Health and Social Care Information Centre

NHS Data Model and Dictionary Service

Type:Patch
Reference:1401
Version No:1.0
Subject:September 2013 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:24 September 2013

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the September 2013 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:

Data Set
CANCER OUTCOMES AND SERVICES DATA SET - CHILDREN TEENAGERS AND YOUNG ADULTS   Changed Description
 
Central Return Forms
KO41(A) 1   Changed Description
KO41(A) 2   Changed Description
KO41(A) 3   Changed Description
KO41(A) 4   Changed Description
KO41(A) 5   Changed Description
KO41(A) 6   Changed Description
KO41(B) 1   Changed Description
KO41(B) 2   Changed Description
KO41(B) 3   Changed Description
KO41(B) 4   Changed Description
KO41(B) 5   Changed Description
 
Supporting Information
ABLATIVE THERAPY   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET SUBMISSION REQUIREMENTS   Changed Description
CARE TRUST   Changed Description
CDS VERSION 6-1 TYPE LIST   Changed Description
CDS VERSION 6-2 TYPE LIST   Changed Description
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET OVERVIEW   Changed Description
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DATA SET OVERVIEW   Changed Description
DEMONSTRATIONS   Changed Description
HELP INTRODUCTION   Changed Description
HES CROSS REFERENCE TABLES NAVIGATION   Changed Description
HPV IMMUNISATION PROGRAMME VACCINE MONITORING ANNUAL MINIMUM DATA SET OVERVIEW   Changed Description
HPV IMMUNISATION PROGRAMME VACCINE MONITORING MONTHLY MINIMUM DATA SET OVERVIEW   Changed Description
MIXED-SEX ACCOMMODATION DATA SET OVERVIEW   Changed Description
NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW   Changed Description
NATIONAL HEALTH SERVICE ACT 2006   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
REFERENCE COSTS   Changed Description
WHAT'S NEW: SEPTEMBER 2013 renamed from WHAT'S NEW: JULY 2013   Changed Description, Name
 
Class Definitions
NHS CONTINUING HEALTHCARE   Changed Description
NHS FUNDED NURSING CARE   Changed Description
OVERSEAS VISITOR STATUS   Changed Description
 
Attribute Definitions
APPOINTMENT SLOT STATUS   Changed Description
COMMUNICATION CONTACT STRING   Changed Description
LARGEST METASTASIS   Changed Description
LESION DIAMETER GREATER THAN 20MM INDICATOR   Changed Description
LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATOR   Changed Description
MAXIMUM DEPTH OF INVASION   Changed Description
OVERSEAS VISITOR EXEMPT CATEGORY   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
SUBSTANCE CHARACTERISTIC TYPE   Changed Description
TUMOUR PROXIMITY TO CARINA   Changed Description
TUMOUR SIZE   Changed Description
WAITING TIME MEASUREMENT TYPE   Changed Description
 
Data Elements
BIRTH WEIGHT   Changed linked Attribute
BLOOD SPOT SCREENING STATUS (CONGENITAL HYPOTHYROIDISM)   Changed Description
BLOOD SPOT SCREENING STATUS (CYSTIC FIBROSIS)   Changed Description
BLOOD SPOT SCREENING STATUS (MEDIUM CHAIN ACYL COA DEHYDROGENASE DEFICIENCY)   Changed Description
BLOOD SPOT SCREENING STATUS (PHENYLKETONURIA)   Changed Description
BLOOD SPOT SCREENING STATUS (SICKLE CELL DISEASE)   Changed Description
CANCER SYMPTOMS FIRST NOTED DATE   Changed Description
CD4 CELL COUNT PERFORMED INDICATOR   Changed Description
CHLAMYDIA TEST RESULT   Changed Description
CHRONIC VIRAL LIVER DISEASE INDICATOR (HIV)   Changed Description
CIGARETTES PER DAY   Changed Description
CLARKS LEVEL IV INDICATOR   Changed Description
CLINIC ATTENDANCE PURPOSE CODE (HIV)   Changed Description
CODE OF GP PRACTICE (REFERRING PRACTICE)   Changed Description
COLD ISCHAEMIC TIME   Changed Description
CONSULTANT CODE (OPERATING SURGEON)   Changed Description
CONSULTANT CODE (RESPONSIBLE CONSULTANT)   Changed Description
CONTRACEPTION METHOD POST COITAL   Changed Description
CONTRACEPTION METHOD STATUS   Changed Description
CONTRACEPTION OTHER METHOD   Changed Description
CONTRACEPTION PRINCIPAL METHOD   Changed Description
CORRESPONDENCE ADDRESS   Changed Description
COSDS SUBMISSION IDENTIFIER   Changed Description
COSDS SUBMISSION RECORD COUNT   Changed Description
COSDS UNIQUE IDENTIFIER   Changed Description
DECIDED TO ADMIT DATE   Changed Description
DIAGNOSTIC TEST REQUEST RECEIVED DATE   Changed Description
ETHNIC CATEGORY (DONOR)   Changed linked Attribute
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE   Changed Description
MATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (MOTHER AT BOOKING)   Changed Description
NEUTROPHIL COUNT   Changed Description
NUMBER OF OCCURRENCES OF BREACHES OF THE SLEEPING ACCOMMODATION GUIDANCE    Changed Description
ORGANISATION CODE (DIALYSIS CENTRE)   Changed Description
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)   Changed Description
ORGANISATION CODE (OF REPORTING PATHOLOGIST)   Changed Description
ORGANISATION CODE (PCT OF GP PRACTICE)   Changed Description
ORGANISATION CODE (PCT OF RESIDENCE (MOTHER))   Changed Description
ORGANISATION CODE (PCT OF RESIDENCE)   Changed Description
ORGANISATION CODE (PRIMARY CARE TRUST FOR HPV VACCINE)   Changed Description
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION CODE (RESPONSIBLE PCT)   Changed Description
OVERSEAS VISITOR STATUS END DATE   Changed Description
OVERSEAS VISITOR STATUS START DATE   Changed Description
PERSON DEATH DATE TIME (BABY)   Changed linked Attribute
PERSON DEATH DATE TIME (MOTHER)   Changed linked Attribute
PLATELETS COUNT   Changed Description
POSTCODE   Changed Description
PREVIOUS BONY INFECTION INDICATOR (TIBIA OR HINDFOOT)   Changed Description
REFERRING ORGANISATION CODE   Changed Description
SITE CODE (OF CLINICAL ASSESSMENT)   Changed Description
SITE CODE (OF DONOR FOLLOW-UP CENTRE)   Changed Description
SITE CODE (OF DONOR HOSPITAL)   Changed Description
SITE CODE (OF PRIMARY RENAL UNIT PROVIDER)   Changed Description
SITE CODE (OF RECIPIENT FOLLOW-UP CENTRE)   Changed Description
SITE CODE (OF RENAL UNIT)   Changed Description
SITE CODE (OF UK TRANSPLANT CENTRE)   Changed Description
SITE CODE (OF UK TRANSPLANT ORGAN RETRIEVAL CENTRE)   Changed Description
SITE CODE (OF UK TRANSPLANT TISSUE TYPING CENTRE)   Changed Description
STAGING LAPAROSCOPY PERFORMED INDICATOR   Changed Description
TNM EDITION NUMBER   Changed Description
TUMOUR HEIGHT ABOVE ANAL VERGE   Changed Description
 

Date:24 September 2013
Sponsor:Richard Kavanagh, Head of Data Standards - Interoperability Specifications, Health and Social Care Information Centre

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 DATA SET - CHILDREN TEENAGERS AND YOUNG ADULTS

Change to Data Set: Changed Description

Cancer Outcomes and Services Data Set Overview

The Mandatory, Required, Optional or Not included in the COSDS Message (M/R/O/X) column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes
  • X = Not included in the COSDS Message: Cancer Registries obtain the data from another source, or the item is submitted under another Standard and is included here for reference only.

For guidance on submission of the data set, see the Cancer Outcomes and Services Data Set Submission Requirements.

For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.

REFERRALS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry referral details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MCARE PROFESSIONAL MAIN SPECIALTY CODE (CANCER REFERRAL)

DIAGNOSIS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry diagnosis details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RPRIMARY DIAGNOSIS (CANCER COMMENT) 
RSECONDARY DIAGNOSIS (ICD)
Multiple occurrences of this item are permitted
RSECONDARY DIAGNOSIS (CANCER COMMENT)
MFAMILIAL CANCER SYNDROME INDICATOR
RFAMILIAL CANCER SYNDROME COMMENT
RCARE PROFESSIONAL MAIN SPECIALTY CODE (DIAGNOSIS)
RCHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (CONSULTANT AT DIAGNOSIS)

CANCER CARE PLAN - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry care plan details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RCHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (MULTIDISCIPLINARY TEAM)
Multiple occurrences of this item are permitted

STEM CELL TRANSPLANTATION - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry stem cell transplantation details for Children Teenagers and Young Adults (CTYA) cancer.
Multiple occurrences of this group are permitted.
M/R/O/XData Set Data Elements
MPROCEDURE DATE (STEM CELL INFUSION)
RSTEM CELL INFUSION SOURCE CODE
RSTEM CELL INFUSION DONOR TYPE

CHEMOTHERAPY - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry chemotherapy details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this data group is permitted per treatment where applicable.
M/R/O/XData Set Data Elements
MCHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (CONSULTANT PRESCRIBING CHEMOTHERAPY)

ACUTE LYMPHOCYTIC LEUKAEMIA (ALL) - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Acute Lymphocytic Leukaemia (ALL) details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements

ACUTE LYMPHOCYTIC LEUKAEMIA (ALL) AND ACUTE MYELOID LEUKAEMIA (AML) - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Acute Lymphocytic Leukaemia (ALL) and Acute Myeloid Leukaemia (AML) details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
REXTRAMEDULLARY DISEASE SITE
RWHITE BLOOD CELL COUNT (HIGHEST PRETREATMENT)
RCYTOGENETIC RISK CODE (ACUTE LYMPHOCYTIC LEUKAEMIA AND ACUTE MYELOID LEUKAEMIA)
RCYTOGENETIC FINDINGS COMMENT

NON HODGKIN LYMPHOMA (NHL) - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Non Hodgkin Lymphoma (NHL) details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RMURPHY ST JUDES STAGE
RALK-1 STATUS

HODGKIN LYMPHOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Hodgkin Lymphoma details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MANN ARBOR STAGE
RANN ARBOR SYMPTOMS INDICATOR
RANN ARBOR EXTRANODALITY INDICATOR

NEUROBLASTOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Neuroblastoma details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RINTERNATIONAL NEUROBLASTOMA PATHOLOGY CLASSIFICATION CODE
RCYTOGENETIC RISK CODE (NEUROBLASTOMA)
RINTERNATIONAL NEUROBLASTOMA STAGING SYSTEM STAGE

RENAL TUMOURS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry renal tumour details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RWILMS TUMOUR STAGE
RPATHOLOGICAL RISK CLASSIFICATION CODE (AFTER NEPHRECTOMY)
RPATHOLOGICAL RISK CLASSIFICATION CODE (AFTER PREOPERATIVE CHEMOTHERAPY)

RHABDOMYOSARCOMA AND OTHER SOFT TISSUE SARCOMA (STS) - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Rhabdomyosarcoma and Other Soft Tissue Sarcoma (STS) details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RINTERGROUP RHABDOMYOSARCOMA STUDY POST-SURGICAL GROUPING SYSTEM STAGE
RCYTOGENETIC PRESENCE TYPE (RHABDOMYOSARCOMA)
RRHABDOMYOSARCOMA SITE PROGNOSIS CODE
RSARCOMA TUMOUR SITE (SOFT TISSUE)
RSARCOMA TUMOUR SUBSITE (SOFT TISSUE)

OSTEOSARCOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Osteosarcoma details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RPRIMARY TUMOUR SIZE (RADIOLOGICAL)
RTUMOUR NECROSIS
RSARCOMA SURGICAL MARGIN

EWINGS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Ewings details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RTUMOUR VOLUME AT DIAGNOSIS CODE
RCYTOGENETIC ANALYSIS CODE

OSTEOSARCOMA AND EWINGS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Osteosarcoma and Ewings details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MSARCOMA TUMOUR SITE (BONE)
RSARCOMA TUMOUR SUBSITE (BONE)

GERM CELL CENTRAL NERVOUS SYSTEM (CNS) TUMOURS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Germ Cell Central Nervous System (CNS) Tumours details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
RALPHA FETOPROTEIN (CEREBROSPINAL FLUID)
RBETA HUMAN CHORIONIC GONADOTROPIN (CEREBROSPINAL FLUID)

GERM CELL NON CENTRAL NERVOUS SYSTEM (CNS) TUMOURS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Germ Cell Non Central Nervous System (CNS) Tumours details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MTNM STAGE GROUPING (NON CENTRAL NERVOUS SYSTEM GERM CELL TUMOURS)

GERM CELL CENTRAL NERVOUS SYSTEM (CNS) AND NON CENTRAL NERVOUS SYSTEM (CNS) TUMOURS - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Germ Cell Germ Cell Central Nervous System (CNS) Tumours and Germ Cell Non Central Nervous System (CNS) Tumours details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MBETA HUMAN CHORIONIC GONADOTROPIN (MAXIMUM AT DIAGNOSIS)

