Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1269
Version No:1.0
Subject:October Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:24 October 2011

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the October 2011 Release and includes:

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

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Summary of changes:

Diagrams
PATIENT PATHWAY DIAGRAM   Changed Diagram
REFERRAL REQUEST DIAGRAM   Changed Diagram
SYSTEMIC ANTI-CANCER THERAPY DIAGRAM   Changed Diagram
 
Data Set
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET   Changed Description
NHS HEALTH CHECKS DATA SET   Changed Description
PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90)   Changed Description
SYSTEMIC ANTI-CANCER THERAPY DATA SET   Changed Description
 
Central Return Forms
KC65 4   Changed Description
KC65 5   Changed Description
KH03 2   Changed Description
 
Supporting Information
ANTI-CANCER DRUG FRACTION   Changed Description
ATTENDANCE DATE   Changed Description
BODY SURFACE AREA   Changed Description
BRACHYTHERAPY TREATMENT COURSE   Changed Description
CANCER TREATMENT PERIOD   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES   Changed Description
PAYMENT BY RESULTS   Changed Description
WHAT'S NEW: OCTOBER 2011 renamed from WHAT'S NEW: AUGUST 2011   Changed Description, Name
WORLD HEALTH ORGANISATION   Changed Description
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
CARE PLAN   Changed Attributes
CLINICAL INTERVENTION   Changed Attributes
REFERRAL DELAY   Changed Attributes
SAMPLE   Changed Attributes
 
Attribute Definitions
ACTIVITY DATE TIME TYPE   Changed Description
ADMINISTRATIVE CATEGORY CODE   Changed Description
ADULT MENTAL HEALTH CARE TEAM TYPE   Changed Description
CANCER IMAGING MODALITY   Changed Description
CANCER REFERRAL PRIORITY TYPE   Changed Description
CLINICAL CLASSIFICATION CODE   Changed Description
CLINICAL INTERVENTION TYPE   Changed Description
CRITICAL CARE DISCHARGE STATUS   Changed Description
DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS renamed from DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)   Changed Aliases, Name
DELAY REASON TO TREATMENT FOR CANCER renamed from DELAY REASON TO TREATMENT (CANCER)   Changed Aliases, Name
FIRST DEFINITIVE TREATMENT PLANNED   Changed Description
FIRST DEFINITIVE TREATMENT PROVIDED   Changed Description
LANGUAGE CLASSIFICATION CODE   Changed Description
MULTIDISCIPLINARY TEAM DISCUSSION DATE FOR CANCER renamed from MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)   Changed Aliases, Name
PRIORITY TYPE   Changed Description
SAMPLE IDENTIFIER FOR PROVIDER renamed from SAMPLE IDENTIFIER (PROVIDER)   Changed Aliases, Name
SAMPLE IDENTIFIER FOR REQUESTER renamed from SAMPLE IDENTIFIER (REQUESTER)   Changed Aliases, Name
SERVICE TYPE REFERRED TO FOR COMMUNITY CARE   Changed Description
TREATMENT FUNCTION CODE   Changed Description
TREATMENT START DATE FOR CANCER renamed from TREATMENT START DATE (CANCER)   Changed Description, Aliases, Name
 
Data Elements
ADMINISTRATIVE CATEGORY   Changed Description
ADMINISTRATIVE CATEGORY CODE   Changed Description
AGE AT ATTENDANCE DATE   Changed Description
AGE AT CDS ACTIVITY DATE   Changed Description
AGE AT CENSUS   Changed Description
AGE BAND AT SMOKING QUIT DATE   Changed Description
AGE GROUP INTENDED   Changed Description
AGE ON ADMISSION   Changed Description
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE   Changed Description
APPOINTMENT DATE   Changed Description
ARRIVAL DATE   Changed Description
ATTENDANCE DATE   Changed Description
CANCER CARE SETTING (TREATMENT)   Changed Description
CREATININE CLEARANCE   Changed Description
DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN)   Changed Description
DELAY REASON (CONSULTANT UPGRADE)   Changed Description
DELAY REASON (DECISION TO TREATMENT)   Changed Description
DELAY REASON COMMENT (CONSULTANT UPGRADE)   Changed Description
DELAY REASON COMMENT (DECISION TO TREATMENT)   Changed Description
DELAY REASON COMMENT (FIRST SEEN)   Changed Description
DELAY REASON COMMENT (REFERRAL TO TREATMENT)   Changed Description
DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)   Changed Description
DELAY REASON REFERRAL TO TREATMENT (CANCER)   Changed Description
END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)   Changed Description
END DATE (CONSULTANT OUT-PATIENT EPISODE)   Changed Description
END DATE (EPISODE)   Changed Description
END DATE (HOME LEAVE)   Changed Description
END DATE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)   Changed Description
END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)   Changed Description
END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   Changed Description
END DATE (MENTAL HEALTH CARE CLUSTER)   Changed Description
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)   Changed Description
END DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))   Changed Description
END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)   Changed Description
END DATE (MENTAL HEALTH LEAVE OF ABSENCE)   Changed Description
END DATE (MENTAL HEALTH NHS CARE HOME STAY)   Changed Description
END DATE (MENTAL HEALTH NHS DAY CARE EPISODE)   Changed Description
END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)   Changed Description
END DATE (SUPERVISED COMMUNITY TREATMENT)   Changed Description
END DATE (SUPERVISED COMMUNITY TREATMENT RECALL)   Changed Description
END DATE (WARD STAY)   Changed Description
END TIME   Changed Description
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   Changed Description
END TIME (SUPERVISED COMMUNITY TREATMENT RECALL)   Changed Description
EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   Changed Description
EXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)   Changed Description
EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   Changed Description
ORGANISATION CODE (PRIMARY CARE TRUST FOR HPV VACCINE)   Changed Description
ORGANISATION CODE (RESPONSIBLE PCT)   Changed Description
SITE CODE (EMPLOYING ORGANISATION)   Changed Description
SITE CODE (OF BRACHYTHERAPY)   Changed Description
SITE CODE (OF CANCER DRUG TREATMENT)   Changed Description
SITE CODE (OF IMAGING)   Changed Description
SITE CODE (OF SURGERY)   Changed Description
SITE CODE (OF TELETHERAPY)   Changed Description
START DATE   Changed Description
START DATE (ANTI-CANCER DRUG REGIMEN)   Changed Description
START DATE (HOME LEAVE)   Changed Description
START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)   Changed Description
START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   Changed Description
START DATE (MENTAL HEALTH CARE CLUSTER)   Changed Description
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)   Changed Description
START DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))   Changed Description
START DATE (MENTAL HEALTH CARE SPELL)   Changed Description
START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)   Changed Description
START DATE (MENTAL HEALTH LEAVE OF ABSENCE)   Changed Description
START DATE (MENTAL HEALTH NHS CARE HOME STAY)   Changed Description
START DATE (MENTAL HEALTH NHS DAY CARE EPISODE)   Changed Description
START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)   Changed Description
START DATE (SUPERVISED COMMUNITY TREATMENT)   Changed Description
START DATE (SUPERVISED COMMUNITY TREATMENT RECALL)   Changed Description
START DATE (SURGERY HOSPITAL PROVIDER SPELL)   Changed Description
START DATE (WARD STAY)   Changed Description
START TIME (SUPERVISED COMMUNITY TREATMENT RECALL)   Changed Description
WAITING TIME ADJUSTMENT (FIRST SEEN)   Changed Description
WAITING TIME ADJUSTMENT (TREATMENT)   Changed Description
WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT)   Changed Description
WAITING TIME ADJUSTMENT REASON (FIRST SEEN)   Changed Description
WAITING TIME ADJUSTMENT REASON (TREATMENT)   Changed Description
WAITING TIME MEASUREMENT TYPE   Changed Description
YEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)   Changed Description
 

Date:24 October 2011
Sponsor:Richard Kavanagh, 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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PATIENT PATHWAY DIAGRAM

Change to Diagram: Changed Diagram

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REFERRAL REQUEST DIAGRAM

Change to Diagram: Changed Diagram

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SYSTEMIC ANTI-CANCER THERAPY DIAGRAM

Change to Diagram: Changed Diagram

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET

Change to Data Set: Changed Description

Improving Access to Psychological Therapies Data Set Overview

The Improving Access to Psychological Therapies Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.

The Improving Access to Psychological Therapies Data Set provides an agreed national standard for data collection for commissioned providers of psychological therapy for anxiety and depression.

PERSONAL AND DEMOGRAPHIC DETAILS

Patient details:
To carry Patient Demographic details.
One occurrence of this group is permitted.
Data Set Data Elements
NHS NUMBER
NHS NUMBER STATUS INDICATOR CODE
LOCAL PATIENT IDENTIFIER
ORGANISATION CODE (CODE OF PROVIDER)
PERSON BIRTH DATE
PERSON GENDER CODE CURRENT
POSTCODE OF USUAL ADDRESS
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
ETHNIC CATEGORY
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE
SEXUAL ORIENTATION (CURRENT)
BRITISH ARMED FORCES INDICATOR
LONG TERM PHYSICAL HEALTH CONDITION INDICATOR (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

DISABILITY

Patient Disability details:
To carry details of the Patient's Perceived Disability.
Many occurrences of this group are permitted (one for each disability).
Data Set Data Elements
NHS NUMBER
LOCAL PATIENT IDENTIFIER
ORGANISATION CODE (CODE OF PROVIDER)
DISABILITY CODE

REFERRAL DETAILS

Improving Access to Psychological Therapies Referral details:
To carry details of the Referral.
Many occurrences of this group are permitted (one occurrence for each Referral).
Data Set Data Elements
NHS NUMBER
LOCAL PATIENT IDENTIFIER
ORGANISATION CODE (CODE OF PROVIDER)
SERVICE REQUEST IDENTIFIER
REFERRAL REQUEST RECEIVED DATE
SOURCE OF REFERRAL FOR MENTAL HEALTH 
SERVICE REQUEST ACCEPTANCE INDICATOR
ORGANISATION CODE (CODE OF COMMISSIONER)
PROVISIONAL DIAGNOSIS (ICD)
YEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES) 
PREVIOUS SYMPTOM INDICATOR
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE
END DATE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

APPOINTMENT DETAILS

Improving Access to Psychological Therapies Appointment details:
To carry details of each Appointment.
Many occurrences of this group are permitted (one occurrence for each Appointment).
Data Set Data Elements
NHS NUMBER
LOCAL PATIENT IDENTIFIER
ORGANISATION CODE (CODE OF PROVIDER)
SERVICE REQUEST IDENTIFIER
APPOINTMENT DATE
CARE PROFESSIONAL ROLE CODE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
ATTENDED OR DID NOT ATTEND CODE
CLINICAL CONTACT DURATION OF APPOINTMENT
APPOINTMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
CONSULTATION MEDIUM USED
THERAPY TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
(Up to four types may be recorded for each APPOINTMENT)
EMPLOYMENT STATUS
EMPLOYMENT SUPPORT SUITABILITY INDICATOR
EMPLOYMENT SUPPORT REFERRAL DATE
PSYCHOTROPIC MEDICATION USAGE
STATUTORY SICK PAY INDICATOR
PATIENT HEALTH QUESTIONNAIRE SCORE
GENERALISED ANXIETY DISORDER SCORE
WORK AND SOCIAL ADJUSTMENT SCALE SCORE
AGORAPHOBIA MOBILITY INVENTORY SCORE (WHEN ACCOMPANIED)
AGORAPHOBIA MOBILITY INVENTORY SCORE (WHEN ALONE)
AGORAPHOBIA SCORE
GENERALISED ANXIETY DISORDER PENN STATE WORRY SCORE
HEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE
OBSESSIVE COMPULSIVE DISORDER INVENTORY SCORE
PANIC DISORDER SEVERITY SCALE SCORE
POST TRAUMATIC STRESS DISORDER IMPACT OF EVENTS SCALE SCORE
SOCIAL PHOBIA INVENTORY SCORE
SOCIAL PHOBIA SCORE
SPECIFIC PHOBIA SCORE

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NHS HEALTH CHECKS DATA SET

Change to Data Set: Changed Description

NHS Health Checks Data Set Overview

The NHS Health Checks Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012.

