NHS Connecting for Health

NHS Data Model and Dictionary Service

Type:Patch
Reference:1350
Version No:1.0
Subject:December Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:20 December 2012

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the December 2012 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.

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

Summary of changes:

Diagrams
CANCER OUTCOMES AND SERVICES DIAGRAM   Changed Diagram
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET DIAGRAM   Changed Diagram
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DIAGRAM   Changed Diagram
DIAGNOSTIC IMAGING DIAGRAM   Changed Diagram
NATIONAL RENAL DATA SET DIAGRAM   Changed Diagram
PATIENT PATHWAY DIAGRAM   Changed Diagram
PERSON AND PERSON PROPERTY DIAGRAM   Changed Diagram
RADIOTHERAPY DIAGRAM   Changed Diagram
 
Central Return Forms
KC53 3   Changed Description
KT31 1   Changed Description
 
Supporting Information
AMBULANCE SERVICE   Changed Description
AMBULANCE SERVICES DATA SET (KA34) OVERVIEW   Changed Description
CANCER REFERRAL TO TREATMENT PERIOD   Changed Description
CARE ASSESSMENT ONLY INDICATOR (RETIRED) renamed from CARE ASSESSMENT ONLY INDICATOR   Changed Name, Description, status to Retired
CARE HOME   Changed Description
CARE SPELL   Changed Description
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET OVERVIEW   Changed Description
CHILDREN'S HOME   Changed Description
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DATA SET OVERVIEW   Changed Description
CLINICAL INTERVENTION DATE   Changed Description
CLINICAL INVESTIGATION   Changed Description
COMMUNITY   Changed Description
COMMUNITY EPISODE   Changed Description
CONSULTANT LED SERVICE   Changed Description
CONSULTANT UPGRADE DATE   Changed Description
CONTACT DATE   Changed Description
CONTACT TRACING PROGRAMME   Changed Description
DAY CARE FACILITY   Changed Description
DIRECT ACCESS SERVICE   Changed Description
ENHANCED SEXUAL HEALTH SERVICE   Changed Description
HOSPITAL EPISODE STATISTICS   Changed Description
HOSPITAL STAY   Changed Description
IMMUNISATION COMPLETION DATE   Changed Description
IMMUNISATION DOSE GIVEN DATE   Changed Description
IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50) OVERVIEW   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE   Changed Description
INTERFACE SERVICE   Changed Description
LONG TERM PHYSICAL HEALTH CONDITION   Changed Description
MATERNITY SERVICES SECONDARY USES DATA SET OVERVIEW   Changed Description
NHS CONTINUING HEALTHCARE QUARTERLY CENTRAL RETURN DATA SET OVERVIEW   Changed Description
NHS FUNDED NURSING CARE ANNUAL CENTRAL RETURN DATA SET OVERVIEW   Changed Description
NON-CONSULTANT LED SERVICE   Changed Description
ORGANISATIONS INTRODUCTION   Changed Description
ORGANISATIONS MENU   Changed Description
PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90) OVERVIEW   Changed Description
PERSON STOP SMOKING EPISODE renamed from PERSON STOP SMOKING EPISODE   Changed Name, Description
PROFESSIONAL STAFF GROUP SERVICE   Changed Description
STOP SMOKING SERVICE   Changed Description
STOP SMOKING SERVICE QUARTERLY DATA SET OVERVIEW   Changed Description
WHAT'S NEW: DECEMBER 2012 renamed from WHAT'S NEW: NOVEMBER 2012   Changed Name, Description
 
Class Definitions
ACTIVITY   Changed Description
ACTIVITY GROUP   Changed Attributes, Description
ACTIVITY SUSPENSION   Changed Description
ADDRESS   Changed Description
ADDRESS STRUCTURED   Changed Description
ADDRESS UNSTRUCTURED   Changed Description
ASSESSMENT TOOL   Changed Attributes, Description
CARE ACTIVITY   Changed Description
CARE CONTACT   Changed Description
CARE ISSUE   Changed Attributes
CARE PLAN   Changed Description
CARE PROFESSIONAL   Changed Description
CARE PROFESSIONAL ORGANISATION   Changed Description
CATEGORY VALUED PERSON OBSERVATION   Changed Description
CLINICAL CLASSIFICATION   Changed Description
CLINICAL INTERVENTION   Changed Attributes
CONSULTANT ORGANISATION   Changed Description
CRITICAL CARE ACTIVITY   Changed Description
CRITICAL CARE PERIOD   Changed Description
DEPARTMENT   Changed Description
DIAGNOSTIC TEST REQUEST   Changed Description
EDUCATION   Changed Description
HEALTH PROGRAMME   Changed Description
IMMUNISATION COURSE TYPE   Changed Description
LABORATORY   Changed Description
LEAVE   Changed Description
LOCATION   Changed Attributes
MEASURED PERSON OBSERVATION   Changed Description
NURSE OR MIDWIFE   Changed Description
ORGAN OR TISSUE DONOR OBSERVATION   Changed Description
ORGAN OR TISSUE RECIPIENT OBSERVATION   Changed Description
OTHER PERSON OBSERVATION   Changed Description
PATIENT DIAGNOSIS   Changed Attributes
PATIENT ORGANISATION   Changed Description
PERSON NAME   Changed Description
PERSON PROPERTY   Changed Attributes, Description
PLANNED ACTIVITY   Changed Description
REFERRAL TO TREATMENT PERIOD   Changed Description
SERVICE   Changed Description
SERVICE REPORT   Changed Description
SESSION   Changed Description
TRANSPORT REQUEST   Changed Description
 
Attribute Definitions
ACTIVITY SUSPENSION TYPE   Changed Description
CARE PROFESSIONAL TYPE CODE   Changed Description
HEALTH PROGRAMME TYPE   Changed Description
LABORATORY TYPE   Changed Description
LEAVE TYPE   Changed Description
PHARMACOTHERAPY STOP SMOKING AID RECEIVED   Changed Description
PLANNED ACTIVITY TYPE   Changed Description
SERVICE REPORT TYPE   Changed Description
SERVICE TYPE   Changed Description
TRANSPORT REQUEST TYPE   Changed Description
 
Data Elements
CARE CONTACT DATE (DIETICIAN INITIAL)   Changed Description
ELECTORAL WARD OF USUAL ADDRESS   Changed Description
FIRST LANGUAGE ENGLISH INDICATOR (MOTHER AT BOOKING)   Changed linked Attribute
MARITAL STATUS   Changed Description
PERSON FAMILY NAME   Changed linked Attribute
PERSON FAMILY NAME (AT BIRTH)   Changed linked Attribute
PERSON FAMILY NAME (MOTHER OF BABY)   Changed linked Attribute
PERSON GIVEN NAME   Changed linked Attribute
PERSON GIVEN NAME (FIRST)   Changed linked Attribute
PERSON GIVEN NAME (MOTHER OF BABY)   Changed linked Attribute
PERSON GIVEN NAME (SECOND)   Changed linked Attribute
PERSON GIVEN NAME (THIRD)   Changed linked Attribute
PERSON INITIAL (FIRST)   Changed linked Attribute
PERSON INITIALS   Changed linked Attribute
PERSON MARITAL STATUS   Changed Description
PERSON NAME SUFFIX   Changed linked Attribute
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)   Changed Description
PERSON REQUESTED NAME   Changed linked Attribute
PERSON TITLE   Changed linked Attribute
PRESCRIBED FRACTIONS   Changed Description
PRIMARY RENAL DISEASE TEXT   Changed Description
PROCEDURE (DIALYSIS ACCESS REPAIR OR REVISION)   Changed Description
PROCEDURE (NET DAILY ULTRAFILTRATION)   Changed Description
PROCEDURE (OPCS)   Changed Description
PROCEDURE (READ)   Changed Description
PROCEDURE CODING   Changed Description
PROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)   Changed Description
PROCEDURE DATE TIME (CAESAREAN SECTION)   Changed Description
SEX (BABY) (RETIRED) renamed from SEX (BABY)   Changed Name, Description, status to Retired
START DATE (ANTIRETROVIRAL THERAPY AT CURRENT PROVIDER)   Changed Description
START DATE (ERYTHROPOIETIN EPISODE)   Changed Description
START DATE (KIDNEY PERFUSION LEFT KIDNEY)   Changed Description
START DATE (KIDNEY PERFUSION RIGHT KIDNEY)   Changed Description
START DATE (PERITONEAL DIALYSIS TREATMENT REGIME)   Changed Description
START DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME)   Changed Description
START DATE (RENAL TREATMENT MODALITY)   Changed Description
START DATE (TREATMENT FOR DIALYSIS RELATED INFECTION)   Changed Description
START TIME (KIDNEY PERFUSION LEFT KIDNEY)   Changed Description
START TIME (KIDNEY PERFUSION RIGHT KIDNEY)   Changed Description
 

Date:20 December 2012
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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CANCER OUTCOMES AND SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET DIAGRAM

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CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DIAGRAM

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DIAGNOSTIC IMAGING DIAGRAM

Change to Diagram: Changed Diagram

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NATIONAL RENAL DATA SET DIAGRAM

Change to Diagram: Changed Diagram

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PATIENT PATHWAY DIAGRAM

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PERSON AND PERSON PROPERTY DIAGRAM

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RADIOTHERAPY DIAGRAM

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KC53 3

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

This return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see the Health and Social Care Information Centre website.
  • Part A3: Cervical Screening Programme - Screening Status of Eligible Women at 31 March YYYY
  • This part of the return collects information specifically about the number of women screened by time since their last test. It includes all women who have had a Screening Test at any time during their life, even if the test was not part of a call and recall system, but was taken opportunistically. It does not include inadequate tests.

    A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 'Screening Test'.
    Age of women at 31 March (column 1)
  • This part of the return collects information specifically about the number of women screened by time since their last test. It includes all women who have had a Screening Test at any time during their life, even if the test was not part of a call and recall system, but was taken opportunistically. It does not include inadequate tests.

    A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 'Screening Test'.

Age of women at 31 March (column 1)

  • The age bands are derived from the PERSON BIRTH DATE.

    Under 20 (line 0001)
    20-24 (line 0002)
    25-29 (line 0003)
    30-34 (line 0004)
    35-39 (line 0005)
    40-44 (line 0006)
    45-49 (line 0007)
    50-54 (line 0008)
    55-59 (line 0009)
    60-64 (line 0010)
    65-69 (line 0011)
    70-74 (line 0012)
    75-79 (line 0013)
    80 & over (line 0014)
    Number of women whose most recent adequate test was in last 1.5 years (column 2)
    Number of women whose most recent adequate test was more than 1.5 years but no more than 3 years ago (column 3)
    Number of women whose most recent adequate test was more than 3 years but no more than 3.5 years ago (column 4)
    Number of women whose most recent adequate test was more than 3.5 years but no more than 5 years ago (column 5)
    Number of women whose most recent adequate test was more than 5 years but no more than 10 years ago (column 6)
    Number of women whose most recent adequate test was more than 10 years but no more than 15 years ago (column 7)
    Number of women whose most recent adequate test was more than 15 years ago (column 8)
  • The Screening Test Date should be used to derive the count of women tested in the time periods required by the return.

    The Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'Screening Test Date'.
    Women called but no adequate smear (column 9)
  • The Screening Test Date should be used to derive the count of women tested in the time periods required by the return.

    The Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TYPE is National Code 'Screening Test Date'
Women called but no adequate smear (column 9)
  • This is a count of the number of women who have been invited at any time in their lives but have no adequate smear.

    Women called but never attended (column 10)
  • This is a count of the number of women who have been invited at any time in their lives but have never attended.

    Number of women with no cytology record (column 11)
  • This is a count of women in the Primary Care Trust responsible population with no cervical screening history.

    The responsible population includes:

    and
    • the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.
    Target Age Group (25-64) (line 0015)
  • This is a count of women in the Primary Care Trust responsible population with no cervical screening history.

    The responsible population includes:

    and
    • the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.

    Target Age Group (25-64) (line 0015)

  • This is the total for all age groups counted in lines 0001 to 0014 for each category of women.

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KT31 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KT31 - Cross Sector Services

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AMBULANCE SERVICE

Change to Supporting Information: Changed Description

An Ambulance Service is a SERVICE provided by an ORGANISATION for the provision of PATIENT transport services. An Ambulance Service is a SERVICE.

An Ambulance Service is a SERVICE provided by an ORGANISATION for the provision of PATIENT transport services.