GERM CELL CENTRAL NERVOUS SYSTEM (CNS), GERM CELL NON CENTRAL NERVOUS SYSTEM (CNS) TUMOURS,  HEPATOBLASTOMA AND HEPATOCELLULAR CARCINOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Germ Cell Central Nervous System (CNS) Tumours, Germ Cell Non, Central Nervous System (CNS) Tumours, Hepatoblastoma and Hepatocellular carcinoma details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MALPHA FETOPROTEIN (MAXIMUM AT DIAGNOSIS)

MEDULLOBLASTOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Medulloblastoma details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MCHANG STAGING SYSTEM STAGE

HEPATOBLASTOMA - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry Hepatoblastoma details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this group is permitted.
M/R/O/XData Set Data Elements
MPRETEXT STAGING SYSTEM STAGE
RPRETEXT STAGING SYSTEM STAGE (OUTSIDE LIVER)

CHEMOTHERAPY - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry chemotherapy details for Children Teenagers and Young Adults (CTYA) cancer.
One occurrence of this data group is permitted per treatment where applicable.
M/R/O/XData Set Data Elements
MCHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (CONSULTANT PRESCRIBING CHEMOTHERAPY)

PATHOLOGY: RENAL - CHILDREN, TEENAGERS AND YOUNG ADULTS

To carry renal pathology details for Children Teenagers and Young Adults (CTYA) cancer.
Multiple occurrences of this group are permitted.
M/R/O/XData Set Data Elements
MINVESTIGATION RESULT DATE
RSERVICE REPORT IDENTIFIER 
RTUMOUR RUPTURE INDICATOR
RANAPLASTIC NEPHROBLASTOMA TYPE
RTUMOUR INVASION INDICATOR (PERIRENAL FAT)
RTUMOUR INVASION INDICATOR (RENAL SINUS)
RRENAL VEIN TUMOUR INDICATOR
RVIABLE TUMOUR INDICATOR
RTUMOUR LOCAL STAGE

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KO41(A) 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(a) 1

This return is currently under review by the developer, 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.
Contextual Overview
  • The Department of Health requires information to monitor the number of written Hospital and Community Health Service (HCHS) complaints received by the NHS each year. The information allows analysis of complaints by subject.

  • Information on the complaints procedure is published in the booklet 'Written Complaints' and on Department of Health web site - NHS complaints.

    Completing Return KO41(a) - Hospital and Community Health Services Complaints
  • KO41(a) is used for WRITTEN COMPLAINTS about Hospital and Community Health Services. Hospital and Community Health Services include any SERVICE provided by an NHS Trust (Acute Trust, Partnership Trust, Care Trust, Mental Health Trust or Ambulance Trust) or any commissioned SERVICE provided by a Primary Care Trust.

  • For the purposes of this return, a WRITTEN COMPLAINT is one that is either made in writing to any member of an NHS Trust or Primary Care Trust staff, or is originally made verbally and subsequently recorded in writing. Once it is so recorded, it should be treated as though it had been made in writing from the outset. Verbal complaints and comments/suggestions that do not require investigation should not be included. The return is subdivided into complaints by service areas, profession, subject of complaint, complainant (PATIENT) ETHNIC CATEGORY and the ETHNIC CATEGORY of the staff about whom the complaint is made.

  • One written communication may contain more than one WRITTEN COMPLAINT and each should be recorded separately. However, where a single complaint covers several aspects of care/treatment received, the WRITTEN COMPLAINT should be recorded only once, under the principal cause of complaint.

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KO41(A) 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(a) - Hospital and Community Health Services Complaints

This return is currently under review by the developer, 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 1: Total Written Complaints during the year ending 31 March by Service Area

Total Written Complaints received during the year and Local Resolution action
  • Local Resolution is the first stage of the complaints procedure when front-line staff should aim to provide the fullest possible opportunity for investigation and resolution of the WRITTEN COMPLAINT,as quickly as is sensible in the circumstances.

Total Number of Written Complaints Received

Local Resolution Action
Concluded within 25 working days
  • The total number of WRITTEN COMPLAINTS on Hospital and Community Health Services received during the year for local resolution and concluded within 25 working days by each service area.
Concluded after more than 25 working days with consent
  • The total number of WRITTEN COMPLAINTS on Hospital and Community Health Services received during the year for local resolution and concluded after more than 25 working days with consent by each service area.
Concluded after more than 25 working days without consent
  • The total number of WRITTEN COMPLAINTS on Hospital and Community Health Services received during the year for local resolution and concluded after more than 25 working days without consent by each service area.
Still being pursued

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KO41(A) 3

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(a) - Hospital and Community Health Services Complaints

This return is currently under review by the developer, 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 2: Total Written Complaints during the year ending 31 March by Profession
Number of Complaints

Where a WRITTEN COMPLAINT is regarding a team such as a mental health team, the COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES STAFF CATEGORY should be recorded as National Code 10 'Other'.

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KO41(A) 4

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(a) - Hospital and Community Health Services Complaints

This return is currently under review by the developer, 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 3: Total Written Complaints during the year ending 31 March by Subject of Complaint
Number of Complaints

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KO41(A) 5

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(a) - Hospital and Community Health Services Complaints

This return is currently under review by the developer, 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 4: Total Written Complaints received during the year ending 31 March by ethnic category of patient
Ethnic Category of Patients
Total Number of Written Complaints Received By Ethnic Category of Patient
  • If the complainant has not stated their ETHNIC CATEGORY i.e. they were asked and they declined (code 'Z') or it is not known i.e. where the complainant was not asked or the complainant was not in a condition to be asked (code '99'), these should both be recorded as 'Z' on the return. (See Data Set Change Notice 21/2004 and Data Set Change Notice 11/2008 for more information).

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KO41(A) 6

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(a) - Hospital and Community Health Services Complaints

This return is currently under review by the developer, 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 5: Total Written Complaints received during the year ending 31 March by ethnic category of staff involved
Ethnic category of staff involved


  • Enter the total number of WRITTEN COMPLAINTS on HCHS received, which were made against EMPLOYEES in each of the ETHNIC CATEGORIES. This is only for complaints made against an individual as opposed to a service or administrative arrangements.

    If the ETHNIC CATEGORY of staff involved is not stated i.e. they were asked but declined (code 'Z') or it is not known i.e. they were not asked or they not in a condition to be asked (code '99'), these should both be recorded as 'Z' on the return. (See Data Set Change Notice 21/2004 and Data Set Change Notice 11/2008 for more information).

    The total number of WRITTEN COMPLAINTS in part 5 will not necessarily equal the total number of WRITTEN COMPLAINTS in part 1. If the complaint is about two or more members of staff or a team, record the ETHNIC CATEGORY of each member of staff or the team.

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KO41(B) 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(b) - General Practice (including Dental) Complaints

This return is currently under review by the developer, 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.
Contextual Overview

Completing Return KO41(b) - General Practice (including Dental) Complaints

  • KO41(b) is used for WRITTEN COMPLAINTS about GP Practice (including Dental) Health Services.

  • For the purposes of this return, a WRITTEN COMPLAINT is one that is either made in writing to any member of GP Practice staff or Primary Care Trust staff, or is originally made verbally but is subsequently recorded in writing. Once it is so recorded, it should be treated as though it had been made in writing from the outset.

  • Primary Care Trust and GP Practices should complete KO41(b) return for WRITTEN COMPLAINTS relating to GP Practice services for which they are responsible. A 'NIL' return should be submitted where applicable. WRITTEN COMPLAINTS made regarding Primary Care Trust services should be included on KO41(a) return.

  • One written communication may contain more than one WRITTEN COMPLAINT and each should be recorded separately. However, where a single complaint covers several aspects of care/treatment received, the WRITTEN COMPLAINT should be recorded only once, under the principal cause of complaint.

  • Do not include investigations instigated by outside agencies, for example the Police, Health Service Commissioner or Coroners' Court.

  • WRITTEN COMPLAINTS received by the Primary Care Trust or by GP Practices regarding the provision of Out Of Hours services under the new General Medical Services (GMS) contract should be recorded on the KO41(b) return. In addition, where a Primary Care Trust commissions the Out of Hours service from an independent provider, e.g. Primecare, then WRITTEN COMPLAINTS made to the Primary Care Trust should also be submitted on the KO41(b) return. Where the Primary Care Trust directly employs doctors (or others) to provide Out of Hours service, these WRITTEN COMPLAINTS should be recorded on the KO41(a) return.

  • Data on the ETHNIC CATEGORY of both complainant (this should always be about the PATIENT and not the person complaining on the PATIENT's behalf) and staff complained about (where a WRITTEN COMPLAINT is about an individual as opposed to a service or administrative arrangements, etc.) has been collected since April 2001. This information helps the Department of Health develop a picture of the extent to which ethnicity affects the likelihood of complaining or of being complained about.

  • The return KO41(b) relates to WRITTEN COMPLAINTS received over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and should be submitted within the timescale required by the Department of Health.

  • Each WRITTEN COMPLAINT where the WRITTEN COMPLAINT TYPE is National Code 01 ' General Practice (including Dental) (GP Practice) Services' should be recorded according to COMPLAINT GP SERVICE AREA, COMPLAINT GP SUBJECT and ETHNIC CATEGORY of the PATIENT and staff involved.

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KO41(B) 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(b) - General Practice (including Dental) Complaints

This return is currently under review by the developer, 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 1: Written Complaints during the year ending 31 March by Service Area
Service Area
Number of written complaints received in practice/surgery

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KO41(B) 3

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(b) - General Practice (including Dental) Complaints

This return is currently under review by the developer, 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 2: Written Complaints received during the year ending 31 March
Subject of Complaint

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KO41(B) 4

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(b) - General Practice (including Dental) Complaints

This return is currently under review by the developer, 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 3: Total Written Complaints received during the year ending 31 March by ethnic category of patient
Ethnic category of patient
Total Number of Written Complaints Received By Ethnic Category of Patient

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KO41(B) 5

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KO41(b) - General Practice (including Dental) Complaints

This return is currently under review by the developer, 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 3: Total Written Complaints received during the year ending 31 March by ethnic category of staff involved
Ethnicity of Complainants and Staff

Total Number of Written Complaints Received By Ethnic Category of staff involved

  • Enter the total number of WRITTEN COMPLAINTS on GP Practice services received, which were made against the member of staff in each ETHNIC CATEGORY. This is only for complaints made against an individual as opposed to a service or administrative arrangements.

    If the ETHNIC CATEGORY of staff involved is not stated i.e. they were asked but declined (code 'Z') or it is not known i.e. they were not asked or the complainant was not in a condition to be asked (code '99'), these should both be recorded as 'Z' on the return. (See Data Set Change Notice 21/2004 and Data Set Change Notice 11/2008 for more information).

    The total number of WRITTEN COMPLAINTS in part 4 will not necessarily equal the total number of WRITTEN COMPLAINTS in part 1. If the complaint is about a team, record the ETHNIC CATEGORY of each member of the team.

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ABLATIVE THERAPY

Change to Supporting Information: Changed Description

Ablative Therapy is a CLINICAL INTERVENTION

Ablative Therapy (also called Ablation Therapy) is the removal or destruction of a body part, TISSUE or its function and may be performed by surgery, hormones, drugs, radiofrequency, heat, or other methods.

For further information on Ablative Therapy, see the National Cancer Institute website.For further information on Ablative Therapy, see the National Cancer Institute website.

 

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CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Cancer Outcomes and Services Data Set provides a standard for secondary uses information required to support implementation and monitoring of Improving Outcomes: a strategy for cancer. It replaced the existing National Cancer Data Set and the Cancer Registration Data Set.

The standard is required by the Department of Health for the purposes of assessing implementation of the Improving Outcomes: a strategy for cancer (IOSC). The standard also supports local and national comparisons of performance and service activity to enable ORGANISATIONS providing Cancer Services to assess their progress towards implementation of Improving Outcomes: a strategy for cancer (IOSC). Additionally the output will support commissioning and service development through provision of relevant information on service delivery and outcomes.The standard:

Additionally the output will support commissioning and service development through provision of relevant information on service delivery and outcomes.

All PATIENTS diagnosed with or receiving cancer treatment in or funded by the NHS in England are covered by the standard. This includes adult and paediatric cancer PATIENTS. The standard applies to all ORGANISATIONS providing Cancer Services within secondary care. It does not apply to general practice ORGANISATIONS.

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom Association of Cancer Registries (UKACR) document "Mandatory Registerable Conditions (UKACR Library of Recommendations)".

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set. There is a phased implementation of these monthly returns from January 2013.

For submission information, see the Cancer Outcomes and Services Data Set Submission Requirements.

Unless otherwise specified, the term cancer is used throughout the standard and related documents to cover all conditions registerable by the United Kingdom Association of Cancer Registries.

While the core and site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS message integrates each core and site specific set of data elements. Documentation provided on the Cancer Outcomes and Services Data Set Message Versions page gives full details of the specification.

For all diagnoses not covered by a site specific data set only, the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Intelligence Network User Guidance. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Intelligence Network User Guidance.

Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Cancer Intelligence Network at Cancer Outcomes and Services Dataset.

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CANCER OUTCOMES AND SERVICES DATA SET SUBMISSION REQUIREMENTS

Change to Supporting Information: Changed Description

The Cancer Outcomes and Services Data Set is submitted to a Cancer Registry using the COSDS Message.The Cancer Outcomes and Services Data Set is submitted to a Cancer Registry using the COSDS Message.

Supporting documentation for each version of the message is available from the Cancer Outcomes and Services Data Set Message Versions page.

In addition, further guidance for submissions is provided by the National Cancer Intelligence Network at Cancer Outcomes and Services Dataset.

A Cancer Outcomes and Services Data Set submission must only contain data relating to one ORGANISATION CODE (CODE OF PROVIDER) for one REPORTING PERIOD.

COSDS Submission Header

The COSDS Submission Header contains data items which are used by the Cancer Registry to manage data upon receipt.The COSDS Submission Header contains data items which are used by the Cancer Registry to manage data upon receipt.

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

  • M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent.
COSDS SUBMISSION HEADER

M/R/OData Set Data Elements
MCOSDS SUBMISSION IDENTIFIER
MCOSDS SUBMISSION RECORD COUNT
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE

COSDS Record Identifier

Each record within a COSDS submission must contain a unique identifier, to support data management and error reporting within the Cancer Registry system.Each record within a COSDS submission must contain a unique identifier, to support data management and error reporting within the Cancer Registry system.

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

  • M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent.
COSDS RECORD IDENTIFIER

M/R/OData Set Data Elements
MCOSDS UNIQUE IDENTIFIER

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CARE TRUST

Change to Supporting Information: Changed Description

A Care Trust is a type of ORGANISATION in England and Wales.

Care Trusts were introduced in 2002 to provide better-integrated health and social care. They are set up when the NHS and Local Authorities formally agree to work closely together, usually where it is felt that a closer relationship between health and social care is needed or would benefit local care services.

Care Trusts are set up when the NHS and Local Authorities formally agree to work closely together, usually where it is felt that a closer relationship between health and social care is needed or would benefit local care services.

Care Trusts may carry out a range of SERVICES, including social care, mental health services or community services.

For further information on Care Trusts, see the:For further information on Care Trusts, see the legislation.gov.uk website.

 

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CDS VERSION 6-1 TYPE LIST

Change to Supporting Information: Changed Description

For guidance on the Commissioning Data Set Layout, see the Commissioning Data Set Redesign Guidance Notes on the NHS Data Model and Dictionary website.For guidance on the Commissioning Data Set Layout, see the Commissioning Data Set Redesign Guidance Notes on the NHS Data Model and Dictionary website.

CDS Layout with
CDS-XML Schema Rules
Overview
Accident and Emergency Commissioning Data Set Type:
CDS V6-1 Type 010 - Accident and Emergency CDSCDS V6-1 Type 010 Overview
Out Patient Commissioning Data Set Types:
CDS V6-1 Type 020 - Outpatient CDSCDS V6-1 Type 020 Overview
CDS V6-1 Type 021 - Future Outpatient CDSCDS V6-1 Type 021 Overview
Admitted Patient Care Commissioning Data Set Types:
CDS V6-1 Type 120 - Admitted Patient Care - Finished Birth Episode CDSCDS V6-1 Type 120 Overview
CDS V6-1 Type 130 - Admitted Patient Care - Finished General Episode CDSCDS V6-1 Type 130 Overview
CDS V6-1 Type 140 - Admitted Patient Care - Finished Delivery Episode CDSCDS V6-1 Type 140 Overview
 
CDS V6-1 Type 150 - Admitted Patient Care - Other Birth Event CDSCDS V6-1 Type 150 Overview
CDS V6-1 Type 160 - Admitted Patient Care - Other Delivery Event CDSCDS V6-1 Type 160 Overview
 
CDS V6-1 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDSCDS V6-1 Type 170 Overview
 
CDS V6-1 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDSCDS V6-1 Type 180 Overview
CDS V6-1 Type 190 - Admitted Patient Care - Unfinished General Episode CDSCDS V6-1 Type 190 Overview
CDS V6-1 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDSCDS V6-1 Type 200 Overview
Elective Admission List Commissioning Data Set Types - End Of Period Census Types:
CDS V6-1 Type 030 - Elective Admission List - End of Period Census (Standard) CDSCDS V6-1 Type 030 Overview
CDS V6-1 Type 040 - Elective Admission List - End Of Period Census (Old) CDSCDS V6-1 Type 040 Overview
CDS V6-1 Type 050 - Elective Admission List - End Of Period Census (New) CDSCDS V6-1 Type 050 Overview
Elective Admission List Commissioning Data Set Types - Event During Period Types:
CDS V6-1 Type 060 - Elective Admission List - Event During Period (Add) CDSCDS V6-1 Type 060 Overview
CDS V6-1 Type 070 - Elective Admission List - Event During Period (Remove) CDSCDS V6-1 Type 070 Overview
CDS V6-1 Type 080 - Elective Admission List - Event During Period (Offer) CDSCDS V6-1 Type 080 Overview
CDS V6-1 Type 090 - Elective Admission List - Event During Period (Available / Unavailable) CDSCDS V6-1 Type 090 Overview
CDS V6-1 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDSCDS V6-1 Type 100 Overview
CDS V6-1 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDSCDS V6-1 Type 110 Overview
Commissioning Data Set Interchange and Message Controls - Mandatory for every Interchange:
CDS V6-1 Type 001 - CDS Interchange HeaderCDS V6-1 Type 001 Overview
CDS V6-1 Type 002 - CDS Interchange TrailerCDS V6-1 Type 002 Overview
CDS V6-1 Type 003 - CDS Message HeaderCDS V6-1 Type 003 Overview
CDS V6-1 Type 004 - CDS Message TrailerCDS V6-1 Type 004 Overview
Commissioning Data Set Transaction Header Group - Mandatory for every Commissioning Data Set:
CDS V6-1 Type 005B - CDS Transaction Header Group - Bulk Update ProtocolCDS V6-1 Type 005B Overview
or
CDS V6-1 Type 005N - CDS Transaction Header Group - Net Change ProtocolCDS V6-1 Type 005N Overview

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CDS VERSION 6-2 TYPE LIST

Change to Supporting Information: Changed Description

For guidance on the Commissioning Data Set Layout, see the Commissioning Data Set Redesign Guidance Notes on the NHS Data Model and Dictionary website.For guidance on the Commissioning Data Set Layout, see the Commissioning Data Set Redesign Guidance Notes on the NHS Data Model and Dictionary website.

CDS Layout with
CDS-XML Schema Rules
Overview
Accident and Emergency Commissioning Data Set Type:
CDS V6-2 Type 010 - Accident and Emergency CDSCDS V6-2 Type 010 - Accident and Emergency CDS Overview
Out Patient Commissioning Data Set Types:
CDS V6-2 Type 020 - Outpatient CDSCDS V6-2 Type 020 - Outpatient CDS Overview
CDS V6-2 Type 021 - Future Outpatient CDSCDS V6-2 Type 021 - Future Outpatient CDS Overview
Admitted Patient Care Commissioning Data Set Types:
CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode CDSCDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode CDS Overview
CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode CDSCDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode CDS Overview
CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode CDSCDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode CDS Overview
 
CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event CDSCDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event CDS Overview
CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event CDSCDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event CDS Overview
 
CDS V6-2 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDSCDS V6-2 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS Overview 
 
CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDSCDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDS Overview
CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode CDSCDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode CDS Overview
CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDSCDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDS Overview
Elective Admission List Commissioning Data Set Types - End Of Period Census Types:
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) CDSCDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) CDS Overview
CDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) CDSCDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) CDS Overview
CDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) CDSCDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) CDS Overview
Elective Admission List Commissioning Data Set Types - Event During Period Types:
CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) CDSCDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) CDS Overview
CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) CDSCDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) CDS Overview
CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) CDSCDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) CDS Overview
CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) CDSCDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) CDS Overview
CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDSCDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDS Overview
CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDSCDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDS Overview
Commissioning Data Set Interchange and Message Controls - Mandatory for every Interchange:
CDS V6-2 Type 001 - CDS Interchange HeaderCDS V6-2 Type 001 - CDS Interchange Header Overview
CDS V6-2 Type 002 - CDS Interchange TrailerCDS V6-2 Type 002 - CDS Interchange Trailer Overview
CDS V6-2 Type 003 - CDS Message HeaderCDS V6-2 Type 003 - CDS Message Header Overview
CDS V6-2 Type 004 - CDS Message TrailerCDS V6-2 Type 004 - CDS Message Trailer Overview
Commissioning Data Set Transaction Header Group - Mandatory for every Commissioning Data Set:
CDS V6-2 Type 005B - CDS Transaction Header Group - Bulk Update ProtocolCDS V6-2 Type 005B - CDS Transaction Header Group - Bulk Update Protocol Overview
or
CDS V6-2 Type 005N - CDS Transaction Header Group - Net Change ProtocolCDS V6-2 Type 005N - CDS Transaction Header Group - Net Change Protocol Overview

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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.

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 Data Set.

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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 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 and/or transition into adult 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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DEMONSTRATIONS

Change to Supporting Information: Changed Description


  Demonstrations

A number of short demonstrations are available which will take you through each component, step by step, in an easy to understand screen capture including a voice over and readable captions.
You can access the demonstrations from the help pages, they are indicated by this icon.

If you are not familiar with the NHS Data Model and Dictionary, it is recommended that you proceed through the demonstrations in the following order.

The subjects covered are:

At the end of each demonstration, you can choose where you want to go next, you can either:
  • test your knowledge on the section you have just completed
  • navigate through all the demonstrations in the order above (recommended for new users)
  • return to the Help menu
  • return to the front page of the NHS Data Model and Dictionary.

Once you have completed the demonstrations, there are two quizzes to check your understanding of the help pages and the navigation options:

The content of these demonstrations is for training purposes only and therefore may not match the current content of the NHS Data Model and Dictionary.
Please refer to the Main Menu for the latest version of the NHS Data Model and Dictionary.


There are also PowerPoint presentations for:

How to use the Demonstrations

  • Playback Control bar

The Playback Control bar appears at the bottom of every page.  Titles for the controls will appear when you hover over them.
The controls are explained below:

  • Rewind:  This control allows you to rewind back to the beginning of the demonstration
  •    Play / Pause:  This control allows you to play or pause a demonstration

  • Back:  This control allows you to 'rewind' a demonstration at specific intervals

  • Forward:  This control allows you to go forward in a demonstration at specific intervals

  • Fast Forward:  This control allows you to fast forward through the demonstration

  •     Audio On / Off:  This control allows you to turn the audio on or off

  • Exit:  This control exits the demonstration

  • Information:  This control provides information on Adobe Captivate

Please note:

  • will need flash player to view these demonstrations. If you do not have flash player, contact your organisation's technical support or e-Learning lead for further information.
  • if you have problems viewing the demonstrations (i.e. screen size), contact your organisation's technical support or e-Learning lead for advice.

What would you like to do next?

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

  Demonstrations

Please note that the information contained in the demonstrations was correct at the time of publication.

A number of short demonstrations are available which will take you through each component, step by step, in an easy to understand screen capture including a voice over and readable captions.
You can access the demonstrations from the help pages, they are indicated by this icon.

If you are not familiar with the NHS Data Model and Dictionary, it is recommended that you proceed through the demonstrations in the following order.

The subjects covered are:

At the end of each demonstration, you can choose where you want to go next, you can either:
  • test your knowledge on the section you have just completed
  • navigate through all the demonstrations in the order above (recommended for new users)
  • return to the Help menu
  • return to the front page of the NHS Data Model and Dictionary.

Once you have completed the demonstrations, there are two quizzes to check your understanding of the help pages and the navigation options:

The content of these demonstrations is for training purposes only and therefore may not match the current content of the NHS Data Model and Dictionary.
Please refer to the Main Menu for the latest version of the NHS Data Model and Dictionary.


There are also PowerPoint presentations for:

How to use the Demonstrations

  • Playback Control bar

The Playback Control bar appears at the bottom of every page.  Titles for the controls will appear when you hover over them.
The controls are explained below:

  • Rewind:  This control allows you to rewind back to the beginning of the demonstration
  •    Play / Pause:  This control allows you to play or pause a demonstration

  • Back:  This control allows you to 'rewind' a demonstration at specific intervals

  • Forward:  This control allows you to go forward in a demonstration at specific intervals

  • Fast Forward:  This control allows you to fast forward through the demonstration

  •     Audio On / Off:  This control allows you to turn the audio on or off

  • Exit:  This control exits the demonstration

  • Information:  This control provides information on Adobe Captivate

Please note:

  • will need flash player to view these demonstrations. If you do not have flash player, contact your organisation's technical support or e-Learning lead for further information.
  • if you have problems viewing the demonstrations (i.e. screen size), contact your organisation's technical support or e-Learning lead for advice.

What would you like to do next?

