-patient stock details for MAIN SPECIALTY CODE. Where no stocks are present, zero should be recorded. There should be 1 occurrence of this sub group permitted for each OUT-PATIENT WAITING TIME BAND for each MAIN SPECIALTY CODE.
MAIN SPECIALTY CODE 
MAIN SPECIALTY CODE
OUT-PATIENT WAITING TIME BAND 
OUT-PATIENTS WAITING 

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CLASS DEFINITIONS INTRO

Change to Supporting Information: Changed Aliases


CLINICAL DATA SETS MENU

Change to Supporting Information: Changed Description

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CONSULTANT LED ACTIVITY

Change to Supporting Information: Changed Description

A Consultant Led Activity is an ACTIVITY where a CONSULTANT retains overall clinical responsibility. The CONSULTANT is not necessarily physically present for each PATIENT's appointment, but he/she takes overall clinical responsibility for PATIENT care. The CONSULTANT is not necessarily physically present for each PATIENT's APPOINTMENT, but he/she takes overall clinical responsibility for PATIENT care.

The MAIN SPECIALTY of the CONSULTANT retaining overall clinical responsibility is recorded using the appropriate MAIN SPECIALTY CODE along with their CONSULTANT CODE. A TREATMENT FUNCTION CODE will be recorded where the ACTIVITY is delivered in a TREATMENT FUNCTION.

The MAIN SPECIALTY CODE is used by the Secondary Uses Service to identify Consultant Led Activity

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INDEX

Change to Supporting Information: Changed Description


NHS DATA MODEL AND DICTIONARY

Version 3

What's New: November 2008What's New: December 2008

 

The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England.

It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the NHS Information Standards Board and published as Data Set Change Notices. 
Classes are shown in Dark Red Text, Attributes are shown in Purple, Data Elements are shown in GreenCommissioning Data Sets are shown in Dark Green, Central Return Forms are shown in Dark Pink and other pages are shown in Blue.

About the NHS Data Model and Dictionary Version 3 and Meta Model

The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England.

It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the NHS Information Standards Board and published as Data Set Change Notices. 
Classes are shown in Dark Red Text, Attributes are shown in Purple, Data Elements are shown in Green, Data Sets are shown in Aqua Blue, Central Return Forms are shown in Dark Pink and other pages are shown in Blue.

About the NHS Data Model and Dictionary Version 3 and Meta Model

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MAIN MENU

Change to Supporting Information: Changed Description

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MENTAL HEALTH

Change to Supporting Information: Changed Description

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METADATA FILES

Change to Supporting Information: Changed Description

METADATA FILES

  1. Files Available
    • Files Available
    • Metadata files are used by the NHS to validate data. The files facilitate data consistency and quality. The files are:

      • Diagnosis (ICD-10)

      • Operation (OPCS-4) Fourth Revision Consolidated Version

      • NHS Postcode Directory

      • Frozen Postcode Directory

      • Country Pseudo Postcodes.
    • Metadata files are used by the NHS to validate data. The files facilitate data consistency and quality. The files are:
    • Diagnosis (ICD-10)

    • Operation (OPCS-4) Fourth Revision Consolidated Version

    • NHS Postcode Directory

    • Frozen Postcode Directory

    • Country Pseudo Postcodes.


    • The ICD-10 file is issued by NHS Connecting for Health, from whom a specification is available. It is intended to reissue this file in line with the ICD-10 updates.

    • The Operation metadata file is also issued by NHS Connecting for Health on request. No update of this file is currently envisaged.

    • The NHS Postcode Directory (''Gridlink" version) is maintained, on behalf of the Department of Health, by the Office for National Statistics. The full NHS Postcode Directory on CD-ROM and via the NHSnet is provided free to the NHS, every quarter, by the National Administrative Codes Service (NACS). A reduced version of the full NHS Postcode Directory, containing Postcode, Strategic Health Authority Code and Primary Care Group/Trust/Care Trust Code, is provided every quarter on CD-ROM and via NHSnet as part of the standard National Administrative Codes Service (NACS) data issue; see Contact Details.

