Health and Social Care Information Centre

NHS Data Model and Dictionary Service

Type:Change Request
Reference:1565
Version No:1.0
Subject:Retirement of Diabetes Summary Core Data Set
Effective Date:Immediate
Reason for Change:Retirement of Data Set
Publication Date:25 July 2016

Background:

The Information Standards Notice ISB 1561 published in July 2016 confirmed the retirement of the Diabetes Summary Core Data Set.

This Change Request retires the Diabetes Summary Core Data Set and associated definitions not used in any other data set from the NHS Data Model and Dictionary.

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Summary of changes:

Diagrams
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICES DIAGRAM   Changed Diagram
COMMUNITY INFORMATION DIAGRAM   Changed Diagram
NATIONAL JOINT REGISTRY DIAGRAM   Changed Diagram
NATIONAL RENAL DIAGRAM   Changed Diagram
PERSON DIAGRAM   Changed Diagram
 
Data Set
DIABETES DATA SET (SUMMARY CORE) (RETIRED) renamed from DIABETES DATA SET (SUMMARY CORE)   Changed status to Retired, Name, Description
 
Supporting Information
CLINICAL DATA SETS MENU   Changed Description
DIABETES CARE ISSUE (RETIRED) renamed from DIABETES CARE ISSUE   Changed status to Retired, Name, Description
DIABETES DATA SET (SUMMARY CORE) OVERVIEW (RETIRED) renamed from DIABETES DATA SET (SUMMARY CORE) OVERVIEW   Changed status to Retired, Name, Description
URINARY ALBUMIN LEVEL (RETIRED) renamed from URINARY ALBUMIN LEVEL   Changed status to Retired, Name, Description
 
Class Definitions
CARE ACTIVITY   Changed Relationships
CARE ISSUE (RETIRED) renamed from CARE ISSUE   Changed status to Retired, Attributes, Name, Description
CLINICAL INVESTIGATION RESULT ITEM   Changed Attributes
DIABETES ROUTINE REVIEW RESULT (RETIRED) renamed from DIABETES ROUTINE REVIEW RESULT   Changed status to Retired, Attributes, Name, Description, Supertype
PERSON PHENOTYPIC SEX   Changed Description
PERSON PROPERTY   Changed Attributes, Relationships, Description
PERSON STATED GENDER   Changed Description
 