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

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HELP INTRODUCTION

Change to Supporting Information: Changed Description


Welcome to the NHS Data Model and Dictionary Help Pages

  • This page provides a list of all NHS Data Model and Dictionary help pages.
  • All the pages listed below can also be accessed from the menu in the left hand frame.
  • The help pages have three icons which are a visual prompt to indicate that there is a hyperlink.
Please note that the icons are not hyperlinks.

ITEM NAME

DESCRIPTION

NAVIGATION

This icon indicates that there is a hyperlink to a page within the NHS Data Model and Dictionary.

HELP

This icon indicates that there is a hyperlink to a help page. All help pages have a blue background.

DEMONSTRATIONS

This icon indicates that there is a hyperlink to a demonstration.
About UsThe NHS Data Model and Dictionary is maintained by the NHS Data Model and Dictionary ServiceNoneAbout Us HelpNone
All Item Index (A-Z)The NHS Data Model and Dictionary has an All Items Index which lists all the items in the dictionary in alphabetical orderAll Items Index (A-Z)All Items Index HelpAll Items Index Demonstration
AttributesAn Attribute is the detailed information that describes a ClassAttributesAttributes HelpAttributes Demonstration
BackgroundThe NHS Data Model and Dictionary provides a reference point for assured information standards within the NHS in EnglandNoneBackgroundNone
ClassesA Class is something that you want to describe and the Attributes define the detail for the ClassClassesClasses HelpClasses Demonstration
Commissioning Data SetsThe Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses ServiceCommissioning Data SetsCommissioning Data Sets HelpCommissioning Data Set Redesign Guidance Notes **
Commissioning Data SetsThe Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses ServiceCommissioning Data SetsCommissioning Data Sets HelpCommissioning Data Set Redesign Guidance Notes **
Data CollectionsA Data Collection or Data Set is a group of Data Elements that are required to support business analysisData CollectionsData Collections HelpData Collections Demonstration
Data ElementsA Data Element is the definition of the information which usually flows in a Data Set. In addition, they can contain text providing guidance, support, values or other informationData ElementsData Elements HelpData Elements Demonstration
Data Modelling IntroductionThe NHS Data Model and Dictionary is made up of a number of componentsNoneData Modelling IntroductionNHS Data Model and Dictionary Components
DemonstrationsA number of short demonstrations are available which will take you through the NHS Data Model and Dictionary componentsNoneDemonstrationsNone
DiagramsThe NHS Data Model and Dictionary has a small set of diagrams which represent parts of the NHS Data ModelDiagramsDiagrams HelpDiagrams Demonstration
Help IntroductionThe NHS Data Model and Dictionary Help Introduction Page will help direct you to the information you requireNoneHelpNone
MaintenanceThe NHS Data Model and Dictionary Service are approached when changes to information standards are requiredNoneMaintenanceNHS Data Model and Dictionary Maintenance Process
NavigationThere are many ways to navigate the NHS Data Model and Dictionary.NoneNavigationNone
NHS Business DefinitionsEach NHS Business Definition consists of freestanding text which describes an aspect of NHS activityNHS Business DefinitionsNHS Business Definitions HelpNHS Business Definitions Demonstration
Related ISN/DSCNThe Related DSCN/ISN link shows which Information Standards Notice or Data Set Change Notice made changes to an itemMain MenuRelated DSCN-ISN HelpRelated DSCN/ISN Demonstration
SearchThe NHS Data Model and Dictionary has a Quick Search Facility on every page and an Advanced Search Facility on the front pageMain Menu and Advanced SearchSearch HelpSearch Demonstration
Supporting InformationSupporting Information provides information to help users understand and use the NHS Data Model and DictionarySupporting InformationSupporting Information HelpSupporting Information Demonstration
What's NewThe What's New page shows the information standards that have been incorporated into each release of the NHS Data Model and DictionaryWhat's NewWhat's New HelpWhat's New Demonstration
What's NewThe What's New page shows the information standards that have been incorporated into each release of the NHS Data Model and DictionaryWhat's NewWhat's New HelpWhat's New Demonstration

** This is not a demonstration, guidance is available on the new Commissioning Data Set Layout.

Please note that the information contained in the demonstrations was correct at the time of publication.

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HES CROSS REFERENCE TABLES NAVIGATION

Change to Supporting Information: Changed Description

The tables in this section show the relationship between Hospital Episode Statistics data items and Admitted Patient Care Commissioning Data Set data items, indicating from which Commissioning Data Set Type they are extracted.

Hospital Episode Statistics Cross Reference Tables:


Hospital Episode Statistics Contact Details:

Hospital Episode Statistics Codes, Classifications and Definitions:
Dept SD2HES
Room 430B
Department of Health
Skipton House
80 London Road
London
SE1 6LW
Tel: 020 7972 5563

Hospital Episode Statistics Processing Enquiries:
Hospital Episode Statistics Help Desk
IBM Global Services
Normandy House
Bunnian Place
Basingstoke
Hampshire
RG21 7EJ
Tel: 01256 344186

HES information and publications are available from:
The Department of Health Website

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HPV IMMUNISATION PROGRAMME VACCINE MONITORING ANNUAL MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Department of Health requires summary details from Primary Care Trusts to monitor the implementation and effectiveness of the Human Papillomavirus (HPV) Immunisation Programme.

The Human Papillomavirus Vaccination Programme for England commenced in September 2008, the first TARGET POPULATION being for females born between 1st September 1995 and 31st August 1996. This is the first HEALTH PROGRAMME STAGE for a routine annual Immunisation Programme for all 12-13 year old females.

Details of the routine and catch-up collections for the Human Papillomavirus Immunisation Programme are available at: Department of Health Key Vaccine Information

It is recommended for the vaccine delivery to be in Schools/Colleges but Primary Care Trusts are responsible for implementing the programme according to their local needs.

Each Primary Care Trust will collect and return data on the females in a particular TARGET POPULATION. Primary Care Trusts are recommended to run a Schools-based programme, but some may choose not to. The ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE) will either be Schools based or non-Schools based.

The Human Papillomavirus vaccine requires 3 separate doses to complete a full course. It is recommended that this full course is given within a 6 month period, but it may be given in a period of up to 12 months. However, to allow for those that missed one or more doses in their TARGET POPULATION year, summary data will be collected every year for each TARGET POPULATION until those PERSONS reach 18 years old.

Although data is collected monthly in the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set, it is recognised that Primary Care Trusts may not be aware of the number of other females they are responsible for at the start of the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set campaign year. However by the end of the School Year, Primary Care Trusts will have had opportunity to complete vaccinations for any others they are responsible for and these will be included in the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set together with the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set.

The HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set requires information on the number of doses administered as well as the administration LOCATION TYPE CODES.

Collection and Submission of the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set

Synopsis of the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set
  1. Primary Care Trust, HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), REPORTING PERIOD and ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE)
  2. Doses administered (by each of the three doses)
  3. Doses administered by LOCATION TYPE CODE.

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HPV IMMUNISATION PROGRAMME VACCINE MONITORING MONTHLY MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Department of Health requires summary details from Primary Care Trusts to monitor the implementation and effectiveness of the Human Papillomavirus (HPV) Immunisation Programme.

The Human Papillomavirus Vaccination Programme for England commenced in September 2008. The first TARGET POPULATION being for females born between 1st September 1995 and 31st August 1996. This is the first HEALTH PROGRAMME STAGE for a routine annual Immunisation Programme for all 12-13 year old females.

Details of the routine and catch-up collections for the Human Papillomavirus Immunisation Programme are available at: Department of Health Key Vaccine Information 

It is recommended for the vaccine delivery to be in Schools/Colleges but Primary Care Trusts are responsible for implementing the programme according to their local needs.

The Department of Health will provide each Primary Care Trust with a monthly denominator for each TARGET POPULATION. The monthly denominator will be fixed for all monthly surveys for the School Year of the TARGET POPULATION and will be notified to the Primary Care Trust in advance. The denominator will not need to be entered each month on the on-line survey form as it will already be held on the Health Protection Informatics website.

The Human Papillomavirus vaccine requires 3 separate doses to complete a full course. It is recommended that this full course is given within a 6 month period, but it may be given in a period of up to 12 months. However, to allow for those that missed one or more doses in their TARGET POPULATION year, summary data will be collected every year for each TARGET POPULATION until those PERSONS reach 18 years old.

The HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set requires the number of doses administered and information on vaccine supply and usage.

Collection and Submission of the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set

Synopsis of the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set
  1. Primary Care Trust, HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), REPORTING PERIOD and ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE)
  2. Doses administered (by each of the three doses). Monthly figures are cumulative i.e. the data is always the number of vaccinations from 1st September for that School Year.
  3. Vaccine supply, usage and stock levels. These figures are not cumulative - they refer to the month in question only.

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MIXED-SEX ACCOMMODATION DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Mixed-Sex Accommodation Data Set collects performance information on a monthly basis from Health Care Providers of NHS funded care, including independent sector and social enterprise/voluntary organisations, on the number of occurrences of breaches of the sleeping accommodation guidance. However the count of occurrences of breaches exclude private and self-funded PATIENTS in NHS Health Care Providers.

A breach occurs at the point a PATIENT is admitted to mixed-sex accommodation or moves to mixed-sex accommodation from Same Sex Accommodation.

Breaches of bathroom accommodation, including situations where a PATIENT must pass through opposite gender areas to reach their own facilities, and no provision of women-only lounges in mental health units, must be recorded at organisation level, and plans put in place to deal with the problem. However these types of breaches are not reported in the Mixed-Sex Accommodation Data Set.

Further guidance on the recognising and reporting of breaches is available on the Department of Health Website.Further guidance on the recognising and reporting of breaches is available on the NHS England Website.

Collection and Submission of the Mixed-Sex Accommodation Data Set

Note: The first provider submission is due by 12 January 2011 for the breaches that occur in the month of December 2010.

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NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Cancer Reform Strategy (2007) introduced new and changed commitments in terms of service standards for cancer PATIENTS that must be met. A Review of Cancer Waiting Times Standards was carried out by the Department of Health and published alongside Improving Outcomes: A Strategy for Cancer (2011). Following this review it was confirmed in Improving Outcomes: A Strategy for Cancer that: A Review of Cancer Waiting Times Standards was carried out by the Department of Health and published alongside Improving Outcomes: A Strategy for Cancer (2011).  Following this review it was confirmed in Improving Outcomes: A Strategy for Cancer that:

“overall, cancer waiting time standards should be retained. Shorter waiting times can help to ease patient anxiety and, at best, can lead to earlier diagnosis, quicker treatment, a lower risk of complications, an enhanced patient experience and improved cancer outcomes. The current cancer waiting times standards will therefore be retained.”

This updated version of the National Cancer Waiting Times Monitoring Data Set therefore supports the continued management and monitoring of the following waiting times:

Information Standards Notice ISB 0147 Amd 23/2011 revised the National Cancer Waiting Times Monitoring Data Set published in Data Set Change Notice 20/2008, which previously expanded upon and superseded Data Set Change Notice 22/2002, the original data set used by the Cancer Waiting Times Database for central data capture to support performance management and commissioning of cancer services.

Treatment Scenarios

The treatment scenarios listed on the National Cancer Waiting Times Monitoring Data Set (scenarios two to seven) are to be used to manage the collection of data for all PATIENTS with cancer. Cancer for the purpose of this data collection exercise is defined using the International Classification of Diseases (ICD) codes. Data must be collected and transmitted as specified for all PATIENTS with a PRIMARY DIAGNOSIS within the range C00 to C97 or D05, or a secondary or metastatic disease linked to the original PRIMARY DIAGNOSIS (ICD) within this range (excluding categories relating to non-melanoma skin cancer). A full list of the International Classification of Diseases (ICD) diagnosis codes the Cancer Waiting Times Database will accept is available at: Cancer Waiting Times - Useful Documentation and Links.

Data Set Notation:

  • M = Mandatory: the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis.  The Department of Health require the data to be submitted 25 working days after the end of each month or quarter.
  • M* = Mandatory if applicable: the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis, where collection of the item was applicable to them.  The Department of Health require the data to be submitted 25 working days after the end of each month or quarter.
  • O = Optional
  • O* = Optional if applicable: These optional fields should only be populated if they relate to the PATIENT PATHWAY identified in scenarios 1 to 7 and the conditions required for their use are met.
  • N/A = Not Applicable

Reporting

Cancer Waiting Times Database

The existing Cancer Waiting Times Database has been upgraded to support the collection of data outlined in Information Standards Notice ISB 0147 Amd 23/2011. The revision to the National Cancer Waiting Times Monitoring Data Set outlined in Information Standards Notice ISB 0147 Amd 23/2011 increases the level of granularity and transparency around patient choice delays and improve the reporting of cancer treatment.

Patient level information

  • The Trust first seeing a PATIENT in a particular month or quarter is responsible for ensuring that the mandated data fields, up to DATE FIRST SEEN, are complete on the database by the national deadline.
  • The Trust first treating or giving subsequent treatment to a PATIENT in a particular month or quarter is responsible for ensuring that the mandated data fields on that PATIENT are complete on the database by the national deadline.
  • Data to be complete and validated 25 working days after the REPORTING PERIOD END DATE, either month or quarter

How the data set is transmitted

Information can be entered either manually through the Cancer Waiting Times Record screen or via the upload function. The specification for the upload file is detailed in the 'National Cancer Waiting Times User Manual' available at: Cancer Waiting Times - Useful Documentation and Links.