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

M = Mandatory - This data element is mandatory, the message will be rejected if this data element is absent
R = Required - This data is required as part of NHS business rules and must be included where available or applicable

Reporting Period Details:
To carry the details of the reporting period and the eligible population.
M/RData Set Data Elements
MREPORTING PERIOD START DATE 
MREPORTING PERIOD END DATE 
MELIGIBLE POPULATION TOTAL (NHS HEALTH CHECK)
Organisation Details:
To carry the details of the provider and commissioner organisations for the NHS Health Check.
M/RData Set Data Elements
MORGANISATION CODE (NHS HEALTH CHECK PROVIDER)
MORGANISATION CODE (CODE OF COMMISSIONER)
Person Demographics:
To carry the demographic details of the person. 
M/RData Set Data Elements
MLOWER LAYER SUPER OUTPUT AREA (RESIDENCE)
MAGE AT ATTENDANCE DATE
MPERSON GENDER CODE CURRENT
METHNIC CATEGORY
Health Check Person Record:
To carry the details of the person's NHS Health Check invitation. 
M/RData Set Data Elements
RINVITATION OFFER SENT INDICATOR (NHS HEALTH CHECK)
Health Check Person Assessment:
To carry the details of the person's NHS Health Check Assessment. 
M/RData Set Data Elements
MACTIVITY LOCATION TYPE CODE (NHS HEALTH CHECK)
MBODY MASS INDEX
MBLOOD PRESSURE SITTING
MTOTAL CHOLESTEROL HIGH DENSITY LIPOPROTEIN RATIO
MTOTAL CHOLESTEROL LEVEL
MPHYSICAL ACTIVITY LEVEL
MSMOKING STATUS CODE
MCARDIOVASCULAR DISEASE RISK SCORE
Health Check Information and Advice:
To carry the details of information and advice provided at an NHS Health Check Assessment.
M/RData Set Data Elements
RINFORMATION AND ADVICE PROVIDED INDICATOR (GENERAL LIFESTYLE ADVICE)
RINFORMATION AND ADVICE PROVIDED INDICATOR (STOP SMOKING ADVICE)
RINFORMATION AND ADVICE PROVIDED INDICATOR (WEIGHT MANAGEMENT ADVICE)
Health Check Brief Interventions Provided:
To carry the details of brief interventions provided at an NHS Health Check Assessment.
M/RData Set Data Elements
RBRIEF INTERVENTION PROVIDED INDICATOR (PHYSICAL ACTIVITY BRIEF)
Health Check Signposting:
To carry the details of signposting to services provided at an NHS Health Check Assessment.
M/RData Set Data Elements
RSIGNPOSTING TO SERVICE INDICATOR (PHYSICAL ACTIVITY SERVICE)
RSIGNPOSTING TO SERVICE INDICATOR (STOP SMOKING SERVICE)
RSIGNPOSTING TO SERVICE INDICATOR (WEIGHT MANAGEMENT SERVICE)
Health Check Referrals:
To carry the details of referrals for services made at an NHS Health Check Assessment.
M/RData Set Data Elements
RREFERRAL TO SERVICE ACCEPTANCE INDICATOR (PHYSICAL ACTIVITY SERVICE)
RREFERRAL TO SERVICE ACCEPTANCE INDICATOR (STOP SMOKING SERVICE)
RREFERRAL TO SERVICE ACCEPTANCE INDICATOR (WEIGHT MANAGEMENT SERVICE)
Health Check Further Assessments Required:
To carry the details of further assessments required following an NHS Health Check Assessment.
M/RData Set Data Elements
RFURTHER ASSESSMENT REQUIRED INDICATOR (DIABETES ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (SERUM CREATININE ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (HYPERTENSION ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (FASTING CHOLESTEROL ASSESSMENT)
RFURTHER ASSESSMENT REQUIRED INDICATOR (IMPAIRED FASTING GLYCAEMIA IMPAIRED GLUCOSE TOLERANCE LIFESTYLE MANAGEMENT)
Health Check Prescriptions:
To carry the details of the prescriptions provided as a result of an NHS Health Check Assessment.
M/RData Set Data Elements
RPRESCRIPTION PROVIDED INDICATOR (STATINS)
RPRESCRIPTION PROVIDED INDICATOR (ANTI-HYPERTENSIVES)
Health Check Diagnosis:
To carry the details of the diagnosis provided as a result of an NHS Health Check Assessment.
M/RData Set Data Elements
RPATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 3)
RPATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 4)
RPATIENT DIAGNOSIS INDICATOR (CHRONIC KIDNEY DISEASE STAGE 5)
RPATIENT DIAGNOSIS INDICATOR (TYPE 2 DIABETES)
RPATIENT DIAGNOSIS INDICATOR (HYPERTENSION)
RPATIENT DIAGNOSIS INDICATOR (NON DIABETIC HYPERGLYCAEMIA)

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

Change to Data Set: Changed Description

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

The Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90) is used to provide the Department of Health with information about the number of uses made of the Mental Health Act 1983 (except for guardianship cases) as amended by the Mental Health Act 2007.

Data Set Data Elements 
Organisation and Reporting Period Information<
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
Part 1 Admissions to Hospital: Patients detained under Mental Health Act and Informal Admissions

There should be only 1 occurrence of this sub group permitted per DETAINED ADMISSIONS SECTION TYPE within the REPORTING PERIOD.
FORMAL ADMISSIONS SECTION TYPE 
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) 
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE) 
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) 
FORMAL ADMISSIONS (TOTAL - MALE) 
FORMAL ADMISSIONS (TOTAL - FEMALE) 
Part 1 Totals of Admissions to Hospital: Patients detained under Mental Health Act and Informal Admissions

There should be only 1 occurrence of this sub group permitted within the REPORTING PERIOD.
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) 
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE) 
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) 
TOTAL FORMAL ADMISSIONS (MALE) 
TOTAL FORMAL ADMISSIONS (FEMALE) 
TOTAL INFORMAL ADMISSIONS (MALE) 
TOTAL INFORMAL ADMISSIONS (FEMALE) 
TOTAL FORMAL AND INFORMAL ADMISSIONS (MALE) 
TOTAL FORMAL AND INFORMAL ADMISSIONS (FEMALE) 
Part 2 Changes in Legal Status under the Mental Health Act

There should be only 1 occurrence of this sub group permitted per LEGAL STATUS CHANGE FROM TO TYPE within the REPORTING PERIOD.
LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE 
TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE 
Part 3 Number of Patients resident in hospital and Patients on SCT as at 31st March

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) 
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE) 
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) 
DETAINED PATIENTS (TOTAL - MALE) 
DETAINED PATIENTS (TOTAL - FEMALE) 
TOTAL INFORMAL PATIENTS (MALE) 
TOTAL INFORMAL PATIENTS (FEMALE) 
TOTAL DETAINED AND INFORMAL PATIENTS (MALE) 
TOTAL DETAINED AND INFORMAL PATIENTS (FEMALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (TOTAL - MALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (TOTAL - FEMALE) 
Part 4 Uses of Supervised Community Treatment under Section 17A

There should be only 1 occurrence of this sub group permitted per LEGAL STATUS SUSPENDED TO START SCT TYPE within the REPORTING PERIOD.
LEGAL STATUS CLASSIFICATION SUSPENDED TO START SUPERVISED COMMUNITY TREATMENT TYPE 
SUPERVISED COMMUNITY TREATMENTS STARTED FOR TYPE (MALE) 
SUPERVISED COMMUNITY TREATMENTS STARTED FOR TYPE (FEMALE))
Part 4 Total Uses of Supervised Community Treatment under Section 17A

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
TOTAL SUPERVISED COMMUNITY TREATMENTS STARTED (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENTS STARTED (FEMALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT RECALLS TO HOSPITAL (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT RECALLS TO HOSPITAL (FEMALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT REVOCATIONS (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT REVOCATIONS (FEMALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT DISCHARGES (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT DISCHARGES (FEMALE) 
Part 5 Additional Information

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
KP90 DETAINED PATIENTS TRANSFERS IN 
KP90 DETAINED PATIENTS TRANSFERS OUT 
KP90 ADDITIONAL INFORMATION COMMENT 
Organisation and Reporting Period Information
ORGANISATION CODE (CODE OF PROVIDER)
REPORTING PERIOD START DATE
REPORTING PERIOD END DATE
Part 1 Admissions to Hospital: Patients detained under Mental Health Act and Informal Admissions

There should be only 1 occurrence of this sub group permitted per DETAINED ADMISSIONS SECTION TYPE within the REPORTING PERIOD.
FORMAL ADMISSIONS SECTION TYPE
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)
FORMAL ADMISSIONS (TOTAL - MALE)
FORMAL ADMISSIONS (TOTAL - FEMALE)
Part 1 Totals of Admissions to Hospital: Patients detained under Mental Health Act and Informal Admissions

There should be only 1 occurrence of this sub group permitted within the REPORTING PERIOD.
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)
TOTAL FORMAL ADMISSIONS (MALE)
TOTAL FORMAL ADMISSIONS (FEMALE)
TOTAL INFORMAL ADMISSIONS (MALE)
TOTAL INFORMAL ADMISSIONS (FEMALE)
TOTAL FORMAL AND INFORMAL ADMISSIONS (MALE)
TOTAL FORMAL AND INFORMAL ADMISSIONS (FEMALE)
Part 2 Changes in Legal Status under the Mental Health Act

There should be only 1 occurrence of this sub group permitted per LEGAL STATUS CHANGE FROM TO TYPE within the REPORTING PERIOD.
LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE
TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE
Part 3 Number of Patients resident in hospital and Patients on SCT as at 31st March

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)
DETAINED PATIENTS (TOTAL - MALE)
DETAINED PATIENTS (TOTAL - FEMALE)
TOTAL INFORMAL PATIENTS (MALE)
TOTAL INFORMAL PATIENTS (FEMALE)
TOTAL DETAINED AND INFORMAL PATIENTS (MALE)
TOTAL DETAINED AND INFORMAL PATIENTS (FEMALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (TOTAL - MALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (TOTAL - FEMALE)
Part 4 Uses of Supervised Community Treatment under Section 17A

There should be only 1 occurrence of this sub group permitted per LEGAL STATUS SUSPENDED TO START SCT TYPE within the REPORTING PERIOD.
LEGAL STATUS CLASSIFICATION SUSPENDED TO START SUPERVISED COMMUNITY TREATMENT TYPE
SUPERVISED COMMUNITY TREATMENTS STARTED FOR TYPE (MALE)
SUPERVISED COMMUNITY TREATMENTS STARTED FOR TYPE (FEMALE))
Part 4 Total Uses of Supervised Community Treatment under Section 17A

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
TOTAL SUPERVISED COMMUNITY TREATMENTS STARTED (MALE)
TOTAL SUPERVISED COMMUNITY TREATMENTS STARTED (FEMALE)
TOTAL SUPERVISED COMMUNITY TREATMENT RECALLS TO HOSPITAL (MALE)
TOTAL SUPERVISED COMMUNITY TREATMENT RECALLS TO HOSPITAL (FEMALE)
TOTAL SUPERVISED COMMUNITY TREATMENT REVOCATIONS (MALE)
TOTAL SUPERVISED COMMUNITY TREATMENT REVOCATIONS (FEMALE)
TOTAL SUPERVISED COMMUNITY TREATMENT DISCHARGES (MALE)
TOTAL SUPERVISED COMMUNITY TREATMENT DISCHARGES (FEMALE)
Part 5 Additional Information

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
KP90 DETAINED PATIENTS TRANSFERS IN
KP90 DETAINED PATIENTS TRANSFERS OUT
KP90 ADDITIONAL INFORMATION COMMENT

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SYSTEMIC ANTI-CANCER THERAPY DATA SET

Change to Data Set: Changed Description

Systemic Anti-Cancer Therapy Data Set Overview

The Systemic Anti-Cancer Therapy Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.

The Systemic Anti-Cancer Therapy Data Set is intended to collect clinical management information on PATIENTS undergoing Chemotherapy in (or funded by) the NHS in England.

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

  • M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent
  • R = Required: data is required as part of NHS business rules and must be included where available or applicable
  • O = Optional: the flow of this data is optional. It should be included at the discretion of the submitting organisation and their commissioners as required for local purposes.
DEMOGRAPHICS AND CONSULTANT

To carry personal, organisation and consultant details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER
MPERSON BIRTH DATE
RPERSON GENDER CODE CURRENT
RETHNIC CATEGORY
MPOSTCODE OF USUAL ADDRESS
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RCONSULTANT CODE (INITIATED SYSTEMIC ANTI-CANCER THERAPY)
RCARE PROFESSIONAL MAIN SPECIALTY CODE (START SYSTEMIC ANTI-CANCER THERAPY)
MORGANISATION CODE (CODE OF PROVIDER)

CLINICAL STATUS

To carry the clinical status details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MPRIMARY DIAGNOSIS (ICD AT START SYSTEMIC ANTI-CANCER THERAPY)
and/or
MORPHOLOGY (ICD-O AT START SYSTEMIC ANTI-CANCER THERAPY)
RTNM CATEGORY (FINAL PRETREATMENT)

PROGRAMME AND REGIMEN

To carry details of the Systemic Anti-Cancer Therapy Programme and Systemic Anti-Cancer Drug Regimen.
Multiple occurrences of this group are permitted (at least one must be present).
M/R/OData Set Data Elements
RSYSTEMIC ANTI-CANCER THERAPY PROGRAMME NUMBER
RANTI-CANCER REGIMEN NUMBER
RDRUG TREATMENT INTENT
MDRUG REGIMEN ACRONYM
RPERSON HEIGHT IN METRES
RPERSON WEIGHT
RPERFORMANCE STATUS (ADULT)
or
PERFORMANCE STATUS (YOUNG PERSON)
RCO-MORBIDITY ADJUSTMENT INDICATOR
RDECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN)
MSTART DATE (ANTI-CANCER DRUG REGIMEN)
RCLINICAL TRIAL INDICATOR
RCHEMO-RADIATION INDICATOR
RNUMBER OF SYSTEMIC ANTI-CANCER THERAPY CYCLES PLANNED

CYCLE

To carry details of each Systemic Anti-Cancer Therapy Cycle.
Multiple occurrences of this group are permitted (at least one must be present).
M/R/OData Set Data Elements
MANTI-CANCER DRUG CYCLE IDENTIFIER
RSTART DATE (SYSTEMIC ANTI-CANCER DRUG CYCLE)
OPERSON WEIGHT
RPERFORMANCE STATUS (ADULT)
or
PERFORMANCE STATUS (YOUNG PERSON)
RPRIMARY PROCEDURE (OPCS)

DRUG DETAILS

To carry details of the Systemic Anti-Cancer Therapy Drugs.
Multiple occurrences of this group are permitted (one occurrence for each Systemic Anti-Cancer Therapy Drug - at least one must be present).
M/R/OData Set Data Elements
RSYSTEMIC ANTI-CANCER DRUG NAME
RCHEMOTHERAPY ACTUAL DOSE
RSYSTEMIC ANTI-CANCER THERAPY DRUG ROUTE OF ADMINISTRATION
RSYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION DATE
RORGANISATION CODE (CODE OF PROVIDER)
RPRIMARY PROCEDURE (OPCS)

OUTCOME

To carry details of the outcome / summary.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSTART DATE (FINAL SYSTEMIC ANTI-CANCER THERAPY)
RSYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (DOSE REDUCTION)
RSYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (TIME DELAY)
RSYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (DAYS REDUCED)
RPLANNED TREATMENT CHANGE REASON
RPERSON DEATH DATE

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KC65 4

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

  • Part C1 - First attendances by type of procedure and result of referral
  • Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.

  • Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C1 data is collected on the woman's first Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.

    Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.

    Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.

    For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.

  • The procedures undertaken in the colposcopy clinics are Patient Procedure. Only one Patient Procedure should be counted for each woman's first attendance. If more than one procedure is carried out, the most severe should be recorded for KC65.

    Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.

    Result of referral smear
  • Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.

    Inadequate (line 0001)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.

    Borderline changes (line 0002)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.

    Mild dyskaryosis (line 0003)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.

    Moderate dyskaryosis (line 0004)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.

    Severe dyskaryosis (line 0005)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.

    Severe dyskaryosis/invasive carcinoma (line 0006)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.

    Glandular neoplasia (line 0007)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of '?Glandular neoplasia (cat. 6), including adenocarcinoma'.

    Referral Indication - Clinical indication (lines 0008, 0009)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Glandular neoplasia (cat. 6), including adenocarcinoma'.

    Referral Indication - Clinical indication (lines 0008, 0009)
  • These columns count first attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.

    Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION of classification Clinical indication should be recorded in this line regardless of the result of any smear taken after the referral.

    Clinical Indication Urgent (line 0008)
  • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION of classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.

    Clinical Indication Non-Urgent (line 0009)
  • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy

    Other (line 0010)
  • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'Other'.

    Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.

    Total (line 0011)
  • This is the total for all women counted in columns 2 to 8.

    No treatment (column 2)
  • This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.

    Procedure Type
    Diagnostic biopsy (punch) (column 3)
  • This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.

    Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.

    Ablation + No Biopsy taken or biopsy result not yet known (column 5)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.

    Ablation + Biopsy (column 6)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available'.

    Other (column 7)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.

    Number of first attendances (column 8)
  • This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.

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KC65 5

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

  • Part C2 - All attendances by type of procedure and result of referral
  • Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.

  • Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C2 data is collected on each Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.

    Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.

    Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.

    For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.

  • The procedures undertaken in the colposcopy clinics are Patient Procedures. Only one Patient Procedure should be counted for each Clinic Attendance Consultant or Clinic Attendance Nurse. If more than one procedure is carried out, the most severe should be recorded for KC65.

    Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.

    Result of referral smear
  • Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.

    Inadequate (line 0001)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.

    Borderline changes (line 0002)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.

    Mild dyskaryosis (line 0003)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.

    Moderate dyskaryosis (line 0004)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.

    Severe dyskaryosis (line 0005)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.

    Severe dyskaryosis/invasive carcinoma (line 0006)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.

    Glandular neoplasia (line 0007)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of '?Glandular neoplasia (cat. 6), including adenocarcinoma'.

    Referral Indication - Clinical indication (lines 0008, 0009)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Glandular neoplasia (cat. 6), including adenocarcinoma'.

    Referral Indication - Clinical indication (lines 0008, 0009)
  • These columns count attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.

    Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication' should be recorded in this line regardless of the result of any smear taken after the referral.

    Clinical Indication Urgent (line 0008)
  • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.

    Clinical Indication Non-Urgent (line 0009)
  • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy

    Other (line 0010)
  • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Other'.

    Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.

    Total (line 0011)
  • This is the total for all women counted in columns 2 to 8.

    No treatment (column 2)
  • This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.

    Procedure Type
    Diagnostic biopsy (punch) (column 3)
  • This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.

    Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.

    Ablation + No Biopsy taken or biopsy result not yet known (column 5)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.

    Ablation + Biopsy (column 6)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available.'

    Other (column 7)
  • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.

    Number of first attendances (column 8)
  • This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.

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KH03 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KH03 - Bed Availability and Occupancy

  • Part 1a Supporting facilities
  • Details of supporting facilities of the following types that are available at the ORGANISATION SITES of the NHS Health Care Provider on the CENSUS DATE.


    • the total number of OPERATING THEATRES.
    • the number of OPERATING THEATRES where the OPERATING THEATRE DEDICATED TO DAY CASES is classification 'Dedicated to day cases' on their OPERATING THEATRE OPERATIONAL PLANS.
    • Details of supporting facilities of the following types that are available at the ORGANISATION SITES of the NHS Health Care Provider on the CENSUS DATE

      Where there is more than one ACCIDENT AND EMERGENCY DEPARTMENT TYPE, indicate the ACCIDENT AND EMERGENCY DEPARTMENT TYPE that provides the most comprehensive service.

      Part 1b Number of available neonatal intensive care cots at 31 March
    • Record the total number of cots resourced for the provision of intensive care to a neonate. This is the total of WARD BED AVAILABILITY for AUGMENTED CARE LOCATION CODE National Code 08 'Neonatal Intensive Care Unit' at CENSUS DATE.

      Part 1c Number of available paediatric intensive care beds at 31 March
    • This is the total of WARD BED AVAILABILITY for AUGMENTED CARE LOCATION CODE National Code 06 'Paediatric Intensive Care Unit' at CENSUS DATE.

      Part 2 Bed Availability and occupancy: beds in Wards open overnight
      Bed Days
    • This requires a count of the total number of available bed days and occupied bed days in WARDS with a WARD DAY NIGHT INDICATOR classification of 'Only open overnight' or 'Open 24 hours' taken from the DAILY WARD LISTINGS over the course of the year ending 31 March. Available bed days are the sum of the WARD LISTING TOTAL BED OCCUPIED and WARD LISTING TOTAL BED UNOCCUPIED. Unoccupied beds must be available for use. It does not include residential care (covered in Part 3) or WARDS open only during the day (covered in Part 4). Exclude from the bed days available totals any beds designated solely for the use of well babies. Exclude from the bed days occupied totals any bed days of occupation by well babies.

      Ward Classification
    • The totals are further subdivided by ward classification. These classifications are derived as follows from the DAILY WARD LISTING of a WARD with a WARD OPERATIONAL PLAN with:

      Intensive Care - Neonates
      a BROAD PATIENT GROUP CODE of National Code 3 'Neonates' and a CLINICAL CARE INTENSITY of National Code 31 'not associated with the maternity ward and in which there are some designated cots for intensive care'.

      Intensive Care - Paediatric
      an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents' and a CLINICAL CARE INTENSITY of National Code 11 'for intensive therapy, including high dependency care'.

      Intensive Care - Wholly or mainly adult
      an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY of National Code 11 ' for intensive therapy, including high dependency care'.

      Terminally ill/palliative care - Children
      an AGE GROUP INTENDED of National Code 2 'children and/or adolescents' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.

      Terminally ill/palliative care - Wholly or mainly adult
      an AGE GROUP INTENDED of National Code 8 'Any age' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.

      Younger physically disabled
      a BROAD PATIENT GROUP CODE of National Code 2 'Younger physically disabled'.

      Other general and acute - Neonates and children
      This should be the sum of all available and occupied bed days where the AGE GROUP INTENDED is Children and/or adolescents or Neonates and the CLINICAL CARE INTENSITY National Code is one of the following:


      • for neonates: 33 'maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself',
      • for neonates: 32 'non-maternity: not associated with the maternity ward and without designated cots for intensive care',
      • for general patients: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
      • for general patients: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'.

      Other general and acute - Elderly: Normal Care
      an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy'

      Other general and acute - Elderly: Limited Care
      an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'

      Other general and acute - Other
      an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY National Code of:


      • for general patients: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
        or
      • for general patients: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'

      Maternity
      a BROAD PATIENT GROUP CODE of National Code 4 'Maternity patients'

    • The totals are further subdivided by ward classification. These classifications are derived as follows from the DAILY WARD LISTING of a WARD with a WARD OPERATIONAL PLAN with:

      Intensive Care - Neonates
      a BROAD PATIENT GROUP CODE of National Code 3 'Neonates' and a CLINICAL CARE INTENSITY of National Code 31 'not associated with the maternity ward and in which there are some designated cots for intensive care'.

      Intensive Care - Paediatric
      an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents' and a CLINICAL CARE INTENSITY of National Code 11 'for intensive therapy, including high dependency care'.

      Intensive Care - Wholly or mainly adult
      an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY of National Code 11 ' for intensive therapy, including high dependency care'.

      Terminally ill/palliative care - Children
      an AGE GROUP INTENDED of National Code 2 'children and/or adolescents' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.

      Terminally ill/palliative care - Wholly or mainly adult
      an AGE GROUP INTENDED of National Code 8 'Any age' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.

      Younger physically disabled
      a BROAD PATIENT GROUP CODE of National Code 2 'Younger physically disabled'.

      Other general and acute - Neonates and children
      This should be the sum of all available and occupied bed days where the AGE GROUP INTENDED is Children and/or adolescents or Neonates and the CLINICAL CARE INTENSITY National Code is one of the following:

      • for neonates: 33 'maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself',
      • for neonates: 32 'non-maternity: not associated with the maternity ward and without designated cots for intensive care',
      • for general PATIENTS: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
      • for general PATIENTS: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'.

      Other general and acute - Elderly: Normal Care
      an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy'

      Other general and acute - Elderly: Limited Care
      an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'

      Other general and acute - Other
      an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY National Code of:

      • for general PATIENTS: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
        or
      • for general PATIENTS: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'

      Maternity
      a BROAD PATIENT GROUP CODE of National Code 4 'Maternity patients'

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ANTI-CANCER DRUG FRACTION

Change to Supporting Information: Changed Description

An Anti-Cancer Drug Fraction is a CLINICAL INTERVENTION.

An Anti-Cancer Drug Fraction is the actual administration of one or more anti-cancer drugs to a PATIENT. The fraction usually equates to a single contact with a chemotherapy nurse specialist. The fraction usually equates to a single contact with a Chemotherapy nurse specialist.

References:
National Cancer Dataset

 

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ATTENDANCE DATE

Change to Supporting Information: Changed Description

Attendance Date is an ACTIVITY DATE TIME.An Attendance Date is an ACTIVITY DATE TIME.

The date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Accident and Emergency Department or by a Ward Attender.An Attendance Date is the date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Accident and Emergency Department or by a Ward Attender.

 

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BODY SURFACE AREA

Change to Supporting Information: Changed Description

Body Surface Area is a MEASURED PERSON OBSERVATION.

The surface area of a PERSON's skin, used to calculate doses of chemotherapy drugs.Body Surface Area is the surface area of a PERSON's skin, used to calculate doses of Chemotherapy drugs. The type of measurement is square metres.

References: National Cancer Dataset Version 1.3_ISB October 2002

 

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BRACHYTHERAPY TREATMENT COURSE

Change to Supporting Information: Changed Description

Brachytherapy Treatment Course is a CLINICAL INTERVENTION.

A prescribed course of radiotherapy brachytherapy treatment for a PATIENT.A Brachytherapy Treatment Course is a prescribed course of radiotherapy brachytherapy treatment for a PATIENT.

Unsealed Source Treatment Course is a Brachytherapy Treatment Course.

 

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CANCER TREATMENT PERIOD

Change to Supporting Information: Changed Description

A Cancer Treatment Period is an ACTIVITY GROUP.

A Cancer Treatment Period is initiated when a decision to treat for a cancer condition (see Department of Health guidance at Cancer Waiting Times Documentation and Links) is made, and ends when the PATIENT receives the Planned Cancer Treatment specified in the Cancer Care Plan covering the PATIENTS condition.  This is the same as TREATMENT START DATE (CANCER).  This is the same as TREATMENT START DATE FOR CANCER.