 

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AMBULANCE SERVICES DATA SET (KA34) OVERVIEW

Change to Supporting Information: Changed Description


Contextual Overview
  • The Department of Health requires summary details from NHS Health Care Providers on ambulance activity. The Ambulance Services Data Set (KA34) provides performance management measures of response times; these are also required by NHS Trusts for Ambulance Service internal monitoring and for defining service agreements.
  • The information originally monitored 'Your guide to the NHS' targets and the standards introduced following a review of ambulance performance standards in 1996-97. The standards required that all Ambulance Services would be expected to reach 75% of immediately life-threatening calls within 8 minutes irrespective of location and that all incidents that require a fully equipped Ambulance vehicle (car or Ambulance) must have a vehicle, able to transport the PATIENT in a clinically safe manner (Emergency Ambulance), arrive within 19 minutes of the TRANSPORT REQUEST being made in 95% of cases.
  • The information is required to inform strategic policy development, to provide data to the Care Quality Commission for performance and activity assessment, to ensure that Spending Review bids reflect changes to overall demand and to inform the development of Ambulance Service reference costs.
  • Information based on the data set is published annually in the Health and Social Care Information Centre's Statistical Bulletin 'Ambulance services; England'.
Collection and Submission of the Ambulance Services Data Set (KA34)
Synopsis of the Ambulance Services Data Set (KA34)

Part 1Emergency and Urgent Calls: 
 The following are sub-divided by RESPONSE CATEGORY A, B and C.
01Total number of emergency and urgent calls received;
02The number of TRANSPORT REQUEST INCIDENTS that resulted in an Emergency Response arriving at the scene of the incident. For RESPONSE CATEGORY A calls, the total of lines 04 and 05 should equal this total;
03The number of TRANSPORT REQUEST INCIDENTS that resulted in an Emergency Response arriving at the scene of the incident within 8 minutes (not required for RESPONSE CATEGORIES B or C calls);
04The number of TRANSPORT REQUEST INCIDENTS where, following the arrival of an Emergency Response, the control room subsequently decided that no Emergency Ambulance was required (not required for RESPONSE CATEGORY C calls);
05The number of TRANSPORT REQUEST INCIDENTS that resulted in an Emergency Ambulance able to transport a PATIENT arriving at the scene of the incident (not required for RESPONSE CATEGORY C calls);
06The number of TRANSPORT REQUEST INCIDENTS that resulted in an Emergency Ambulance able to transport a PATIENT arriving at the scene of the incident within 19 minutes (not required for RESPONSE CATEGORY C calls).;
07The number of calls resolved through telephone advice only (not required for RESPONSE CATEGORIES A or B calls).

Part 1 Additional Guidance

Part 2Patient Destinations: Emergency and Urgent: 
08Total number of emergency and urgent PATIENT TRANSPORT JOURNEYS to ACCIDENT AND EMERGENCY DEPARTMENT TYPES 1 and 2, sub-divided by RESPONSE CATEGORIES A, B and C.
09Total number of emergency and urgent PATIENT TRANSPORT JOURNEYS to ACCIDENT AND EMERGENCY DEPARTMENT TYPES other than types 1 and 2, sub-divided by RESPONSE CATEGORIES A, B and C.
10Total number of PATIENTS treated at the scene only, sub-divided by RESPONSE CATEGORIES A, B and C.

Part 3Patient Journeys: Non-Urgent: 
11Total number of non-urgent journeys sub-divided into Special Transport Requests and Planned Transport Requests.

Only the first Emergency Ambulance to arrive at the scene of the TRANSPORT REQUEST INCIDENT should be included in lines 05 and 06 where more than one Emergency Ambulance has been despatched.

Timing of Emergency Response Times

In order to calculate the response time, the 'clock starts' at the TRANSPORT REQUEST CALL CONNECT TIME and the 'clock stops' on the TRANSPORT REQUEST FIRST RESPONSE ARRIVAL TIME or the AMBULANCE ARRIVAL TIME at the scene of the TRANSPORT REQUEST INCIDENT.

An Emergency Response within 8 minutes means 8 minutes 0 seconds (i.e. 480 seconds) or less. Similarly, 19 minutes means 19 minutes 0 seconds or less.

Cross-border Transport Requests

A TRANSPORT REQUEST/TRANSPORT REQUEST INCIDENT that crosses more than one Ambulance Service's boundary should be reported by only one Ambulance Service.

Each NHS Ambulance Service is responsible for reporting on the performance of all Emergency Transport Requests for which it receives the initial TRANSPORT REQUEST. This includes TRANSPORT REQUESTS received by an Ambulance Service that relate to TRANSPORT REQUEST INCIDENTS occurring outside its recognised boundary and TRANSPORT REQUESTS relating to TRANSPORT REQUEST INCIDENTS within or outside its boundary that are subsequently transferred to another Ambulance Service for response.

An Ambulance Service should not report, or report on the performance relating to, any TRANSPORT REQUEST INCIDENT where another Ambulance Service received the initial TRANSPORT REQUEST, even if the TRANSPORT REQUEST was transferred to and dealt with by that Ambulance Service. NHS Trusts responsible for dealing with any cross-border TRANSPORT REQUESTS should advise the NHS Trusts who received the initial TRANSPORT REQUEST of all appropriate clock times for performance reporting purposes.

Where an NHS Ambulance Service asks another NHS Ambulance Service to undertake a TRANSPORT REQUEST on its behalf, the responsibility for dealing with the TRANSPORT REQUEST in the most appropriate way passes to the receiving Ambulance Service once it has accepted it.

Air Ambulances

Air Ambulances are managed locally by Ambulance Services and financed through charitable funding. Any PATIENT TRANSPORT JOURNEY provided by air Ambulance should, therefore, not be included in the Ambulance Services Data Set (KA34).

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CANCER REFERRAL TO TREATMENT PERIOD

Change to Supporting Information: Changed Description

A Cancer Referral To Treatment Period is a REFERRAL TO TREATMENT PERIOD.

The service standard for referral to treatment for cancer is that thePATIENT must receive First Definitive Treatment within 62 days (or 31 days for Acute Leukaemia, testicular, and childrens cancers), rather than within 18 Weeks.The service standard for referral to treatment for cancer is that the PATIENT must receive First Definitive Treatment within 62 days (or 31 days for Acute Leukaemia, testicular, and children's cancers), rather than within 18 Weeks.

A PATIENT will have a Cancer Referral To Treatment Period in the following circumstances:

A Cancer Referral To Treatment Period is the period of time between CANCER REFERRAL TO TREATMENT PERIOD START DATE and either:

A Cancer Referral To Treatment Period does NOT complete automatically if the PATIENT does not attend the first APPOINTMENT during the Cancer Referral To Treatment PeriodWAITING TIME ADJUSTMENT (FIRST SEEN) is used to align waiting times monitoring with the service standard for 18 Weeks.

Information recorded for a Cancer Referral To Treatment Period includes:

CANCER REFERRAL TO TREATMENT PERIOD START DATE

 

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CARE ASSESSMENT ONLY INDICATOR (RETIRED)  renamed from CARE ASSESSMENT ONLY INDICATOR

Change to Supporting Information: Changed Name, Description, status to Retired

An indication of whether or not a completed Care Spell only involved assessment activity and no actual care or treatment was given during the spell.This item has been retired from the NHS Data Model and Dictionary.

Classification:The last live version of this item is available in the November 2012 release of the NHS Data Model and Dictionary.

a. Yes
b. No
 Access to this version can be obtained by emailing datastandards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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CARE ASSESSMENT ONLY INDICATOR (RETIRED)  renamed from CARE ASSESSMENT ONLY INDICATOR

Change to Supporting Information: Changed Name, Description, status to Retired

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CARE HOME

Change to Supporting Information: Changed Description

A Care Home is an ORGANISATION SITE.

An establishment registered with the Care Quality Commission as a care home which provides accommodation, together with nursing or personal care, for the following PERSONS:A Care Home is an establishment registered with the Care Quality Commission as a care home which provides accommodation, together with nursing or personal care, for the following PERSONS:

  • a PERSON who is or has been ill
  • a PERSON who is disabled or infirm
  • a PERSON who is or has been dependent on alcohol or drugs
  • a PERSON who has or has had a mental disorder (this includes mental illness as well as psychopathic disorders)

A Care Home includes group homes not normally staffed by nurses but providing accommodation and personal care, nursing homes which provide full time nursing care and residential care homes staffed 24 hours a day providing board and general personal care to vulnerable residents who require on-going care and supervision.

A nursing home is staffed by NURSES or MIDWIVES 24 hours a day, providing services for clients/PATIENTS requiring residential nursing care. Medical care continues to be the responsibility of the client/PATIENT's GENERAL MEDICAL PRACTITIONER. The premises may be used for nursing people suffering from sickness, injury or infirmity; pregnant women or women after childbirth or for nursing of mentally disordered PATIENTS. Exceptionally, some PATIENTS may remain under the care of a CONSULTANT, i.e. Consultant Episodes (Hospital Provider) may occur in Care Homes. This is likely to be where the complexity or intensity of their clinical care (whether medical, nursing or other), or the need for frequent not easily predictable interventions, requires the regular supervision of a CONSULTANT.

Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 cannot be a Care Home and is either a NHS hospital or must be registered as an independent hospital.

 

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CARE SPELL

Change to Supporting Information: Changed Description

Care Spell is an ACTIVITY GROUP.A Care Spell is an ACTIVITY GROUP.

A continuous period of care (including assessment for care) for a PERSON for an illness or condition involving health and possibly other agencies which has been nationally targeted and prioritised as requiring an organised and cohesive programme or regime of care. Overall management and coordination of the care will be the solely led responsibility of a specific Health Care Provider, or in the case of equally shared responsibility, the jointly led responsibility of two or more Health Care Providers.A Care Spell is a continuous period of care (including assessment for care) for a PERSON for an illness or condition involving health and possibly other agencies which has been nationally targeted and prioritised as requiring an organised and cohesive programme or regime of care.

Overall management and coordination of the care will be the solely led responsibility of a specific Health Care Provider, or in the case of equally shared responsibility, the jointly led responsibility of two or more Health Care Providers. Actual treatment associated with the programme or regime of care may be delivered by the responsible Health Care Provider or by other Health Care Providers.

 

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CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

The Maternity and Children’s Data set including Child and Adolescent Mental Health Services has been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The Child and Adolescent Mental Health Services element of the data set will for the first time:

  • allow maternal and child health data to be linked so that vital information can be used to improve services
  • provide comparative data (demographics, equalities, interventions and outcomes from birth through childhood) so that health services can be directed to those with most need
  • improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
  • provide activity data on which to base mandatory tariffs for Child and Adolescent Mental Health Services (CAMHS)
  • underpin the improvement of local information systems to meet data set standards
  • for example in the case of Attention Deficit Hyperactivity Disorder (ADHD), the data set will provide the first opportunity to link data on a PATIENT’s demographics and where they access services, and a clinical assessment of problems with attention and concentration, with information on the prescribing of a methyl phenidate (e.g. Ritalin).
Data Collection

The Child and Adolescent Mental Health Services Secondary Uses Data Set provides the definitions for data:

  • to be lodged in the data warehouse regularly and routinely e.g. monthly. Extracts for Hospital Episode Statistics (HES) and other reports will be taken at prearranged intervals for publication as currently with the process for Commissioning Data Sets;

  • to be assembled, compiled and to flow into a secondary uses data warehouse;

  • to provide timely, pseudonymised patient-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Child and Adolescent Mental Health or to enable other systems to interoperate with other clinical systems.

Submission information 

The Child and Adolescent Mental Health Services Secondary Uses Data Set is collected from NHS funded providers of Child and Adolescent Mental Health Services. It is submitted via an intermediate database uploaded to the Bureau Services Portal provided by the Systems and Services Delivery (SSD) team at NHS Connecting For Health.

The Bureau Service processes submissions and produces local extracts for provider and commissioner ORGANISATIONS and a national pseudonymised extract for the Health and Social Care Information Centre, for analysis and reporting.

Further guidance

Further guidance has been produced by the Health and Social Care Information Centre and is available at Child and Adolescent Mental Health Services (CAMHS) Secondary Uses Data Set.Further guidance has been produced by the Health and Social Care Information Centre and is available at Child and Adolescent Mental Health Services (CAMHS) Secondary Uses Data Set.

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CHILDREN'S HOME

Change to Supporting Information: Changed Description

Children's Home is an ORGANISATION SITE.A Children's Home is an ORGANISATION SITE.

An establishment registered with Ofsted as a Children's Home which provides care and accommodation wholly or mainly for children.A Children's Home is an establishment registered with Ofsted as a Children's Home which provides care and accommodation wholly or mainly for children.

An establishment is not a Children's Home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.

A School may be registered as a Children's Home if accommodation is provided for children at the School for more than 295 days during a twelve month period.

 

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CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

The Maternity and Children’s Data Set has been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The child health element of the data set covers all stages of the care pathway across primary, secondary and tertiary sectors from birth until the day before the 19th birthday an/or transition into audit services. The initial data collection will concentrate on the data required to support the Healthy Child Programme and will for the first time:

  • allow maternal and child health data to be linked so that vital information can be used to improve services
  • provide comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
  • provide planners, commissioners and managers with reliable information on service delivery, which can be used to inform future planning and service improvements
  • improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
  • record outcomes to contribute to clinical risk management and governance to reduce litigation costs
  • underpin the improvement of local information systems to meet data set standards.

Data Collection

The Children and Young People's Health Service Secondary Uses Data Set provides the definitions for data:

  • to be lodged in the data warehouse regularly and routinely
  • to be assembled, compiled and to flow into a secondary uses data warehouse
  • to provide timely, pseudonymised patient-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled through the compiler. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Children's and Young People's Health Services or to enable other systems to interoperate with other clinical systems.

Submission Information

For submission information, see the Maternity and Childrens Data Sets Submission Requirements.

Further Guidance

Further guidance has been produced by the Health and Social Care Information Centre and is available on their website at: Children's and Young People's Health Services (CYPHS) Secondary Uses Data Set.

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CLINICAL INTERVENTION DATE

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CLINICAL INVESTIGATION

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A Clinical Investigation is a CLINICAL INTERVENTION.

A clinical test or investigation offered to or carried out on a PERSON.A Clinical Investigation is a clinical test or investigation offered to or carried out on a PERSON.

Clinical Investigations may include blood tests for specific antibodies, scans or physical examinations for specific diseases.

 

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COMMUNITY

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A Community is a GEOGRAPHIC AREA.

Community is a very general term referring to the people living in a locality or to the locality itself.

Note: Welsh Communities are subdivisions of Unitary Authorities and their councils are the most local level of government in Wales. They are the equivalent of (civil) Parishes in England, but unlike English Parishes, Communities cover the whole of Wales.

For further information on Community, see the Office for National Statistics website.For further information on Communities, see the Office for National Statistics website.