The upload function will retain the current CSV functionality, however the current NHS standard for the transmission of data sets is XML. The ability to transmit the data to the Cancer Waiting Times Database in XML format will be introduced from Autumn 2012 with the current CSV upload function being discontinued from Autumn 2013 by Information Standards Notice ISB 0147 Amd 6/2012.

Security and Confidentiality

Security and confidentiality information to accompany the collection of this information is available at: Cancer Waiting Times - Useful Documentation and Links.

Further guidance

Further guidance has been produced by the Department of Health and is available at: Cancer Waiting Times - Useful Documentation and Links.

Any additional queries regarding the National Cancer Waiting Times Monitoring Data Set should be addressed to CANCER-WAITS@dh.gsi.gov.uk.

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NATIONAL HEALTH SERVICE ACT 2006

Change to Supporting Information: Changed Description

The National Health Service Act 2006 received Royal Assent on 8 November 2006 and came into effect on 1 March 2007.

Most health legislation made since 1977 has been summarised within three Acts of Parliament, of which the National Health Service Act 2006 is one.The National Health Service Act 2006 was significantly altered by the Health and Social Care Act 2012.

The Acts are:For further information on the:

The National Health Service Act 2006 contains legislation on areas such as "Private healthcare" etc.

For further information on the National Health Service Act 2006, see the Department of Health website.

 

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NHS CONTINUING HEALTHCARE QUARTERLY CENTRAL RETURN DATA SET OVERVIEW

Change to Supporting Information: Changed Description

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.Further clarification can be found at the Department of Health part of the gov.uk website at: 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.

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

Change to Supporting Information: Changed Description

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:Further clarification can be found at the Department of Health part of the gov.uk website at:

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.

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

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REFERENCE COSTS

Change to Supporting Information: Changed Description

Reference Costs are the average cost to the NHS of providing a defined service in a given financial year. NHS Health Care Providers are mandated to provide annual reference cost data (for a wider range of services) to the Department of Health. Reference Costs have been collected annually since 1998.

There are many uses of reference cost data, for example, they are used to underpin the Payment by Results National Tariff, Programme Budgeting analysis and are also used by the NHS to performance manage and benchmark their services.

For further information on Reference Costs, see the Department of Health website.For further information on Reference Costs, see the Department of Health part of the gov.uk website.

 

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WHAT'S NEW: SEPTEMBER 2013  renamed from WHAT'S NEW: JULY 2013

Change to Supporting Information: Changed Description, Name

Release: September 2013

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1348 (1 October 2013) - ISB 1597 Amd 35/2012 Breast Screening Programmes Data Set (KC63 and KC62)
  • CR1403 (Immediate) - DDCN 1403/2013 Religious or Other Belief System Affiliation
  • CR1384 (Immediate) - DDCN 1384/2013 Health and Social Care Information Centre Rebranding of XML Schemas
  • CR1397 (Immediate) - DDCN 1397/2013 Retired Main Specialty Codes

Release: July 2013

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1377 (Immediate) - ISB 0105 Retirement of Accident and Emergency Quarterly Monitoring Data Set (QMAE)

Release: May 2013

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

Release: April 2013

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1372 (Immediate) - DDCN 1372/2013 Organisation Update: April 2013
  • CR1369 (Immediate) - DDCN 1369/2013 Organisation Codes and Organisation Types
  • CR1347 (1 April 2013) - ISB 1521 Amd 40/2012 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: March 2013

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

Release: February 2013

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
  • CR1336 (Immediate) - DDCN 1336/2013 XML Schema Constraint Pages
  • CR1362 (Immediate) - DDCN 1362/2013 Update to Organisations in the NHS Data Model and Dictionary
  • CR1246 (Immediate) - DDCN 1246/2013 Guidance for Merging Organisations
  • CR1345 (Immediate) - DDCN 1345/2013 e-Government Interoperability Framework (e-GIF) and Government Data Standards Catalogue
  • CR1354 (Immediate) - DDCN 1354/2013 Treatment Function Code - Well Babies

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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NHS CONTINUING HEALTHCARE

Change to Class: Changed Description

NHS CONTINUING HEALTHCARE records whether a PERSON is eligible to receive or is receiving NHS CONTINUING HEALTHCARE.

NHS CONTINUING HEALTHCARE is a package of continuing care that is arranged and funded solely by the NHS. 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".Further clarification can be found at the Department of Health part of the gov.uk website at: National framework for NHS continuing healthcare and NHS funded nursing care.

 

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NHS FUNDED NURSING CARE

Change to Class: Changed Description

NHS FUNDED NURSING CARE records whether a PERSON is receiving NHS FUNDED NURSING CARE.

NHS FUNDED NURSING CARE is the funding provided by the NHS to Care Homes with nursing care, to support the provision of nursing care by a registered NURSE for those assessed as eligible.

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 part of the gov.uk website at::

 
  • National framework for NHS continuing healthcare and NHS funded nursing care and
  • NHS-funded Nursing Care Practice Guide.
  •  

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    OVERSEAS VISITOR STATUS

    Change to Class: Changed Description

    The status of a PATIENT who is an Overseas Visitor.

    Note: PATIENTS charged under the National Health Service (Charges to Overseas Visitors) Regulations 1989 (as amended by Statutory Instrument) are NHS  charged PATIENTS and should not be confused with private PATIENTS. Unlike private PATIENTS, NHS Charged PATIENTS are liable to pay for their healthcare even where an undertaking to pay has not been obtained. Alternatively, the PATIENT can opt to be treated as a private PATIENT.

    Health Care Providers should recover the full cost of the healthcare given to a  PATIENT who is an Overseas VisitorTo calculate the cost, trusts follow Non-Contract Activity guidance, which can be found on the Department of Health website.  To calculate the cost, trusts follow Non-Contract Activity guidance, which can be found on the NHS England website.

     

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    APPOINTMENT SLOT STATUS

    Change to Attribute: Changed Description

    The status of an APPOINTMENT SLOT.

    An APPOINTMENT SLOT can be booked to one APPOINTMENT or to more than one APPOINTMENT but it should be of one type only. The APPOINTMENT SLOT TYPE indicates the type of slot. This is to allow for a group of PATIENTS to share the same APPOINTMENT SLOT for group related care or therapy.

    For a slot which can be booked to more than one APPOINTMENT, the APPOINTMENT SLOT can be allocated to one or more APPOINTMENT OFFER. When an offer is accepted by, or on behalf of a PATIENT the slot becomes booked but still available for booking and allocation for any other offered appointment.

    APPOINTMENT SLOT STATUS should be used in conjuction with APPOINTMENT SLOT TYPE and APPOINTMENT OFFER SLOT STATUS to ensure correct allocation and booking of APPOINTMENTS.

    Any cancelled APPOINTMENT SLOTS, the APPOINTMENT SLOT STATUS should revert to not booked or no longer available.Any cancelled APPOINTMENT SLOTS, the APPOINTMENT SLOT STATUS should revert to not booked or no longer available.

    National Codes:

    01Booked - single appointment only
    02Booked - multiple appointments
    01Booked - single APPOINTMENT only
    02Booked - multiple APPOINTMENTS
    03Not booked - unallocated still available
    04No longer available
    05Reserved (eg for follow up appointments or urgent referrals)
    06Allocated to one or more offered appointments but none yet confirmed as booked
    06Allocated to one or more offered APPOINTMENTS but none yet confirmed as booked
     

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    COMMUNICATION CONTACT STRING

    Change to Attribute: Changed Description

    The sequence of numbers, letters or characters that constitute a COMMUNICATION CONTACT INFORMATION, (eg. '0118 663760', the telephone number of 'Merryfield Primary Care Trust' or 'F.The sequence of numbers, letters or characters that constitute a COMMUNICATION CONTACT INFORMATION, (e.g. '0118 663760', for a telephone number or 'F.Elton@mha.nhs.uk', the e-mail address of 'F.uk' for the e-mail address of 'F. Elton').

     

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    LARGEST METASTASIS

    Change to Attribute: Changed Description

    Where the neck has been dissected during a Head and Neck Cancer Care Spell, the size of the largest metastasis, measured in 'Millimetres (mm)'.Where the neck has been dissected during a Head and Neck Cancer Care Spell, the size of the largest metastasis, in 'Millimetres (mm)'.

     

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    LESION DIAMETER GREATER THAN 20MM INDICATOR

    Change to Attribute: Changed Description

    An indication of whether the Lesion diameter is greater than 20mm (millimetres).An indication of whether the Lesion diameter is greater than 20mm (Millimetres).

    National Codes:

    YYes (greater than 20mm)
    NNo (less than or equal to 20mm)
     

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    LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATOR

    Change to Attribute: Changed Description

    An indication of whether the Lesion vertical thickness is greater than 2mm (millimetres).An indication of whether the Lesion vertical thickness is greater than 2mm (Millimetres).

    National Codes:

    YYes (greater than 2mm)
    NNo (less than or equal to 2mm)
     

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    MAXIMUM DEPTH OF INVASION

    Change to Attribute: Changed Description

    The maximum depth of invasion of the Tumour, measured in 'Millimetres (mm)'.The maximum depth of invasion of the Tumour, in 'Millimetres (mm)'.

     

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    OVERSEAS VISITOR EXEMPT CATEGORY

    Change to Attribute: Changed Description

    A classification indicating the circumstances in which overseas visitors are not liable to have to pay to use the National Health Service.A classification indicating the circumstances in which Overseas Visitors are not liable to have to pay to use the National Health Service.

    Classification:

    a.Anyone who at the time of treatment has been in the UK for the previous 12 months
    b.Anyone who has come to the UK for the purpose of taking up permanent residence
    c.Anyone who has come to the UK for the purpose of engaging in employment (whether as employed or self employed); this includes students and trainees whose course requires them to spend not less than 12 weeks in employment during their first year and unpaid workers with voluntary organisations providing certain services similar to those of health authorities and Local Authority Social Services departments.
    d.Members of HM forces and other crown servants and British Council or Commonwealth War Graves Commission staff serving overseas, and others working overseas under arrangements sponsored by HM Government
    e.People working overseas who have had at least 10 years continuous residence in the UK and have either:
     i.been working abroad for not more than 5 years, or
     ii.been taking home leave in the UK at least once every 2 years or have a contractual right to do so, or have a contractual right to the cost of their passage to the UK at the end of their agreement
    f.Nationals of any of the European Economic Area (EEA)* countries who are resident in any of those countries and refugees and stateless persons and their dependants and survivors living in those countries regardless of their own nationality
     i.who require treatment the need for which arose during the visit to the U.K.
     ii.who are referred to the UK specifically for treatment with form E112 or E123
    g.Residents and nationals of any country with which the UK has reciprocal agreements:
     i.who require treatment the need of which arose during the visit to the UK
     ii.who are referred to the UK for treatment under arrangements made by the appropriate authorities in those countries
    h.Seamen on UK-registered ships; offshore workers on the UK sector of the continental shelf
    i.UK war disabled pensioners and war widows
    j.UK state pensioners living overseas (limited to treatment the need for which arose during the visit)
    k.Refugees and others who have sought refuge in the UK
    l.i.Anyone detained by the immigration authorities
     ii.Anyone who is a prisoner**
    m.Diplomatic staff at embassies and Commonwealth high commissions in London
    n.EEA nationals working in another EEA member state but paying compulsory UK class I or class II National Insurance contributions
    o.Nationals of countries which are signatories to the European Social Charter but with which the UK has no reciprocal agreement (limited to those nationals who are genuinely without resources to pay for medical assistance and the need for the treatment arose during the visit)
    p.NATO service personnel (posted to the UK) not using their own or UK armed forces hospitals
    q.Husbands or wives, and children (under the age of 16, or under the age of 19 if at school or college of further education) of any persons described in a. - p. above or in the Note *** below.

    Note: * The European Economic Area consists of the European Community member states plus Iceland, Liechtenstein and Norway.

    Note: ** For prisoners on remand this exemption applies until 12 months after arrival in the U.K. For convicted prisoners this exemption applies to until 12 months after arrival in the U.K., or 6 months after committal to prison by the courts, whichever is earlier

    Note: *** A person living here for a settled purpose for not less than 6 months will be accepted as ordinary resident and therefore not liable to charges under the Regulations. A student enrolled in a course of study, the prescribed duration of which is not less than 6 months, is similarly entitled.

    References:
    The NHS Treatment of Overseas Visitors, Manual of Guidance, 1988 Appendix M and subsequent updatesThe NHS Treatment of Overseas Visitors, Manual of Guidance, 1988 Appendix M and subsequent updates

     

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    RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

    Change to Attribute: Changed Description

    The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION of a PERSON, as specified by a PERSON.

    Note: This is the Religious Affiliation of a PERSON, not their Religion.

    Where applicable, RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is aligned with descriptors for religious and other belief system affiliations in SNOMED CT® as follows:

      • original ID is 10791000000130 and
      • name is Religious or Other Belief System Affiliation.