If the PATIENT receives several different types of treatment within the same Cancer Care Plan (eg surgery, followed by chemotherapy, followed by radiotherapy), then each stage has its own Cancer Treatment Period of 31 days between DECISION TO TREAT DATE (or EARLIEST CLINICALLY APPROPRIATE DATE), and TREATMENT START DATE (CANCER).If the PATIENT receives several different types of treatment within the same Cancer Care Plan (e.g. surgery, followed by Chemotherapy, followed by radiotherapy), then each stage has its own Cancer Treatment Period of 31 days between DECISION TO TREAT DATE (or EARLIEST CLINICALLY APPROPRIATE DATE), and TREATMENT START DATE FOR CANCER.

CANCER CARE SETTING (TREATMENT) is used to derive whether waiting time adjustment between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER) may be recorded in WAITING TIME ADJUSTMENT (TREATMENT).CANCER CARE SETTING (TREATMENT) is used to derive whether a waiting time adjustment between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER may be recorded in WAITING TIME ADJUSTMENT (TREATMENT).

Information recorded for a Cancer Treatment Period includes:

CANCER TREATMENT PERIOD START DATE

TREATMENT START DATE (CANCER)TREATMENT START DATE FOR CANCER

CANCER TREATMENT EVENT TYPE

RADIOTHERAPY INTENT

RADIOTHERAPY PRIORITY

 

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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
 191 Retired 
Medical Specialties 
 190ANAESTHETICS
 192CRITICAL CARE MEDICINE
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
*312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010) 
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
**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
 510 Retired 
 520 Retired 
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610 Retired 
 620 Retired 
Psychiatry 
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
Radiology 
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
Pathology 
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY AND VIROLOGY
 832 Retired 
**833MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
**834MEDICAL VIROLOGY
Other 
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990 Retired 

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.
**The functionality to report these MAIN SPECIALTY CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These MAIN SPECIALTY CODES cannot be transmitted in XML Schemas for the previous 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
263**PAEDIATRIC DIABETIC MEDICINEDedicated services to children with appropriate facilities and support staff
264**PAEDIATRIC CYSTIC FIBROSISDedicated 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.
325**SPORT AND EXERCISE MEDICINEThe diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment.
327**CARDIAC REHABILITATIONRehabilitation service for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health.
328**STROKE MEDICINEFor stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329**TRANSIENT ISCHAEMIC ATTACKA multidisciplinary service for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
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).
342**PROGRAMMED PULMONARY REHABILITATIONA multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy.
343**ADULT CYSTIC FIBROSISSpecialised, multidisciplinary service concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with chemotherapy, of patients with cancer.
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 
510 Retired Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required 
520 Retired Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required 
560MIDWIFE EPISODE 
600not a Treatment Function 
610 Retired Record as Obstetrics 
620 Retired Use 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.
657**PROSTHETICSThe supply of prosthetics for PATIENTS.
658**ORTHOTICSThe supply of orthoses for PATIENTS.
659**DRAMATHERAPYThe use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes.
660**ART THERAPYThe use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication.
661**MUSIC THERAPYThe use of music and all of its facets to help clients to improve or maintain their health.
662**OPTOMETRYThe diagnosis and non-surgical treatment of disorders of the eye and vision care.
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
832 Retired  
834**MEDICAL VIROLOGYThe diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and newly emerging viruses such as SARS and avian flu.
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
990 Retired  

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
** The functionality to report these TREATMENT FUNCTION CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1)
 TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES 
 GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
  Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

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PAYMENT BY RESULTS

Change to Supporting Information: Changed Description

Payment by Results (PbR) is managed by the Department of Health and provides a transparent, rules-based system for paying NHS funded care in England.

It rewards efficiency, supports PATIENT choice and diversity and encourages ACTIVITY for sustainable waiting time reductions.

Payment is linked to ACTIVITY and adjusted for casemix. Importantly, this system ensures a fair and consistent basis for hospital funding rather than being reliant principally on historic budgets and the negotiating skills of individual managers.

For further information on Payment by Results, see the:

 

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WHAT'S NEW: OCTOBER 2011  renamed from WHAT'S NEW: AUGUST 2011

Change to Supporting Information: Changed Description, Name

Release: October 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
  • CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
  • The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

  • CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

  • CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
  • CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

Release: August 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
  • CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
  • CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
  • CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

Release: July 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

Release: June 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1256 (Immediate) - DDCN 1256/2011 School Definitions
  • CR1117 (26 August 2011) - ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
  • CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
  • CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
  • CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
  • CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

Release: March 2011

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

Release: January 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
  • CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
  • CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
  • CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

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

Release: November 2010

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

  • CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
  • CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
  • CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
  • CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
  • CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

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

  • CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
  • CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
  • CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
  • CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
  • CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

  • The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

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

Release: May 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services

Release: March 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
  • CR1139 (Immediate) - DSCN 16/2010 Person Weight
  • CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
  • CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
  • CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
  • CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
  • CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
  • CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
  • CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
  • CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
  • CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme, Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

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WORLD HEALTH ORGANISATION

Change to Supporting Information: Changed Description

The World Health Organisation is an ORGANISATION.The World Health Organisation (WHO) is an ORGANISATION.

The World Health Organisation is a specialist agency of the United Nations that acts as a coordinating authority on international public health. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.

Further information can be found at the World Organisation website.The World Health Organisation is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.

 For further information on the World Health Organisation, see the World Organisation website.

 

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ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
AMI ADMISSION DIAGNOSIS
AMI ADMISSION WARD TYPE
AMI ADMITTING CONSULTANT TYPE
AMI CAUSE OF DEATH IN HOSPITAL
AMI DISCHARGE DIAGNOSIS
AMI HEART RATE
BONE SARCOMA LOCATION
BREASTFEEDING STATUS
BROAD PATIENT GROUP
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
CANCER REFERRAL TO TREATMENT PERIOD START DATE
CANCER TREATMENT INTENT
CANCER TREATMENT PERIOD START DATE
CARE PROGRAMME APPROACH LEVEL
COPD PRESENT
CORONARY ANGIOGRAPHY PERFORMED
DELIVERY FACILITIES ONLY USED
DELIVERY PLACE CHANGE REASON
DIAGNOSTIC ROUTE
DISCHARGE DESTINATION
DISCHARGE FROM MENTAL HEALTH SERVICE REASON
DISCHARGE METHOD
DISTRIBUTION OF LESIONS PRESENT
ECG DETERMINING TREATMENT
FIRST REGULAR DAY OR NIGHT ADMISSION
FULL POSTNATAL EXAMINATION DATE
GENERAL DENTAL SERVICE INDICATOR
GENETICALLY DETERMINED SKIN CANCER TYPE
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE
INFECTION PROBABLE SOURCE
INITIAL CONTACT TYPE
INTENDED DELIVERY PLACE
INVESTIGATION OR INTERVENTION REFERRAL DATE
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MATERNAL RUBELLA STATUS
MENSTRUAL STATUS
MENTAL HEALTH CARE SPELL END CODE
MIDWIFE EPISODE END REASON
NEONATAL LEVEL OF CARE
NURSING EPISODE END REASON
NUTRITIONAL SUPPORT PROVIDED TYPE
PATIENT CLASSIFICATION
POSSUM SCORE (AFTER SURGERY)
POSSUM SCORE (AT DIAGNOSIS)
PREGNANCY LEAD PROFESSIONAL TYPE
PREGNANCY PREVIOUS CAESAREAN SECTIONS
PREGNANCY PREVIOUS INDUCED ABORTIONS
PREGNANCY TOTAL LIVE BIRTHS
PREGNANCY TOTAL NEONATAL DEATHS
PREGNANCY TOTAL NON-INDUCED ABORTIONS
PREGNANCY TOTAL PREVIOUS PREGNANCIES
PREGNANCY TOTAL STILL BIRTHS
PREVIOUS MATERNAL BLOOD TRANSFUSION
PREVIOUS TREATMENT ELSEWHERE
QUALITY OF LIFE
RADIOTHERAPY INTENT
REHABILITATION REFERRAL
RTA FURTHER ADMISSION PLANNED
SARCOMA CONDITION FIRST SEEN
SARCOMA LARGEST DIAMETER
SARCOMA PART SITE
S CATEGORY FINAL PRETREATMENT
SERUM TUMOUR MARKER PSA AT DIAGNOSIS
SKIN TCELL CLINICAL VARIANT
SKIN TCELL SURFACE AREA
SOFT TISSUE SARCOMA LOCATION
SOURCE OF ADMISSION
SUPERVISED COMMUNITY TREATMENT END REASON
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE CANCER
TREATMENT START DATE FOR CANCER
WARD STAY TERMINATION REASON

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CARE PLAN

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE PLAN NUMBER
CANCER CARE PLAN INTENT
CARE PLAN AGREED DATE
CARE PLAN TYPE
MULTIDISCIPLINARY TEAM DISCUSSION DATE CANCER
MULTIDISCIPLINARY TEAM DISCUSSION DATE FOR CANCER
NO CANCER TREATMENT REASON
PATIENT ON IMMUNOSUPPRESSIVE THERAPY
PRIMARY CARE COMMUNICATION SENT DATE
RECURRENCE INDICATOR
SOCIAL WORKER INVOLVEMENT INDICATOR

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CLINICAL INTERVENTION

Change to Class: Changed Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY INVESTIGATION
ACCIDENT AND EMERGENCY TREATMENT
ANATOMICAL EXAMINATION SITE
ANTI CANCER REGIMEN NUMBER
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
BODY IRRADIATION
BRACHYTHERAPY ACTUAL FRACTION
BRACHYTHERAPY DELIVERY TYPE
BRACHYTHERAPY DOSE RATE
BRACHYTHERAPY ISOTOPE TYPE
BRACHYTHERAPY PRESCRIBED FRACTION
BRACHYTHERAPY TYPE
BREAST ASSESSMENT OR TEST OUTCOME
CANCER IMAGING MODALITY
CANCER TREATMENT MODALITY
CHEMO RADIATION INDICATOR
CHEMOTHERAPY ACTUAL DOSE
CLINICAL EXAMINATION FINDINGS
CLINICAL INTERVENTION TYPE
COLONOSCOPY INCOMPLETE REASON
CO MORBIDITY ADJUSTMENT INDICATOR
CONTRACEPTION METHOD STATUS
CORONARY INTERVENTION PERFORMED
CYTOLOGY SCREENING ACTION TYPE
DENTAL TREATMENT CLASSIFICATION
DISCHARGE THERAPY TYPE
DRUG ADMINISTRATION DURATION
DRUG ADMINISTRATION STATUS
DRUG DAYS SUPPLY
DRUG DOSAGE AND ADMIN SPECIFICATION
DRUG IDENTIFICATION
DRUG INFORMATION COMMENT
DRUG INFORMATION TYPE
DRUG PROGRAMME RESPONSE
DRUG QUANTITY SUPPLIED
DRUG REGIMEN ACRONYM
DRUG ROUTE OF ADMINISTRATION
DRUG THERAPY TYPE
DRUG TREATMENT COST
DRUG TREATMENT INTENT
ENDOCRINE THERAPY TYPE
FIRST DEFINITIVE TREATMENT PROVIDED
FIRST DIAGNOSTIC TEST
FRACTION NUMBER
HIP REPLACEMENT BONEGRAFT
HIP SURGERY INCISION TYPE
HIP SURGERY PATIENT POSITION
HIP SURGERY TROCHANTER INDICATOR
IMAGE GUIDED SURGERY INDICATOR
IMAGING EVENT NUMBER
IMAGING INTERVENTION INDICATOR
IMAGING MODALITY
IMMUNITY TEST RESULT
INTERVENTION SESSION TYPE
INTERVENTION SETTING
JOINT REPLACEMENT PRIMARY OR REVISION
JOINT REPLACEMENT REVISION NUMBER
KNEE REPLACEMENT CEMENT INDICATOR
KNEE SURGERY FAT PAD REMOVED
KNEE SURGERY SKIN INCISION METHOD
KNEE SURGERY SURGICAL APPROACH
KNEE SURGERY TOURNIQUET USED
LABOUR FIRST STAGE LENGTH
LABOUR OR DELIVERY ONSET METHOD
LABOUR PROFESSIONAL PRIOR INVOLVEMENT
LABOUR SECOND STAGE LENGTH
MINIMALLY INVASIVE SURGERY INDICATOR
MINOR SURGERY TYPE
NATURE OF RISK AREA CODE
NEWBORN HEARING INCOMPLETE REASON CODE
NEW LESIONS TREATED NUMBER
NUMBER OF TELETHERAPY FIELDS
OPERATIVE PROCEDURE INDICATOR
OPPORTUNISTIC SCREENING TYPE
PATHOLOGY INVESTIGATION PRIORITY
PATHOLOGY RESULT REPORTED DATE
PATHOLOGY SPECIMEN TYPE
PATIENT PROCEDURE IMPLANT INDICATION
PATIENT PROCEDURE PERFORMED INDICATOR
PATIENT PROCEDURE RESULT
PLANNED TREATMENT CHANGE REASON
POST MORTEM TYPE
PRIMARY OR SUBSEQUENT COURSE
PRIMARY SCREENING
RADIOTHERAPY ACTUAL DOSE
RADIOTHERAPY ANAESTHETIC
RADIOTHERAPY ANATOMICAL TREATMENT SITE
RADIOTHERAPY PRESCRIBED DOSE
RADIOTHERAPY PRESCRIBED DURATION
RADIOTHERAPY TREATMENT COURSE STATUS
RADIOTHERAPY TREATMENT MODALITY
RATE OF GMP PAYMENT
RECURRENT LESIONS TREATED NUMBER
RESULT SENT DIRECT
ROUTINE OR EMERGENCY
SARCOMA SURGICAL MARGIN
SARCOMA SURGICAL PROCEDURE TYPE
SCHEDULED SESSION DURING OR OUTSIDE
SURGICAL DEFAULT TECHNIQUE INDICATOR
SURGICAL URGENCY
SYSTEMIC ANTI CANCER THERAPY DRUG ROUTE OF ADMINISTRATION
SYSTEMIC ANTI CANCER THERAPY PROGRAMME NUMBER
SYSTEMIC ANTI CANCER THERAPY REGIMEN MODIFICATION INDICATOR
TELETHERAPY ACTUAL FRACTIONS
TELETHERAPY BEAM TYPE
TELETHERAPY COMPLEXITY GROUP
TELETHERAPY ELECTRON ENERGY
TELETHERAPY FIELDS
TELETHERAPY MULTIPLE PLANNING
TELETHERAPY PHOTON ENERGY
TELETHERAPY PRESCRIBED FRACTIONS
THROMBO PROPHYLAXIS REGIME TYPE
TREATMENT EXPOSURE TYPE
TYPE OF ANAESTHETIC
UNSEALED SOURCE ISOTOPE TYPE
UNSEALED SOURCE PATIENT TYPE
VACCINATION REASON INDICATOR