 

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COMMUNITY EPISODE

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Community Episode is an ACTIVITY GROUP.A Community Episode is an ACTIVITY GROUP.

The time a PATIENT spends in the continuous care of one or more NURSES from one community nurse staff group within a Nursing In The Community Programme.A Community Episode is the time a PATIENT spends in the continuous care of one or more NURSES from one community nurse staff group within a Nursing In The Community Programme.

The episode must be under the responsibility of one named NURSE.The Community Episode must be under the responsibility of one named NURSE. An episode of care is initiated by a referral. If the source of referral is from a member of the community health staff, the recipient of the referral must belong to another community nurse staff group for the referral to initiate another Community Episode.

Where a previous episode of care for the same individual did not end with a positive discharge from care, a new episode of care should be counted if more than 6 months have elapsed since the last contact (or since the last failed appointment where no further appointment was made), in the absence of a planned review date.

A Community Episode is made up of one or more Face To Face Contacts Community Care. There may also be a Drug Misuse Episode for the PATIENT.

Information recorded for a Community Episode includes:

End Date   O
Review Planned Date   O
Start Date
 

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CONSULTANT LED SERVICE

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A Consultant Led Service is a SERVICE.

A Consultant Led Service is a SERVICE where a CONSULTANT retains overall clinical responsibility for the SERVICE, CARE PROFESSIONAL TEAM or treatment.

The CONSULTANT will not necessarily be physically present for each Consultant Led Activity but the CONSULTANT takes clinical responsibility for each PATIENT's care.

 

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CONSULTANT UPGRADE DATE

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Consultant Upgrade Date is an ACTIVITY DATE TIME.A Consultant Upgrade Date is an ACTIVITY DATE TIME. 

Consultant Upgrade Date is the DATE that the CONSULTANT responsible for the care of the PATIENT (or an authorised member of the CONSULTANT team as defined by local policy) decided that the PATIENT should be upgraded onto an urgent Cancer PATIENT PATHWAY.A Consultant Upgrade Date is the DATE that the CONSULTANT responsible for the care of the PATIENT (or an authorised member of the CONSULTANT team as defined by local policy) decided that the PATIENT should be upgraded onto an urgent Cancer PATIENT PATHWAY.

The Consultant Upgrade Date should only be recorded when the PRIORITY TYPE of the original SERVICE REQUEST was not National Code 3 - 'Two Week Wait'.The Consultant Upgrade Date should only be recorded when the PRIORITY TYPE of the original SERVICE REQUEST was not National Code 'Two Week Wait'.

Consultant upgrades are not allowed for PATIENTS who were urgently referred with suspected cancer from an NHS Cancer Screening Programme (where the SOURCE OF REFERRAL FOR OUT-PATIENTS was National Code 17 - referral from a National Screening Programme, and the PRIORITY TYPE of the SERVICE REQUEST was National Code 2 -Urgent).Consultant upgrades are not allowed for PATIENTS who were urgently referred with suspected cancer from an NHS Cancer Screening Programme (where the SOURCE OF REFERRAL FOR OUT-PATIENTS was National Code 'referral from a National Screening Programme', and the PRIORITY TYPE of the SERVICE REQUEST was National Code 'Urgent'.  Therefore a Consultant Upgrade Date cannot be recorded in these circumstances.

The Consultant Upgrade Date must be on or before the DECISION TO TREAT DATE (if recorded). 

The Consultant Upgrade Date must also be on or before the MULTIDISCIPLINARY TEAM DISCUSSION DATE FOR CANCER (if recorded).

 

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CONTACT DATE

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Contact Date is an ACTIVITY DATE TIME.A Contact Date is an ACTIVITY DATE TIME.

The date on which a face to face contact or telephone contact takes place.A Contact Date is the date on which a face to face contact or telephone contact takes place.

 

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CONTACT TRACING PROGRAMME

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Contact Tracing Programme is a HEALTH PROGRAMME.A Contact Tracing Programme is a HEALTH PROGRAMME.

A programme to identify and trace people known to have been in contact with a specific communicable disease.A Contact Tracing Programme is a programme to identify and trace people known to have been in contact with a specific communicable disease.

 

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DAY CARE FACILITY

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Day Care Facility is a CLINIC OR FACILITY.A Day Care Facility is a CLINIC OR FACILITY.

A Day Care Facility provided for the clinical treatment, assessment and maintenance of function of PATIENTS, in particular, though not exclusively, those who are elderly, mentally ill or have learning difficulties. They may be called Day Hospitals, Centres, Facilities or Units.

Day Care Facilities may be financed, planned and run solely by NHS ORGANISATIONS or solely by non-NHS ORGANISATIONS or jointly between NHS and non-NHS organisations. Jointly run facilities should still be managed by only one ORGANISATION.

The facilities specifically do not have Hospital Beds and function separately from any WARD.

Day Care Facilities are usually open during the five week days. In some places a service may be provided only once or twice a week and the service may take the form of evening or weekend Day Care Sessions.

 

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DIRECT ACCESS SERVICE

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A Direct Access Service is a SERVICE.

A Direct Access Service is a SERVICE where PATIENTS are directly referred from primary and community care to the Direct Access Service for both diagnostic assessment and treatment.

 

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ENHANCED SEXUAL HEALTH SERVICE

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Enhanced Sexual Health Services (ESHS) are SERVICES providing a comprehensive sexually transmissible infections management outside of the traditional Genitourinary Medicine settings, and provide sexually transmissible infection management at Level 1 and Level 2 as recommended by the British Association for Sexual Health and Human Immunodeficiency Virus (BASHH).An Enhanced Sexual Health Service (ESHS) is a SERVICE.

Enhanced Sexual Health Services are SERVICES providing a comprehensive sexually transmissible infections management outside of the traditional Genitourinary Medicine settings, and provide sexually transmissible infection management at Level 1 and Level 2 as recommended by the British Association for Sexual Health and Human Immunodeficiency Virus (BASHH).

Enhanced Sexual Health Services can be sub-categorised into the following groups:

Note: General Practitioner with a Special Interest (GPwSI) will only be included if they operate from a GP Practice that has been commissioned to provide an Enhanced Sexual Health Service.

Sexually transmissible infection management at Level 1 includes:

  • Sexual history-taking and risk assessment: Including assessment of need for emergency CONTRACEPTION and Human Immunodeficiency Virus post-exposure prophylaxis following sexual exposure (PEPSE)
  • Signposting to appropriate Sexual and Reproductive Health Services 
  • Chlamydia screening: Opportunistic screening for genital chlamydia in asymptomatic males and females under the age of 25
  • Asymptomatic Sexually Transmissible Infections screening and treatment of asymptomatic infections (except treatment for syphilis) in men (excluding men who have sex with men) and women
  • Partner notification of Sexually Transmissible Infections or onward referral for partner notification
  • Human Immunodeficiency Virus testing: Including appropriate pre-test discussion and giving results
  • Point of care Human Immunodeficiency Virus testing: Rapid result Human Immunodeficiency Virus testing using a validated test (with confirmation of positive results or referral for confirmation)
  • Screening and vaccination for hepatitis B: Appropriate screening and vaccination for hepatitis B in at-risk groups
  • Sexual health promotion: Provision of verbal and written sexual health promotion information
  • Condom distribution: Provision of condoms for safer sex
  • Psychosexual problems: Assessment and referral for psychosexual problems

Sexually transmissible infection management at Level 2 incorporates Level 1 plus:

Sexually Transmissible Infection testing and treatment of symptomatic but uncomplicated infections in men (except men who have sex with men) and women excluding:

  • men with dysuria and/or genital discharge
  • symptoms at extra-genital sites, eg rectal or pharyngeal
  • symptoms at extra-genital sites, e.g. rectal or pharyngeal
  • pregnant women
  • genital ulceration other than uncomplicated genital herpes
 

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HOSPITAL EPISODE STATISTICS

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Hospital Episode Statistics is a data warehouse containing details of all admissions to NHS hospitals in England. It includes private PATIENTS treated in NHS hospitals, PATIENTS who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS. Hospital Episode Statistics also contain details of all NHS Out-Patient Appointments in England.

Hospital Episode Statistics is the data source for a wide range of healthcare analysis for the NHS, Government and many other ORGANISATIONS and individuals. It contains admitted patient care data from 1989 onwards, with more than 15 million new records added each year, and outpatient attendance data from 2003 onwards, with more than 60 million new records added each year.

The Health and Social Care Information Centre is working in partnership with NHS Connecting for Health, which manages the National Programme for IT.The Health and Social Care Information Centre is working in partnership with NHS Connecting for Health, which manages the National Programme for IT. This joint programme team is responsible for the development and implementation of the Secondary Uses Service which is used to collect data for input to the Hospital Episode Statistics process.

More information about Hospital Episode Statistics can be found at the HESonline website.

 

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HOSPITAL STAY

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Hospital Stay is an ACTIVITY GROUP.A Hospital Stay is an ACTIVITY GROUP.

The time a PATIENT using a Hospital Bed stays on one Hospital Site during a Hospital Provider Spell. In some circumstances a PATIENT may take Home Leave, or Mental Health Leave Of Absence for 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Stay. If there is any time spent as a LODGED PATIENT before transfer to WARD this is included in the Hospital Stay.A Hospital Stay is the time a PATIENT using a Hospital Bed stays on one Hospital Site during a Hospital Provider Spell.

 In some circumstances a PATIENT may take Home Leave, or Mental Health Leave Of Absence for 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Stay.

If there is any time spent as a LODGED PATIENT before transfer to WARD this is included in the Hospital Stay.

 

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IMMUNISATION COMPLETION DATE

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Immunisation Completion Date is an ACTIVITY DATE TIME.An Immunisation Completion Date is an ACTIVITY DATE TIME.

The date that a course of immunisation was completed.An Immunisation Completion Date is the date that a course of immunisation was completed. For example, the date by which all 3 primary course doses have been given for a group C meningococcal disease vaccine.

 

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IMMUNISATION DOSE GIVEN DATE

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Immunisation Dose Given Date is an ACTIVITY DATE TIME.An Immunisation Dose Given Date is an ACTIVITY DATE TIME.

Immunisation Dose Given Date is the date on which the immunisation was carried out.An Immunisation Dose Given Date is the date on which the immunisation was carried out.

 

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IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50) OVERVIEW

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The Immunisation Programmes Activity Data Set (KC50) requires summary information from Primary Care Trusts about the delivery of Immunisation Programmes for the following VACCINE PREVENTABLE DISEASES:

  • Diphtheria, Tetanus and Polio (Td/IPV)
  • Measles, Mumps and Rubella (MMR), and
  • Tuberculosis (BCG).

The responsible population for the Primary Care Trusts with respect to the delivery of these Immunisation Programmes includes:

This does not include PERSONS who are resident within the Primary Care Trust GEOGRAPHIC AREA but registered with a GENERAL MEDICAL PRACTITIONER whose GP Practice is under the responsibility of a different Primary Care Trust.

Reporting

The Immunisation Programmes Activity Data Set (KC50) is reported for each financial year (i.e. between 1st April and 31st March), and must be received no later than the last working day of April. Reporting is via the Omnibus survey collection tool provided by the Health and Social Care Information Centre. For further information about Omnibus, see the Omnibus Survey System.

For further information, see the Health and Social Care Information Centre website.

Immunisation Age Group
The IMMUNISATION AGE GROUP reported should reflect the age in year of the PERSON IN PROGRAMME within the REPORTING PERIOD. For example, the IMMUNISATION AGE GROUP of National Code '14 Age 13 years' is used to report Immunisation Programme activity performed on a PERSON who becomes 13 years of age during the REPORTING PERIOD.

Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by the Health and Social Care Information Centre and can be found on the Health and Social Care Information Centre website.Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by the Health and Social Care Information Centre and can be found on the Health and Social Care Information Centre website.

Part A (i): IMMUNISATION PROGRAMME ACTIVITY FOR DIPHTHERIA, TETANUS AND POLIO (Td/IPV)

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Diphtheria, Tetanus and Polio.

It is mandatory to report the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) and IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO) for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO).

Where the Primary Care Trust does not offer vaccination for immunisation against Diphtheria, Tetanus and Polio for a specific IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO), the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) for that IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) is reported as zero.

Part A (ii): IMMUNISATION PROGRAMME ACTIVITY FOR MEASLES, MUMPS AND RUBELLA (MMR).

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Measles, Mumps and Rubella (MMR).

It is mandatory to report the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) and IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA) for each IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA).

Where the Primary Care Trust does not offer vaccination for immunisation against Measles, Mumps and Rubella (MMR) for a specific IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA), the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) for that IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) is reported as zero.

Part B (i): IMMUNISATION PROGRAMME ACTIVITY - MANTOUX TESTS FOR TUBERCULOSIS (BCG).

This group reports the delivery of Mantoux Tests.

It is mandatory to report the MANTOUX TESTS PERFORMED TOTAL (TUBERCULOSIS) for each IMMUNISATION AGE GROUP (TUBERCULOSIS).

Part B (ii): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG).

This group reports Immunisation Programme activity for the delivery of vaccinations for immunisation against Tuberculosis (BCG).

It is mandatory to report the ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) and IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) for each IMMUNISATION AGE GROUP (TUBERCULOSIS).

Part C (i): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1 YEAR.

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Tuberculosis (BCG), for PERSONS aged under 1 year.

It is mandatory to report the ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) for each of the following IMMUNISATION PROGRAMME TYPES (TUBERCULOSIS):

National Codes:

2Planned programme for infants aged under 1 year, vaccinated routinely
3Planned programme for infants aged under 1 year, in selective high-risk group

It is mandatory to report the IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) for each of the following IMMUNISATION PROGRAMME TYPES (TUBERCULOSIS):

National Codes:

2Planned programme for infants aged under 1 year, vaccinated routinely
3Planned programme for infants aged under 1 year, in selective high-risk group
4Other programme

Part C (ii) SUMMARISED IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1 YEAR.
This mandatory group reports the IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR) to all PERSONS aged under 1 year.