    • The NHS Postcode Directory (''Gridlink" version) is maintained, on behalf of the Department of Health, by the Office for National Statistics. The full NHS Postcode Directory on CD-ROM and via the NHSnet is provided free to the NHS, every quarter, by the Organisation Data Service. A reduced version of the full NHS Postcode Directory, containing Postcode, Strategic Health Authority Code and Primary Care Group/Trust/Care Trust Code, is provided every quarter on CD-ROM and via NHSnet as part of the standard Organisation Data Service data issue; see Contact Details.

    • A version of the Central Postcode Directory, the 91-based Frozen Postcode Directory, is produced by the ONS to provide a stable base to facilitate time source analysis. Full details are set out in the Central Postcode Directory User Guide available from Office for National Statistics; see Contact Details.

    • Any area within the NHS taking advantage of the supply of metadata by the Office for National Statistics will be expected to abide by any rules and conditions imposed by the Office for National Statistics Section supplying the metadata.

      Media
    • NHS Connecting for Health Metadata files are normally supplied on disk. Potential users should contact the NHS Information Authority Coding and Classification Help Desk on 0121 333 0420 (direct line).

      Format of Metadata Files
    • The following pages give the record layouts and data content for the Operation and Country Pseudo Postcode metadata files.

      Operation File Data Content
    • This file consists of about 7,000 records, one record for each operation (OPCS-4) Fourth Revision Consolidated Version used in the Hospital Episode Statistics processing system. The records are in operation code order. Each record also contains editing parameters used in validation.

      OPERATION FILE RECORD LAYOUT

      Start PositionSizeOccursField Description
      111 selection indicators
      121 operation prefix
      134 operation code
      178 filler
      2555 operation name (3 digit)
      805 filler
      8560 operation name (4 digit)
      14543 filler
      1881 sex (absolute)
      1893 filler
      1921 sex (scrutiny)
      1931 filler
      1942 status of operation
      19623 filler
      219110method of delivery
      22924 filler

      OPERATION FILE FIELD CONTENTS

      FieldContent
      Operation Prefixspace
      Operation Code4 chars, 1 alphanumeric + 3 numeric
      Sex (absolute)space = accept any sex code
      1 = males not accepted
      2 = females not accepted
      1 = males not accepted
      2 = females not accepted
      Sex (scrutiny)space = accept any sex code
      1 = males not accepted
      2 = females not accepted
      NB The following relate to primary operation only
      Status of Operationif status not = 01, reject for scrutiny
      Method of Delivery10 one character codes representing the DELMETH code values 0 - 9. Check character position corresponding to DELMETH code value

      space = no check required
      1 = reject for scrutiny
      Country Pseudo Postcode File Data Content
    • This file contains about 130 records. The usual country of residence for short term overseas visitors is derived from the country pseudo postcode, these can be found by browsing the National Administrative Codes Service NHSnet website. The codes are also available in electronic format on the NHS Postcode Directory ("Gridlink version").

      For the National Administrative Codes Service contact details, see Contact Details.

    • This file consists of about 7,000 records, one record for each operation (OPCS-4) Fourth Revision Consolidated Version used in the Hospital Episode Statistics processing system. The records are in operation code order. Each record also contains editing parameters used in validation.

      OPERATION FILE RECORD LAYOUT

      Start PositionSizeOccursField Description
      111 selection indicators
      121 operation prefix
      134 operation code
      178 filler
      2555 operation name (3 digit)
      805 filler
      8560 operation name (4 digit)
      14543 filler
      1881 sex (absolute)
      1893 filler
      1921 sex (scrutiny)
      1931 filler
      1942 status of operation
      19623 filler
      219110method of delivery
      22924 filler

      OPERATION FILE FIELD CONTENTS

      FieldContent
      Operation Prefixspace
      Operation Code4 chars, 1 alphanumeric + 3 numeric
      Sex (absolute)space = accept any sex code
      1 = males not accepted
      2 = females not accepted
      1 = males not accepted
      2 = females not accepted
      Sex (scrutiny)space = accept any sex code
      1 = males not accepted
      2 = females not accepted
      NB The following relate to primary operation only
      Status of Operationif status not = 01, reject for scrutiny
      Method of Delivery10 one character codes representing the DELMETH code values 0 - 9. Check character position corresponding to DELMETH code value

      space = no check required
      1 = reject for scrutiny
        
    Country Pseudo Postcode File Data Content
    • This file contains about 130 records. The usual country of residence for short term overseas visitors is derived from the country pseudo postcode, these can be found by browsing the Organisation Data Service NHSnet website. The codes are also available in electronic format on the NHS Postcode Directory ("Gridlink version").