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REFERRAL DELAY

Change to Class: Changed Attributes

Attributes of this Class are:
KREFERRAL DELAY NUMBER
DELAY REASON COMMENT
DELAY REASON INDICATOR
DELAY REASON REFERRAL TO FIRST SEEN (CANCER)
DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS
DELAY REASON TO TREATMENT (CANCER)
DELAY REASON TO TREATMENT FOR CANCER
REFERRAL DELAY TYPE
WAITING TIME ADJUSTMENT REASON

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SAMPLE

Change to Class: Changed Attributes

Attributes of this Class are:
KSAMPLE COLLECTION DATE
KSAMPLE COLLECTION TIME
AMOUNT OF SAMPLE COLLECTED
ANATOMICAL ORIGIN OF SAMPLE
SAMPLE COLLECTION PERIOD END DATE
SAMPLE COLLECTION PERIOD END TIME
SAMPLE COLLECTION PROCEDURE
SAMPLE HANDLING WARNING
SAMPLE IDENTIFIER (PROVIDER)
SAMPLE IDENTIFIER FOR PROVIDER
SAMPLE IDENTIFIER (REQUESTER)
SAMPLE IDENTIFIER FOR REQUESTER
SAMPLE RECEIPT DATE
SAMPLE RECEIPT TIME
SAMPLE TYPE
SAMPLE UNIT OF MEASURE
SPECIMEN TYPE FOR CHLAMYDIA TESTING
TRANSPORT TYPE FOR SAMPLE COLLECTED

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ACTIVITY DATE TIME TYPE

Change to Attribute: Changed Description

The classification of a date or time that that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many dates and times associated with it but may only have one date or time of a particular type.

National Codes:

Dates

01Angiogram Date 
02Arrival Date 
03Breast Assessment Date 
04Cancer Dental Assessment Date 
05Colorectal or Stoma Nurse Seen Date 
06Coronary Angiography Date 
07Care Programme Approach Review Date 
08Date Biopsy Taken 
09Discharge Date 
10Discharge Ready Date 
11End Date 
12Event Date 
13Expected Delivery Date 
14First Antenatal Assessment Date 
15Full Postnatal Examination Date 
16Initial Patient Contact Date 
17Investigation Transfer Date 
18Intrauterine Device Application Date 
19Intrauterine Device Fitted Date 
20Last Dosage Date 
21Mental Health Care Assessment Date 
22Miscarriage Date 
23Pathology Result Due Date 
24Patient Informed Biopsy Result Date 
25Patient Informed Of Outcome Date 
26SMOKING QUIT DATE 
27Review Planned Date 
28Screening Result Date 
29Screening Result Sent Date 
30Specialist Palliative Care Date 
31Start Date 
32Symptoms First Noted Date 
33Attendance Date 
34Clinical Intervention Date 
35Immunisation Completion Date 
36Clinical Status Assessment Date 
37Dose Given Date 
38Test Date 
39Contact Date 
40Appointment Date 
41Primary Procedure Date 
42Second Operation Date 
43Speech and Swallowing Assessment Date 
44Third Operation Date 
45Date First Seen 
46Statutory Assessment Date 
47Screening Test Date 
48Genitourinary Care Contact Date 
49Consultant Upgrade Date 
101Referral Closure Date (Community Care) 
102Discharge Letter Issued Date (Community Care) 
 Systemic Anti-Cancer Therapy Administration Date 
103Systemic Anti-Cancer Therapy Administration Date

Note: This list is not in alphabetical order.

Times

50A and E ATTENDANCE CONCLUSION TIME 
51A and E DEPARTURE TIME 
52A and E INITIAL ASSESSMENT TIME 
53A and E TIME SEEN FOR TREATMENT 
54Arrival At Hospital Time 
55ARRIVAL TIME 
56End Time 
57Event Time 
58Initial Patient Contact Time 
59Last Dosage Time 
60Pathology Result Due Time 
61Start Time 
62Theatre Case Time In To Theatre Suite 
63Theatre Case Time Out Of Theatre 
64Theatre Case Time Out Of Theatre Suite 
65Time Seen 
66Discharge Ready Time

Note: This list is not in alphabetical order.

 

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ADMINISTRATIVE CATEGORY CODE

Change to Attribute: Changed Description

This is recorded for PATIENT ACTIVITY.

The category 'amenity PATIENT' of the classification is only applicable to PATIENTS using a Hospital Bed.A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.

If the ADMINISTRATIVE CATEGORY CODE changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).

The category 'amenity PATIENT' is only applicable to PATIENTS using a Hospital Bed.

National Codes:

01NHS PATIENT, including Overseas Visitors charged under the National Health Service (Charges to Overseas Visitors) Regulations 1989 (as amended by Statutory Instrument) 
02Private PATIENT, one who uses accommodation or services authorised under the National Health Service Act 2006 
03Amenity PATIENT, one who pays for the use of a single room or small ward in accordance with the National Health Service Act 2006 
04Category II PATIENT, one for whom work is undertaken by hospital medical or dental staff within category II as defined in paragraph 37 of the Terms and Conditions of Service of Hospital Medical and Dental Staff.
 

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ADULT MENTAL HEALTH CARE TEAM TYPE

Change to Attribute: Changed Description

The type of Adult Mental Health Care Team.

National Codes:

 General Mental Health Services
A01Day Care Services
A02Crisis Resolution Team/Home Treatment
A03Adult Community Mental Health Team
A04Older People Community Mental Health Team
A05Assertive Outreach Team
A06Rehabilitation and Recovery Team
A07General Psychiatry
A08Psychiatric Liaison
A09Psychotherapy Service
A10Psychological Therapy Service (IAPT)
A11Psychological Therapy Service (non-IAPT)
A12Young Onset Dementia
A13Personality Disorder Service
A14Early Intervention in Psychosis Team
A15Primary Care Mental Health Services
A16Memory Services/Clinic
 Forensic Services
B01Forensic Service
B02Community Forensic Service
 Specialist Mental Health Services
C01Learning Disability Service
C02Autistic Spectrum Disorder Service
C02Peri-Natal Mental Illness
C03Peri-Natal Mental Illness
C04Eating Disorders/Dietetics
 Other Mental Health Services
D01Substance Misuse Team
D02Criminal Justice Liaison and Diversion Service
D03Prison Psychiatric Inreach Service
D04Asylum Service
ZZZOther Mental Health Service
 

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CANCER IMAGING MODALITY

Change to Attribute: Changed Description

A classification used to identify the type of imaging procedure used in relation to a Cancer Care Spell.

National Codes:

1Standard radiography
1AChest X-ray
1BSinus X-rays
1CMastoid views
1DOrthopantomogram (OPG)
1ESkull base X-rays
1FAngiography
1GIntravenous urography
1HRetrograde urography
1JInferior vena cavography
1KBone angiography
1LSoft tissue angiography
1LSoft TISSUE angiography
2ACT scan with contrast
2BCT scan without contrast
3AMRI scan with contrast
3BMRI scan without contrast
3CMRI cholangiography
4PET scan
5Ultrasound
5ATransabdominal ultrasound
5BTransvaginal ultrasound
5CDoppler ultrasound
5DTransrectal ultrasound
5EEndoscopic ultrasound
5FLaparascopic ultrasound
6Nuclear Medicine imaging
6ARadio-isotope bone scan
6BOther radio-isotope scan
6CVentilation/Perfusion scan
7Mammography
8Barium
8ABarium enema
8BBarium swallow
9Lymphoscintigraphy
99Other

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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CANCER REFERRAL PRIORITY TYPE

Change to Attribute: Changed Description

A classification of the urgency of a referral of a PATIENT to see a cancer specialist, determined by the CARE PROFESSIONAL making the referral.The urgency of a referral of a PATIENT to see a cancer specialist, determined by the CARE PROFESSIONAL making the referral.

National Codes:

01Urgent referral for suspected cancer from a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER 
02Other referral source or urgency

References:
The NHS National Cancer Waiting Times, Department of HealthData Set Change Notice 22/2002

 

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CLINICAL CLASSIFICATION CODE

Change to Attribute: Changed Description

A unique identifier for a CLINICAL CLASSIFICATION, for example this could be an OPCS-4 code, Read code, SNOMED CT®, or defined in the National Interim Clinical Imaging Procedure Code Set.A unique identifier for a CLINICAL CLASSIFICATION, for example this could be an OPCS-4 code, Read code, SNOMED CT® concept, or defined in the National Interim Clinical Imaging Procedure Code Set.

This could also be a PATIENT DIAGNOSIS.

See Clinical Coding for further information about CLINICAL CLASSIFICATIONS.

Notes:

  • Diagnoses should be classified where possible using ICD-10 or other classification codes approved centrally for mapping to ICD-10 codes. Clinical Terms (The Read Codes) can be used in addition to ICD-10 codes for PATIENT DIAGNOSIS. However Clinical Terms (The Read Codes) are not accepted for the purposes of central Hospital Episode Statistics data, where ICD-10 is mandatory.
  • ICD-10 diagnostic codes are at least four characters in length. The first character is always alphabetic. Where an undivided three character code is used, the fourth character must be filled with 'X'.
  • Fifth characters should be used in accordance with the guidance in International Classification of Diseases (ICD). Where they are not used the character must be filled with a '-'. The sixth character of the code is used to designate an asterisk or dagger indicator in ICD-10; it may be an 'A' or 'D'.
 

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CLINICAL INTERVENTION TYPE

Change to Attribute: Changed Description

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CRITICAL CARE DISCHARGE STATUS

Change to Attribute: Changed Description

The discharge status of a PATIENT who is discharged from a Ward Stay where they were receiving care as part of a CRITICAL CARE PERIOD and the discharge ends the CRITICAL CARE PERIOD.

National Codes:

01Fully ready for discharge
02Discharge for palliative care
03Early discharge due to shortage of critical care beds
04Delayed discharge due to shortage of other WARD beds
05Current level of care continuing in another location
06More specialised care in another location
07Self discharge against medical advice
08PATIENT died (no organs donated)
09PATIENT died (heart beating solid organ donor)
10PATIENT died (cadaveric tissue donor)
10PATIENT died (cadaveric TISSUE donor)
11PATIENT died (non heart beating solid organ donor)

National Code 'PATIENT died (non heart beating solid organ donor)' should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets (Version 6-2) and the associated CDS-XML Schema Release. Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1). Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1-1).

 

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DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS  renamed from DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)

Change to Attribute: Changed Aliases, Name


DELAY REASON TO TREATMENT FOR CANCER  renamed from DELAY REASON TO TREATMENT (CANCER)

Change to Attribute: Changed Aliases, Name


FIRST DEFINITIVE TREATMENT PLANNED

Change to Attribute: Changed Description

This is an indicator that the Planned Cancer Treatment is the planned first definitive treatment or intervention to be given which is intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.An indication that the Planned Cancer Treatment is the planned First Definitive Treatment or intervention to be given which is intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.

Classification:

a.first definitive treatment planned
b.not first definitive treatment planned
a.First Definitive Treatment planned
b.not First Definitive Treatment planned

References:
The NHS National Cancer Waiting Times, Department of HealthData Set Change Notice 22/2002.

