Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1204
Version No:1.0
Subject:Main Specialty and Treatment Function Codes
Effective Date:Immediate
Reason for Change:Change of Layout
Publication Date:27 October 2010

Background:

This Change Request copies the Main Specialty and Treatment Function Codes onto the Main Specialty Code and Treatment Function Code Attributes. This will enable the codes to be included in the Data Dictionary extract.

Summary of changes:

Supporting Information
MAIN SPECIALTY AND TREATMENT FUNCTION CODES   Changed Description
 
Attribute Definitions
MAIN SPECIALTY CODE   Changed Description
TREATMENT FUNCTION CODE   Changed Description
 
Data Elements
ACTIVITY TREATMENT FUNCTION CODE   Changed Description
CARE PROFESSIONAL MAIN SPECIALTY CODE   Changed Description
MAIN SPECIALTY CODE   Changed Description
MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) (RETIRED)   Changed linked Attribute
MAIN SPECIALTY CODE (MENTAL HEALTH)   Changed Description
TREATMENT FUNCTION CODE   Changed Description
TREATMENT FUNCTION CODE (RECEIVING SERVICE)   Changed Description
TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)   Changed Description
TREATMENT FUNCTION CODE (REFERRING SERVICE)   Changed Description
 

Date:27 October 2010
Sponsor:Ken Lunn, Director of Data Standards and Products, NHS Connecting for Health

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

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MAIN SPECIALTY AND TREATMENT FUNCTION CODES

Change to Supporting Information: Changed Description


TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

Table 1 Main Specialty codes

 CodeMain Specialty Title
Surgical Specialties
 100GENERAL SURGERY
 101UROLOGY
 110TRAUMA & ORTHOPAEDICS
 120ENT
 130OPHTHALMOLOGY
 140ORAL SURGERY
 141RESTORATIVE DENTISTRY
 142PAEDIATRIC DENTISTRY
 143ORTHODONTICS
 145ORAL & MAXILLO FACIAL SURGERY
 146ENDODONTICS
 147PERIODONTICS
 148PROSTHODONTICS
 149SURGICAL DENTISTRY
 150NEUROSURGERY
 160PLASTIC SURGERY
 170CARDIOTHORACIC SURGERY
 171PAEDIATRIC SURGERY
 180ACCIDENT & EMERGENCY
 191no longer in use
 191Retired
Medical Specialties
 190ANAESTHETICS
 192CRITICAL CARE MEDICINE
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
*312CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
**325SPORTS AND EXERCISE MEDICINE
**326ACUTE INTERNAL MEDICINE
 330DERMATOLOGY
 340RESPIRATORY MEDICINE (also known as thoracic medicine)
 350INFECTIOUS DISEASES
 352TROPICAL MEDICINE
 360GENITOURINARY MEDICINE
 361NEPHROLOGY
 370MEDICAL ONCOLOGY
 371NUCLEAR MEDICINE
 400NEUROLOGY
 401CLINICAL NEURO-PHYSIOLOGY
 410RHEUMATOLOGY
 420PAEDIATRICS
 421PAEDIATRIC NEUROLOGY
 430GERIATRIC MEDICINE
 450DENTAL MEDICINE SPECIALTIES
**451SPECIAL CARE DENTISTRY
 460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
 501OBSTETRICS
 502GYNAECOLOGY
**504COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
 510no longer in use
 520no longer in use
 510Retired
 520Retired
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610no longer in use
 620no longer in use
 610Retired
 620Retired
Psychiatry
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
Radiology
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
Pathology
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY AND VIROLOGY
 832no longer in use
 832Retired
**833MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
**834MEDICAL VIROLOGY
Other
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990no longer in use
 990Retired

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
*Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.
**These MAIN SPECIALTY CODES should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets and the associated CDS-XML Schema Release. Prior to this release, these codes may be recorded locally, however they cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1).
  Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960.
  The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice
  Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic

Table 2 Treatment Function codes

CodeTreatment Function TitleComments
Surgical Specialties
100GENERAL SURGERYIncludes sub-categories not elsewhere listed eg endocrine surgery.
101UROLOGY 
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERY 
107VASCULAR SURGERY 
110TRAUMA & ORTHOPAEDICS 
120ENTEar, nose and throat
130OPHTHALMOLOGY 
140ORAL SURGERY 
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRY 
143ORTHODONTICS 
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery.
150NEUROSURGERY 
160PLASTIC SURGERY 
161BURNS CARETo be used by recognised specialist units and associated outreach services only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERY 
173THORACIC SURGERY 
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180ACCIDENT & EMERGENCY 
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialties
211PAEDIATRIC UROLOGYDedicated services to children with appropriate facilities and support staff
212PAEDIATRIC TRANSPLANTATION SURGERYDedicated services to children with appropriate facilities and support staff
213PAEDIATRIC GASTROINTESTINAL SURGERYDedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSDedicated services to children with appropriate facilities and support staff.
215PAEDIATRIC EAR NOSE AND THROATDedicated services to children with appropriate facilities and support staff
216PAEDIATRIC OPHTHALMOLOGYDedicated services to children with appropriate facilities and support staff
217PAEDIATRIC MAXILLO-FACIAL SURGERYDedicated services to children with appropriate facilities and support staff
218PAEDIATRIC NEUROSURGERYDedicated services to children with appropriate facilities and support staff
219PAEDIATRIC PLASTIC SURGERYDedicated services to children with appropriate facilities and support staff
220PAEDIATRIC BURNS CAREDedicated services to children with appropriate facilities and support staff
221PAEDIATRIC CARDIAC SURGERYDedicated services to children with appropriate facilities and support staff
222PAEDIATRIC THORACIC SURGERYDedicated services to children with appropriate facilities and support staff
241PAEDIATRIC PAIN MANAGEMENTDedicated services to children with appropriate facilities and support staff
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYDedicated services to children with appropriate facilities and support staff
252PAEDIATRIC ENDOCRINOLOGYDedicated services to children with appropriate facilities and support staff
253PAEDIATRIC CLINICAL HAEMATOLOGYDedicated services to children with appropriate facilities and support staff
254PAEDIATRIC AUDIOLOGICAL MEDICINEDedicated services to children with appropriate facilities and support staff
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGYDedicated services to children with appropriate facilities and support staff
256PAEDIATRIC INFECTIOUS DISEASESDedicated services to children with appropriate facilities and support staff
257PAEDIATRIC DERMATOLOGYDedicated services to children with appropriate facilities and support staff
258PAEDIATRIC RESPIRATORY MEDICINEDedicated services to children with appropriate facilities and support staff
259PAEDIATRIC NEPHROLOGYDedicated services to children with appropriate facilities and support staff
260PAEDIATRIC MEDICAL ONCOLOGYDedicated services to children with appropriate facilities and support staff
261PAEDIATRIC METABOLIC DISEASEDedicated services to children with appropriate facilities and support staff
262PAEDIATRIC RHEUMATOLOGYDedicated services to children with appropriate facilities and support staff
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDedicated services to children with appropriate facilities and support staff
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291PAEDIATRIC NEURO-DISABILITYDedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
Medical Specialties
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191.
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed eg metabolic medicine.
301GASTROENTEROLOGY 
302ENDOCRINOLOGY 
303CLINICAL HAEMATOLOGYExcludes ANTICOAGULANT SERVICE see 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305CLINICAL PHARMACOLOGY 
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINE 
308BLOOD AND MARROW TRANSPLANTATIONPreviously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309HAEMOPHILIAPreviously in Clinical Haematology
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311CLINICAL GENETICSTo be used by recognised specialist units and associated outreach services only.
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGYShould only be used where there are no separate services for Clinical Immunology and Allergy
314REHABILITATION 
315PALLIATIVE MEDICINE 
316CLINICAL IMMUNOLOGY 
317ALLERGYThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARE 
320CARDIOLOGY 
321PAEDIATRIC CARDIOLOGY 
322CLINICAL MICROBIOLOGY 
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach services only.
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
330DERMATOLOGY 
340RESPIRATORY MEDICINEalso known as Thoracic Medicine
340RESPIRATORY MEDICINEAlso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with chemotherapy, of patients with cancer.
371NUCLEAR MEDICINE 
400NEUROLOGY 
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410RHEUMATOLOGY 
420PAEDIATRICS 
421PAEDIATRIC NEUROLOGY 
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care.
424WELL BABIESCare given by the mother/substitute with medical and neonatal nursing advice if needed
430GERIATRIC MEDICINE 
450DENTAL MEDICINE SPECIALTIESIncludes oral medicine.
460MEDICAL OPHTHALMOLOGY 
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations.
503GYNAECOLOGICAL ONCOLOGY 
510no longer in useRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520no longer in useRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
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
560MIDWIFE EPISODE 
600not a Treatment Function 
610no longer in useRecord as Obstetrics
620no longer in useUse the appropriate function under which the patient is treated
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
Therapies
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties.
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654DIETETICSThe application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment.
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders.
Psychiatry
700LEARNING DISABILITY 
710ADULT MENTAL ILLNESS 
711CHILD and ADOLESCENT PSYCHIATRY 
712FORENSIC PSYCHIATRY 
713PSYCHOTHERAPY 
715OLD AGE PSYCHIATRY 
720EATING DISORDERSA specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721ADDICTION SERVICESThe psychiatric prevention and treatment of substance misuse including drugs and alcohol
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724PERINATAL PSYCHIATRYA specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
Radiology
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYNot to be used for diagnostic imaging.
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
Pathology
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only.
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment Functionsee Clinical Immunology
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832no longer in use 
832Retired 
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
Other
900not a Treatment Function 
901not a Treatment Function 
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
990no longer in use 
990Retired 