      For the Organisation Data Service contact details, see Contact Details.

    • The expanded area code field contains the country of birth code in characters 1-4 (a repeat of the characters 3-6 in the pseudo postcode). The remainder of the expanded area code is blank except for codes 993C (UK nos) and 993V (no fixed abode) where characters 5-7 are 9space9.

      COUNTRY PSEUDO FILE RECORD LAYOUT

      Start PosSizeData TypeField Description
      111Xselection indicators
      126X6 digit postcode (POSTSIX)
      181A7th digit
      196Xfiller
      2550Xname of country
      755Xfiller
      8019Xarea details
      99154Xfiller

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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Paediatric Critical Care Minimum Data Set has been specified as a simple data specification but will be carried within the existing framework of the Commissioning Data Set as supported by the Secondary Uses Service.

Note that this enhancement is only intended to be implemented as a new version in the Commissioning Data Set-XML Message and will not be implemented in the current Commissioning Data Set-EDIFACT Message (NHS005).

Scope:

The definition of Paediatric Critical Care is linked to the definition of Paediatric Critical Care Healthcare Resource Groups.

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

a)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Paediatric Intensive Care Unit regardless of care being delivered
b)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION with National Code of either:
  • 04 Paediatric Intensive Care Unit (Paediatric critical care patients predominate)
  • 16 Ward for children and young people
  • 17 High Dependency Unit for children and young people
  • 18 Renal Unit for children and young people
  • 19 Burns Unit for children and young people
  • 92 Non standard location using the operating department for children and young people
to whom one or more of the following CRITICAL CARE ACTIVITIES applies for a period greater than 4 hours:
  
04Exchange transfusion
05Peritoneal dialysis (acute patients only i.e. excluding chronic)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin
09Supplemental oxygen therapy (irrespective of ventilatory state)
13Tracheostomy cared for by nursing staff
16Haemofiltration
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute patients only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Recirculating System (MARS)
73Continuous pulse oximetry
74Patient nursed in single occupancy cubicle


If one or more of these items apply to a PATIENT, then the PATIENT would be counted as receiving Paediatric Critical Care at one of the levels of Intensive Care or High Dependency Care depending on the conditions/interventions which apply.

A number of these interventions will only occur in a Paediatric Intensive Care Unit environment where all PATIENTS are covered by the Paediatric Critical Care Minimum Data Set regardless of treatment. Care for PATIENTS outside of a Paediatric Intensive Care Unit will in practice be dealing with a shorter list of interventions. The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with CRITICAL CARE UNIT FUNCTION: The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with  CRITICAL CARE UNIT FUNCTION:

  • Paediatric Intensive Care Unit; or
  • Ward for children and young people; or
  • High Dependency Unit for children and young people; or
  • Renal Unit for children and young people; or
  • Burns Unit for children and young people; or
  • Non standard location using the operating department for children and young people.

The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a CRITICAL CARE UNIT FUNCTION other than those listed above.The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a  CRITICAL CARE UNIT FUNCTION other than those listed above.

The Paediatric Critical Care Minimum Data Set will be carried as part of the following Admitted Patient Care Commissioning Data Set Types:

  • The Admitted Patient Care Finished General Episode (Commissioning Data Set TYPE 130)
  • The Admitted Patient Care Unfinished General Episode (Commissioning Data Set TYPE 190)
  • The Admitted Patient Care Delivery Episode (Commissioning Data SetTYPE 140)
  • The Admitted Patient Care Delivery Episode (Commissioning Data Set TYPE 140)
  • The Admitted Patient Care Unfinished Delivery Episode (Commissioning Data Set TYPE 200)
  • The Admitted Patient Care Finished Birth Episode (Commissioning Data Set TYPE 120)
  • The Admitted Patient Care Unfinished Birth Episode (Commissioning Data Set TYPE 180)

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PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90) OVERVIEW

Change to Supporting Information: Changed Description

  1. Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90)

    Contextual Overview

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SECURITY ISSUES AND PATIENT CONFIDENTIALITY

Change to Supporting Information: Changed Description

SECURITY ISSUES AND PATIENT CONFIDENTIALITY

  • A. Removal of name and address where the NHS Number is present
  • From 1 April 1999, PATIENT NAME and PATIENT USUAL ADDRESS (not POSTCODE OF USUAL ADDRESS) must be removed from all Commissioning Data Sets where a valid NHS NUMBER is present. This applies to all nationally defined Commissioning Data Set data and any additional locally agreed flows from service providers to commissioning bodies.