    National Codes:

    Baha'i  
     A1Baha'i
    Buddhist  
     B1Buddhist
     B2Mahayana Buddhist
     B3New Kadampa Tradition Buddhist
     B4Nichiren Buddhist
     B5Pure Land Buddhist
     B6Theravada Buddhist
     B7Tibetan Buddhist
     B8Zen Buddhist
    Christian 
     C1Christian
     C2Amish
     C3Anabaptist
     C4Anglican
     C5Apostolic Pentecostalist
     C6Armenian Catholic
     C7Armenian Orthodox
     C8Baptist
     C9Brethren
     C10Bulgarian Orthodox
     C11Calvinist
     C12Catholic: Not Roman Catholic
     C13Celtic Christian
     C14Celtic Orthodox Christian
     C15Chinese Evangelical Christian
     C16Christadelphian
     C17Christian Existentialist
     C18Christian Humanist
     C19Christian Scientists
     C20Christian Spiritualist
     C21Church in Wales
     C22Church of England
     C23Church of God of Prophecy
     C24Church of Ireland
     C25Church of Scotland
     C26Congregationalist
     C27Coptic Orthodox
     C28Eastern Catholic
     C29Eastern Orthodox
     C30Elim Pentecostalist
     C31Ethiopian Orthodox
     C32Evangelical Christian
     C33Exclusive Brethren
     C34Free Church
     C35Free Church of Scotland
     C36Free Evangelical Presbyterian
     C37Free Methodist
     C38Free Presbyterian
     C39French Protestant
     C40Greek Catholic
     C41Greek Orthodox
     C42Independent Methodist
     C43Indian Orthodox
     C44Jehovah's Witness
     C45Judaic Christian
     C46Lutheran
     C47Mennonite
     C48Messianic Jew
     C49Methodist
     C50Moravian
     C51Mormon
     C52Nazarene Church
    Synonym: Nazarene
     C52Nazarene Church
    Synonym: Nazarene
     C53New Testament Pentacostalist
     C54Nonconformist
     C55Old Catholic
     C56Open Brethren
     C57Orthodox Christian
     C58Pentecostalist
    Synonym: Pentacostal Christian
     C58Pentecostalist
    Synonym: Pentacostal Christian
     C59Presbyterian
     C60Protestant
     C61Plymouth Brethren
     C62Quaker
     C63Rastafari
     C64Reformed Christian
     C65Reformed Presbyterian
     C66Reformed Protestant
     C67Roman Catholic
     C68Romanian Orthodox
     C69Russian Orthodox
     C70Salvation Army Member
     C71Scottish Episcopalian
     C72Serbian Orthodox
     C73Seventh Day Adventist
     C74Syrian Orthodox
     C75Ukrainian Catholic
     C76Ukrainian Orthodox
     C77Uniate Catholic
     C78Unitarian
     C79United Reform
     C80Zwinglian
    Hindu 
     D1Hindu
     D2Advaitin Hindu
     D3Arya Samaj Hindu
     D4Shakti Hindu
     D5Shiva Hindu
     D6Vaishnava Hindu
    Hare Krishna
     D6Vaishnava Hindu
    Hare Krishna
    Jain 
     E1Jain
    Jewish 
     F1Jewish
     F2Ashkenazi Jew
     F3Haredi Jew
     F4Hasidic Jew
     F5Liberal Jew
     F6Masorti Jew
     F7Orthodox Jew
     F8Reform Jew
    Muslim 
     G1Muslim
     G2Ahmadi
     G3Druze
     G4Ismaili Muslim
     G5Shi'ite Muslim
     G6Sunni Muslim
    Pagan 
     H1Pagan
     H2Asatruar
     H3Celtic Pagan
     H4Druid
     H5Goddess
     H6Heathen
     H7Occultist
     H8Shaman
     H9Wiccan
    Sikh 
     I1Sikh
    Zoroastrian 
     J1Zoroastrian
    Other 
     K1Agnostic  *
     K2Ancestral Worship
     K3Animist
     K4Anthroposophist
     K5Black Magic
     K6Brahma Kumari
     K7British Israelite
     K8Chondogyo
     K9Confucianist
     K10Deist
     K11Humanist
     K12Infinite Way
     K13Kabbalist
     K14Lightworker
     K15New Age Practitioner
     K16Native American Religion
     K17Pantheist
     K18Peyotist
     K19Radha Soami
    Synonym: Sant Mat
     K19Radha Soami
    Synonym: Sant Mat
     K20Religion (Other Not Listed)  **
     K21Santeri
     K22Satanist
     K23Scientologist
     K24Secularist
     K25Shumei
     K26Shinto
     K27Spiritualist
     K28Swedenborgian
    Synonym: Neo-Christian
     K28Swedenborgian
    Synonym: Neo-Christian
     K29Taoist
     K30Unitarian-Universalist
     K31Universalist
     K32Vodun
     k33Yoruba
    None 
     L1Atheist
     L2Not Religious
    Declines to Disclose 
     M1Religion not given - PATIENT refused
    Unknown 
     N1Patient Religion Unknown ***

    Note:

    *  Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION but they are unsure what it is: Agnostic should be used

    ** Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION and it is one that is not listed: Religion (Other Not Listed) should be used

    *** Where the PATIENT has not been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION: Patient Religion Unknown should be used

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    SUBSTANCE CHARACTERISTIC TYPE

    Change to Attribute: Changed Description

    A descriptor of a property of a SUBSTANCE, indicating special care is required with the product.

    Classification:

    a.Photosensitive
    b.Temperature sensitive
    c.Explosive
    d.Flammable

    References:
    British National Formulary

     

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    TUMOUR PROXIMITY TO CARINA

    Change to Attribute: Changed Description

    The proximity of the Tumour to the carina (ridge at the base of the trachea that separates the openings of the right and left main bronchi), measured in 'Millimetres (mm)'.The proximity of the Tumour to the carina (ridge at the base of the trachea that separates the openings of the right and left main bronchi), in 'Millimetres (mm)'.

    National Codes:

    1Less than or equal to 20mm
    2Greater than 20mm
     

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    TUMOUR SIZE

    Change to Attribute: Changed Description

    The size of the Tumour, measured in 'Millimetres (mm)'.The size of the Tumour, in 'Millimetres (mm)'.

     

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    WAITING TIME MEASUREMENT TYPE

    Change to Attribute: Changed Description

    The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAYThe methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy.

    The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy.

    National Codes:

    01Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement 
    02Allied Health Professional Referral To Treatment Measurement
    09Other Referral To Treatment Measurement Type
     

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    BIRTH WEIGHT

    Change to Data Element: Changed linked Attribute

    BIRTH WEIGHT
     
    Attribute:
    Birth Weight

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    BLOOD SPOT SCREENING STATUS (CONGENITAL HYPOTHYROIDISM)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    BLOOD SPOT SCREENING STATUS (CONGENITAL HYPOTHYROIDISM) is the screening status for a CLINICAL INVESTIGATION RESULT ITEM for a Newborn Blood Spot Test for 'Congenital Hypothyroidism (CHT)', this is the NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE where the following National Codes apply.

    Permitted National Codes:

    01Specimen received in LABORATORY
    02Screening declined
    03Further sample required
     

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    BLOOD SPOT SCREENING STATUS (CYSTIC FIBROSIS)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    BLOOD SPOT SCREENING STATUS (CYSTIC FIBROSIS) is the screening status for a CLINICAL INVESTIGATION RESULT ITEM for a Newborn Blood Spot Test for 'Cystic Fibrosis (CF)', this is the NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE where the following National Codes apply.

    Permitted National Codes:

    01Specimen received in LABORATORY
    02Screening declined
    03Further sample required
     

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    BLOOD SPOT SCREENING STATUS (MEDIUM CHAIN ACYL COA DEHYDROGENASE DEFICIENCY)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    BLOOD SPOT SCREENING STATUS (MEDIUM CHAIN ACYL COA DEHYDROGENASE DEFICIENCY) is the screening status for a CLINICAL INVESTIGATION RESULT ITEM for a Newborn Blood Spot Test for 'Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD)', this is the NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE where the following National Codes apply.

    Permitted National Codes:

    01Specimen received in LABORATORY
    02Screening declined
    03Further sample required
     

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    BLOOD SPOT SCREENING STATUS (PHENYLKETONURIA)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    BLOOD SPOT SCREENING STATUS (PHENYLKETONURIA) is the screening status for a CLINICAL INVESTIGATION RESULT ITEM for a Newborn Blood Spot Test for 'Phenylketonuria (PKU)', this is the NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE where the following National Codes apply.

    Permitted National Codes:

    01Specimen received in LABORATORY
    02Screening declined
    03Further sample required
     

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    BLOOD SPOT SCREENING STATUS (SICKLE CELL DISEASE)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    BLOOD SPOT SCREENING STATUS (SICKLE CELL DISEASE) is the screening status for a CLINICAL INVESTIGATION RESULT ITEM for a Newborn Blood Spot Test for 'Sickle Cell Disease (SCD)', this is the NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE where the following National Codes apply.

    Permitted National Codes:

    01Specimen received in LABORATORY
    02Screening declined
    03Further sample required
     

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    CANCER SYMPTOMS FIRST NOTED DATE

    Change to Data Element: Changed Description

    Format/Length:max an10
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    CANCER SYMPTOMS FIRST NOTED DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Cancer Symptoms First Noted Date'.

    Note:

    • Depending on the length of time this should normally include at least the month and year. The day should also be included if known. If the symptoms have been present for a long time then it may only be possible to record the year.
    • In these circumstances the Format/Length will be:
      • DATE (including year, month and day) - CCYY-MM-DD
      • YEAR AND MONTH - YYYY-MM
      • Year only - YYYY.
    • In these circumstances the Format/Length will be:
     

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    CD4 CELL COUNT PERFORMED INDICATOR

    Change to Data Element: Changed Description

    Format/Length:an1
    HES Item: 
    National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
    Default Codes: 

    Notes:
    CD4 CELL COUNT PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if the CD4 cell count (an indicator of the progress of an Human Immunodeficiency Virus (HIV) infection) was performed at the HIV Clinic Attendance

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    CHLAMYDIA TEST RESULT

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See CHLAMYDIA TEST RESULT
    Default Codes: 


    Notes:
    CHLAMYDIA TEST RESULT is the same as attribute CHLAMYDIA TEST RESULT.

     

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    CHRONIC VIRAL LIVER DISEASE INDICATOR (HIV)

    Change to Data Element: Changed Description

    Format/Length:an1
    HES Item: 
    National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
    Default Codes: 

    Notes:
    TUBERCULOSIS TREATMENT INDICATOR (HIV) is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if the  PATIENT is receiving Antiretroviral Therapy for chronic viral liver disease, as recorded at the HIV Clinic Attendance.CHRONIC VIRAL LIVER DISEASE INDICATOR (HIV) is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if the  PATIENT is receiving Antiretroviral Therapy for chronic viral liver disease, as recorded at the HIV Clinic Attendance. 

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    CIGARETTES PER DAY

    Change to Data Element: Changed Description

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

    Notes:
    CIGARETTES PER DAY is the same as attribute CIGARETTES PER DAY

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    CLARKS LEVEL IV INDICATOR

    Change to Data Element: Changed Description

    Format/Length:an1
    HES Item: 
    National Codes:See CLARKS LEVEL IV INDICATOR
    Default Codes: 

    Notes:
    CLARKS LEVEL IV INDICATOR is the same as attribute CLARKS LEVEL IV INDICATOR

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    CLINIC ATTENDANCE PURPOSE CODE (HIV)

    Change to Data Element: Changed Description

    Format/Length:an1
    HES Item: 
    National Codes:See CLINIC ATTENDANCE PURPOSE CODE FOR HIV
    Default Codes: 

    Notes:
    CLINIC ATTENDANCE PURPOSE CODE (HIV) is the same as attribute CLINIC ATTENDANCE PURPOSE CODE FOR HIV

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    CODE OF GP PRACTICE (REFERRING PRACTICE)

    Change to Data Element: Changed Description

    Format/length:an6
    HES item: 
    National Codes:See ORGANISATION CODE 
    National Codes: 
    ODS Default Codes:V81997 - No Registered GP Practice 
     V81998 - GP Practice Code not applicable
     V81999 - GP Practice Code not known


    Notes:
    This is the ORGANISATION CODE of the GP Practice from which the referral is made.CODE OF GP PRACTICE (REFERRING PRACTICE) is the same as ORGANISATION CODE.

    CODE OF GP PRACTICE (REFERRING PRACTICE) is the ORGANISATION CODE of the GP Practice from which the referral is made.

     

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    CODE OF GP PRACTICE (REFERRING PRACTICE)

    Change to Data Element: Changed Description

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    COLD ISCHAEMIC TIME

    Change to Data Element: Changed Description

    Format/Length:HH:MM
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    COLD ISCHAEMIC TIME is the elapsed time for the TRANSPLANT ITEM, in hours and minutes between the

    The time should include any period of cold machine perfusion.

     

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    CONSULTANT CODE (OPERATING SURGEON)

    Change to Data Element: Changed Description

    Format/Length:See CONSULTANT CODE
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    CONSULTANT CODE (OPERATING SURGEON) is the same as data element CONSULTANT CODE.