Notes:

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MAIN SPECIALTY CODE

Change to Attribute: Changed Description

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

See Main Specialty and Treatment Function Codes for the full list of valid codes.

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

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

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

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

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

 For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

National Codes:

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

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
*Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.
**These MAIN SPECIALTY CODES should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets and the associated CDS-XML Schema Release. Prior to this release, these codes may be recorded locally, however they cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1).
  Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.
  The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice
  Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic
 

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TREATMENT FUNCTION CODE

Change to Attribute: Changed Description

A unique identifier for a TREATMENT FUNCTION.

The appropriate TREATMENT FUNCTION CODE should be used to record activity undertaken, irrespective of the type of Healthcare Professional who performs it, even where the name of the TREATMENT FUNCTION CODE suggests it is limited for use by a particular Healthcare Profession.

 TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL e.g. Intermediate Care as the ACTIVITY TREATMENT FUNCTION CODE for a Nursing Episode.

For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

National Codes:

CodeTreatment Function TitleComments
Surgical Specialties
100GENERAL SURGERYIncludes sub-categories not elsewhere listed e.g. endocrine surgery.
101UROLOGY 
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERY 
107VASCULAR SURGERY 
110TRAUMA & ORTHOPAEDICS 
120ENTEar, nose and throat
130OPHTHALMOLOGY 
140ORAL SURGERY 
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRY 
143ORTHODONTICS 
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery.
150NEUROSURGERY 
160PLASTIC SURGERY 
161BURNS CARETo be used by recognised specialist units and associated outreach services only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERY 
173THORACIC SURGERY 
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180ACCIDENT & EMERGENCY 
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialties
211PAEDIATRIC UROLOGYDedicated services to children with appropriate facilities and support staff
212PAEDIATRIC TRANSPLANTATION SURGERYDedicated services to children with appropriate facilities and support staff
213PAEDIATRIC GASTROINTESTINAL SURGERYDedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSDedicated services to children with appropriate facilities and support staff.
215PAEDIATRIC EAR NOSE AND THROATDedicated services to children with appropriate facilities and support staff
216PAEDIATRIC OPHTHALMOLOGYDedicated services to children with appropriate facilities and support staff
217PAEDIATRIC MAXILLO-FACIAL SURGERYDedicated services to children with appropriate facilities and support staff
218PAEDIATRIC NEUROSURGERYDedicated services to children with appropriate facilities and support staff
219PAEDIATRIC PLASTIC SURGERYDedicated services to children with appropriate facilities and support staff
220PAEDIATRIC BURNS CAREDedicated services to children with appropriate facilities and support staff
221PAEDIATRIC CARDIAC SURGERYDedicated services to children with appropriate facilities and support staff
222PAEDIATRIC THORACIC SURGERYDedicated services to children with appropriate facilities and support staff
241PAEDIATRIC PAIN MANAGEMENTDedicated services to children with appropriate facilities and support staff
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYDedicated services to children with appropriate facilities and support staff
252PAEDIATRIC ENDOCRINOLOGYDedicated services to children with appropriate facilities and support staff
253PAEDIATRIC CLINICAL HAEMATOLOGYDedicated services to children with appropriate facilities and support staff
254PAEDIATRIC AUDIOLOGICAL MEDICINEDedicated services to children with appropriate facilities and support staff
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGYDedicated services to children with appropriate facilities and support staff