  • A valid NHS NUMBER is one that has passed the check digit calculation on entry into the source system. If an NHS NUMBER is not valid (i.e. does not conform with the check digit algorithm) then PATIENT NAMES and PATIENT USUAL ADDRESSES should not be removed, as the reliability of the NHS NUMBER will not be known.

  • The NHS NUMBER STATUS INDICATOR is a mandatory part of the Commissioning Data Set. PATIENT NAME and PATIENT USUAL ADDRESS should be removed when a valid NHS NUMBER is present, even if the NHS NUMBER STATUS INDICATOR does not have a status of 01, Number present and verified.

    B. Marital Status
  • Following the recommendations of the Data Protection Registrar, Providers should not record MARITAL STATUS in any CDS TYPE, except in respect of the psychiatric specialities in the Admitted Patient Care CDS Types, where it will continue to be recorded.

    C. Sensitive data
  • The Human Fertilisation and Embryology Act 1990 as amended by the Human Fertilisation and Embryology (Disclosure of Information) Act 1992 imposes statutory restrictions on the disclosure of information about identifiable individuals in connection with certain infertility treatments. A list of the relevant codes is given in Table 1. In these cases the NHS NUMBER, LOCAL PATIENT IDENTIFIER, PATIENT NAMES, POSTCODE OF USUAL ADDRESS and BIRTH DATE should be omitted from the CDS Types.

  • Other statutory restrictions on the disclosure of PATIENT information do not prohibit the disclosure to individuals involved with the treatment and prevention of certain specific diseases (HIV/AIDS and venereal diseases) in the population.

    TABLE 1: TREATMENTS PROVIDED UNDER THE LICENCE OF THE HUMAN FERTILISATION AND EMBRYOLOGY AUTHORITY

    DescriptionOPCS-4ICD-10
    Standard In Vitro Fertilisation (IVF)Q13.-1 Introduction of gamete into uterine cavity, or
    Q38.3 Endoscopic intrafallopian transfer of gamete
    Z31.2 In vitro fertilization
    IVF with donor spermQ13.- 1 Introduction of gamete into uterine cavity, or
    Q38.3 Endoscopic intrafallopian transfer of gamete
    Z31.2 In vitro fertilization
    IVF with donor eggsQ13.-1 Introduction of gamete into uterine cavity, or
    Q38.3 Endoscopic intrafallopian transfer of gamete
    Z31.2 In vitro fertilization
    Donor insemination (DI)Q13.3 Intrauterine artificial insemination, or
    Q13.2 Intracervical artificial insemination
    Z31.1 Artificial insemination
    Gamete intrafallopian transfer (GIFT) with donor spermQ38.3 Endoscopic intrafallopian transfer of gameteZ31.3 Other assisted fertilization methods
    Gamete intrafallopian transfer (GIFT) with donor eggsQ38.3 Endoscopic intrafallopian transfer of gameteZ31.3Other assisted fertilization methods
    Intracytoplasmic sperm injection (ICSI)  
    Sub-zonal insemination (SUZI)  
    Zygote intrafallopian transfer (ZIFT)Q38.3 Endoscopic intrafallopian transfer of gameteZ31.2 In vitro fertilization
    Partial Zona Dissection (PZD)  
    Zona drilling  
    Hamster- egg penetration test  
    Assisted hatching  
    Pre-implantation Genetic Diagnosis (PGD)  
    Storage of sperm  
    Storage of embryos  
    Use and storage of testicular tissue  
    Transport/satellite IVF/ICSI  
    Embryo donation Z31.8 Other procreative management
    Research  

    1.- means all fourth characters of this rubric should be included.

  • Other statutory restrictions on the disclosure of PATIENT information do not prohibit the disclosure to individuals involved with the treatment and prevention of certain specific diseases (HIV/AIDS and venereal diseases) in the population.