Attribute Definitions
ACTIVITY DATE AND TIME TYPE   Changed Description
ACTIVITY DATE TYPE   Changed Description
ACTIVITY GROUP TYPE   Changed Description
ACTIVITY TIME TYPE   Changed Description
ADMINISTRATIVE CATEGORY CODE   Changed Description
ALBUMINURIA STAGE (RETIRED) renamed from ALBUMINURIA STAGE   Changed status to Retired, Name, Description
ANAPLASTIC NEPHROBLASTOMA TYPE   Changed Description
CANCER IMAGING MODALITY   Changed Description
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS   Changed Description
CARE CONTACT TYPE   Changed Description
CARE ISSUE END DATE (RETIRED) renamed from CARE ISSUE END DATE   Changed status to Retired, Name, Description
CARE ISSUE IDENTIFIER (RETIRED) renamed from CARE ISSUE IDENTIFIER   Changed status to Retired, Name, Description
CARE ISSUE START DATE (RETIRED) renamed from CARE ISSUE START DATE   Changed status to Retired, Name, Description
CARE PLAN TYPE   Changed Description
CARE PROFESSIONAL SENIOR OPERATING SURGEON GRADE FOR CANCER   Changed Description
CARER RESIDENT INDICATION CODE FOR NATIONAL NEONATAL DATA SET   Changed Description
CATEGORY VALUED PERSON OBSERVATION TYPE   Changed Description
CHILDHOOD IMMUNISATION TYPE CODE   Changed Description
CLARKS LEVEL IV INDICATION CODE   Changed Description
CLINICAL INTERVENTION TYPE   Changed Description
CLINICAL INVESTIGATION RESULT ITEM TYPE   Changed Description
CLUSTERING TOOL ASSESSMENT CATEGORY   Changed Description
CLUSTERING TOOL ASSESSMENT REASON   Changed Description
CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR   Changed Description
CONSULTATION TYPE   Changed Description
DAUGHTER BORN AT THIS ENCOUNTER INDICATOR   Changed Description
DEINFIBULATION UNDERTAKEN REASON   Changed Description
DEPARTMENT TYPE   Changed Description
DIABETES ROUTINE REVIEW CODE (RETIRED) renamed from DIABETES ROUTINE REVIEW CODE   Changed status to Retired, Name, Description
DIABETES ROUTINE REVIEW TYPE (RETIRED) renamed from DIABETES ROUTINE REVIEW TYPE   Changed status to Retired, Name, Description
DIABETES TYPE (RETIRED) renamed from DIABETES TYPE   Changed status to Retired, Name, Description
DIAGNOSIS SCHEME IN USE   Changed Description
DISABILITY IMPACT PERCEPTION   Changed Description
DISCHARGE DESTINATION   Changed Description
DONOR CATEGORY CODE NON HEART BEATING   Changed Description
EDUCATIONAL ASSESSMENT OUTCOME   Changed Description
FEMALE GENITAL MUTILATION IDENTIFICATION METHOD CODE   Changed Description
FINDING SCHEME IN USE   Changed Description
GENETIC CONFIRMATION INDICATOR   Changed Description
GROUP SESSION TYPE CODE FOR COMMUNITY CARE   Changed Description
HEALTH PROGRAMME TYPE   Changed Description
HISTORY OF FEMALE GENITAL MUTILATION INDICATOR   Changed Description
INTERNATIONAL STAGING SYSTEM FOR RETINOBLASTOMA   Changed Description
JOINT REPLACEMENT REVISION REASON CODE FOR ELBOW   Changed Description
KEY WORKER SEEN INDICATOR   Changed Description
LESION DIAMETER GREATER THAN 20MM INDICATION CODE   Changed Description
LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE   Changed Description
MENTAL HEALTH ABSENCE WITHOUT LEAVE END REASON   Changed Description
MENTAL HEALTH ACT 2007 MENTAL CATEGORY   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD END REASON   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START REASON   Changed Description
MENTAL HEALTH DELAYED DISCHARGE REASON   Changed Description
MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE   Changed Description
NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE   Changed Description
NODAL STATUS   Changed Description
OBSERVATION SCHEME IN USE   Changed Description
ONWARD REFERRAL REASON   Changed Description
OTHER PERSON IN ATTENDANCE AT CARE CONTACT   Changed Description
PALLIATIVE CARE SPECIALIST SEEN INDICATOR   Changed Description
PATIENT DIAGNOSIS INDICATION FOR PRIMARY ELBOW REPLACEMENT   Changed Description
PATIENT DIAGNOSIS INDICATION FOR PRIMARY HIP REPLACEMENT   Changed Description
PATIENT DIAGNOSIS INDICATION FOR PRIMARY SHOULDER REPLACEMENT   Changed Description
PATIENT DIAGNOSIS INDICATOR   Changed Description
PATIENT DIAGNOSIS TYPE FOR NHS HEALTH CHECK   Changed Description
PATIENT PROCEDURE PERFORMED INDICATOR   Changed Description
PATIENT PROCEDURE TYPE FOR PRIMARY KNEE REPLACEMENT   Changed Description
PERINEURAL INVASION INDICATOR   Changed Description
PERSON ACCOMPANYING TRANSPORTED PATIENT   Changed Description
PERSON AT RISK OF UNEXPECTED DEATH INDICATOR   Changed Description
PREFERRED DEATH LOCATION DISCUSSED INDICATOR   Changed Description
PRIMARY TUMOUR STATUS   Changed Description
PROCEDURE SCHEME IN USE   Changed Description
REASON FOR REFERRAL TO COMMUNITY CARE   Changed Description
REFERRAL CLOSURE REASON   Changed Description
REFERRAL REJECTION REASON   Changed Description
REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE   Changed Description
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE   Changed Description
RESTRICTIVE INTERVENTION TYPE   Changed Description
RETINOBLASTOMA ASSESSMENT LATERALITY   Changed Description
SAFEGUARDING VULNERABILITY FACTORS TYPE   Changed Description
SERVICE OR TEAM TYPE FOR MENTAL HEALTH   Changed Description
SERVICE OR TEAM TYPE REFERRED TO FOR COMMUNITY CARE   Changed Description
SERVICE TYPE FOR CHLAMYDIA TESTING   Changed Description
SETTLED ACCOMMODATION INDICATOR   Changed Description
SOURCE OF REFERRAL FOR COMMUNITY   Changed Description
SOURCE OF REFERRAL FOR FEMALE GENITAL MUTILATION   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
SYNCHRONOUS TUMOUR INDICATOR   Changed Description
TUMOUR NECROSIS INDICATOR   Changed Description
TUMOUR REGRESSION INDICATION CODE   Changed Description
TUMOUR RUPTURE INDICATOR   Changed Description
ULCERATION INDICATION CODE   Changed Description
VIABLE TUMOUR INDICATOR   Changed Description
WAITING TIME MEASUREMENT TYPE   Changed Description
WARD SETTING TYPE FOR MENTAL HEALTH   Changed Description
WEEKLY HOURS WORKED   Changed Description
YOUNG CARER INDICATOR   Changed Description
 