256PAEDIATRIC INFECTIOUS DISEASESDedicated services to children with appropriate facilities and support staff
257PAEDIATRIC DERMATOLOGYDedicated services to children with appropriate facilities and support staff
258PAEDIATRIC RESPIRATORY MEDICINEDedicated services to children with appropriate facilities and support staff
259PAEDIATRIC NEPHROLOGYDedicated services to children with appropriate facilities and support staff
260PAEDIATRIC MEDICAL ONCOLOGYDedicated services to children with appropriate facilities and support staff
261PAEDIATRIC METABOLIC DISEASEDedicated services to children with appropriate facilities and support staff
262PAEDIATRIC RHEUMATOLOGYDedicated services to children with appropriate facilities and support staff
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDedicated services to children with appropriate facilities and support staff
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291PAEDIATRIC NEURO-DISABILITYDedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
Medical Specialties
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191.
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed e.g. metabolic medicine.
301GASTROENTEROLOGY 
302ENDOCRINOLOGY 
303CLINICAL HAEMATOLOGYExcludes ANTICOAGULANT SERVICE see 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305CLINICAL PHARMACOLOGY 
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINE 
308BLOOD AND MARROW TRANSPLANTATIONPreviously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309HAEMOPHILIAPreviously in Clinical Haematology
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311CLINICAL GENETICSTo be used by recognised specialist units and associated outreach services only.
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGYShould only be used where there are no separate services for Clinical Immunology and Allergy
314REHABILITATION 
315PALLIATIVE MEDICINE 
316CLINICAL IMMUNOLOGY 
317ALLERGYThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARE 
320CARDIOLOGY 
321PAEDIATRIC CARDIOLOGY 
322CLINICAL MICROBIOLOGY 
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach services only.
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
330DERMATOLOGY 
340RESPIRATORY MEDICINEAlso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with chemotherapy, of patients with cancer.
371NUCLEAR MEDICINE 
400NEUROLOGY 
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410RHEUMATOLOGY 
420PAEDIATRICS 
421PAEDIATRIC NEUROLOGY 
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care.
424WELL BABIESCare given by the mother/substitute with medical and neonatal nursing advice if needed
430GERIATRIC MEDICINE 
450DENTAL MEDICINE SPECIALTIESIncludes oral medicine.
460MEDICAL OPHTHALMOLOGY 
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations.
503GYNAECOLOGICAL ONCOLOGY 
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
560MIDWIFE EPISODE 
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
Therapies
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties.
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654DIETETICSThe application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment.
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders.
Psychiatry
700LEARNING DISABILITY 
710ADULT MENTAL ILLNESS 
711CHILD and ADOLESCENT PSYCHIATRY 
712FORENSIC PSYCHIATRY 
713PSYCHOTHERAPY 
715OLD AGE PSYCHIATRY 
720EATING DISORDERSA specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721ADDICTION SERVICESThe psychiatric prevention and treatment of substance misuse including drugs and alcohol
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724PERINATAL PSYCHIATRYA specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
Radiology
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYNot to be used for diagnostic imaging.
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
Pathology
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only.
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
Other
900not a Treatment Function 
901not a Treatment Function 
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:

 

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ACTIVITY TREATMENT FUNCTION CODE

Change to Data Element: Changed Description

Format/Length:an3
HES Item:TRETSPEF
National Codes:See Main Specialty and Treatment Function Codes for the full list of national valid codes
National Codes:See TREATMENT FUNCTION CODE 
Default codes:199 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly surgical
 499 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly medical

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest. See Main Specialty and Treatment Function Codes for the full list of valid codes.