    TABLE 1: TREATMENTS PROVIDED UNDER THE LICENCE OF THE HUMAN FERTILISATION AND EMBRYOLOGY AUTHORITY

    DescriptionOPCS-4ICD-10
    Standard In Vitro Fertilisation (IVF)Q13.-1 Introduction of gamete into uterine cavity, or
    Q38.3 Endoscopic intrafallopian transfer of gamete
    Z31.2 In vitro fertilization
    In Vitro Fertilisation (IVF) with donor spermQ13.- 1 Introduction of gamete into uterine cavity, or
    Q38.3 Endoscopic intrafallopian transfer of gamete
    Z31.2 In vitro fertilization
    In Vitro Fertilisation (IVF) with donor eggsQ13.-1 Introduction of gamete into uterine cavity, or
    Q38.3 Endoscopic intrafallopian transfer of gamete
    Z31.2 In vitro fertilization
    Donor insemination (DI)Q13.3 Intrauterine artificial insemination, or
    Q13.2 Intracervical artificial insemination
    Z31.1 Artificial insemination
    Gamete intrafallopian transfer (GIFT) with donor spermQ38.3 Endoscopic intrafallopian transfer of gameteZ31.3 Other assisted fertilization methods
    Gamete intrafallopian transfer (GIFT) with donor eggsQ38.3 Endoscopic intrafallopian transfer of gameteZ31.3Other assisted fertilization methods
    Intracytoplasmic sperm injection (ICSI)  
    Sub-zonal insemination (SUZI)  
    Zygote intrafallopian transfer (ZIFT)Q38.3 Endoscopic intrafallopian transfer of gameteZ31.2 In vitro fertilization
    Partial Zona Dissection (PZD)  
    Zona drilling  
    Hamster- egg penetration test  
    Assisted hatching  
    Pre-implantation Genetic Diagnosis (PGD)  
    Storage of sperm  
    Storage of embryos  
    Use and storage of testicular tissue  
    Transport/satellite In Vitro Fertilisation (IVF) / Intracytoplasmic sperm injection (ICSI)  
    Embryo donation Z31.8 Other procreative management
    Research  

    1.- means all fourth characters of this rubric should be included.

  • All records containing patient identifiable information, other than those covered by the Human Fertilisation & Embryology Acts, as outlined in the Table above, should be treated as sensitive. Organisations may continue to exchange records containing NHS NUMBER, POSTCODE OF USUAL ADDRESS and BIRTH DATE in these cases, but receiving organisations must ensure that only those staff with legitimate need have access to this information, e.g. public health departments, and strictly on a need to know basis. No-one should have unrestricted access unless fully justified in accordance with the principles of the Caldicott Committee Report.

  • Where PATIENT level data is required for other purposes within an organisation, it should be anonymised/aggregated prior to disclosure by someone with legitimate access. If this is not practicable, local protocols defining which CDS TYPES are particularly sensitive (including, but not necessarily restricted to HIV/AIDS and venereal disease) agreed by the organisation Caldicott Guardian, should be put in place and identifiers stripped from these records.

  • Your Caldicott Guardian will be able to advise you further on all issues relating to patient confidentiality.

  • Where appropriate, further information about confidentiality is contained within the notes for individual data items.

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WHAT'S NEW: DECEMBER 2008  renamed from WHAT'S NEW: NOVEMBER 2008

Change to Supporting Information: Changed Name, Description

Release: December 2008

DSCNs published but not yet incorporated into the NHS Data Model and Dictionary:DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1002 (1 April 2009) - DSCN 24/2008 Data Standards: Commissioning Data Set Version 6-1 Tables
  • CP1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CP901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CP843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CP1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme Vaccine Monitoring Minimum Dataset
  • CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
  • CP861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • 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)
  • 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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ATTENDED OR DID NOT ATTEND

Change to Attribute: Changed Aliases


CATEGORY VALUED PERSON OBSERVATION TYPE

Change to Attribute: Changed Description

One of the business definitions listed in the CATEGORY VALUED PERSON OBSERVATION description as a type of this class or one of the related classification classes.