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE

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INTERFACE SERVICE

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An Interface Service is a SERVICE.

An Interface Service is any SERVICE (excluding Consultant Led Services) that incorporates any intermediate levels of triage, assessment and treatment between traditional Primary Care and Secondary Care.

Interface Services include assessment services and referral management centres.

It does not include

 

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LONG TERM PHYSICAL HEALTH CONDITION

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A Long Term Physical Health Condition (also known as a Chronic Condition) is a health problem that requires ongoing management over a period of years or decades.

A Long Term Physical Health Condition is one that cannot currently be cured but can be controlled with the use of medication and/or other therapies.

This includes a wide range of health conditions including:

  • Non-communicable diseases (e.g. cancer and cardiovascular disease);
  • Communicable diseases (e.g. Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS));
  • Certain mental disorders (e.g. schizophrenia, depression) and
  • Ongoing impairments in structure (e.g. blindness, joint disorders).

Examples of Long Term Physical Health Conditions include:

  • Diabetes
  • Cardiovascular (e.g. Hypertension, Angina)
  • Chronic Respiratory (e.g. Asthma, Chronic Obstructive Pulmonary Disease (COPD))
  • Chronic Neurological (e.g. Multiple Sclerosis)
  • Chronic Pain (e.g. Arthritis)
  • Other Long Term Conditions (e.g. Chronic Fatigue Syndrome, Irritable Bowel Syndrome (IBS)
  • Cancer) etc.
  • Other Long Term Conditions (e.g. Chronic Fatigue Syndrome, Irritable Bowel Syndrome (IBS), Cancer) etc.
 

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MATERNITY SERVICES SECONDARY USES DATA SET OVERVIEW

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Contextual Overview

The Maternity and Children's Secondary Uses Data Sets have been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The Maternity Services Secondary Uses Data Set will for the first time:

  • allow maternal and child health data to be linked so that vital information can be used to improve services
  • addressing health inequalities
  • provide comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
  • improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
  • record outcomes to contribute to clinical risk management and governance to reduce litigation costs
  • support the development of maternity networks and changes to the maternity tariff to drive the extension of women’s choices of maternity care, and
  • underpin the improvement of local information systems to meet data set standards.
Data Collection

The Maternity Services Secondary Uses Data Set provides the definitions for data:

  • to be lodged in the data warehouse regularly and routinely e.g. monthly. Extracts for Hospital Episode Statistics (HES) and other reports will be taken at prearranged intervals for publication as currently with the process for Commissioning Data Sets;

  • to be assembled, compiled and to flow into a secondary uses data warehouse;

  • to provide timely, pseudonymised PATIENT-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled through the compiler. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for maternity or to enable other systems to interoperate with other clinical systems.

The PATIENT held record continues to be central to the existing system for managing an individual’s care. Introducing a Maternity Services Secondary Uses Data Set enables standardised collection of data from various services to be assembled for reporting purposes.

Submission information 

For submission information, see the Maternity and Childrens Data Sets Submission Requirements.

Further guidance

Further guidance has been produced by the Health and Social Care Information Centre and is available at Maternity Services Secondary Uses Data Set.Further guidance has been produced by the Health and Social Care Information Centre and is available at Maternity Services Secondary Uses Data Set.

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NHS CONTINUING HEALTHCARE QUARTERLY CENTRAL RETURN DATA SET OVERVIEW

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The Department of Health introduced the policy document 'The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care' in 2007 to establish a consistent and standardised guide to implementing the delivery of continuing care.

Continuing care is care provided over an extended period of time, to a PERSON aged 18 or over, to meet physical or mental health needs that have arisen as a result of disability, accident or illness.

Further clarification can be found at the Department of Health website: The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.

In order to monitor the implementation and effectiveness of the Framework, the Department of Health has introduced a mandatory collection which requires quarterly figures to report the eligibility for and provision of NHS CONTINUING HEALTHCARE during the REPORTING PERIOD.

The NHS Continuing Healthcare Quarterly Central Return Data Set should be submitted centrally via the Omnibus Survey system maintained by the Health and Social Care Information Centre. More information can be found on the Omnibus Survey website.

Further information can be found on the Health and Social Care Information Centre website.

The collection includes:

The collection excludes:

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NHS FUNDED NURSING CARE ANNUAL CENTRAL RETURN DATA SET OVERVIEW

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The Department of Health introduced the policy document 'The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care' in 2007 to establish a consistent and standardised guide to implementing the delivery of continuing care.

Continuing care is care provided over an extended period of time, to a PERSON aged 18 or over, to meet physical or mental health needs that have arisen as a result of disability, accident or illness.

Further clarification can be found at the Department of Health websites: "The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care" and "NHS-funded nursing care practice guide".Further clarification can be found at the Department of Health websites:

In order to monitor the implementation and effectiveness of the Framework, the Department of Health has introduced a mandatory collection which requires an annual figure to report the provision of NHS FUNDED NURSING CARE, at the end of the REPORTING PERIOD.

The NHS Funded Nursing Care Annual Central Return Data Set should be submitted centrally via the Omnibus system maintained by the Health and Social Care Information Centre. More information can be found on the Omnibus Survey website.

Further information can be found on the Health and Social Care Information Centre website.

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NON-CONSULTANT LED SERVICE

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A Non-Consultant Led Service is a SERVICE.

A Non-Consultant Led Service is a SERVICE where a CONSULTANT does not retain overall clinical responsibility for the SERVICE , CARE PROFESSIONAL TEAM or treatment.

 

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ORGANISATIONS INTRODUCTION

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ORGANISATIONS such as the Health and Social Care Information Centre, General Medical Council etc which are included in the NHS Data Model and Dictionary.

Referenced Organisations:

 

 Regulatory Bodies:

 
  
  

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ORGANISATIONS MENU

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

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  • 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. This data set return provides a source of briefing on the Act and informs policy development in relation to the Act. It also provides input to the process of needs assessment on hospital accommodation requirements.

  • Information on the return is published in the statistical bulletin and the detailed booklet called 'In-patients formally detained in hospital and PATIENTS on Supervised Community Treatment' under the Mental Health Act 1983, as amended by the Mental Health Act 2007.

The Patients Detained In Hospital Or On Supervised Community Treatment return should be completed to provide information about the uses of the Act, for the REPORTING PERIOD year commencing on 1st April and ending 31 March.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY were in use to categorise mental disorder. But for the purposes of the KP90 collection only it was agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 would be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

  • Part 1

This part of the data set records the number of admissions to hospital during the REPORTING PERIOD classified by specified MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

In addition, the total number of formal admissions and informal admissions by PERSON GENDER CODE are also recorded

For further information, see the Health and Social Care Information Centre website.

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PERSON STOP SMOKING EPISODE  renamed from PERSON STOP SMOKING EPISODE

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PERSON STOP SMOKING EPISODE is an ACTIVITY GROUP.A Person Stop Smoking Episode is an ACTIVITY GROUP.

A period of time during which a PERSON attempts to stop smoking as a result of structured stop smoking interventions, delivered by NHS staff or their trained agents.A Person Stop Smoking Episode is a period of time during which a PERSON attempts to stop smoking as a result of structured stop smoking interventions, delivered by NHS staff or their trained agents. During this time, it is expected that the PERSON will set a SMOKING QUIT DATE.

The PERSON STOP SMOKING EPISODE starts when the PERSON has consented to a programme of treatment and presents themselves to the Stop Smoking Service for a treatment session and has set a SMOKING QUIT DATE.The Person Stop Smoking Episode:

  • starts when the PERSON has consented to a programme of treatment and presents themselves to the Stop Smoking Service for a treatment session and has set a SMOKING QUIT DATE
  • ends 28 days after their specified SMOKING QUIT DATE (or within 25 to 42 days of the SMOKING QUIT DATE) when it is confirmed that the PERSON:
    • has stopped smoking
    • has not been successful or
    • are lost to follow up (where the PERSON could not be contacted at four weeks (-3 days or +14 days)).

The PERSON STOP SMOKING EPISODE ends 28 days after their specified SMOKING QUIT DATE (or within 25 to 42 days of the SMOKING QUIT DATE) when either it is confirmed that the PERSON has stopped smoking, or they have not been successful or they are lost to follow up (where the PERSON could not be contacted at four weeks (-3 days or +14 days)).A PERSON who has participated in an assessment session but failed to attend for treatment should not be counted as having started a Person Stop Smoking Episode.

A PERSON who has participated in an assessment session but failed to attend for treatment should not be counted as having started a PERSON STOP SMOKING EPISODE.

References: Department of Health NHS Stop Smoking Services: service and monitoring guidance, October 2007/08.For further information, see the Department of Health NHS Stop Smoking Services: service and monitoring guidance, October 2007/08.

 

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PERSON STOP SMOKING EPISODE  renamed from PERSON STOP SMOKING EPISODE

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PROFESSIONAL STAFF GROUP SERVICE

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Professional Staff Group Service is a SERVICE.A Professional Staff Group Service is a SERVICE.

A Professional Staff Group Service is provided by CARE PROFESSIONALS who work for a Health Care Provider and have training and expertise in a professional staff group discipline (professional staff group type).

In addition to Professional Staff Group Episodes, a Professional Staff Group Service may also provide Home Assessment Visits.

 

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STOP SMOKING SERVICE

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Stop Smoking Service is a SERVICE set up by a Primary Care Trust to help people give up smoking.

A Stop Smoking Service is a SERVICE.

A Stop Smoking Service is a SERVICE set up by a Primary Care Trust to help people give up smoking.

For a SERVICE to be designated as an NHS Stop Smoking Service requires that minimum quality standards should be met. To meet these minimum quality standards all advisers should:

  • have received appropriate training for their role,
  • carry out the 4 week follow-up promptly, in accordance with the current guidance,
  • complete the minimum dataset (the individual PERSON data monitoring forms) for each PERSON, fully and accurately, and return the information required to the coordinator in good time,
  • offer weekly support for at least the first four weeks of a quit attempt,
  • attempt to confirm smoking status of all PERSONS self-reporting as having quit at 4 week follow-up by use of a carbon monoxide monitor, except where follow-up is carried out by telephone.

The majority of Stop Smoking Services will operate broadly on the 'Maudsley' model of a clinic providing intensive support, usually on a group therapy basis, to the most dependent smokers. The Stop Smoking Service should also continue to be supplemented by a range of SERVICES in various settings in primary care, secondary care and the community.

Central monitoring of data regarding 52 week follow-up is no longer required however, follow-up at 52 week stage is still recommended as good practice to establish long-term success rates and this information should still be collected locally.

References:
NHS Stop Smoking Guidance.

 

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STOP SMOKING SERVICE QUARTERLY DATA SET OVERVIEW

Change to Supporting Information: Changed Description


Collection and Submission
Synopsis of Data Set Content

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WHAT'S NEW: DECEMBER 2012  renamed from WHAT'S NEW: NOVEMBER 2012

Change to Supporting Information: Changed Name, Description

Release: November 2012

Release: December 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1155 (Immediate) - ISB 1567 Amd 12/2011 National Joint Registry Data Set Version 5
  • CR1324 (1 December 2012) - ISB 1067 Amd 23/2012 Workforce Data Set Version 2.5
  • CR1196, CR1287 and CR1195 (1 January 2013) - ISB 1521 Amd 64/2010 Cancer Outcomes and Services Data Set, Cancer Outcomes and Services Data Set Message and Retirement of Cancer Registration Data Set and National Cancer Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

  • CR1337 (1 April 2013) - ISB 1072 Amd 30/2012 Update to Child and Adolescent Mental Health Services Secondary Uses Data Set

Release: November 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1166, CR1167 and CR1306 (1 November 2012) - ISB 0092 Amd-16-2010 Commissioning Data Set Version 6-2, Commissioning Data Set XML Message Version 6-2 and Retirement of CDS 6-0
  • CR1305 (1 April 2013) - ISB 0092 Amd 06/2011 Allied Health Professions Referral to Treatment (AHP RTT) Update - CDS 6-2
  • CR1286 (1 November 2012) - ISB 0028 Amd 17/2012 Treatment Function Codes Update
  • CR1343 (Immediate) - DDCN 1343/2012 Change of name for NHS Commissioning Board Authority
  • CR1342 (Immediate) - DDCN 1342/2012 Overseas Visitors Update
  • CR1341 (Immediate) - DDCN 1341/2012 Discharge Default Code Descriptions
  • CR1323 (Immediate) - National Cancer Waiting Times Monitoring Data Set Update for "Delay Reason To Treatment For Cancer"

CR1323 is a corrigendum to CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set published in the June 2012 release

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

  • CR1231 and CR1288 (1 April 2013) - ISB 1570 Amd 164/2010 HIV and AIDS Reporting Data Set and HIV and AIDS Related Data Set Message

Release: September 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1103 (Immediate) - ISB 0066 Amd 43/2010 Renal Data Set - Data Item Addition, Changes and Deletions
  • CR1334 (Immediate) - DDCN 1334/2012 Psychology Definitions
  • CR1331 (Immediate) - DDCN 1331/2012 Activity Date Time Type
  • CR1329 (Immediate) - DDCN 1329/2012 Change of name for "Health and Social Care Information Centre"

Release: August 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
  • CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
  • CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
  • CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
  • CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

    The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

  • CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
  • CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
  • CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

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

Release: January 2012

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

Release: November 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
  • CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

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

  • CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

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:

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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ACTIVITY

Change to Class: Changed Description

An ACTIVITY is a provision of SERVICES to a PATIENT by one or more CARE PROFESSIONALS.