Midwife Episodes and Nursing Episodes may use any appropriate ACTIVITY TREATMENT FUNCTION CODE. The pseudo consultant specialty code of 950 for nurses must only be used for CARE PROFESSIONAL MAIN SPECIALTY CODE see Main Specialty and Treatment Function Codes. The code 560 Midwife Episode can be used both as a Main Specialty and a Treatment Function.Midwife Episodes and Nursing Episodes may use any appropriate ACTIVITY TREATMENT FUNCTION CODE.

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

ACTIVITY TREATMENT FUNCTION CODE replaces TREATMENT FUNCTION CODE, and should be used for all new and developing data sets and for XML messages.ACTIVITY TREATMENT FUNCTION CODE replaces TREATMENT FUNCTION CODE, and should be used for all new and developing data sets and for XML messages.

Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.

Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.

 

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CARE PROFESSIONAL MAIN SPECIALTY CODE

Change to Data Element: Changed Description

Format/Length:an3
HES Item:MAINSPEF
National Codes:See Main Specialty And Treatment Function Codes for the full list of codes.
National Codes:See MAIN SPECIALTY CODE 
Default Codes:199 - Non-UK provider; specialty function not known, treatment mainly surgical
 499 - Non-UK provider; specialty function not known, treatment mainly medical
 560 - Non-Consultant Led Activity - Midwife Episode 
 950 - Non-Consultant Led Activity - Nursing Episode 
 960 - Non-Consultant Led Activity - Allied Health Professional Episode

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

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

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

All Non-Consultant Led Activity is identified in the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE of 560 for MIDWIVES, 950 for NURSES and 960 for Allied Health Professionals.

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

CARE PROFESSIONAL MAIN SPECIALTY CODE replaces MAIN SPECIALTY CODE and should be used for all new and developing data sets and for XML messages.

 

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MAIN SPECIALTY CODE

Change to Data Element: Changed Description

Format/length:n3
HES item:MAINSPEF
National Codes:See Main Specialty And Treatment Function Codes for the full list of codes.
National Codes:See MAIN SPECIALTY CODE 
Default Codes:199 - Non-UK provider; specialty function not known, treatment mainly surgical
 499 - Non-UK provider; specialty function not known, treatment mainly medical
 560 - Non-Consultant Led Activity - Midwife Episode 
 950 - Non-Consultant Led Activity - Nursing Episode 
 960 - Non-Consultant Led Activity - Allied Health Professional Episode

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

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

All Non-Consultant Led Activity is identified in the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics by a pseudo MAIN SPECIALTY CODE of 560 for MIDWIVES, 950 for NURSES and 960 for Allied Health Professionals.

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

MAIN SPECIALTY CODE will be replaced with CARE PROFESSIONAL MAIN SPECIALTY CODE, which should be used for all new and developing data sets and for XML messages.

 

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MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) (RETIRED)

Change to Data Element: Changed linked Attribute

MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) (retired)
 
Attribute:
MAIN SPECIALTY CODE

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MAIN SPECIALTY CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National Codes:See Main Specialty And Treatment Function Codes 
National Codes:See MAIN SPECIALTY CODE 
Default Codes: 

Notes:
This is the MAIN SPECIALTY CODE of the Mental Health Responsible Clinician for the PATIENT within the REPORTING PERIOD. If there is more than one during the REPORTING PERIOD, this will be the last or final one of REPORTING PERIOD.

If the Mental Health Responsible Clinician is the PATIENT's GENERAL MEDICAL PRACTITIONER, the code will be 600. If the Mental Health Responsible Clinician is a CONSULTANT, it will typically be one of the adult or elderly mental health MAIN SPECIALTIES, although it may be either a learning disability or child and adolescent psychiatry in certain circumstances. When the Mental Health Responsible Clinician is not a CONSULTANT, this should be the appropriate pseudo-specialty code or left blank.