 

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FIRST DEFINITIVE TREATMENT PROVIDED

Change to Attribute: Changed Description

This is an indicator that the Planned Cancer Treatment was provided as the first definitive treatment or intervention which was intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.An indication that the Planned Cancer Treatment was provided as the First Definitive Treatment or intervention which was intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.

Classification:

a.first definitive treatment provided
b.not first definitive treatment provided
a.First Definitive Treatment provided
b.not First Definitive Treatment provided

References: The NHS National Cancer Waiting Times, Department of HealthData Set Change Notice 22/2002.

 

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LANGUAGE CLASSIFICATION CODE

Change to Attribute: Changed Description

A classification of a Language used by a PERSON.The language used by a PERSON.

National Codes:

001Akan (Ashanti)
002Albanian
003Amharic
004Arabic
005Bengali & Sylheti
006Brawa & Somali
007British Signing Language
008Cantonese
009Cantonese and Vietnamese
010Creole
011Dutch
012English
013Ethiopian
014Farsi (Persian)
015Finnish
016Flemish
017French
018French creole
019Gaelic
020German
021Greek
022Gujarati
023Hakka
024Hausa
025Hebrew
026Hindi
027Igbo (Ibo)
028Italian
029Japanese
030Korean
031Kurdish
032Lingala
033Luganda
034Makaton (sign language)
035Malayalam
036Mandarin
037Norwegian
038Pashto (Pushtoo)
039Patois
040Polish
041Portuguese
042Punjabi
043Russian
044Serbian/Croatian
045Sinhala
046Somali
048Spanish
049Swahili
050Swedish
051Sylheti
052Tagalog (Filipino)
053Tamil
054Thai
055Tigrinya
056Turkish
057Urdu
058Vietnamese
059Welsh
060Yoruba
200Other

References:
National Joint Registry Dataset: v.1: 24th March 2003

 

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MULTIDISCIPLINARY TEAM DISCUSSION DATE FOR CANCER  renamed from MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)

Change to Attribute: Changed Aliases, Name


PRIORITY TYPE

Change to Attribute: Changed Description

This is the priority of a request for services; in the case of services to be provided by a CONSULTANT, it is as assessed by or on behalf of the CONSULTANT.The priority of a request for SERVICES; in the case of SERVICES to be provided by a CONSULTANT, it is as assessed by or on behalf of the CONSULTANT.

  • Priority Type 'Urgent' should be used where the request for services is defined as clinically urgent, but it does not fall under the criteria for 'Two Week Wait' (see below). 
  • Priority Type 'Urgent' should be used where the request for SERVICES is defined as clinically urgent, but it does not fall under the criteria for 'Two Week Wait' (see below).

  • Priority Type 'Two Week Wait' should be used where either:

National Codes:

1Routine
2Urgent
3Two Week Wait
 

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SAMPLE IDENTIFIER FOR PROVIDER  renamed from SAMPLE IDENTIFIER (PROVIDER)

Change to Attribute: Changed Aliases, Name


SAMPLE IDENTIFIER FOR REQUESTER  renamed from SAMPLE IDENTIFIER (REQUESTER)

Change to Attribute: Changed Aliases, Name


SERVICE TYPE REFERRED TO FOR COMMUNITY CARE

Change to Attribute: Changed Description

The type of SERVICE within a Community Health Service that a PATIENT was referred to.

National Codes:

01Appliances Service - All services relating to the distribution and maintenance of PATIENT appliances such as orthotics, wheelchairs, prosthetics and mattresses
02Arts Therapy Service - Art, Drama and Music Therapy
03Cancer Service - Direct cancer treatment (excluding Palliative Care), for example the treatment of head and neck cancer, leukaemia and any chemotherapy provided in the community
03Cancer Service - Direct cancer treatment (excluding Palliative Care), for example the treatment of head and neck cancer, leukaemia and any Chemotherapy provided in the community
04Cardiac Service - Directly treated for conditions related to heart disease, including myocardial infarction, angina and cardiac rehabilitation
05Community Dental Service - All community dental services (for all ages), excluding personal dental services
06Community Paediatrics Service
07Continence Service - Treatment of PATIENTS with continence problems, including physiotherapy, pelvic floor treatments and pants and pads service
08Contraception and Sexual Health Service - Services associated with prevention and treatment of sexually transmitted diseases and contraceptive services
09Counselling Service
10Dermatology Service - Treatment of skin, hair and nails, including leg ulcer and wound care treatment, but excluding treatment for skin cancer
11Diabetes Service - Direct treatment of PATIENTS with diabetes including type 1 and 2. It includes interventions such as glucose monitoring and training on administering insulin.
12District Nursing Service
13Ear, Nose and Throat Service
14End of Life Care Service - Care of a PATIENT during the last stage of their life (PATIENTS in a progressive state of decline).  This includes Palliative Care and Terminal Care
15Gastrointestinal Service - Directly treated for conditions relating to the gastrointestinal system
16Health Visiting Service
17Hearing Service - Hearing tests and maintenance of hearing aids, excludes neonatal screening
18Intermediate Care Service
19Long Term Conditions Case Management Service - Includes Community Matron-led services 
20Musculoskeletal Service - Musculoskeletal system including bones, joints and supporting muscles.  All PATIENTS receiving treatment for musculoskeletal conditions such as hip replacement, knee replacement and other joint disorders.  Includes Musculoskeletal Rehabilitation
21Neurology Service - Nervous system, including the brain, spinal cord and nerves. All PATIENTS receiving treatment for stroke, Parkinson's disease and Motor Neurone Disease, including Neurological Rehabilitation
22Nutrition and Dietetics Service
23Occupational Therapy Service
24Orthoptist Service
25Pain Management Service - Excluding mobility
26Physiotherapy Service
27Podiatry Service
28Public Health and Lifestyle Service - All discrete Health Protection services such as vaccination programmes.  All discrete health prevention/promotion services such as smoking cessation, obesity, falls and health inequalities. Includes drug and alcohol programmes.
29Rehabilitation Service
30Respiratory Service - Respiratory disease including Chronic Obstructive Pulmonary Disease and asthma
31Rheumatology Service - Inflammatory diseases of the muscles and joints including arthritis.
32School Nursing Service
33Speech and Language Therapy Service - Includes voice rehabilitation e.g. after a stroke, language development and swallowing difficulties
34Vulnerable Children's Service - Including Looked After Children services and Safeguarding services
35Vulnerable Adult's Service - Including homeless services
 

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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
263**PAEDIATRIC DIABETIC MEDICINEDedicated services to children with appropriate facilities and support staff
264**PAEDIATRIC CYSTIC FIBROSISDedicated 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.
325**SPORT AND EXERCISE MEDICINEThe diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment.
327**CARDIAC REHABILITATIONRehabilitation service for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health.
328**STROKE MEDICINEFor stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329**TRANSIENT ISCHAEMIC ATTACKA multidisciplinary service for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
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).
342**PROGRAMMED PULMONARY REHABILITATIONA multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy.
343**ADULT CYSTIC FIBROSISSpecialised, multidisciplinary service concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with chemotherapy, of patients with cancer.
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 
510 Retired Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required 
520 Retired Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required 
560MIDWIFE EPISODE 
600not a Treatment Function 
610 Retired Record as Obstetrics 
620 Retired Use 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.
657**PROSTHETICSThe supply of prosthetics for PATIENTS.
658**ORTHOTICSThe supply of orthoses for PATIENTS.
659**DRAMATHERAPYThe use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes.
660**ART THERAPYThe use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication.
661**MUSIC THERAPYThe use of music and all of its facets to help clients to improve or maintain their health.
662**OPTOMETRYThe diagnosis and non-surgical treatment of disorders of the eye and vision care.
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
832 Retired  
834**MEDICAL VIROLOGYThe diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and newly emerging viruses such as SARS and avian flu.
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
990 Retired  

Notes:
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics 
** The functionality to report these TREATMENT FUNCTION CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1)
 TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES 
 GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
  Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service
 

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TREATMENT START DATE FOR CANCER  renamed from TREATMENT START DATE (CANCER)

Change to Attribute: Changed Description, Aliases, Name

This is the Start Date of the first, second or subsequent cancer treatment given to a PATIENT who is receiving care for a cancer condition, with a PRIMARY DIAGNOSIS (ICD) code within the range C00 to C97 or D05 as defined by the Department of Health (see Department of Health guidance at Cancer Waiting Times Documentation and Links).The Start Date of the first, second or subsequent cancer treatment given to a PATIENT who is receiving care for a cancer condition, with a PRIMARY DIAGNOSIS (ICD) code within the range C00 to C97 or D05 as defined by the Department of Health (see Department of Health guidance at Cancer Waiting Times Documentation and Links). 

If the CANCER TREATMENT MODALITY given is National Code 01 - Surgery, the TREATMENT START DATE (CANCER) is the same as START DATE (HOSPITAL PROVIDER SPELL) of the related admission.If the CANCER TREATMENT MODALITY given is National Code 01 - Surgery, the TREATMENT START DATE FOR CANCER is the same as START DATE (HOSPITAL PROVIDER SPELL) of the related admission.

TREATMENT START DATE (CANCER) is also the END DATE of a Cancer Treatment Period.TREATMENT START DATE FOR CANCER is also the END DATE of a Cancer Treatment Period.

A Cancer Referral To Treatment Period will end on the same date as the TREATMENT START DATE (CANCER) where First Definitive Treatment is given, unless cancer was discounted when the PATIENT was first seen (in which case the Cancer Referral To Treatment Period is ended at DATE FIRST SEEN).A Cancer Referral To Treatment Period will end on the same date as the TREATMENT START DATE FOR CANCER where First Definitive Treatment is given, unless cancer was discounted when the PATIENT was first seen (in which case the Cancer Referral To Treatment Period is ended at DATE FIRST SEEN).

If a PATIENT declines all treatment (CANCER TREATMENT MODALITY is recorded as National Code 98 - All treatment declined) then the TREATMENT START DATE (CANCER) should be recorded as the DATE upon which the PATIENT made this decision.If a PATIENT declines all treatment (CANCER TREATMENT MODALITY is recorded as National Code 98 - All treatment declined) then the TREATMENT START DATE FOR CANCER should be recorded as the DATE upon which the PATIENT made this decision.

 

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TREATMENT START DATE FOR CANCER  renamed from TREATMENT START DATE (CANCER)

Change to Attribute: Changed Description, Aliases, Name


ADMINISTRATIVE CATEGORY

Change to Data Element: Changed Description

Format/Length:n2
HES Item:ADMINCAT
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error


Notes:
ADMINISTRATIVE CATEGORY is the same as ADMINISTRATIVE CATEGORY CODE.

A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.

If the ADMINISTRATIVE CATEGORY changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).

ADMINISTRATIVE CATEGORY will be replaced with ADMINISTRATIVE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.

 

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ADMINISTRATIVE CATEGORY CODE

Change to Data Element: Changed Description

Format/Length:an2
HES Item:ADMINCAT
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

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:
ADMINISTRATIVE CATEGORY CODE is the same as ADMINISTRATIVE CATEGORY CODE.

A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.

If the ADMINISTRATIVE CATEGORY CODE changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).

ADMINISTRATIVE CATEGORY CODE replaces ADMINISTRATIVE CATEGORY and should be used for all new and developing data sets and for XML messages.

 

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AGE AT ATTENDANCE DATE

Change to Data Element: Changed Description

Format/length:n3
HES item: 
Format/Length:n3
HES Item: 
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated.
Note that this code is NOT valid for the NHS Health Checks Data Set

Notes:
This is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the ATTENDANCE DATE or the estimated age of the PATIENT.AGE AT ATTENDANCE DATE is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the ATTENDANCE DATE or the estimated age of the PATIENT.

Note that default code 999 is NOT valid for the NHS Health Checks Data Set.

 

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AGE AT CDS ACTIVITY DATE

Change to Data Element: Changed Description

Format/length:n3
HES item: 
Format/Length:n3
HES Item: 
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated

Notes:
This is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the CDS ACTIVITY DATE.AGE AT CDS ACTIVITY DATE is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the CDS ACTIVITY DATE. 

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AGE AT CENSUS

Change to Data Element: Changed Description

Format/length:n3
HES item:CENSAGE
Format/Length:n3
HES Item:CENSAGE
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated

Notes:
This is the same as AGE AT CDS ACTIVITY DATE where the CDS ACTIVITY DATE is the date of the census.AGE AT CENSUS is the same as AGE AT CDS ACTIVITY DATE where the CDS ACTIVITY DATE is the date of the census. 

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AGE BAND AT SMOKING QUIT DATE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
Format/Length:n2
HES Item: 
National Codes: 
Default Codes:99 - Not known i.e. date of birth not known

Notes:
This is derived as the number of completed years between the PERSON BIRTH DATE of the PERSON and the SMOKING QUIT DATE of the PERSON STOP SMOKING EPISODE.AGE BAND AT SMOKING QUIT DATE is derived as the number of completed years between the PERSON BIRTH DATE of the PERSON and the SMOKING QUIT DATE of the PERSON STOP SMOKING EPISODE.