    CONSULTANT CODE (OPERATING SURGEON) is the surgeon who operated on the PATIENT.CONSULTANT CODE (OPERATING SURGEON) is the CONSULTANT CODE of the surgeon who operated on the PATIENT.

     

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    CONSULTANT CODE (RESPONSIBLE CONSULTANT)

    Change to Data Element: Changed Description

    Format/Length:See CONSULTANT CODE
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    CONSULTANT CODE (RESPONSIBLE CONSULTANT) is the same as data element CONSULTANT CODE.

    CONSULTANT CODE (RESPONSIBLE CONSULTANT) is the CONSULTANT in overall charge of the PATIENT.CONSULTANT CODE (RESPONSIBLE CONSULTANT) is the CONSULTANT CODE of the CONSULTANT in overall charge of the PATIENT.

     

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    CONSULTANT CODE (RESPONSIBLE CONSULTANT)

    Change to Data Element: Changed Description

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    CONTRACEPTION METHOD POST COITAL

    Change to Data Element: Changed Description

    Format/Length:n2
    HES Item: 
    National Codes:See CONTRACEPTION METHOD POST COITAL
    Default Codes: 


    Notes:
    This is the same as attribute CONTRACEPTION METHOD POST COITAL.

    CONTRACEPTION METHOD POST COITAL is the same as attribute CONTRACEPTION METHOD POST COITAL.

    This allows for the recording of emergency CONTRACEPTION provided to the PATIENT.CONTRACEPTION METHOD POST COITAL allows for the recording of emergency CONTRACEPTION provided to the PATIENT.

    Validation Rules:

     

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    CONTRACEPTION METHOD STATUS

    Change to Data Element: Changed Description

    Format/Length:n1
    HES Item: 
    National Codes:See CONTRACEPTION METHOD STATUS
    Default Codes: 


    Notes:
    This is the same as attribute CONTRACEPTION METHOD STATUS.

    CONTRACEPTION METHOD STATUS is the same as attribute CONTRACEPTION METHOD STATUS.

    This records the status of a PATIENT's CONTRACEPTION PRINCIPAL METHOD at the point of intervention.CONTRACEPTION METHOD STATUS records the status of a PATIENT's CONTRACEPTION PRINCIPAL METHOD at the point of intervention. An intervention is where the PATIENT had to attend the Sexual and Reproductive Health Service (or was attended in the home/other location) for the purpose of changing, maintaining, supporting and initiating their method of CONTRACEPTION.

    Validation Rules:

     

     

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    CONTRACEPTION OTHER METHOD

    Change to Data Element: Changed Description

    Format/Length:n2
    HES Item: 
    National Codes:See CONTRACEPTION METHOD
    Default Codes: 


    Notes:
    This is the same as attribute CONTRACEPTION METHOD. This refers to a supporting method of CONTRACEPTION provided to the PATIENT in addition to the main method.CONTRACEPTION OTHER METHOD is the same as attribute CONTRACEPTION METHOD.

    CONTRACEPTION OTHER METHOD refers to a supporting method of CONTRACEPTION provided to the PATIENT in addition to the main method. For example oral pills may be provided with an Intrauterine Device (IUD) device and condoms.

    Validation Rules:

     

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    CONTRACEPTION PRINCIPAL METHOD

    Change to Data Element: Changed Description

    Format/Length:n2
    HES Item: 
    National Codes:See CONTRACEPTION METHOD
    Default Codes: 


    Notes:
    This is the same as attribute CONTRACEPTION METHOD.

    CONTRACEPTION PRINCIPAL METHOD is the same as attribute CONTRACEPTION METHOD.

    This refers to the Principal Method of CONTRACEPTION provided to a PATIENT at every attendance (or the PATIENT is maintaining under the service's care) where an intervention to the Principal Method of CONTRACEPTION occurs.CONTRACEPTION PRINCIPAL METHOD refers to the Principal Method of CONTRACEPTION provided to a PATIENT at every attendance (or the PATIENT is maintaining under the service's care) where an intervention to the Principal Method of CONTRACEPTION occurs.

     

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    CORRESPONDENCE ADDRESS

    Change to Data Element: Changed Description

    Format/Length:an175 (5 lines each an35)
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    CORRESPONDENCE ADDRESS is the correspondence ADDRESS (ADDRESS STRUCTURED) nominated by a PERSON, where the ADDRESS ASSOCIATION TYPE is 'Correspondence (Non-Residence)'.

    CORRESPONDENCE ADDRESS will consist of  BUILDING NAME, BUILDING NUMBER, STREET OR ROAD NAME, POST TOWN, POSTAL COUNTY.

    For a REFERRAL REQUEST, a contact address is specifically for that referral. This allows any correspondence about the referral to be directed appropriately. The CORRESPONDENCE ADDRESS need not be the initiator's practice address.

     

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    COSDS SUBMISSION IDENTIFIER

    Change to Data Element: Changed Description

    Format/Length:max an36
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    The COSDS SUBMISSION IDENTIFIER provides a unique identifier (per ORGANISATION CODE (CODE OF PROVIDER) of Cancer Services) to identify each Cancer Outcomes and Services Data Set submission to a Cancer Registry. It is used to uniquely identify and, if necessary, to sequence check Cancer Outcomes and Services Data Set submissions.

    For each submission, the COSDS SUBMISSION IDENTIFIER should be incremented by 1.

    The COSDS SUBMISSION IDENTIFIER may appear on data quality reports, error reports, and audit logs exchanged between the Cancer Registry and submitting ORGANISATION CODE (CODE OF PROVIDER).

    The COSDS SUBMISSION IDENTIFIER must be populated in the COSDS Submission Identifier group within the COSDS Message, by the sender of the data set submission, prior to transmission of the data to the Cancer Registry.The COSDS SUBMISSION IDENTIFIER must be populated in the COSDS Submission Identifier group within the COSDS Message, by the sender of the data set submission, prior to transmission of the data to the Cancer Registry.

     

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    COSDS SUBMISSION RECORD COUNT

    Change to Data Element: Changed Description

    Format/Length:min n1 max n7
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    The COSDS SUBMISSION RECORD COUNT provides a count of records contained within a Cancer Outcomes and Services Data Set submission to a Cancer Registry. This information is used to ensure files are complete upon receipt, and to maintain accurate file processing.

    The COSDS SUBMISSION RECORD COUNT must be populated in the COSDS Submission Identifier group within the COSDS Message by the sender of the data set submission, prior to transmission of the data to a Cancer Registry.The COSDS SUBMISSION RECORD COUNT must be populated in the COSDS Submission Identifier group within the COSDS Message by the sender of the data set submission, prior to transmission of the data to a Cancer Registry.

     

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    COSDS UNIQUE IDENTIFIER

    Change to Data Element: Changed Description

    Format/Length:max an36
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    The COSDS UNIQUE IDENTIFIER is used in conjunction with the ORGANISATION CODE (CODE OF PROVIDER) to uniquely identify a record within a Cancer Outcomes and Services Data Set submission to a Cancer Registry.

    The COSDS UNIQUE IDENTIFIER may appear on data quality reports, error reports, and audit logs exchanged between the Cancer Registry and the submitting ORGANISATION CODE (CODE OF PROVIDER).

    The COSDS UNIQUE IDENTIFIER must be populated for each record, in the COSDS Record Identifier group within the COSDS Message, by the sender of the data set submission prior to transmission of the data to a Cancer Registry.The COSDS UNIQUE IDENTIFIER must be populated for each record, in the COSDS Record Identifier group within the COSDS Message, by the sender of the data set submission prior to transmission of the data to a Cancer Registry.

     

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    DECIDED TO ADMIT DATE

    Change to Data Element: Changed Description

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

    Notes:
    This date may be the same as the date of admission (e.g. most emergency admissions).DECIDED TO ADMIT DATE is the same as attribute DECIDED TO ADMIT DATE.

    DECIDED TO ADMIT DATE may be the same as the date of admission (e.g. most emergency admissions). Alternatively, a decision can be made to admit at a future date. This decision denotes that the PATIENT is intended to be admitted to a Hospital Bed, either immediately or subsequently in the future. It records the event that a clinical DECISION TO ADMIT a PATIENT to a Hospital Bed has been made by or on behalf of someone, who has the right of admission to a Hospital Provider.

    The date will be different from the ORIGINAL DECIDED TO ADMIT DATE when the PATIENT has been transferred from another provider's list, or when the PATIENT has been admitted to hospital, discharged but not treated and is again placed on an ELECTIVE ADMISSION LIST with a new DECISION TO ADMIT.

     

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    DIAGNOSTIC TEST REQUEST RECEIVED DATE

    Change to Data Element: Changed Description

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

    Notes:
    DIAGNOSTIC TEST REQUEST RECEIVED DATE is the same as attribute DIAGNOSTIC TEST REQUEST RECEIVED DATE.

    For the Diagnostic Imaging Data Set, this is the date the DIAGNOSTIC TEST REQUEST was received by the Imaging Department.For the Diagnostic Imaging Data Set, DIAGNOSTIC TEST REQUEST RECEIVED DATE is the date the DIAGNOSTIC TEST REQUEST was received by the Imaging Department.

     

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    ETHNIC CATEGORY (DONOR)

    Change to Data Element: Changed linked Attribute

    ETHNIC CATEGORY (DONOR)
     
    Attribute:
    ETHNIC CATEGORY CODE

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    IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE

    Change to Data Element: Changed Description

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    MATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (MOTHER AT BOOKING)

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:MATERNITY COMPLICATING MEDICAL DIAGNOSIS
    National Codes: 
    Default Codes: 

    Notes:
    MATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (MOTHER AT BOOKING) is the same as attribute MATERNITY COMPLICATING MEDICAL DIAGNOSIS reported at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), where only the Permitted National Codes will apply.

    Permitted National Codes:

    01Hypertension
    02Cardiac disease
    03Renal disease
    04Mental health disorder
    05Thromboembolic disorder
    06Haematological disorder
    07Central nervous system disorder
    08Diabetes
    09Autoimmune disease
    10Cancer
    12Infectious Hepatitis A
    13Serum Hepatitis B
    14Hepatitis C
    16Endocrine disorder
    17Respiratory disease
    18Gastrointestinal disorder
    19Musculoskeletal disorder
    20Gynaecological problems
     

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    NEUTROPHIL COUNT

    Change to Data Element: Changed Description

    Format/Length:max n3.n1
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    NEUTROPHIL COUNT is the result of the Clinical Investigation which measures the PATIENT's blood neutrophil count, measured in 'Number per Decilitre (n/dl)'.NEUTROPHIL COUNT is the result of the Clinical Investigation which measures the PATIENT's blood neutrophil count, in 'Number per Decilitre (n/dl)'. 

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    NUMBER OF OCCURRENCES OF BREACHES OF THE SLEEPING ACCOMMODATION GUIDANCE

    Change to Data Element: Changed Description

    Format/Length:n5
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    NUMBER OF OCCURRENCES OF BREACHES OF THE SLEEPING ACCOMMODATION GUIDANCE is the number of breaches that have occurred during the REPORTING PERIOD where:
    • a Health Care Provider does not meet the general obligations for Same Sex Accommodation set out in the Eliminating Mixed-Sex Accommodation (EMSA) national guidance
    • there is no justification for the occurrence of any mixed sex accommodation
    • it relates to the sharing of sleeping accommodation only

    For further details see the Department of Health Guidance and Information documents.For further details, see the NHS England Website.

     

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    ORGANISATION CODE (DIALYSIS CENTRE)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes: 
    Default Codes: 


    Notes:
    ORGANISATION CODE (DIALYSIS CENTRE) is the same as attribute ORGANISATION CODE.

    ORGANISATION CODE (DIALYSIS CENTRE) is the identifying code of the centre where the PATIENT receives Renal Dialysis. This includes satellite centres.

     

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    ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)

    Change to Data Element: Changed Description

    Format/Length:an3 or an5
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) is the same as attribute ORGANISATION CODE.

    ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) is the ORGANISATION CODE of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER.ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) is the ORGANISATION CODE of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER.

     

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    ORGANISATION CODE (OF REPORTING PATHOLOGIST)

    Change to Data Element: Changed Description

    Format/Length:an3 or an5
    HES Item: 
    National Codes:See ORGANISATION CODE 
    National Codes: 
    Default Codes: 

    Notes:
    ORGANISATION CODE (OF REPORTING PATHOLOGIST) is the same as attribute ORGANISATION CODE.

    ORGANISATION CODE (OF REPORTING PATHOLOGIST) is the ORGANISATION CODE of the ORGANISATION at which the authorising pathologist is based.

     

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    ORGANISATION CODE (PCT OF GP PRACTICE)

    Change to Data Element: Changed Description

    Format/Length:an3
    HES Item: 
    National Codes: 
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
     X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
     X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)

    Notes:
    ORGANISATION CODE (PCT OF GP PRACTICE) is the same as the attribute ORGANISATION CODE.

    ORGANISATION CODE (PCT OF GP PRACTICE) is the ORGANISATION CODE of the Primary Care Trust or Care Trust that holds the contract with the General Medical Practitioner Practice.