An ACTIVITY may be either an ACTIVITY GROUP or a CARE ACTIVITY. An ACTIVITY GROUP may include a series of one or more CARE ACTIVITIES.

Subtypes of ACTIVITY are:

ACTIVITY GROUP
CARE ACTIVITY

An ACTIVITY is a provision of SERVICES to a PATIENT by one or more CARE PROFESSIONALS.

An ACTIVITY may be either an ACTIVITY GROUP or a CARE ACTIVITY. An ACTIVITY GROUP may include a series of one or more CARE ACTIVITIES.

 

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ACTIVITY GROUP

Change to Class: Changed Attributes, Description

A subtype of ACTIVITY.

An ACTIVITY GROUP is a continuous period of care or assessment for a PATIENT by one or more CARE PROFESSIONALS. ACTIVITY GROUPS mainly consist of episodes, spells, stays or care periods.

An ACTIVITY GROUP may include one or more CARE ACTIVITIES.

Subtypes of ACTIVITY GROUP are:

CRITICAL CARE PERIOD
PATIENT PATHWAY
REFERRAL TO TREATMENT PERIOD

A continuous period of care or assessment for a PATIENT by one or more CARE PROFESSIONAL. ACTIVITY GROUPS mainly consist of episodes, spells, stays or care periods.

An ACTIVITY GROUP may include one or more CARE ACTIVITIES.

ACTIVITY GROUP TYPE provides a list of ACTIVITY GROUPS.

 

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ACTIVITY GROUP

Change to Class: Changed Attributes, Description

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
BABY FIRST FEED BREAST MILK STATUS
BREASTFEEDING STATUS
BROAD PATIENT GROUP
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
CANCER REFERRAL TO TREATMENT PERIOD START DATE
CANCER SCREENING STATUS
CANCER TREATMENT INTENT
CANCER TREATMENT PERIOD START DATE
CARE PROGRAMME APPROACH LEVEL
CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY
DELIVERY FACILITIES ONLY USED
DELIVERY PLACE CHANGE REASON
DISCHARGE DESTINATION
DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATOR
DISCHARGE FROM MENTAL HEALTH SERVICE REASON
DISCHARGE METHOD
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
INCIDENT TYPE
INTRAVESICAL CHEMOTHERAPY RECEIVED INDICATOR
INTRAVESICAL IMMUNOTHERAPY RECEIVED INDICATOR
KEY WORKER SEEN INDICATOR
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MONITORING INTENT
NON SMOKING CONFIRMATION STATUS AT 4 WEEKS
OUTCOME AT 4 WEEK FOLLOW-UP
PAEDIATRIC NEPHROLOGY REGISTRY STATUS CODE
PALLIATIVE CARE SPECIALIST SEEN INDICATOR
PALLIATIVE TREATMENT REASON CODE FOR UPPER GASTROINTESTINAL
PHARMACOTHERAPY STOP SMOKING AID RECEIVED
PREGNANCY OUTCOME CODE
PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS
PREVIOUS NEGATIVE HIV TEST IN UNITED KINGDOM INDICATOR
RADIOTHERAPY INTENT
RENAL DIALYSIS SCHEDULE TYPE
SMOKING QUIT DATE
SOURCE OF ADMISSION
SUPERVISED COMMUNITY TREATMENT END REASON
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE FOR CANCER
WARD STAY TERMINATION REASON

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ACTIVITY SUSPENSION

Change to Class: Changed Description

A break from an ACTIVITY with the intention that the ACTIVITY will be resumed at one point.An ACTIVITY SUSPENSION is a break from an ACTIVITY with the intention that the ACTIVITY will be resumed at some point.

ACTIVITY SUSPENSIONS include:ACTIVITY SUSPENSION TYPE provides a list of ACTIVITY SUSPENSIONS.

 

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ADDRESS

Change to Class: Changed Description

Subtypes of ADDRESS are:

ADDRESS STRUCTURED
ADDRESS UNSTRUCTURED

The identification of a place of relevance to a:

The ADDRESS may have COMMUNICATION CONTACT INFORMATION associated with it and may be the location for an ACTIVITY.

 Subtypes of ADDRESS are:

ADDRESS STRUCTURED
ADDRESS UNSTRUCTURED

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ADDRESS STRUCTURED

Change to Class: Changed Description

A subtype of ADDRESS.

An ADDRESS comprised of address elements. Address elements correspond to the Royal Mail Postal Address File unless indicated otherwise.

 Address elements correspond to the Royal Mail Postal Address File unless indicated otherwise.

 

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ADDRESS UNSTRUCTURED

Change to Class: Changed Description

A subtype of ADDRESS.

A recognizable postal address comprised of up to five lines of 35 alphanumeric characters.

Note:
The format relates to the physical layout, and not necessarily to the logical layout of the address.Note: the format relates to the physical layout, and not necessarily to the logical layout of the address.

 

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ASSESSMENT TOOL

Change to Class: Changed Attributes, Description

A type of assessment tool used to measure and evaluate specific aspects of a PERSON's needs or experiences.

An ASSESSMENT TOOL may result in a PERSON SCORE or outcome rating.

 ASSESSMENT TOOL TYPE provides a list of ASSESSMENT TOOLS.

 

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ASSESSMENT TOOL

Change to Class: Changed Attributes, Description

Attributes of this Class are:
ASSESSMENT TOOL COMPLETION POINT
ASSESSMENT TOOL TYPE
EXPERIENCE OF SERVICE QUESTIONNAIRE VERSION
HEALTH OF THE NATION OUTCOME SCALE CHILDREN AND ADOLESCENTS VERSION
MENTAL HEALTH CLUSTERING TOOL ASSESSMENT REASON

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CARE ACTIVITY

Change to Class: Changed Description

A subtype of ACTIVITY

A CARE ACTIVITY is the provision of an individual instance of care to a PATIENT given by one or more CARE PROFESSIONALS.

Subtypes of CARE ACTIVITY are:

CARE CONTACT
CLINICAL INTERVENTION

A CARE ACTIVITY is the provision of an individual instance of care to a PATIENT given by one or more CARE PROFESSIONALS.

CARE ACTIVITIES include:

 

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CARE CONTACT

Change to Class: Changed Description

A type of CARE ACTIVITY.A subtype of CARE ACTIVITY.

A contact made with a PATIENT for the delivery of care.

CARE CONTACT TYPE provides a list of CARE CONTACTS.

 

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CARE ISSUE

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE ISSUE IDENTIFIER
CARE ISSUE END DATE
CARE ISSUE START DATE
CARE ISSUE TYPE
DIABETES TYPE
DIABETES TYPE FOR RENAL CARE

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CARE PLAN

Change to Class: Changed Description

A plan of the treatment or health care to be provided to a PATIENT for a CARE ACTIVITY or within an ACTIVITY GROUP.

An ACTIVITY GROUP may include more than one CARE PLAN. Often the effectiveness of a CARE PLAN is reviewed periodically and as a result of the review, a new CARE PLAN may be developed.

CARE PLANS include:CARE PLAN TYPE provides a list of CARE PLANS.

 

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CARE PROFESSIONAL

Change to Class: Changed Description

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CARE PROFESSIONAL ORGANISATION

Change to Class: Changed Description

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CATEGORY VALUED PERSON OBSERVATION

Change to Class: Changed Description

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

Observations made regarding a PERSON. These observations do not include information about a treatment or intervention.

CATEGORY VALUED PERSON OBSERVATION TYPE provides coded classifications of observations about a PERSON.

Note: MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

 

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CLINICAL CLASSIFICATION

Change to Class: Changed Description

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CLINICAL INTERVENTION

Change to Class: Changed Attributes

Attributes of this Class are:
ABLATIVE THERAPY TYPE
ACCIDENT AND EMERGENCY INVESTIGATION
ACCIDENT AND EMERGENCY TREATMENT
ANAESTHESIA TYPE IN LABOUR AND DELIVERY
ANAESTHETIC METHOD TYPE FOR DIALYSIS ACCESS CONSTRUCTION
ANAESTHETIC TYPE FOR JOINT REPLACEMENT
ANTI CANCER REGIMEN NUMBER
ARTERIOVENOUS GRAFT MATERIAL TYPE
ARTIFICIAL RUPTURE OF MEMBRANES REASON CODE
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
ASSOCIATED PROCEDURE TYPE FOR ANKLE REPLACEMENT
BILIARY STENT INSERTION REASON
BIOLOGICAL RESURFACING TYPE
BLOOD FLOW RATE
BLOOD TRANSFUSION UNITS TRANSFUSED
BODY IRRADIATION
BONEGRAFT INDICATOR FOR JOINT REPLACEMENT
BONEGRAFT INDICATOR FOR REVISION ANKLE REPLACEMENT
BONEGRAFT TYPE FOR JOINT REPLACEMENT
BRACHYTHERAPY TYPE
BREAST ASSESSMENT OR TEST OUTCOME
CANCER IMAGING MODALITY
CANCER TREATMENT MODALITY
CHEMICAL THROMBO PROPHYLAXIS REGIME TYPE
CHEMO RADIATION INDICATOR
CHEMOTHERAPY ACTUAL DOSE
CLINICAL INTERVENTION TYPE
CLINICAL INVESTIGATION NOT PERFORMED REASON CODE FOR MATERNITY
CO MORBIDITY ADJUSTMENT INDICATOR
COMPLICATION TYPE FOR RENAL DIALYSIS ACCESS
COMPONENT REMOVAL INDICATOR
CONTRACEPTION METHOD STATUS
CYTOLOGY SCREENING ACTION TYPE
DELIVERED IN WATER INDICATOR
DELIVERY OF PLACENTA METHOD
DENTAL TREATMENT CLASSIFICATION
DRUG ADMINISTRATION DURATION
DRUG ADMINISTRATION STATUS
DRUG DAYS SUPPLY
DRUG DOSAGE AND ADMIN SPECIFICATION
DRUG IDENTIFICATION
DRUG INFORMATION COMMENT
DRUG INFORMATION TYPE
DRUG QUANTITY SUPPLIED
DRUG REGIMEN ACRONYM
DRUG TREATMENT COST
DRUG TREATMENT INTENT
ENDOSCOPIC OR RADIOLOGICAL COMPLICATION TYPE
ENDOSCOPIC PROCEDURE TYPE
EPISIOTOMY PERFORMED REASON CODE
EXCISION TYPE
FETAL ORDER
FIRST DEFINITIVE TREATMENT PROVIDED
FIRST DIAGNOSTIC TEST
FIXATION TYPE FOR ELBOW OR SHOULDER REPLACEMENT
FRACTION NUMBER
HIP SURGERY PATIENT POSITION
IMAGE GUIDED SURGERY INDICATOR
IMAGING ANATOMICAL SITE
IMAGING EVENT NUMBER
IMAGING INTERVENTION INDICATOR
IMAGING MODALITY
IMAGING OR RADIODIAGNOSTIC EVENT INDICATION CODE FOR RENAL CARE
IMMUNITY TEST RESULT
INTERVENTION SESSION TYPE
INTERVENTION SETTING
JOINT REPLACEMENT REVISION REASON CODE FOR ANKLE
JOINT REPLACEMENT REVISION REASON CODE FOR ELBOW
JOINT REPLACEMENT REVISION REASON CODE FOR HIP
JOINT REPLACEMENT REVISION REASON CODE FOR KNEE
JOINT REPLACEMENT REVISION REASON CODE FOR SHOULDER
KIDNEY TRANSPLANTED CODE
LABOUR FIRST STAGE LENGTH
LABOUR OR DELIVERY ONSET METHOD
LABOUR PROFESSIONAL PRIOR INVOLVEMENT
LABOUR SECOND STAGE LENGTH
LONG HEAD BICEPS TENOTOMY INDICATOR
MARGIN INVOLVED INDICATION CODE
MATERNAL CRITICAL INCIDENT TYPE CODE
MECHANICAL THROMBO PROPHYLAXIS REGIME TYPE
MINIMALLY INVASIVE SURGERY INDICATOR
MINOR SURGERY TYPE
NATURE OF RISK AREA CODE
NEOADJUVANT THERAPY INDICATOR
NEONATAL CRITICAL INCIDENT TYPE CODE
NEONATAL RESUSCITATION METHOD
NEPHRECTOMY TYPE
NEWBORN HEARING INCOMPLETE REASON CODE
NEW LESIONS TREATED NUMBER
NUMBER OF TELETHERAPY FIELDS
OPERATIVE PROCEDURE INDICATOR
OPPORTUNISTIC SCREENING TYPE
PAIN RELIEF TYPE IN LABOUR AND DELIVERY
PATHOLOGY INVESTIGATION PRIORITY
PATHOLOGY RESULT REPORTED DATE
PATIENT PROCEDURE PERFORMED INDICATOR
PATIENT PROCEDURE TYPE FOR PRIMARY ANKLE REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY ELBOW REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY HIP REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY KNEE REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY SHOULDER REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION ANKLE REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION ELBOW REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION HIP REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION KNEE REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION SHOULDER REPLACEMENT
PERFORATIONS OR SEROSAL INVOLVEMENT INDICATION CODE
PERITONEAL DIALYSIS CATHETER INSERTION TECHNIQUE
PERITONEAL DIALYSIS CATHETER TYPE
PLANE OF SURGICAL EXCISION TYPE
PLANNED TREATMENT CHANGE REASON
POST MORTEM TYPE
PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT
PREVIOUS FRACTURE INDICATOR FOR ANKLE REPLACEMENT
PREVIOUS SURGERY TYPE FOR ANKLE JOINT
PREVIOUS SURGERY TYPE FOR SHOULDER REPLACEMENT
PRIMARY OR SUBSEQUENT COURSE
PRIMARY SCREENING
PRINCIPAL DIAGNOSTIC IMAGING TYPE
PROCEDURE RENAL DIALYSIS ACCESS REPAIR OR REVISION TYPE
PROCEDURE SIDE RENAL DIALYSIS ACCESS CONSTRUCTION CODE
PROCEDURE SITE RENAL DIALYSIS ACCESS CONSTRUCTION CODE
RADIOLOGICAL PROCEDURE TYPE
RADIOTHERAPY ACTUAL DOSE
RADIOTHERAPY ANATOMICAL TREATMENT SITE
RADIOTHERAPY PRESCRIBED DOSE
RADIOTHERAPY TREATMENT MODALITY
RATE OF GMP PAYMENT
REMOVAL REASON TYPE FOR DIALYSIS ACCESS
RENAL DIALYSIS ACCESS TYPE
RENAL TRANSPLANT FAILURE CAUSE CODE
RESULT SENT DIRECT
REVISION PROCEDURE TYPE FOR ANKLE OR KNEE REPLACEMENT
REVISION PROCEDURE TYPE FOR ELBOW OR SHOULDER REPLACEMENT
REVISION PROCEDURE TYPE FOR HIP REPLACEMENT
ROTATOR CUFF CONDITION
ROUTINE OR EMERGENCY
RUPTURE OF MEMBRANES METHOD
SARCOMA SURGICAL MARGIN
SCHEDULED SESSION DURING OR OUTSIDE
STEM CELL INFUSION DONOR TYPE
STEM CELL INFUSION SOURCE CODE
STENT DEPLOYED SUCCESS INDICATOR
SURGICAL ACCESS TYPE
SURGICAL ACCESS TYPE FOR THORACIC
SURGICAL APPROACH FOR PRIMARY HIP REPLACEMENT
SURGICAL APPROACH FOR PRIMARY KNEE REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION ANKLE REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION SHOULDER REPLACEMENT
SURGICAL APPROACH FOR REVISION HIP REPLACEMENT
SURGICAL APPROACH FOR REVISION KNEE REPLACEMENT
SURGICAL COMPLICATION TYPE
SURGICAL DEFAULT TECHNIQUE INDICATOR
SURGICAL PALLIATION TYPE
SURGICAL VOICE RESTORATION PERMANENT VALVE REMOVAL REASON
SYSTEMIC ANTI CANCER THERAPY DRUG ROUTE OF ADMINISTRATION
SYSTEMIC ANTI CANCER THERAPY PROGRAMME NUMBER
SYSTEMIC ANTI CANCER THERAPY REGIMEN MODIFICATION INDICATOR
TELETHERAPY BEAM TYPE
TELETHERAPY ELECTRON ENERGY
TELETHERAPY PHOTON ENERGY
TREATMENT EXPOSURE TYPE
UNPLANNED OPERATION INDICATOR
UNTOWARD INTRAOPERATIVE EVENT CODE FOR ANKLE REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR ELBOW REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR HIP REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR KNEE REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR SHOULDER REPLACEMENT
VACCINATION REASON INDICATOR