Permitted National Codes:

01Under 18 years of age
0218 to 34 years of age
0335 - 44 years of age
0445 - 59 years of age
0560 and over years of age
 

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AGE GROUP INTENDED

Change to Data Element: Changed Description

Format/length:n1
HES item: 
Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.

Based on the classifications of attribute AGE GROUP INTENDED, with the addition of Home Leave:  

Permitted National Codes:

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

AGE GROUP INTENDED will be replaced with INTENDED AGE GROUP, which should be used for all new and developing data sets and for XML messages.

 

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AGE ON ADMISSION

Change to Data Element: Changed Description

Format/length:n3
HES item: 
Format/Length:n3
HES Item: 
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated

Notes:
This is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the START DATE (HOSPITAL PROVIDER SPELL) AGE ON ADMISSION is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the START DATE (HOSPITAL PROVIDER SPELL) 

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ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE

Change to Data Element: Changed Description

Format/Length:an1
HES Item:DELPREAN
National Codes:See ANAESTHETIC OR ANALGESIC CATEGORY
Default Codes:8 - Not applicable, i.e. no analgesic or anaesthetic administered
 9 - Not known: a validation error

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:
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given during labour/delivery, and the type used.

The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.

ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY and should be used for all new and developing data sets and for XML messages.

 

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APPOINTMENT DATE

Change to Data Element: Changed Description

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


Notes:
APPOINTMENT DATE is the same as APPOINTMENT DATE.

APPOINTMENT DATE is the same as attribute APPOINTMENT DATE.

Usage in the CDS:
The Outpatient and Future Outpatient CDS Types use the APPOINTMENT DATE as the "CDS ORIGINATING DATE" as a mandatory requirement of the CDS Exchange Protocol, see CDS ACTIVITY DATE.

For the Future Outpatient CDS where no APPOINTMENT DATE is available from the healthcare system, a default date value of 2999-12-31 may be applied.

Care must be taken to generate the correct CDS Exchange Protocol when using this default value.

When submitting a Referral To Treatment Clock Stop Administrative Event via the CDS V6 TYPE 020 - OUTPATIENT CDS, APPOINTMENT DATE is equivalent to the REFERRAL TO TREATMENT PERIOD END DATE carried in the record.

 

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ARRIVAL DATE

Change to Data Element: Changed Description

Format/Length:see DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date of arrival of a PATIENT in the Accident and Emergency Department.ARRIVAL DATE is date of arrival of a PATIENT in the Accident and Emergency Department.

ARRIVAL DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Arrival Date'.

 

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ATTENDANCE DATE

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The date of an attendance, for example at a Consultant Clinic, Nurse Clinic, Accident and Emergency Department or by a Ward Attender.

ATTENDANCE DATE is the date of an attendance, for example at a Consultant Clinic, Nurse Clinic, Accident and Emergency Department or by a Ward Attender.

Consultant Clinic is a CLINIC OR FACILITY where the CLINIC OR FACILITY PURPOSE CODE is National Code 01 'Clinic', and where the care professional responsible for the clinic is a CONSULTANT.

Nurse Clinic is a CLINIC OR FACILITY where the CLINIC OR FACILITY PURPOSE CODE is National Code 01 'Clinic', and where the care professional responsible for the clinic is a NURSE.

ATTENDANCE DATE is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.ATTENDANCE DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.

 

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CANCER CARE SETTING (TREATMENT)

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes: 
Default Codes:99 - unknown

Notes:
CANCER CARE SETTING (TREATMENT) is the type of care setting where the cancer care relating to the TREATMENT START DATE (CANCER) took place.CANCER CARE SETTING (TREATMENT) is the type of care setting where the cancer care relating to the TREATMENT START DATE FOR CANCER took place.

Where the care is delivered during a Hospital Provider Spell, distinction is made between care delivered as part of an ordinary admission (where the PATIENT CLASSIFICATION is National Code 1 - Ordinary Admission) and a day case admission (where PATIENT CLASSIFICATION is National Code 2 - Day case admission).Where the care is delivered during a Hospital Provider Spell, distinction is made between care delivered as part of an ordinary admission (where the PATIENT CLASSIFICATION is National Code 1 'Ordinary Admission') and a day case admission (where PATIENT CLASSIFICATION is National Code 2 'Day case admission').

Permitted National Codes:

01Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National code 1 - Ordinary admission)
02Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 - Day case admission)
01Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 'Ordinary admission')
02Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 'Day case admission')
03Cancer treatment delivered in an Out-patient setting
04Cancer treatment delivered in another care setting
 

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CREATININE CLEARANCE

Change to Data Element: Changed Description

Format/length:nnnn.nn
HES item: 
Format/Length:nnnn.nn
HES Item: 
National Codes: 
Default Codes: 


Notes:
Creatinine Clearance is a MEASURED PERSON OBSERVATION.

CREATININE CLEARANCE is a MEASURED PERSON OBSERVATION.

The measurement of a PERSON's renal function, in terms of expulsion of creatinine, measured in millilitres per minute. This is recorded when certain Chemotherapy drugs, for example, carboplatin, are administered.CREATININE CLEARANCE is the measurement of a PERSON's renal function, in terms of expulsion of creatinine, measured in millilitres per minute. This is recorded when certain Chemotherapy drugs, for example, carboplatin, are administered.

References:
National Cancer Data Set Version 1.3_ISB October 2002

 

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DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) is the same as attribute DECISION TO TREAT DATE.

DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE of National Code 'Chemotherapy' or 'Hormone Therapy' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification a. 'first definitive treatment planned'.DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) is the DECISION TO TREAT DATE of the Planned Cancer Treatment with a PLANNED CANCER TREATMENT TYPE of National Code 'Chemotherapy' or 'Hormone Therapy' and where the FIRST DEFINITIVE TREATMENT PLANNED is classification '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.

 

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DELAY REASON (CONSULTANT UPGRADE)

Change to Data Element: Changed Description

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DELAY REASON (DECISION TO TREATMENT)

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National codesSee DELAY REASON TO TREATMENT (CANCER)
Default codes 
National CodesSee DELAY REASON TO TREATMENT FOR CANCER
Default Codes 

Notes:
DELAY REASON (DECISION TO TREATMENT) is the same as the attribute DELAY REASON TO TREATMENT (CANCER).DELAY REASON (DECISION TO TREATMENT) is the same as the attribute DELAY REASON TO TREATMENT FOR CANCER.

A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT (CANCER) exists.A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER exists. 

This data can also be recorded locally for prospective PATIENTS where a full histological diagnosis confirming cancer is not yet available.

 

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DELAY REASON COMMENT (CONSULTANT UPGRADE)

Change to Data Element: Changed Description

Format/length:an255
HES item: 
National codes 
Default codes 
Format/Length:an255
HES Item: 
National Codes 
Default Codes 

Notes:
DELAY REASON COMMENT (CONSULTANT UPGRADE) is the same as attribute DELAY REASON COMMENT.

This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set.  It is applicable and must be recorded if the existing 62 day standard (for referral to treatment) has been breached (after any days adjustments allowed in WAITING TIME ADJUSTMENT (TREATMENT) have been removed).  It is the free text comment that describes why there was a delay experienced between the Consultant Upgrade Date and the TREATMENT START DATE (CANCER).  It is the free text comment that describes why there was a delay experienced between the Consultant Upgrade Date and the TREATMENT START DATE FOR CANCER.

If DELAY REASON (CONSULTANT UPGRADE) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (CONSULTANT UPGRADE) must explain the full reason for the delay.

 

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DELAY REASON COMMENT (DECISION TO TREATMENT)

Change to Data Element: Changed Description

Format/length:an255
HES item: 
National codes 
Default codes 
Format/Length:an255
HES Item: 
National Codes 
Default Codes 

Notes:
DELAY REASON COMMENT (DECISION TO TREATMENT) is the same as the attribute DELAY REASON COMMENT.

This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing 31-day standard (for referral to treatment) has been breached (after any days adjustments allowed in WAITING TIME ADJUSTMENT (TREATMENT) have been removed).  It is the free text comment that describes why the maximum 31 day wait from CANCER TREATMENT PERIOD START DATE to TREATMENT START DATE (CANCER) could not be met.  It is the free text comment that describes why the maximum 31 day wait from CANCER TREATMENT PERIOD START DATE to TREATMENT START DATE FOR CANCER could not be met. 

If DELAY REASON (DECISION TO TREATMENT) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (DECISION TO TREATMENT) must explain the full reason for the delay.

 

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DELAY REASON COMMENT (FIRST SEEN)

Change to Data Element: Changed Description

Format/Length:an255
HES Item: 
National codes 
Default codes 
National Codes 
Default Codes 

Notes:
DELAY REASON COMMENT (FIRST SEEN) is the same as the attribute DELAY REASON COMMENT.

This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).

It is the free text comment that describes why the maximum two week wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to DATE FIRST SEEN (less WAITING TIME ADJUSTMENT (FIRST SEEN)) could not be met.

See DATE FIRST SEEN for guidance on determining the appropriate first seen date.

If DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.If DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.

 

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DELAY REASON COMMENT (REFERRAL TO TREATMENT)

Change to Data Element: Changed Description

Format/length:an255
HES item: 
National codes 
Default codes 
Format/Length:an255
HES Item: 
National Codes 
Default Codes 

Notes:
DELAY REASON COMMENT (REFERRAL TO TREATMENT) is the same as the attribute DELAY REASON COMMENT.

This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).

It is the free text comment that describes why the specified maximum 62 day wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to the TREATMENT START DATE (CANCER), less any adjustments recorded by WAITING TIME ADJUSTMENT (FIRST SEEN) and WAITING TIME ADJUSTMENT (DECISION TO TREAT) and WAITING TIME ADJUSTMENT (TREATMENT), could not be met.It is the free text comment that describes why the specified maximum 62 day wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to the TREATMENT START DATE FOR CANCER, less any adjustments recorded by WAITING TIME ADJUSTMENT (FIRST SEEN) and WAITING TIME ADJUSTMENT (DECISION TO TREAT) and WAITING TIME ADJUSTMENT (TREATMENT), could not be met.

 

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DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National codesSee DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS)
Default codes 
National CodesSee DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS
Default Codes 

Notes:
DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is the same as attribute DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS).DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is the same as attribute DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS.

If National Code 99 - Other reason is recorded, further detail must be given for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN).If National Code 99 'Other reason' is recorded, further detail must be given for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN). 

 

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DELAY REASON REFERRAL TO TREATMENT (CANCER)

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National codesSee DELAY REASON TO TREATMENT (CANCER)
Default codes 
National CodesSee DELAY REASON TO TREATMENT FOR CANCER
Default Codes 


Notes:
DELAY REASON REFERRAL TO TREATMENT (CANCER) is the same as attribute DELAY REASON TO TREATMENT (CANCER).

DELAY REASON REFERRAL TO TREATMENT (CANCER) is the same as attribute DELAY REASON TO TREATMENT FOR CANCER.

It is an optional data element and should only be present if a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT (CANCER) has been recorded where the DELAY REASON INDICATOR is classification b. 'delay between urgent GP referral and date of first definitive treatment'.DELAY REASON REFERRAL TO TREATMENT (CANCER) is an optional data element and should only be present in the National Cancer Waiting Times Monitoring Data Set if a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER has been recorded where the DELAY REASON INDICATOR is classification b. 'delay between urgent GP referral and date of First Definitive Treatment'.

 

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END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)

Change to Data Element: Changed Description

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END DATE (CONSULTANT OUT-PATIENT EPISODE)

Change to Data Element: Changed Description

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END DATE (EPISODE)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item:EPIEND
National Codes: 
Default Codes: 

Notes:
The date that an Episode ends.END DATE (EPISODE) is the date that an Episode ends.

END DATE (EPISODE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'End Date'.

 

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END DATE (HOME LEAVE)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The End Date of a Home Leave  for a PATIENT.

END DATE (HOME LEAVE) is the End Date of a Home Leave  for a PATIENT.

END DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Home Leave.END DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Home Leave.

 

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END DATE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The date the PATIENT is deemed by the CARE PROFESSIONAL to have completed the current Improving Access to Psychological Therapies Care Spell, this will be the last Improving Access to Psychological Therapies Contact.

END DATE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES) is the date the PATIENT is deemed by the CARE PROFESSIONAL to have completed the current Improving Access to Psychological Therapies Care Spell, this will be the last Improving Access to Psychological Therapies Contact. 

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END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

Change to Data Element: Changed Description

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END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: Changed Description

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END DATE (MENTAL HEALTH CARE CLUSTER)

Change to Data Element: Changed Description

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END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

Change to Data Element: Changed Description

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END DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))

Change to Data Element: Changed Description

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END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The End Date of a Mental Health Delayed Discharge Period for a PATIENT.END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is the End Date of a Mental Health Delayed Discharge Period for a PATIENT.  This is the date where the clinical decision is taken that the PATIENT is no longer fit for discharge, and further inpatient care is required.