Data Elements
ALBUMINURIA STAGE (RETIRED) renamed from ALBUMINURIA STAGE   Changed status to Retired, linked Attribute, Name, Description
BIRTH DATE (RETIRED) renamed from BIRTH DATE   Changed status to Retired, Name, Description
BODY MASS INDEX   Changed Description
DIABETES ROUTINE REVIEW (EYE) (RETIRED) renamed from DIABETES ROUTINE REVIEW (EYE)   Changed status to Retired, linked Attribute, Name, Description
DIABETES ROUTINE REVIEW (FOOT) (RETIRED) renamed from DIABETES ROUTINE REVIEW (FOOT)   Changed status to Retired, linked Attribute, Name, Description
DIABETES TYPE (RETIRED) renamed from DIABETES TYPE   Changed status to Retired, linked Attribute, Name, Description
DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10) (RETIRED) renamed from DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10)   Changed status to Retired, linked Attribute, Name, Description
DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES) (RETIRED) renamed from DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES)   Changed status to Retired, linked Attribute, Name, Description
OBSERVATION DATE (BMI) (RETIRED) renamed from OBSERVATION DATE (BMI)   Changed status to Retired, linked Attribute, Name, Description
OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS) (RETIRED) renamed from OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS)   Changed status to Retired, linked Attribute, Name, Description
OBSERVATION DATE (EYE EXAMINATION) (RETIRED) renamed from OBSERVATION DATE (EYE EXAMINATION)   Changed status to Retired, linked Attribute, Name, Description
OBSERVATION DATE (FOOT EXAMINATION) (RETIRED) renamed from OBSERVATION DATE (FOOT EXAMINATION)   Changed status to Retired, linked Attribute, Name, Description
OBSERVATION DATE (SERUM CHOLESTEROL LEVEL) (RETIRED) renamed from OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)   Changed status to Retired, linked Attribute, Name, Description
OBSERVATION DATE (SERUM CREATININE LEVEL) (RETIRED) renamed from OBSERVATION DATE (SERUM CREATININE LEVEL)   Changed status to Retired, linked Attribute, Name, Description
OBSERVATION DATE (URINARY ALBUMIN LEVEL) (RETIRED) renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)   Changed status to Retired, linked Attribute, Name, Description
PERSON BIRTH DATE   Changed Description
PERSON OBSERVATION (BMI) (RETIRED) renamed from PERSON OBSERVATION (BMI)   Changed status to Retired, Name, Description
PERSON OBSERVATION (HBA1C LEVEL) (RETIRED) renamed from PERSON OBSERVATION (HBA1C LEVEL)   Changed status to Retired, linked Attribute, Name, Description
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) (RETIRED) renamed from PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)   Changed status to Retired, linked Attribute, Name, Description
PERSON OBSERVATION (SERUM CREATININE LEVEL) (RETIRED) renamed from PERSON OBSERVATION (SERUM CREATININE LEVEL)   Changed status to Retired, linked Attribute, Name, Description
PERSON OBSERVATION (URINARY ALBUMIN LEVEL) (RETIRED) renamed from PERSON OBSERVATION (URINARY ALBUMIN LEVEL)   Changed status to Retired, linked Attribute, Name, Description
PROCEDURE CODING (DIABETES RELEVANT OPCS-4) (RETIRED) renamed from PROCEDURE CODING (DIABETES RELEVANT OPCS-4)   Changed status to Retired, linked Attribute, Name, Description
PROCEDURE CODING (DIABETES RELEVANT READ CODES) (RETIRED) renamed from PROCEDURE CODING (DIABETES RELEVANT READ CODES)   Changed status to Retired, linked Attribute, Name, Description
SEX (RETIRED) renamed from SEX   Changed status to Retired, linked Attribute, Name, Description
SMOKING STATUS (RETIRED) renamed from SMOKING STATUS   Changed status to Retired, linked Attribute, Name, Description
SMOKING STATUS CODE   Changed Description
URINARY ALBUMIN LEVEL TESTING METHOD (RETIRED) renamed from URINARY ALBUMIN LEVEL TESTING METHOD   Changed status to Retired, Name, Description
 