The allowable values are listed below:

National Codes:

 
600General Medical Practice
700Learning Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Psychotherapy
715Old Age Psychiatry
950Nursing Episode
960Allied Health Professional Episode
600General Medical Practic
700Learning Disability
710Adult Mental Illness
711Child and Adolescent Psychiatr
712Forensic Psychiatry
713Psychotherapy
715Old Age Psychiatry
950Nursing Episode
960Allied Health Professional Episode
 

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TREATMENT FUNCTION CODE

Change to Data Element: Changed Description

Format/length:n3
HES item:TRETSPEF
National Codes: 
Default codes:199 - Non-UK provider; treatment function not known, treatment mainly surgical
 499 - Non-UK provider; treatment function not known, treatment mainly medical
National Codes:See TREATMENT FUNCTION CODE 
Default codes:199 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly surgical
 499 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly medical

Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest. See Main Specialty and Treatment Function Codes for the full list of valid codes.

Midwife Episodes and Nursing Episodes may use any appropriate TREATMENT FUNCTION CODE . The pseudo consultant specialty code of 950 for nurses must only be used for MAIN SPECIALTY CODE see Main Specialty and Treatment Function Codes. The code 560 Midwife Episode can be used both as a Main Specialty and a Treatment Function. The pseudo CONSULTANT MAIN SPECIALTY CODE of 950 for nurses must only be used for MAIN SPECIALTY CODE. The code 560 Midwife Episode can be used both as a MAIN SPECIALTY and a TREATMENT FUNCTION.

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

TREATMENT FUNCTION CODE will be replaced with ACTIVITY TREATMENT FUNCTION CODE, which should be used for all new and developing data sets and for XML messages.

Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.

Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.

 

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TREATMENT FUNCTION CODE (RECEIVING SERVICE)

Change to Data Element: Changed Description

Format/length:see TREATMENT FUNCTION CODE 
Format/length:See TREATMENT FUNCTION CODE 
HES item: 
National Codes:see TREATMENT FUNCTION CODE 
National Codes:See TREATMENT FUNCTION CODE 
Default Codes: 

Notes:
This is the TREATMENT FUNCTION CODE under which the CARE PROFESSIONAL or SERVICE receiving the inter-provider transfer SERVICE REQUEST is expected to treat the PATIENT

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TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)

Change to Data Element: Changed Description

Format/length:an3
National Codes: 
Default codes: 

Notes:
This is the TREATMENT FUNCTION under which the PATIENT is to be treated or has been treated for the REFERRAL TO TREATMENT PERIOD. It may be the same as the MAIN SPECIALTY CODE of the CONSULTANT. It may be the same as the MAIN SPECIALTY CODE of the CONSULTANT.

The valid codes for a REFERRAL TO TREATMENT PERIOD are:

National Codes:

100General Surgery
101Urology
110Trauma & Orthopaedics
120Ear,Nose & Throat (ENT)
130Ophthalmology
140Oral Surgery
150Neurosurgery
160Plastic Surgery
170Cardiothoracic Surgery
300General Medicine
301Gastroenterology
320Cardiology
330Dermatology
340Thoracic Medicine
400Neurology
410Rheumatology
430Geriatric Medicine
502Gynaecology
X01All other TREATMENT FUNCTIONS not reported individually
 

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TREATMENT FUNCTION CODE (REFERRING SERVICE)

Change to Data Element: Changed Description

Format/length:see TREATMENT FUNCTION CODE 
Format/length:See TREATMENT FUNCTION CODE 
HES item: 
National Codes:see TREATMENT FUNCTION CODE 
National Codes:See TREATMENT FUNCTION CODE 
Default Codes: 

Notes:
This is the TREATMENT FUNCTION CODE under which the CARE PROFESSIONAL or SERVICE has been treating the PATIENT before referring the PATIENT as an inter-provider transfer to another Health Care Provider.This is the TREATMENT FUNCTION CODE under which the CARE PROFESSIONAL or SERVICE has been treating the PATIENT before referring the PATIENT as an inter-provider transfer to another Health Care Provider. 

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