END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Delayed Discharge Period.END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Delayed Discharge Period.

 

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END DATE (MENTAL HEALTH LEAVE OF ABSENCE)

Change to Data Element: Changed Description

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END DATE (MENTAL HEALTH NHS CARE HOME STAY)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:END DATE (MENTAL HEALTH NHS CARE HOME STAY) is the End Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:

A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.

END DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).END DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).

 

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END DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

Change to Data Element: Changed Description

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END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

Change to Data Element: Changed Description

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END DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: Changed Description

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END DATE (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: Changed Description

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END DATE (WARD STAY)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
END DATE (WARD STAY) is the End Date of a Ward Stay.

END DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Ward Stay.

 

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END TIME

Change to Data Element: Changed Description

Format/Length:See TIME 
HES Item: 
National Codes: 
Default Codes: 

Notes:
END TIME has a generalised definition which can be applied to the start of a stay, episode, period covered by a plan or other time period.

This is the ACTIVITY TIME where the ACTIVITY DATE TIME TYPE of National Code 'End Time'.END TIME is the ACTIVITY TIME where the ACTIVITY DATE TIME TYPE of National Code 'End Time'.

 

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END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: Changed Description

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END TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: Changed Description

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EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The DATE when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires.

EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the DATE when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires. 

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EXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The date when Supervised Community Treatment for a PATIENT expires.

EXPIRY DATE (SUPERVISED COMMUNITY TREATMENT) is the date when Supervised Community Treatment for a PATIENT expires. 

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EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: Changed Description

Format/Length:See TIME 
HES Item: 
National Codes: 
Default Codes: 

Notes:
The TIME when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires.Notes: 

END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the TIME when a  MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires. 

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ORGANISATION CODE (PRIMARY CARE TRUST FOR HPV VACCINE)

Change to Data Element: Changed Description

Format/Length:an3
HES Item: 
National Codes:See ORGANISATION CODE
ODS Default Codes:Q99 - Primary Care Trust of residence not known
 X98 - Primary Care Trust code not applicable (e.g. Overseas Visitors, Wales, Scotland or Northern Ireland)

Notes:
ORGANISATION CODE (PRIMARY CARE TRUST FOR HPV VACCINE) the ORGANISATION CODE of the Primary Care Trust or Care Trust for the Human Papillomavirus Immunisation Programme.ORGANISATION CODE (PRIMARY CARE TRUST FOR HPV VACCINE) is the ORGANISATION CODE of the Primary Care Trust or Care Trust for the Human Papillomavirus Immunisation Programme.

This covers any children for whom the Primary Care Trust is the Responsible Primary Care Trust plus, for a Schools based programme, all children at Educational Establishments within its boundary.

 

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ORGANISATION CODE (RESPONSIBLE PCT)

Change to Data Element: Changed Description

Format/Length:an3
HES Item: 
National Codes:See ORGANISATION CODE
ODS Default Codes:Q99 - Primary Care Trust of residence not known
 X98 - Primary Care Trust code not applicable (e.g. Overseas Visitors, Wales, Scotland or Northern Ireland)

Notes:
This is the ORGANISATION CODE of the Responsible Primary Care Trust.ORGANISATION CODE (STOP SMOKING SERVICE PROVIDER) is the ORGANISATION CODE of the Responsible Primary Care Trust. 

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SITE CODE (EMPLOYING ORGANISATION)

Change to Data Element: Changed Description

Format/Length:an5
HES Item: 
National Codes:See ORGANISATION SITE CODE 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
SITE CODE (EMPLOYING ORGANISATION) is the same as attribute ORGANISATION SITE CODE.

The ORGANISATION SITE CODE of the ORGANISATION SITE of the employing ORGANISATION where the EMPLOYEE is employed or based from.SITE CODE (EMPLOYING ORGANISATION) is the ORGANISATION SITE CODE of the ORGANISATION SITE of the employing ORGANISATION where the EMPLOYEE is employed or based from.

 

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SITE CODE (OF BRACHYTHERAPY)

Change to Data Element: Changed Description

Format/Length:See ORGANISATION SITE CODE 
HES Item: 
National Codes:See ORGANISATION SITE CODE 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
SITE CODE (OF BRACHYTHERAPY) is the same as attribute ORGANISATION SITE CODE.

The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the brachytherapy took place.SITE CODE (OF BRACHYTHERAPY) is the ORGANISATION SITE CODE where the brachytherapy took place.

 

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SITE CODE (OF CANCER DRUG TREATMENT)

Change to Data Element: Changed Description

Format/Length:See ORGANISATION SITE CODE 
HES Item: 
National Codes:See ORGANISATION SITE CODE 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
SITE CODE (OF CANCER DRUG TREATMENT) is the same as attribute ORGANISATION SITE CODE.

The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the Drug Treatment took place.SITE CODE (OF CANCER DRUG TREATMENT) is the ORGANISATION SITE CODE where the Drug Treatment took place.

 

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SITE CODE (OF IMAGING)

Change to Data Element: Changed Description

Format/Length:See ORGANISATION SITE CODE 
HES Item: 
National Codes:See ORGANISATION SITE CODE 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
SITE CODE (OF IMAGING) is the same as attribute ORGANISATION SITE CODE.

SITE CODE (OF IMAGING) is the ORGANISATION SITE CODE of the ORGANISATION at which the imaging took place.SITE CODE (OF IMAGING) is the ORGANISATION SITE CODE where the imaging took place.

 

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SITE CODE (OF SURGERY)

Change to Data Element: Changed Description

Format/Length:See ORGANISATION SITE CODE 
HES Item: 
National Codes:See ORGANISATION SITE CODE 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
SITE CODE (OF SURGERY) is the same as attribute ORGANISATION SITE CODE.

The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the surgery took place.SITE CODE (OF SURGERY) is the ORGANISATION SITE CODE where the surgery took place.

 

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SITE CODE (OF TELETHERAPY)

Change to Data Element: Changed Description

Format/Length:See ORGANISATION SITE CODE 
HES Item: 
National Codes:See ORGANISATION SITE CODE 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
SITE CODE (OF TELETHERAPY) is the same as attribute ORGANISATION SITE CODE.

The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the teletherapy took place.SITE CODE (OF TELETHERAPY) is the ORGANISATION SITE CODE where the teletherapy took place.

 

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START DATE

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE has a generalised definition which can be applied to the start of a stay, episode, period covered by a plan or other time period.

This is the ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE  is the ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.

 

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START DATE (ANTI-CANCER DRUG REGIMEN)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
START DATE (ANTI-CANCER DRUG REGIMEN) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Regimen.

This should be recorded if the First Definitive Treatment is Chemotherapy and/or other anti-cancer drug treatments.

START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Chemotherapy' or 'Hormone Therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Chemotherapy' or 'Hormone Therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification '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.

 

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START DATE (HOME LEAVE)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The Start Date of a Home Leave for a PATIENT.

START DATE (HOME LEAVE) is the Start Date of a Home Leave for a PATIENT.

START DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Home Leave.START DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Home Leave.

 

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START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

Change to Data Element: Changed Description

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START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: Changed Description

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START DATE (MENTAL HEALTH CARE CLUSTER)

Change to Data Element: Changed Description

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START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

Change to Data Element: Changed Description

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START DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED))

Change to Data Element: Changed Description

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START DATE (MENTAL HEALTH CARE SPELL)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
START DATE (MENTAL HEALTH CARE SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Mental Health Care Spell.

START DATE (MENTAL HEALTH CARE SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Mental Health Care Spell.

For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Adult Mental Health Care Spells, it is the function of the assembler process itself to assemble the Adult Mental Health Care Spell and provide the appropriate date to be used for the START DATE (MENTAL HEALTH CARE SPELL). The assembler process derives the appropriate date from the first recorded ACTIVITY which lies within an uninterrupted sequence starting in, or continuing into, the REPORTING PERIOD.

The NHS Trust may override the assembler's derived date in the case of PATIENTS cared for continuously longer than the period for which electronic activity records are available to the assembler process.

 

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START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The Start Date of a Mental Health Delayed Discharge Period for a PATIENT.START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is the Start Date of a Mental Health Delayed Discharge Period for a PATIENT.  This is the date that the clinical decision was taken that the PATIENT is fit and ready for discharge, but external factors prevent the discharge taking place.

START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Delayed Discharge Period.START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Delayed Discharge Period.

 

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START DATE (MENTAL HEALTH LEAVE OF ABSENCE)

Change to Data Element: Changed Description

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START DATE (MENTAL HEALTH NHS CARE HOME STAY)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
The Start Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:

START DATE (MENTAL HEALTH NHS CARE HOME STAY) is the Start Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:

A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.

START DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).START DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).

 

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START DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

Change to Data Element: Changed Description

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START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

Change to Data Element: Changed Description

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START DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: Changed Description

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START DATE (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: Changed Description

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START DATE (SURGERY HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the First Definitive Treatment is surgery.

START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the Start Date of the Hospital Provider Spell the PATIENT was admitted to for the anti-cancer surgery to be performed and where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.

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.

 

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START DATE (WARD STAY)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 


Notes:
START DATE (WARD STAY) is the Start Date of a Ward Stay.

START DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Ward Stay.

 

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START TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: Changed Description

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WAITING TIME ADJUSTMENT (FIRST SEEN)

Change to Data Element: Changed Description

Format/Length:n3
HES Item: 
National codes 
Default codes 
National Codes 
Default Codes 

Notes:
This records the number of days that should be removed from the derived waiting time between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and DATE FIRST SEEN.

Adjustments are only permissible when a PATIENT does not attend an Out-Patient Appointment or arrives late and could not be seen.  Guidance on calculating the number of days which may be deducted from the waiting time is available in Department of Health guidance at Cancer Waiting Times Documentation and Links.

 

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WAITING TIME ADJUSTMENT (TREATMENT)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National codes 
Default codes 
Format/Length:n3
HES Item: 
National Codes 
Default Codes 

Notes:
This records the number of days that should be removed from the derived waiting time between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER).This records the number of days that should be removed from the derived waiting time between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER.

The recording of this data item is mandatory for all tumours, regardless of whether a national service standard is in place.

Adjustments are allowed in the following circumstances:

  • When a patient pause is initiated because the PATIENT is unavailable for treatment for a specified period because of family commitments, holidays, or other (non-clinical) reasons

WAITING TIME ADJUSTMENT (TREATMENT) should only be recorded where CANCER CARE SETTING (TREATMENT) is:

Guidance on calculating the number of days which may be removed from the waiting time is available in Department of Health guidance at Cancer Waiting Times Documentation and Links.

 

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WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National codesSee WAITING TIME ADJUSTMENT REASON
Default codes 
Format/Length:n1
HES Item: 
National Codes:See WAITING TIME ADJUSTMENT REASON
Default Codes: 


Notes:
WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT) is the same as the attribute WAITING TIME ADJUSTMENT REASON.

This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT)). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.

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.

 

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WAITING TIME ADJUSTMENT REASON (FIRST SEEN)

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National codesSee WAITING TIME ADJUSTMENT REASON
Default codes9 - no adjustment to waiting time
Format/Length:an1
HES Item: 
National CodesSee WAITING TIME ADJUSTMENT REASON
Default Codes9 - No adjustment to waiting time

Notes:
WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is the same as the attribute WAITING TIME ADJUSTMENT REASON.

This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (FIRST SEEN). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.

 

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WAITING TIME ADJUSTMENT REASON (TREATMENT)

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National codesSee WAITING TIME ADJUSTMENT REASON
Default codes9 - no adjustment to waiting time
Format/Length:an1
HES Item: 
National CodesSee WAITING TIME ADJUSTMENT REASON
Default Codes9 - No adjustment to waiting time


Notes:
WAITING TIME ADJUSTMENT REASON (TREATMENT) is the same as the attribute WAITING TIME ADJUSTMENT REASON.

This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (TREATMENT). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.

WAITING TIME ADJUSTMENT REASON (TREATMENT) should only be recorded where CANCER CARE SETTING (TREATMENT) is National Code 01 - Cancer treatment delivered as part of an Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 - Ordinary admission)  or National Code 02 - Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 - Day case admission).WAITING TIME ADJUSTMENT REASON (TREATMENT) should only be recorded where CANCER CARE SETTING (TREATMENT) is National Code 01 'Cancer treatment delivered as part of an Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 'Ordinary admission) or National Code 02 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 'Day case admission').

 

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WAITING TIME MEASUREMENT TYPE

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See WAITING TIME MEASUREMENT TYPE 
Default Codes: 


Notes:
WAITING TIME MEASUREMENT TYPE is the same as attribute WAITING TIME MEASUREMENT TYPE.

 

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YEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

Change to Data Element: Changed Description

Format/Length:See YEAR AND MONTH
HES Item: 
National Codes: 
Default Codes: 


Notes:
YEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES) is the same as attribute YEAR AND MONTH OF SYMPTOMS ONSET FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES.

For the Improving Access to Psychological Therapies Data Set, it is expected that the PATIENT will always know the year and month that the current mental health problem was first experienced, therefore there is no default code.

 

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