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CONSULTANT ORGANISATION

Change to Class: Changed Description

A type of CARE PROFESSIONAL ORGANISATION.A subtype of CARE PROFESSIONAL ORGANISATION.

A record that a CONSULTANT is contracted to a Health Care Provider.

A CONSULTANT is contracted to a Health Care Provider under the MAIN SPECIALTY.

 

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CRITICAL CARE ACTIVITY

Change to Class: Changed Description

A type of CARE ACTIVITY.A subtype of CARE ACTIVITY.

An ACTIVITY provided to a PATIENT within a CRITICAL CARE PERIOD.

 

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CRITICAL CARE PERIOD

Change to Class: Changed Description

This is an ACTIVITY GROUP.A subtype of ACTIVITY GROUP.

A period of time within a Hospital Provider Spell during which a PATIENT receives critical care.

For PATIENTS treated in 'neonatal facilities', that is, in WARDS with a CRITICAL CARE UNIT FUNCTION of 13, 14 or 15, critical care PATIENTS include:

a)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Neonatal Intensive Care Unit regardless of care being delivered.
or 
b)All PATIENTS (excluding Mothers) on a WARD with a CRITICAL CARE UNIT FUNCTION Facility for Babies on a Neonatal Transitional Care Ward or Facility for Babies on a Maternity Ward to whom one or more CRITICAL CARE ACTIVITIES with codes 01 to 02, 04 - 16 or 22 - 29 is delivered for a period greater than 4 hours.

For PATIENTS treated in 'adult facilities' or 'other facilities', that is, WARDS with a CRITICAL CARE UNIT FUNCTION of 01-03, 05-12, 90 or 91, the following conditions apply:

Commissioning Data Set Transmission

 

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DEPARTMENT

Change to Class: Changed Description

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DIAGNOSTIC TEST REQUEST

Change to Class: Changed Description

A subtype of SERVICE REQUEST.

A request for a single diagnostic investigation or procedure for an individual PATIENT or any human or, for pathology, non-human source.

DIAGNOSTIC TEST REQUESTS include:When a DIAGNOSTIC TEST REQUEST is used to apportion costs to MAIN SPECIALTY, distinction should be made between those for PATIENTS using a Hospital Bed, out-patients and attendees at CLINICS OR FACILITIES .

When a DIAGNOSTIC TEST REQUEST is used to apportion costs to MAIN SPECIALTY, distinction should be made between those for PATIENTS using a Hospital Bed, out-patients and attendees at CLINICS OR FACILITIES .DIAGNOSTIC TEST REQUEST TYPE provides a list of DIAGNOSTIC TEST REQUESTS.

 

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EDUCATION

Change to Class: Changed Description

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

Observations regarding the educational history, background or status of a PERSON.

 

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HEALTH PROGRAMME

Change to Class: Changed Description

This is a programme run by a Primary Care Trust (PCT) collaborative with a lead Primary Care Trust to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.A programme run by a Primary Care Trust (PCT) collaborative with a lead Primary Care Trust to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.

HEALTH PROGRAMMES include:HEALTH PROGRAMME TYPE provides a list of HEALTH PROGRAMMES.

 

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IMMUNISATION COURSE TYPE

Change to Class: Changed Description

A type of immunisation course, which may be a primary course giving a planned sequence of doses or just one of a sequence of reinforcing courses giving a single booster dose.A type of immunisation course.

Examples:This may be a primary course giving a planned sequence of doses or just one of a sequence of reinforcing courses giving a single booster dose.

  1. Primary
  2. First booster
  3. Second booster, etc.

IMMUNISATION COURSE TYPE CODE provides a list of IMMUNISATION COURSE TYPES.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

 

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LABORATORY

Change to Class: Changed Description

A building or room for processing investigations received by a diagnostic department.

LABORATORIES include:LABORATORY TYPE provides a list of LABORATORIES.

 

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LEAVE

Change to Class: Changed Description

LEAVE occurs when a PATIENT who is using a bed in a hospital WARD or care home, spends a period of time outside the hospital WARD or care home.

For some types of LEAVE, the PATIENT is intended to return after a specified period.

LEAVE includes:LEAVE TYPE provides a list of the types of LEAVE.

 

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LOCATION

Change to Class: Changed Attributes

Attributes of this Class are:
KLOCATION CODE
ACTIVITY LOCATION TYPE CODE
INTERVENTION SETTING
LOCATION NAME
LOCATION TYPE CODE
LOCATION TYPE CODING TYPE

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MEASURED PERSON OBSERVATION

Change to Class: Changed Description

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON.

MEASURED PERSON OBSERVATION TYPE CODE provides a list of MEASURED PERSON OBSERVATIONS.

Note: CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

 

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NURSE OR MIDWIFE

Change to Class: Changed Description

A subtype of CARE PROFESSIONAL.

A CARE PROFESSIONAL qualified for nursing or midwifery providing healthcare for a particular ORGANISATION.

Subtypes of NURSE OR MIDWIFE are:

A CARE PROFESSIONAL qualified for nursing or midwifery providing healthcare for a particular ORGANISATION. 

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ORGAN OR TISSUE DONOR OBSERVATION

Change to Class: Changed Description

A type of PERSON PROPERTYA subtype of PERSON PROPERTY

ORGAN OR TISSUE DONOR OBSERVATION allows for the recording of observations about a ORGAN OR TISSUE DONOR.

 

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ORGAN OR TISSUE RECIPIENT OBSERVATION

Change to Class: Changed Description

A type of PERSON PROPERTYA subtype of PERSON PROPERTY

ORGAN OR TISSUE RECIPIENT OBSERVATION allows for the recording of observations about an organ or TISSUE recipient.

 

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OTHER PERSON OBSERVATION

Change to Class: Changed Description

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

Observations made by a PERSON which are not coded or measured.

These observations do not include information about a treatment or intervention. These observations may be where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

Note: CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and MEASURED PERSON OBSERVATION allows for the recording of measurements about a PERSON.

 

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PATIENT DIAGNOSIS

Change to Class: Changed Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY DIAGNOSIS
AIDS DEFINING ILLNESS TYPE
BABY COMPLICATION AT BIRTH DIAGNOSIS
BASIS OF DIAGNOSIS FOR CANCER
CYTOMEGALOVIRUS DISEASE CODE
DIABETES TYPE FOR RENAL CARE
FETAL ANOMALY DIAGNOSIS
INJURY TYPE FOR CHILDREN AND YOUNG PEOPLES HEALTH SERVICE SECONDARY USES
LONG TERM PHYSICAL HEALTH CONDITION INDICATOR FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES
MATERNITY COMPLICATING MEDICAL DIAGNOSIS
MATERNITY FAMILY HISTORY DIAGNOSIS TYPE CODE
MATERNITY MEDICAL DIAGNOSIS TYPE
NEONATAL DIAGNOSIS
OBSTETRIC DIAGNOSIS
PATIENT DIAGNOSIS CODING SIGNIFICANCE
PATIENT DIAGNOSIS INDICATION FOR PRIMARY ANKLE REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY ELBOW REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY HIP REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY KNEE REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY SHOULDER REPLACEMENT
PATIENT DIAGNOSIS INDICATOR
PATIENT DIAGNOSIS TYPE FOR HIV
PATIENT DIAGNOSIS TYPE FOR NHS HEALTH CHECK
PRESENT ON ADMISSION INDICATOR
PRIMARY DIAGNOSIS
PROVISIONAL DIAGNOSIS
RENAL DONOR DIAGNOSIS TYPE
RENAL LIVING DONOR DIAGNOSIS TYPE
RENAL PAEDIATRIC DIAGNOSIS TYPE
RENAL RECIPIENT CARDIOVASCULAR COMPLICATION TYPE
RENAL RECIPIENT DIAGNOSIS TYPE
SKIN CANCER LESION DIAGNOSIS
SKIN TUMOUR STATUS
TRAUMATIC LESION OF GENITAL TRACT TYPE CODE
TUMOUR LATERALITY

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PATIENT ORGANISATION

Change to Class: Changed Description

This is the identification of a PATIENT having a relationship with a particular ORGANISATION such as a PATIENT having been registered with a Trust for SERVICES.The identification of a PATIENT having a relationship with a particular ORGANISATION such as a PATIENT having been registered with a NHS Trust for SERVICES.

PATIENT ORGANISATIONS include:PATIENT ORGANISATION TYPE provides a list of PATIENT ORGANISATIONS.

 

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PERSON NAME

Change to Class: Changed Description

The unique identifier for a specific and ordered combination of words and titles by which a PERSON may be known.

Subtypes of PERSON NAME are:

PERSON NAME STRUCTURED
PERSON NAME UNSTRUCTUREDPERSON NAME UNSTRUCTURED.

The unique identifier for a specific and ordered combination of words and titles by which a PERSON may be known.

 

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PERSON PROPERTY

Change to Class: Changed Attributes, Description

A PERSON PROPERTY is a condition or state associated with a PERSON.

PERSON PROPERTIES are collected as a result of an ACTIVITY.

PERSON PROPERTIES for a PATIENT do not include information about a treatment or intervention.

Subtypes of PERSON PROPERTY include:

A PERSON PROPERTY is a condition or state associated with a PERSON.

PERSON PROPERTIES are collected as a result of an ACTIVITY.

PERSON PROPERTIES for a PATIENT do not include information about a treatment or intervention.

  • The observation may be a clinical diagnosis
  • The observer may be a related PERSON or a CARE PROFESSIONAL
  • Observations may be recorded during, or as a result of, a course of treatment.

PERSON PROPERTIES include:

 

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PERSON PROPERTY

Change to Class: Changed Attributes, Description

Attributes of this Class are:
KPERSON PROPERTY IDENTIFIER
ATTEMPTED SUICIDE WITH INTENT INDICATOR
DOMINANT ARM CODE
FAMILIAL CANCER SYNDROME INDICATOR
FREE PRESCRIPTIONS INDICATOR
LAST MENSTRUAL PERIOD DATE
PATIENT HISTORY INDICATOR
PERSON BLOOD GROUP
PERSON PROPERTY EFFECTIVE DATE
PERSON PROPERTY EFFECTIVE END DATE
PERSON PROPERTY EFFECTIVE END TIME
PERSON PROPERTY EFFECTIVE TIME
PERSON PROPERTY OBSERVED DATE
PERSON PROPERTY OBSERVED TIME
PERSON PROPERTY RECORDED DATE
PERSON PROPERTY RECORDED TIME
PERSON RHESUS FACTOR
PREGNANCY STATUS
SURGICAL VOICE RESTORATION COMMUNICATION METHOD FOR PLANNED POST OPERATIVE
SURGICAL VOICE RESTORATION COMMUNICATION METHOD FOR PRIMARY
YOUNG CARER INDICATOR

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PLANNED ACTIVITY

Change to Class: Changed Description

An episode of care, treatment or other service planned to be provided by an ORGANISATION to a PATIENT.