    PATIENTS not registered with a General Medical Practitioner Practice but resident in the GEOGRAPHIC AREA covered by a Primary Care Trust or Care Trust are the responsibility of that ORGANISATION.

     

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    ORGANISATION CODE (PCT OF RESIDENCE (MOTHER))

    Change to Data Element: Changed Description

    Format/Length:See ORGANISATION CODE (PCT OF RESIDENCE) 
    HES Item: 
    National Codes: 
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
     X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
     X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

    Notes:
    ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) is the same as data element ORGANISATION CODE (PCT OF RESIDENCE).

    At April 2013, Primary Care Trusts will no longer exist.  Health Care Providers still using Commissioning Data Set version 6-1 (CDS-XML schema 6-1-1) at this point must complete the ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) field in the DELIVERY OCCURRENCE - PERSON IDENTITY group structures, with the data which is carried in ORGANISATION CODE (RESIDENCE RESPONSIBILITY) in Commissioning Data Set version 6-2 (generally, this will be the Clinical Commissioning Group (CCG) of Residence, where the CCG has taken over the responsibilities of the Primary Care Trust).

     

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    ORGANISATION CODE (PCT OF RESIDENCE)

    Change to Data Element: Changed Description

    Format/Length:an3
    HES Item:PCTR
    National Codes: 
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
     X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
     X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

    Notes:
    ORGANISATION CODE (PCT OF RESIDENCE) is the same as attribute ORGANISATION CODE.

    ORGANISATION CODE (PCT OF RESIDENCE) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

    ORGANISATION CODES can be downloaded from the Organisation Data Service website or through the online Technology Reference Data Update Distribution Service (TRUD). For further information, see Organisation Data Service.

    For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors) should be reported.
    Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

    For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (PCT OF RESIDENCE) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (PCT OF RESIDENCE).

    At April 2013, Primary Care Trusts will no longer exist.  Health Care Providers still using Commissioning Data Set version 6-1 (CDS-XML schema 6-1-1) at this point must complete the ORGANISATION CODE (PCT OF RESIDENCE) field in the PATIENT IDENTITY group structures, with the data which is carried in ORGANISATION CODE (RESIDENCE RESPONSIBILITY) in Commissioning Data Set version 6-2 (generally, this will be the Clinical Commissioning Group (CCG) of Residence, where the CCG has taken over the responsibilities of the Primary Care Trust).

    The Organisation Data Service provides postcode files which link postcodes to the Primary Care Trust. See NHS Postcode Directory.

     

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    ORGANISATION CODE (PRIMARY CARE TRUST FOR HPV VACCINE)

    Change to Data Element: Changed Description

    Format/Length:an3
    HES Item: 
    National Codes: 
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
     X98 Primary Care Organisation Not Applicable - (Overseas Visitors)
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
     X98 - Primary Care ORGANISATION Not Applicable - (Overseas Visitors)

    Notes:
    ORGANISATION CODE (PRIMARY CARE TRUST FOR HPV VACCINE) is the same as attribute ORGANISATION CODE.

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

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

     

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    ORGANISATION CODE (RESIDENCE RESPONSIBILITY)

    Change to Data Element: Changed Description

    Format/Length:an3
    HES Item: 
    National Codes: 
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
    Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
     X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
    Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
     X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
    Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

    Notes:
    ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the same as attribute ORGANISATION CODE.

    ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

    ORGANISATION CODES can be downloaded from the Organisation Data Service website or through the online Technology Reference Data Update Distribution Service (TRUD). For further information, see Organisation Data Service.

    For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors)' should be reported.
    Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

    For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (PCT OF RESIDENCE) or ORGANISATION CODE (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (PCT OF RESIDENCE) or ORGANISATION CODE (RESIDENCE RESPONSIBILITY).

    The Organisation Data Service provides postcode files which link postcodes to the Primary Care Trust or Clinical Commissioning Group. See NHS Postcode Directory.

     

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    ORGANISATION CODE (RESPONSIBLE PCT)

    Change to Data Element: Changed Description

    Format/Length:an3
    HES Item: 
    National Codes: 
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
     X98 Primary Care Organisation Not Applicable - (Overseas Visitors)
    ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
     X98 - Primary Care ORGANISATION Not Applicable - (Overseas Visitors)

    Notes:
    ORGANISATION CODE (RESPONSIBLE PCT) is the same as attribute ORGANISATION CODE.

    ORGANISATION CODE (RESPONSIBLE PCT) is the ORGANISATION CODE of the Responsible Primary Care Trust.

     

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    OVERSEAS VISITOR STATUS END DATE

    Change to Data Element: Changed Description

    Format/Length:See DATE
    HES Item: 
    National Codes:See OVERSEAS VISITOR STATUS END DATE
    National Codes: 
    Default Codes: 

    Notes:
    OVERSEAS VISITOR STATUS END DATE is the same as attribute OVERSEAS VISITOR STATUS END DATE

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    OVERSEAS VISITOR STATUS START DATE

    Change to Data Element: Changed Description

    Format/Length:See DATE
    HES Item: 
    National Codes:See OVERSEAS VISITOR STATUS START DATE
    National Codes: 
    Default Codes: 

    Notes:
    OVERSEAS VISITOR STATUS START DATE is the same as attribute OVERSEAS VISITOR STATUS START DATE

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    PERSON DEATH DATE TIME (BABY)

    Change to Data Element: Changed linked Attribute

    PERSON DEATH DATE TIME (BABY)
     
    Attribute:
    PERSON DEATH DATE
    PERSON DEATH DATE
    PERSON DEATH TIME

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    PERSON DEATH DATE TIME (MOTHER)

    Change to Data Element: Changed linked Attribute

    PERSON DEATH DATE TIME (MOTHER)
     
    Attribute:
    PERSON DEATH DATE
    PERSON DEATH DATE
    PERSON DEATH TIME

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    PERSON DEATH DATE TIME (MOTHER)

    Change to Data Element: Changed linked Attribute

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    PLATELETS COUNT

    Change to Data Element: Changed Description

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

    Notes:
    PLATELETS COUNT is the result of the Clinical Investigation of the count of platelets in a PATIENT's blood sample in 'x109/l (i.e. times ten to the power 9 per litre).' 

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    POSTCODE

    Change to Data Element: Changed Description

    Format/Length:max an8
    NWDS ID:SPOC
    NWDS Field Name:Post Code
    National Codes: 
    Default Codes: 

    Notes:
    POSTCODE is the same as attribute POSTCODE.

    For further information on POSTCODES, see:

    If a POSTCODE is not known (for example, the PATIENT has no fixed abode, the PATIENT is an Overseas Visitor etc.) the appropriate Organisation Data Service pseudo POSTCODE should be used. The pseudo POSTCODES can be found on the Organisation Data Service website at: Look Ups. The pseudo POSTCODES can be found on the Organisation Data Service website at: Look Ups.

     

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    PREVIOUS BONY INFECTION INDICATOR (TIBIA OR HINDFOOT)

    Change to Data Element: Changed Description

    Format/Length:an1
    HES Item: 
    National codesSee PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT
    Default codesX - Not Available

    Notes:
    PREVIOUS BONY INFECTION INDICATOR (TIBIA OR HINDFOOT) is the same as attribute PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT.

     

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    REFERRING ORGANISATION CODE

    Change to Data Element: Changed Description

    Format/Length:max an6
    HES Item: 
    National Codes:See ORGANISATION CODE 
    National Codes: 
    ODS Default Codes:X99998 - Referring ORGANISATION CODE not applicable
     X99999 - Referring ORGANISATION CODE not known

    Notes:
    REFERRING ORGANISATION CODE is the same as attribute ORGANISATION CODE.

    REFERRING ORGANISATION CODE is the ORGANISATION CODE of the ORGANISATION from which the referral is made, such as a GP Practice or NHS Trust. This information is essential for managing service agreements which are based on patterns of referral.

     

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    SITE CODE (OF CLINICAL ASSESSMENT)

    Change to Data Element: Changed Description

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

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

    For the Cancer Outcomes and Services Data Set: BreastSITE CODE (OF CLINICAL ASSESSMENT):

    • is the ORGANISATION SITE CODE where the clinical assessment of the breast for which a cancer is registered was carried out
    • is based on clinical history and physical examination and
    • will normally be the ORGANISATION SITE CODE of the first outpatient APPOINTMENT at the breast clinic. If the PATIENT attends more than one breast clinic, the ORGANISATION SITE CODE of each breast clinic where a clinical assessment was undertaken should be recorded.
     

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    SITE CODE (OF DONOR FOLLOW-UP CENTRE)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    SITE CODE (OF DONOR FOLLOW-UP CENTRE) is the same as attribute ORGANISATION SITE CODE.

    SITE CODE (OF DONOR FOLLOW-UP CENTRE) is the NHS Blood and Transplant's ORGANISATION SITE CODE of the follow-up centre used by the LIVING ORGAN OR TISSUE DONOR.  

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    SITE CODE (OF DONOR HOSPITAL)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes: 
    Default Codes: 

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

    SITE CODE (OF DONOR HOSPITAL) is the ORGANISATION SITE CODE  of the hospital to which the ORGAN OR TISSUE DONOR was admitted.  

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    SITE CODE (OF PRIMARY RENAL UNIT PROVIDER)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes:ORGANISATION SITE CODE
    National Codes: 
    Default Codes: 

    Notes:
    SITE CODE (OF PRIMARY RENAL UNIT PROVIDER) is the same as attribute ORGANISATION SITE CODE.

    SITE CODE (OF PRIMARY RENAL UNIT PROVIDER)  is the ORGANISATION SITE CODE of the parent renal unit providing long term supervision and is responsible for the PATIENT.  

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    SITE CODE (OF RECIPIENT FOLLOW-UP CENTRE)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    SITE CODE (OF RECIPIENT FOLLOW-UP CENTRE) is the same as attribute ORGANISATION SITE CODE.

    SITE CODE (OF RECIPIENT FOLLOW-UP CENTRE) is the NHS Blood and Transplant code for the post-operative follow up centre for the transplant recipient.  

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    SITE CODE (OF RENAL UNIT)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes: 
    Default Codes: 

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

    If the renal unit caring for the recipient has a different ORGANISATION SITE CODE than the transplant centre, then the renal unit's ORGANISATION SITE CODE should be recorded.  

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    SITE CODE (OF UK TRANSPLANT CENTRE)

    Change to Data Element: Changed Description

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

    Notes:
    SITE CODE (OF UK TRANSPLANT CENTRE) is the same as ORGANISATION SITE CODE.
    SITE CODE (OF UK TRANSPLANT CENTRE) is the same as attribute ORGANISATION SITE CODE.

    SITE CODE (OF UK TRANSPLANT CENTRE) is the NHS Blood and Transplant code for the centre where the transplant took place.  

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    SITE CODE (OF UK TRANSPLANT ORGAN RETRIEVAL CENTRE)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    SITE CODE (OF UK TRANSPLANT ORGAN RETRIEVAL CENTRE) is the same as attribute ORGANISATION SITE CODE.

    SITE CODE (OF UK TRANSPLANT ORGAN RETRIEVAL CENTRE) is the ORGANISATION SITE CODE used by NHS Blood and Transplant to code their own retrieval centres.  

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    SITE CODE (OF UK TRANSPLANT TISSUE TYPING CENTRE)

    Change to Data Element: Changed Description

    Format/Length:an5
    HES Item: 
    National Codes: 
    Default Codes: 

    Notes:
    SITE CODE (OF UK TRANSPLANT TISSUE TYPING CENTRE) is the same as attribute ORGANISATION SITE CODE.

    SITE CODE (OF UK TRANSPLANT TISSUE TYPING CENTRE) is the NHS Blood and Transplant ORGANISATION SITE CODE used to perform tissue typing.  

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    STAGING LAPAROSCOPY PERFORMED INDICATOR

    Change to Data Element: Changed Description

    Format/Length:an1
    HES Item: 
    National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
    Default Codes:9 - Not Known (Not Recorded)

    Notes:
    STAGING LAPAROSCOPY PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if a staging laparoscopy was performed on the PATIENT during a Upper Gastrointestinal Cancer Care Spell.STAGING LAPAROSCOPY PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if a staging Laparoscopy was performed on the PATIENT during a Upper Gastrointestinal Cancer Care Spell. 

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    TNM EDITION NUMBER

    Change to Data Element: Changed Description

    Format/Length:max an2
    HES Item: 
    National Codes:See TNM EDITION NUMBER
    National Codes: 
    Default Codes: 

    Notes:
    TNM EDITION NUMBER is the same as attribute TNM EDITION NUMBER

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    TUMOUR HEIGHT ABOVE ANAL VERGE

    Change to Data Element: Changed Description

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

    Notes:
    TUMOUR HEIGHT ABOVE ANAL VERGE is the approximate height of the lower limit of the Tumour above the anal verge (as measured by a rigid sigmoidoscopy), measured in 'Centimetres (cm)'.TUMOUR HEIGHT ABOVE ANAL VERGE is the approximate height of the lower limit of the Tumour above the anal verge (as measured by a rigid sigmoidoscopy), in 'Centimetres (cm)'. 

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    For enquiries, please email information.standards@hscic.gov.uk