National Codes:

01Alcohol Status
01ALCOHOL STATUS
02Aspirin Therapy
03Local Bleed Complication
04Ethnic Category
05Joint Replacement Revision Classification
06Language Classification
07Legal Status Classification
08Patinet Clinical Group
09Performance Status
10Person Gender
11Person Marital Status
04ETHNIC CATEGORY
05JOINT REPLACEMENT REVISION CLASSIFICATION
06LANGUAGE CLASSIFICATION
07LEGAL STATUS CLASSIFICATION
08PATIENT CLINICAL GROUP
09PERFORMANCE STATUS
10PERSON GENDER
11PERSON MARITAL STATUS
12Saracoma Predisposing Condition
13Skin Lymphoma Morphology
13SKIN LYMPHOMA MORPHOLOGY
 

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ACTUAL FRACTIONS

Change to Data Element: New Data Element

Format/length:n2
HES item: 
National Codes: 
Default Codes: 

Notes:

The total number of Fractions or hyperfraction delivered as part of a Radiotherapy Treatment Course.

 

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ATTENDED OR DID NOT ATTEND

Change to Data Element: Changed Aliases


CDS COPY RECIPIENT IDENTITY

Change to Data Element: Changed Description

Format/length:an5
HES item: 
National Codes: 
Default Codes: 

Notes:

Definition:
CDS COPY RECIPIENT IDENTITY is the 5-character NHS ORGANISATION CODE (or valid default code) for an ORGANISATION indicated as a CDS COPY RECIPIENT IDENTITY of the Commissioning data.

Usage:
A Recipient may be an agency or service provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple recipients for Commissioning data.

Default codes for CDS COPY RECIPIENT IDENTITIES are detailed in the CDS Addressing Grid.

  

 

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DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE)

Change to Data Element: New Data Element

 
Format/length:see DATE 
HES item: 
National Codes: 
Default Codes:

Notes:

This is the DATE that a decision was taken to treat a PATIENT's condition with a RADIOTHERAPY TREATMENT MODALITY.

Where the treatment is being undertaken as part of a Cancer Treatment Period, where the CANCER TREATMENT MODALITY is National Code 05 'Teletherapy' or 06 'Brachytherapy', the DECISION TO TREAT DATE (RADIOTHERAPY TREATMENT COURSE) is the same as the CANCER TREATMENT PERIOD START DATE.

 

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DECISION TO TREAT DATE (SPECIALIST PALLIATIVE TREATMENT COURSE)

Change to Data Element: Changed Description

 
Format/length:see DATE 
HES item: 
National Codes: 
Default Codes:

Notes:
DECISION TO TREAT DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as the attribute DECISION TO TREAT DATE.

This data item is only mandatory when applicable in the National Cancer Data Set which is when the planned first definitive treatment is specialist palliative care.This data element is only mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set which is when the planned first definitive treatment is specialist palliative care.

It is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE National Code 05 'Specialist Palliative Care' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification a. 'first definitive treatment planned'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Planned Cancer Treatment is a PLANNED ACTIVITY where PLANNED ACTIVITY TYPE is National Code 02 'Cancer Treatment'.

 

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OCCUPATION CODE

Change to Data Element: Changed Description

Format/length:an3
HES item: 
National codesClick on the Attribute tab to display the attribute that contains the National Codes
Default codes 

Notes:
This is the same as attribute OCCUPATION CODE.

The standard national NHS Occupation Code for an EMPLOYEE filling a POSITION through an ASSIGNMENT.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

 

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OCCUPATION CODE (CLINICAL SECOND SPECIALTY)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National codes 
Default codes 

Notes:
OCCUPATION CODE (CLINICAL SECOND SPECIALTY) is the same as attribute OCCUPATION CODE.

This is the secondary specialty OCCUPATION CODE of a CONSULTANT, Specialist Registrar or Senior Registrar.

The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

Please note these codes are not the same as those used for MAIN SPECIALTY CODE.

A second clinical specialty OCCUPATION CODE is added to a CONSULTANT or Specialist's record where the doctor's primary (main) specialty is 'General Medicine'.

Note that Specialty codes for a doctor with an OCCUPATION CODE of 021 General Surgery, or in the OCCUPATION CODE range of 920 to 980 Community and Public Health Medicine/Dentistry, are not valid as a second clinical specialty.