PLANNED ACTIVITIES include:PLANNED ACTIVITY TYPE provides a list of PLANNED ACTIVITIES.

  • Patient Procedures
  • Diagnostic Tests
  • Cancer Treatment
  • Radiology Investigation Plans
  • Reviews
  • Other Activities
 

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REFERRAL TO TREATMENT PERIOD

Change to Class: Changed Description

A subtype of ACTIVITY GROUP.

This is the part of a PATIENT PATHWAY covered by Measured Referral to Treatment Period.

A sub-set of REFERRAL TO TREATMENT PERIODS are used to measure the 18 weeks Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement.

It is the period from referral to the start of First Definitive Treatment.  For Referral To Treatment Consultant-Led Waiting Times, the duration of a REFERRAL TO TREATMENT PERIOD is measured by REFERRAL TO TREATMENT PERIOD DURATION (ADJUSTED).  For REFERRAL TO TREATMENT PERIODS measured under Allied Health Professional Referral To Treatment Measurement, no adjustments may be applied and there are no tolerances, but EARLIEST REASONABLE OFFER DATE and EARLIEST CLINICALLY APPROPRIATE DATE may be used locally to understand the impact of patient chosen or clinically appropriate delays.

If the PATIENT is referred from one Health Care Provider to another during the REFERRAL TO TREATMENT PERIOD, the REFERRAL TO TREATMENT PERIOD continues with the original REFERRAL TO TREATMENT PERIOD START DATE and the related PATIENT PATHWAY IDENTIFIER being part of the onward referral information. The REFERRAL TO TREATMENT PERIOD continues until there is a REFERRAL TO TREATMENT PERIOD END DATE.

For PATIENTS who have not attended an APPOINTMENT or admission:

-Did not attend the first APPOINTMENT during the REFERRAL TO TREATMENT PERIOD, where the PRIORITY TYPE of the SERVICE REQUEST was National Code 1 - Routine or National Code 2 - Urgent. This will complete the REFERRAL TO TREATMENT PERIOD (REFERRAL TO TREATMENT PERIOD STATUS code 33 for the scheduled ACTIVITY which the PATIENT did not attend) and a new REFERRAL TO TREATMENT PERIOD will commence at the point when the PATIENT rebooks if this occurs (REFERRAL TO TREATMENT PERIOD STATUS code 10 on the ACTIVITY). 
-Did not attend the first APPOINTMENT during the REFERRAL TO TREATMENT PERIOD, where the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 - Two Week Wait.  The REFERRAL TO TREATMENT PERIOD will continue unless a clinical decision is made to discharge the PATIENT to primary care.
-Did not attend a follow-up or out-patient/diagnostic appointment. The REFERRAL TO TREATMENT PERIOD will continue unless a clinical decision is made to discharge the PATIENT to primary care. The potential effect of this is factored into the tolerances set for Referral To Treatment Consultant Led Waiting Times. See also Discharge After Patient Did Not Attend.
-Did not attend an admission. The REFERRAL TO TREATMENT PERIOD will continue unless a clinical decision is made to discharge the PATIENT to primary care. The effect of PATIENTS who did not attend for admission is described in REFERRAL TO TREATMENT PERIOD DURATION (ADJUSTED). See also Discharge After Patient Did Not Attend.

Types of REFERRAL TO TREATMENT PERIOD include:

Measured Referral to Treatment Period

Cancer Referral To Treatment Period

Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement

 
  • Measured Referral to Treatment Period
  • Cancer Referral To Treatment Period
  • Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement
  •  

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    SERVICE

    Change to Class: Changed Description

    An episode of care, treatment or other service provided by an ORGANISATION which may be chargeable to one or more NHS SERVICE AGREEMENTS.A service provided by an ORGANISATION which may be chargeable to one or more NHS SERVICE AGREEMENTS.

    In most cases, the SERVICE will be for the direct benefit of a PATIENT.

    For example a SERVICE may be one or more of the following:A SERVICE associated with a Care Spell may be treatment carried out by the ORGANISATION acting as the Health Care Provider as part of a Care Spell for which the lead responsibility is with another ORGANISATION.

    aConsultant Episode (Hospital Provider) 
    bConsultant Out-Patient Episode 
    cHEALTHY PERSON STAY 
    dAccident and Emergency Episode 
    eRadiotherapy Treatment Course 
    fDIAGNOSTIC TEST REQUEST 
    gRegular Attender Episode 
    hProfessional Staff Group Episode 
    iSexual Health And HIV Episode 
    jTRANSPORT REQUEST 
    kStop Smoking Service 
    lSexual and Reproductive Health Service 
    mImproving Access to Psychological Therapies Service 
    nHIV Service 
    oCancer Service 

    A SERVICE associated with a Care Spell may be treatment carried out by the ORGANISATION acting as the Health Care Provider as part of a Care Spell for which the lead responsibility is with another ORGANISATION.SERVICE TYPE provides a list of SERVICES.

     

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    SERVICE REPORT

    Change to Class: Changed Description

    A SERVICE REPORT where the report relates to the treatment of a PATIENT or the response to request for specialist services for a PATIENT by a Health Care Provider.

    A copy of a SERVICE REPORT may be sent to a party other than the provider or the requester of the SERVICE or the PLANNED ACTIVITY.

    SERVICE REPORTS include:SERVICE REPORT TYPE provides a list of SERVICE REPORTS.

     

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    SESSION

    Change to Class: Changed Description

    A period of time allocated for the provision of care by one or more CARE PROFESSIONAL to one or more PATIENT.

    A SESSION may be comprised of a series of APPOINTMENTS or a list of PATIENTS to be treated, or a number of PATIENTS attending a time slot.

    SESSIONS include:SESSION TYPE provides a list of SESSIONS.

     

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    TRANSPORT REQUEST

    Change to Class: Changed Description

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    ACTIVITY SUSPENSION TYPE

    Change to Attribute: Changed Description

    Identifies the kind of suspension of an ACTIVITY.The type of suspension of an ACTIVITY.

    National Codes:

    01Mental Health care Spell Suspension
    01Mental Health Care Spell Suspension
     

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    CARE PROFESSIONAL TYPE CODE

    Change to Attribute: Changed Description

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    CARE PROFESSIONAL TYPE CODE

    Change to Attribute: Changed Description

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    HEALTH PROGRAMME TYPE

    Change to Attribute: Changed Description

    A classifier of a HEALTH PROGRAMME.The type of HEALTH PROGRAMME.

    National Codes:

    01Contact Tracing Programme
    02Health Promotion Programme
    03Nursing in the Community Programme
    04Oral Health Programme
    05Professional Advice and Support Programme
    06Screening Programme
    07Surveillance Programme
    08Immunisation Programme
    01Contact Tracing Programme
    02Health Promotion Programme
    03Nursing In The Community Programme
    04Oral Health Programme
    05Professional Advice And Support Programme
    06Screening Programme
    07Surveillance Programme
    08Immunisation Programme
     

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    LABORATORY TYPE

    Change to Attribute: Changed Description

    Identifies the type of LABORATORY.The type of LABORATORY.

    National Codes:

    01Pathology Laboratory
     

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    LEAVE TYPE

    Change to Attribute: Changed Description

    A code of the types of LEAVE.The type of LEAVE.

    National Codes:

    01Absence Without Leave
    02Home Leave
    03Leave Of Absence
    01Mental Health Absence Without Leave
    02Home Leave
    03Mental Health Leave Of Absence
     

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    PHARMACOTHERAPY STOP SMOKING AID RECEIVED

    Change to Attribute: Changed Description

    A classification used to identify whether a PATIENT received a particular pharmacotherapy treatment during a PERSON STOP SMOKING EPISODE

    A code to identify whether a PATIENT received a particular pharmacotherapy treatment during a Person Stop Smoking Episode

    It should be taken that a PATIENT received such an aid regardless of the method by which a PATIENT might obtain their relevant aid - whether through prescription, purchase, or supply free of charge, including through a voucher scheme where this is still in operation.

    National Codes:

    01Received Nicotine Replacement Therapy only
    02Received bupropion (Zyban) only
    03Received varenicline (Champix) only
    04Received both Nicotine Replacement Therapy and bupropion (Zyban) either concurrently or consecutively
    05Received both Nicotine Replacement Therapy and varenicline (Champix) consecutively
    06Did not receive either Nicotine Replacement Therapy, bupropion (Zyban) or varenicline (Champix)
     

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    PLANNED ACTIVITY TYPE

    Change to Attribute: Changed Description

    A code of the ACTIVITY that is planned.The type of ACTIVITY that is planned.

    National Codes:

    01Review
    02Cancer Treatment
    03Radiology Investigation
    04Intended Patient Procedure
    05Another Planned Activity
    01Review Planned Date
    02Planned Cancer Treatment
    03Radiology Investigation Plan
    04Intended Patient Procedure
    05Another PLANNED ACTIVITY
     

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    SERVICE REPORT TYPE

    Change to Attribute: Changed Description

    One of the business definitions listed in the SERVICE REPORT class as a type of this class.The type of SERVICE REPORT.

    National Codes:

    01Pathology Lab Service Report
    02Radiology Service Report
    01Pathology Laboratory Service Report
    02Radiology Service Report
     

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    SERVICE TYPE

    Change to Attribute: Changed Description

    The NHS has a concept that there is a type of SERVICE which may be provided within ACTIVITIES and may be planned for. A definitive classification is at present lacking, although in some areas such as GENERAL PRACTITIONER Practices, Professional Staff Groups and Specialist Services there are examples. These are shown below.The type of SERVICE.

    Classification:National Codes:

    GP Practice
    a.General Medical Services
    b.Community Dentist Services
    c.General Dental Practitioner Services
    d.Maternity Services
    e.Acupuncture
    f.Contraceptive services to any patient
    g.Contraceptive services to GMS-registered patients only

    Professional Staff Group
    a.Chiropody
    b.Clinical Psychology
    c.Dietetics
    d.Occupational Therapy
    e.Physiotherapy
    f.Speech and Language Therapy

    Specialised Service
     A specialised service is defined in the National Specialised Services Definition Set. The definitions identify the activity that should be regarded as specialised and therefore subject to any arrangements that are in place for the commissioning of specialised services. The definitions provide a helpful basis for service reviews and strategic planning and enable commissioners to establish a broad base-line position and make initial comparisons on activity and spend. The definition set can be found on the Department of Health (DH) website.
    01Ambulance Service
    02Cancer Service 
    03Community Health Service
    04Consultant Led Service
    05Direct Access Service
    06Enhanced Sexual Health Service
    07HIV Service 
    08Hospital At Home Service
    09Improving Access to Psychological Therapies Service 
    10Interface Service
    11Non-Consultant Led Service
    12Professional Staff Group Service
    13Sexual and Reproductive Health Service 
    14Stop Smoking Service 

    References:
    National Specialised Services Definition Set, Department of Health.

     

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    TRANSPORT REQUEST TYPE

    Change to Attribute: Changed Description

    Identifies the type of TRANSPORT REQUEST.The type of TRANSPORT REQUEST.

    National Codes:

    01Emergency Transport Request
    02Urgent Transport Request - retired April 2007 
    02Urgent Transport Request (Retired April 2007) 
    03Special Transport Request
    04Planned Transport Request
     

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    CARE CONTACT DATE (DIETICIAN INITIAL)

    Change to Data Element: Changed Description

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

    Notes: 
    CARE CONTACT DATE (DIETICIAN INITIAL) is the same as attribute CARE CONTACT DATE.

    CARE CONTACT DATE (DIETICIAN INITIAL) is the Contact Date of the Initial Contact with a CARE PROFESSIONAL where the SERVICE TYPE is Professional Staff Group Classification 'Dietetics'.CARE CONTACT DATE (DIETICIAN INITIAL) is the Contact Date of the Initial Contact with a CARE PROFESSIONAL responsible for 'Dietetics'.

     

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    ELECTORAL WARD OF USUAL ADDRESS

    Change to Data Element: Changed Description

    Format/Length:an6
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes: 
    ELECTORAL WARD OF USUAL ADDRESS is the Electoral Ward of the ADDRESS nominated by the PATIENT where the ADDRESS ASSOCIATION TYPE is classification 'Main Permanent Residence' or 'Other Permanent Residence'.ELECTORAL WARD OF USUAL ADDRESS is the Electoral Ward of the ADDRESS nominated by the PATIENT where the ADDRESS ASSOCIATION TYPE is 'Main Permanent Residence' or 'Other Permanent Residence'. 

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    FIRST LANGUAGE ENGLISH INDICATOR (MOTHER AT BOOKING)

    Change to Data Element: Changed linked Attribute

    FIRST LANGUAGE ENGLISH INDICATOR (MOTHER AT BOOKING)
     
    Attribute:
    FIRST LANGUAGE INDICATOR

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    MARITAL STATUS

    Change to Data Element: Changed Description

    Format/Length:n1
    HES Item:MARSTAT
    National Codes:see PERSON MARITAL STATUS CODE 
    National Codes:See PERSON MARITAL STATUS CODE 
    Default Codes:8 - Not applicable, i.e. not a psychiatric episode
     9 - Not known

    Notes: 
    This is the same as PERSON MARITAL STATUS CODE.MARITAL STATUS is the same as attribute PERSON MARITAL STATUS CODE.

    PERSON MARITAL STATUS should be used for all new and developing systems and for XML messages. PERSON MARITAL STATUS CODE carries codes for use in all new and developing systems and XML messages.PERSON MARITAL STATUS should be used for all new and developing systems and for XML messages.