Date:25 July 2016
Sponsor:Peter Counter, Chief Technology Officer, 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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CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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COMMUNITY INFORMATION DIAGRAM

Change to Diagram: Changed Diagram

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NATIONAL JOINT REGISTRY DIAGRAM

Change to Diagram: Changed Diagram

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NATIONAL RENAL DIAGRAM

Change to Diagram: Changed Diagram

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PERSON DIAGRAM

Change to Diagram: Changed Diagram

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DIABETES DATA SET (SUMMARY CORE) (RETIRED)  renamed from DIABETES DATA SET (SUMMARY CORE)

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

This data set has been subsumed within the Diabetes Continuing Care Reference data set (DCCR).This item has been retired from the NHS Data Model and Dictionary.
For further information, see the Health and Social Care Information Centre website.

Diabetes Data Set (Summary Core) OverviewThe last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

The Diabetes Data Set (Summary Core) is developed to ensure people with diabetes have up to date records of their risk factors, current management, treatment target achievements and arrangements and outcomes of regular surveillance for complications, to help them monitor their care and make informed choices about their management.Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

The Diabetes Data Set (Summary Core) will also ensure that when people with diabetes meet health care professionals the consultation is fully informed by comprehensive, up to date and accurate information.

Data Set Data Elements 
DEMOGRAPHICSNotes:
NHS NUMBER  
BIRTH DATE  
POSTCODE OF USUAL ADDRESS  
SEX  
PERSON DEATH DATE  
DIAGNOSISNotes:
DIAGNOSIS DATE (DIABETES)  
DIABETES TYPE  
PATIENT REVIEW DATANotes:
Clinical Observation Data 
PERSON OBSERVATION (BMI)  
OBSERVATION DATE (BMI)  
SYSTOLIC BLOOD PRESSURE Not mandatory for children <12 years old
OBSERVATION DATE (BLOOD PRESSURE)  
DIASTOLIC BLOOD PRESSURE Not mandatory for children <12 years old
OBSERVATION DATE (BLOOD PRESSURE)  
Laboratory Data 
PERSON OBSERVATION (HbA1c LEVEL)  
OBSERVATION DATE (HbA1c LEVEL)  
PERSON OBSERVATION (SERUM CREATININE LEVEL)  
OBSERVATION DATE (SERUM CREATININE LEVEL)  
PERSON OBSERVATION (URINARY ALBUMIN LEVEL) Not mandatory for children <12 years old
URINARY ALBUMIN LEVEL TESTING METHOD  
ALBUMINURIA STAGE  
OBSERVATION DATE (URINARY ALBUMIN LEVEL)  
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) Not mandatory for children <12 years old
OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)  
Eye Examination 
DIABETES ROUTINE REVIEW (EYE)  
OBSERVATION DATE (EYE EXAMINATION) Not mandatory for children <12 years old
Foot Examination 
DIABETES ROUTINE REVIEW (FOOT)  
OBSERVATION DATE (FOOT EXAMINATION)  
Smoking Review 
SMOKING STATUS Not mandatory for children <12 years old
OBSERVATION DATE (SMOKING STATUS)  
PERSONAL MEDICAL HISTORYNotes:
The following occur as a recurring group:  
PROCEDURE CODING (DIABETES RELEVANT OPCS-4)  
OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS)  
The following occur as a recurring group:  
DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES)  
OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS)  
The following occur as a recurring group:  
PROCEDURE CODING (DIABETES RELEVANT OPCS-4)  
PROCEDURE DATE  
The following occur as a recurring group:  
PROCEDURE CODING (DIABETES RELEVANT READ CODES)  
PROCEDURE DATE  

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DIABETES DATA SET (SUMMARY CORE) (RETIRED)  renamed from DIABETES DATA SET (SUMMARY CORE)

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

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CLINICAL DATA SETS MENU

Change to Supporting Information: Changed Description

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DIABETES CARE ISSUE (RETIRED)  renamed from DIABETES CARE ISSUE

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

Diabetes Care Issue is a CARE ISSUE.This item has been retired from the NHS Data Model and Dictionary.