 

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OCCUPATION CODE (CLINICAL SPECIALTY)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National codes 
Default codes 

Notes:
OCCUPATION CODE (CLINICAL SPECIALTY) is the same as attribute OCCUPATION CODE.

This is the primary (main) specialty OCCUPATION CODE of a doctor or dentist.

The medical and dental specialty OCCUPATION CODES are currently used exclusively for National Workforce and Electronic Staff Record purposes.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

Please note these codes are not the same as those used for MAIN SPECIALTY CODE

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OCCUPATION CODE DESCRIPTION

Change to Data Element: Changed Description

Format/length:max 255 characters
HES item: 
National codesClick on the Attribute tab to display the attribute that contains the National Codes
Default codes 

Notes:
This is the same as attribute OCCUPATION CODE DESCRIPTION.

A description or name corresponding to a specific NHS OCCUPATION CODE.

The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

 

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PERSON AGE IN YEARS (REPORTING PERIOD END DATE)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National codes 
Default codes 

Notes:
The age in years of the PERSON as at the REPORTING PERIOD END DATE, it is calculated as follows:

 (REPORTING PERIOD END DATE - PERSON BIRTH DATE)
 (REPORTING PERIOD END DATE - PERSON BIRTH DATE)

The format of a date, see DATE, is ccmm-dd-yy and for calculation purposes only the ccmm elements should be used.

 

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PRESCRIBED FRACTIONS

Change to Data Element: New Data Element

Format/length:n2
HES item: 
National Codes: 
Default Codes: 

Notes:

The total number of Fractions or hyperfraction delivered as part of a Radiotherapy Treatment Course.

 

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REFERRAL TO TREATMENT PERIOD EXCEEDS 18 WEEKS TIME BAND

Change to Data Element: Changed Description

Format/length:an7
HES item: 
National Codes: 
Default Codes: 

Notes:

These are the time bands of the number of weeks until a PATIENT's wait for treatment would exceed 18 weeks.

This is expressed as below:

unknownPatients with unknown REFERRAL TO TREATMENT PERIOD START DATE 
>6-8Patients whose wait for treatment will exceed 18 weeks in more than 6 and up to and including 8 weeks
>4-6Patients whose wait for treatment will exceed 18 weeks in more than 4 and up to and including 6 weeks
>2-4Patients whose wait for treatment will exceed 18 weeks in more than 2 and up to and including 4 weeks
>1-2Patients whose wait for treatment will exceed 18 weeks in more than 1 and up to and including 2 weeks
0-1Patients whose wait for treatment will exceed 18 weeks in 0 and up to and including 1 week

Guidance for calculating days until 18 weeks wait for treatment is exceeded:

The REFERRAL REQUEST RECEIVED DATE is day zero in the REFERRAL TO TREATMENT PERIOD. Therefore:

Patients who are reported in the >6-8 weeks time band are those who have 43 to 56 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >6-8 weeks time band are those who have 43 to 56 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the >4-6 weeks time band are those who have 29 to 42 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >4-6 weeks time band are those who have 29 to 42 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the >2-4 weeks time band are those who have 15 to 28 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >2-4 weeks time band are those who have 15 to 28 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the >1-2 weeks time band are those who have 8 to 14 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the >1-2 weeks time band are those who have 8 to 14 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

Patients who are reported in the 0-1 weeks time band are those who have 0 to 7 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATEPATIENTS who are reported in the 0-1 weeks time band are those who have 0 to 7 days until 18 weeks wait for treatment is exceeded at the REPORTING PERIOD END DATE

 

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TREATMENT START DATE (RADIOTHERAPY TREATMENT COURSE)

Change to Data Element: New Data Element

 
Format/length:see DATE 
HES item: 
National Codes: 
Default Codes:

Notes:

This is the DATE that treatment for a PATIENT's condition using a RADIOTHERAPY TREATMENT MODALITY started.

Where the treatment is being undertaken as part of a Cancer Treatment Period, where the CANCER TREATMENT MODALITY is National Code 05 'Teletherapy' or 06 'Brachytherapy', the TREATMENT START DATE (RADIOTHERAPY TREATMENT COURSE) is the same as the TREATMENT START DATE (CANCER).

 

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NHSDD FIX CSS1

Change to Binary: Changed attached binary file

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