    Commissioning Data Set Messages

    Following the recommendation of the Data Protection Registrar, Marital Status should not be recorded by providers in the Commissioning Data Set except in respect of the psychiatric specialties in the Admitted Patient Care Commissioning Data Set. The data item remains in the data standards since it will be needed by the provider.

    Mental Health Minimum Data Set Messages

    For the Mental Health Minimum Data Set, MARITAL STATUS must be recorded and kept up to date for all psychiatric PATIENTS.

     

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    PERSON FAMILY NAME

    Change to Data Element: Changed linked Attribute

    PERSON FAMILY NAME
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON FAMILY NAME (AT BIRTH)

    Change to Data Element: Changed linked Attribute

    PERSON FAMILY NAME (AT BIRTH)
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON FAMILY NAME (MOTHER OF BABY)

    Change to Data Element: Changed linked Attribute

    PERSON FAMILY NAME (MOTHER OF BABY)
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON GIVEN NAME

    Change to Data Element: Changed linked Attribute

    PERSON GIVEN NAME
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON GIVEN NAME (FIRST)

    Change to Data Element: Changed linked Attribute

    PERSON GIVEN NAME (FIRST)
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON GIVEN NAME (MOTHER OF BABY)

    Change to Data Element: Changed linked Attribute

    PERSON GIVEN NAME (MOTHER OF BABY)
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON GIVEN NAME (SECOND)

    Change to Data Element: Changed linked Attribute

    PERSON GIVEN NAME (SECOND)
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON GIVEN NAME (THIRD)

    Change to Data Element: Changed linked Attribute

    PERSON GIVEN NAME (THIRD)
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON INITIAL (FIRST)

    Change to Data Element: Changed linked Attribute

    PERSON INITIAL (FIRST)
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON INITIALS

    Change to Data Element: Changed linked Attribute

    PERSON INITIALS
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON MARITAL STATUS

    Change to Data Element: Changed Description

    Format/length:an1
    HES item: 
    National Codes:see PERSON MARITAL STATUS CODE 
    Format/Length:an1
    HES Item: 
    National Codes:See PERSON MARITAL STATUS CODE 
    Default Codes:8 - Not applicable, i.e. not a psychiatric episode
     9 - Not known

    Notes: 
    PERSON MARITAL STATUS is the same as PERSON MARITAL STATUS CODE.PERSON MARITAL STATUS is the same as attribute PERSON MARITAL STATUS CODE.

    PERSON MARITAL STATUS should be used for all new and developing systems and for XML messages.PERSON MARITAL STATUS replaces MARITAL STATUS and should be used for all new and developing systems and for XML messages.

     Commissioning Data Set Messages

    Following the recommendation of the Data Protection Registrar, PERSON MARITAL STATUS should not be recorded by providers in the Commissioning Data Sets except in respect of the psychiatric specialties in the Admitted Patient Care Commissioning Data Set. The data item remains in the data standards since it will be needed by the provider.

    Mental Health Minimum Data Set Messages

    For the Mental Health Minimum Data Set, PERSON MARITAL STATUS must be recorded and kept up to date for all psychiatric PATIENTS.

     

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    PERSON NAME SUFFIX

    Change to Data Element: Changed linked Attribute

    PERSON NAME SUFFIX
     
    Attribute:
    PERSON NAME WORD TEXT

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    PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)

    Change to Data Element: Changed Description

    Format/Length:n3 nn.n
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes: 
    PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) is the recorded cholesterol level (Serum Cholesterol Level in mmol/L) of a PATIENT.

    This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Serum Cholesterol Level' and the MEASUREMENT VALUE TYPE CODE is 'mmol/L'.

    PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) will be replaced with SERUM CHOLESTEROL LEVEL which should be used for all new and developing data sets and for XML messages.

     

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    PERSON REQUESTED NAME

    Change to Data Element: Changed linked Attribute

    PERSON REQUESTED NAME
     
    Attribute:
    PERSON NAME TEXT

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    PERSON TITLE

    Change to Data Element: Changed linked Attribute

    PERSON TITLE
     
    Attribute:
    PERSON NAME WORD TEXT

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    PRESCRIBED FRACTIONS

    Change to Data Element: Changed Description

    Format/Length:max n2
    Format/Length:n2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes: 
    PRESCRIBED FRACTIONS is the total number of Fractions or hyperfraction delivered as part of a Radiotherapy Treatment Course

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    PRIMARY RENAL DISEASE TEXT

    Change to Data Element: Changed Description

    Format/Length:max an70
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes: 
    PRIMARY RENAL DISEASE TEXT is the same as attribute PERSON OBSERVATION TEXT STRING.

    PRIMARY RENAL DISEASE TEXT is free text further information on the diagnosis of renal disease in the PATIENT.  

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    PROCEDURE (DIALYSIS ACCESS REPAIR OR REVISION)

    Change to Data Element: Changed Description

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    PROCEDURE (NET DAILY ULTRAFILTRATION)

    Change to Data Element: Changed Description

    Format/Length:n4
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes: 
    PROCEDURE (NET DAILY ULTRAFILTRATION) records the net daily volume in 'ml', for peritoneal dialysis PATIENTS

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    PROCEDURE (OPCS)

    Change to Data Element: Changed Description

    Format/length:an4
    HES item: 
    Format/Length:an4
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes: 
    PROCEDURE (OPCS) is a procedure other than the PRIMARY PROCEDURE (OPCS).

    See PROCEDURE CODING for details on coding.

    This is a procedure other than the PRIMARY PROCEDURE (OPCS), carried out and recorded for CDS or Hospital Episode Statistics purposes.

    For CDS purposes it is recommended that multiple Procedures are recorded and the CDS-XML Message (CDS Version 6 onwards) has been designed to carry as many Procedures as required.For Commissioning Data Sets purposes it is recommended that multiple Procedures are recorded and the CDS-XML Message (CDS Version 6 onwards) has been designed to carry as many Procedures as required.

     

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    PROCEDURE (READ)

    Change to Data Element: Changed Description

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

    Notes: 
    PROCEDURE (READ) is a procedure other than the PRIMARY PROCEDURE (READ).

    See PROCEDURE CODING for details on coding.

    This is a procedure other than the PRIMARY PROCEDURE (READ), carried out and recorded for CDS purposes.

    For CDS purposes it is recommended that multiple Procedures are recorded and the CDS-XML Message (CDS Version 6 onwards) has been designed to carry as many Procedures as required.For Commissioning Data Sets purposes it is recommended that multiple Procedures are recorded and the CDS-XML Message (CDS Version 6 onwards) has been designed to carry as many Procedures as required.

     

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    PROCEDURE CODING

    Change to Data Element: Changed Description

    Format/length:annn for OPCS-4, an7 for Clinical Terms (The Read Codes)
    HES item:OPERTN
    Format/Length:annn for OPCS-4, an7 for Clinical Terms (The Read Codes)
    HES Item:OPERTN
    National Codes: 
    Default Codes:X998 - Out-patient procedure carried out but no appropriate OPCS-4 code available (Retired 01-10-2010)
     X999 - No out-patient procedure carried out (Retired 01-10-2010)

    Notes: 


    PROCEDURE CODING is a CLINICAL CLASSIFICATION CODE.

    See OPCS Classification of Interventions and Procedures for Classification of Surgical Operations and Procedures (OPCS-4) and Read Coded Clinical Terms.

    Record any operative procedures carried out, such as an endoscopy or electro-convulsive therapy (ECT), as part of the current consultant episode.

    Clinical Terms (The Read Codes) (an7) may be used as an optional addition to OPCS-4.

    Where a procedure is carried out and required for reporting using the OPCS-4 classification every effort must be made to report the appropriate OPCS-4 code in the Out-Patient Attendance Commissioning Data Set.

    Where providers locally use OPCS-4 codes with a fifth character added, this should be removed before inclusion in the Commissioning Data Set.

    The default codes 'X998' and 'X999' and their descriptions have been retired as at 1st October 2010. Although these bespoke Data Set default codes do not currently exist in the OPCS Classification of Interventions and Procedures, it has been agreed that these codes will never be assigned within the OPCS Classification so as to avoid any confusion in the future.

     

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    PROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)

    Change to Data Element: Changed Description

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


    Notes: 
    PROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Procedure Date' of the Electro-Convulsive Therapy Patient Procedure.

     

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    PROCEDURE DATE TIME (CAESAREAN SECTION)

    Change to Data Element: Changed Description

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


    Notes: 
    PROCEDURE DATE TIME (CAESAREAN SECTION) is the same as Procedure Date and Time when the Caesarean Section took place during Labour And Delivery.

     

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    SEX (BABY) (RETIRED)  renamed from SEX (BABY)

    Change to Data Element: Changed Name, Description, status to Retired

    Format/length:n1
    HES item:SEXBABY
    National Codes:See PERSON GENDER CODE
    Default Codes: 

    Notes: 
    SEX (BABY) is the same as the attribute PERSON GENDER CODE.This item has been retired from the NHS Data Model and Dictionary as it is no longer used in any data set.

    The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER AT REGISTRATION should be used for all new and developing systems and for XML messages.The last live version of this item is available in the November 2012 release of the NHS Data Model and Dictionary.

     Access to this version can be obtained by emailing datastandards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

     

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    SEX (BABY) (RETIRED)  renamed from SEX (BABY)

    Change to Data Element: Changed Name, Description, status to Retired

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    START DATE (ANTIRETROVIRAL THERAPY AT CURRENT PROVIDER)

    Change to Data Element: Changed Description

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

    Notes: 
    START DATE (ANTIRETROVIRAL THERAPY AT CURRENT PROVIDER) is the Start Date when the PATIENT first started Antiretroviral Therapy at the current Health Care Provider.START DATE (ANTIRETROVIRAL THERAPY AT CURRENT PROVIDER) is the is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Start Date' of when the PATIENT first started Antiretroviral Therapy at the current Health Care Provider. 

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    START DATE (ERYTHROPOIETIN EPISODE)

    Change to Data Element: Changed Description

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


    Notes: 
    START DATE (ERYTHROPOIETIN EPISODE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Datefor the start of a course of treatment with Erythropoietin Stimulating Agents.

    START DATE (ERYTHROPOIETIN EPISODE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Start Date' for the start of a course of treatment with Erythropoietin Stimulating Agents. 

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    START DATE (KIDNEY PERFUSION LEFT KIDNEY)

    Change to Data Element: Changed Description

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

    Notes: 
    START DATE (KIDNEY PERFUSION LEFT KIDNEY) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' for the commencement of left kidney cold perfusion.START DATE (KIDNEY PERFUSION LEFT KIDNEY) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Start Date' for the commencement of left kidney cold perfusion. 

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    START DATE (KIDNEY PERFUSION RIGHT KIDNEY)

    Change to Data Element: Changed Description

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

    Notes: 
    START DATE (KIDNEY PERFUSION RIGHT KIDNEY) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' for the commencement of right kidney cold perfusion.START DATE (KIDNEY PERFUSION RIGHT KIDNEY) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Start Date' for the commencement of right kidney cold perfusion. 

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    START DATE (PERITONEAL DIALYSIS TREATMENT REGIME)

    Change to Data Element: Changed Description

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

    Notes: 
    START DATE (PERITONEAL DIALYSIS TREATMENT REGIME) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE (PERITONEAL DIALYSIS TREATMENT REGIME) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Start Date'.

    START DATE (PERITONEAL DIALYSIS TREATMENT REGIME)is the START DATE of the PATIENT's PERITONEAL DIALYSIS TREATMENT REGIME.

     

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    START DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME)

    Change to Data Element: Changed Description

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


    Notes: 
    START DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TYPE is National Code 'Start Date'.

    START DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME) is the DATE when a referral to adult renal services is made.

     

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    START DATE (RENAL TREATMENT MODALITY)

    Change to Data Element: Changed Description

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

    Notes: 
    START DATE (RENAL TREATMENT MODALITY) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'Start Date' for the renal treatment modality.START DATE (RENAL TREATMENT MODALITY) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TYPE is National Code 'Start Date' for the renal treatment modality. 

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    START DATE (TREATMENT FOR DIALYSIS RELATED INFECTION)

    Change to Data Element: Changed Description

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

    Notes: 
    START DATE (TREATMENT FOR DIALYSIS RELATED INFECTION) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' for the start of a course of treatment for an infection caused by a prior CARE ACTIVITY for peritoneal dialysis.START DATE (TREATMENT FOR DIALYSIS RELATED INFECTION) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is 'Start Date' for the start of a course of treatment for an infection caused by a prior CARE ACTIVITY for peritoneal dialysis. 

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    START TIME (KIDNEY PERFUSION LEFT KIDNEY)

    Change to Data Element: Changed Description

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

    Notes: 
    START TIME (KIDNEY PERFUSION LEFT KIDNEY) is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Start Time' for the commencement of left kidney cold perfusion.START TIME (KIDNEY PERFUSION LEFT KIDNEY) is the same as attribute ACTIVITY TIME where the ACTIVITY TIME TYPE is National Code 'Start Time' for the commencement of left kidney cold perfusion. 

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    START TIME (KIDNEY PERFUSION RIGHT KIDNEY)

    Change to Data Element: Changed Description

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

    Notes: 
    START TIME (KIDNEY PERFUSION RIGHT KIDNEY) is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Start Time' for the commencement of right kidney cold perfusion.START TIME (KIDNEY PERFUSION RIGHT KIDNEY) is the same as attribute ACTIVITY TIME where the ACTIVITY TIME TYPE is National Code 'Start Time' for the commencement of right kidney cold perfusion. 

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