Diabetes is a chronic and progressive disease that comprises a group of disorders with many different causes, all of which are characterised by a raised blood glucose level. This is the result of a lack of the hormone insulin and/or an inability to respond to insulin. Insulin in the blood, produced by the pancreas, is the hormone which ensures that glucose (sugar) obtained from food can be used by the body. There are two main types of diabetes - Type 1 diabetes and Type 2 diabetes.The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

 Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES CARE ISSUE (RETIRED)  renamed from DIABETES CARE ISSUE

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

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DIABETES DATA SET (SUMMARY CORE) OVERVIEW (RETIRED)  renamed from DIABETES DATA SET (SUMMARY CORE) OVERVIEW

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

This data set has been subsumed within the Diabetes Continuing Care Reference data set (DCCR).This item has been retired from the NHS Data Model and Dictionary.
For further information, see the Health and Social Care Information Centre website.

DemographicsThe last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

The demographics section contains demographic items necessary to ensure accurate and trouble free liaison between the care provider and the user. All demographic data items will conform to existing national standards.Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

Diagnosis

The section contains information relating to the type of diabetes and the date of diagnosis. This information has implications for care and management.

Patient Review Data

These data items act as a record of the regular, routine preventative care reviews that form the core of the 'continuing care' component of the patient journey, together with a record of the high level observations and management decisions that are made at any consultation.

Patient Medical History

This section contains those health issues and procedures that may have an effect on, or be a consequence of, the diabetic condition and which will be needed by the patient/clinician in order to manage and monitor care safely and effectively. It refers to chronic concurrent conditions, and also to acute complications associated more directly with the diabetic condition.

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DIABETES DATA SET (SUMMARY CORE) OVERVIEW (RETIRED)  renamed from DIABETES DATA SET (SUMMARY CORE) OVERVIEW

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

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URINARY ALBUMIN LEVEL (RETIRED)  renamed from URINARY ALBUMIN LEVEL

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

Urinary Albumin Level is a CLINICAL INVESTIGATION RESULT ITEM.This item has been retired from the NHS Data Model and Dictionary.

Urinary Albumin Level is the level of albumin in a urine sample.The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

 Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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URINARY ALBUMIN LEVEL (RETIRED)  renamed from URINARY ALBUMIN LEVEL

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

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CARE ACTIVITY

Change to Class: Changed Relationships

Each CARE ACTIVITY
may be directed towards one and only one CARE ISSUE
may be related to one or more PERSON PROPERTY QUALIFIER
may be the result of one and only one SERVICE REQUEST
may be resulting in one or more SERVICE REQUEST
may be for the delivery of one or more TREATMENT FUNCTION

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CARE ISSUE (RETIRED)  renamed from CARE ISSUE

Change to Class: Changed status to Retired, Attributes, Name, Description

A PERSON PROPERTY towards which care is directed. It may be a diagnosis, sign, symptom or any other person observation.

The CARE ISSUE provides an association between other PERSON PROPERTIES and CARE ACTIVITIES that are relevant to that particular issue.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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CARE ISSUE (RETIRED)  renamed from CARE ISSUE

Change to Class: Changed status to Retired, Attributes, Name, Description

Attributes of this Class are:
KCARE ISSUE IDENTIFIER
CARE ISSUE END DATE
CARE ISSUE START DATE
CLINICAL SIGN OBSERVED AT SAMPLE COLLECTION
DIABETES TYPE
This class has no attributes.

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CARE ISSUE (RETIRED)  renamed from CARE ISSUE

Change to Class: Changed status to Retired, Attributes, Name, Description

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CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Attributes

Attributes of this Class are:
KINVESTIGATION RESULT DATE
KINVESTIGATION RESULT TIME
ABNORMALITY DETECTED INDICATOR
ALBUMINURIA STAGE
ALK 1 STATUS
ANKLE DORSIFLEXION CODE
ANKLE PLANTARFLEXION CODE
ARITHMETIC COMPARATOR
BIOPSY REFERRAL OUTCOME
BREAST BIOPSY REFERRAL OUTCOME
BREAST CANCER HISTOLOGICAL TYPE
BREAST SCREENING MAMMOGRAPHY OUTCOME CODE
CALCULATED CREATININE CLEARANCE TYPE
CANCER VASCULAR OR LYMPHATIC INVASION
CENTRAL TONE STATUS
CERVICAL GLANDULAR INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
CERVICAL NODE STATUS
CERVICAL SMEAR EXAMINED DATE
CHLAMYDIA TEST RESULT
CLINICAL ASSESSMENT RESULT CODE FOR BREAST CANCER
CLINICAL INVESTIGATION ITEM TYPE
CLINICAL INVESTIGATION ITEM UNIT OF MEASURE
CLINICAL INVESTIGATION RESULT CODE FOR RENAL CARE
CLINICAL INVESTIGATION RESULT CODE FOR RENAL TRANSPLANT
CLINICAL INVESTIGATION RESULT RECEIVED DATE
CLINICAL INVESTIGATION RESULT VALUE
CONDITION SEEN IN ABDOMEN DURING XRAY
CYSTIC PERIVENTRICULAR LEUKOMALACIA OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR
CYTOGENETIC ANALYSIS CODE
CYTOGENETIC PRESENCE TYPE FOR RHABDOMYOSARCOMA
CYTOGENETIC RISK CODE
CYTOLOGY RESULT TYPE
CYTOLOGY SMEAR REASON
DEGREES OF FIXED FLEXION DEFORMITY
DEGREES OF FLEXION RANGE
DETRUSOR MUSCLE PRESENCE INDICATION CODE
DEVIATING RESULT INDICATOR
DIPSTICK TEST RESULT CODE
EPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS
EXCISION MARGIN INDICATION CODE
FINDING SCHEME IN USE
GENETIC CONFIRMATION INDICATOR
GRADE OF DIFFERENTIATION
HAEMOGLOBINOPATHY INVESTIGATION RESULT CODE FOR NATIONAL NEONATAL DATA SET
HbA1C ASSAY MEASUREMENT METHOD
HEPATOMEGALY INDICATOR
HORMONE EXPRESSION TYPE
INTRAVENTRICULAR HAEMORRHAGE GRADE
INVASIVE CANCER SPECIAL TYPE INDICATOR
INVESTIGATION EXAMINATION RESULT CODE
INVESTIGATION HAEMOGLOBINOPATHY RESULT CODE
INVESTIGATION RESULT STATUS CODE
INVESTIGATION RESULT TEXT
INVESTIGATION RISK RATIO RESULT CODE
INVESTIGATION RUBELLA RESULT INDICATOR
INVESTIGATION SENSITISED RESULT INDICATOR
KARYOTYPE TEST OUTCOME
LACTATE DEHYDROGENASE LEVEL
LYMPH NODE STATUS
MAMMOGRAM RESULT CODE
MEASURED GLOMERULAR FILTRATION RATE TYPE CODE
METASTASIS EXTENT CODE
NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE
NEWBORN HEARING AUDIOLOGY OUTCOME
NEWBORN HEARING SCREENING OUTCOME
NUMBER OF FETUSES
NUMERICAL VALUE
OBSERVATION VALUE
PATHOLOGICAL RISK CLASSIFICATION CODE AFTER NEPHRECTOMY
PATHOLOGICAL RISK CLASSIFICATION CODE AFTER PREOPERATIVE CHEMOTHERAPY
PERSON BLOOD GROUP
PERSON RHESUS FACTOR
PHYSIOLOGICAL MEASUREMENT INDICATION CODE FOR ELECTROCARDIOGRAM
PORENCEPHALIC CYST VISIBLE DURING CRANIAL ULTRASOUND SCAN INDICATOR
PREOPERATIVE THERAPY RESPONSE TYPE
RADIOLOGICAL RESULT VERIFIED DATE
RADIOLOGICAL RESULT VERIFIED TIME
RESULT ITEM STATUS
RETINOPATHY OF PREMATURITY CLOCK HOURS MAXIMUM STAGE
RETINOPATHY OF PREMATURITY MAXIMUM ZONE
RETINOPATHY OF PREMATURITY PLUS DISEASE STATUS
RETINOPATHY OF PREMATURITY STAGE
S CATEGORY CODE
SERUM CALCIUM CONCENTRATION CORRECTION CODE
SPECIMEN NATURE
SPLEEN BELOW COSTAL MARGIN
SPLENOMEGALY INDICATOR
SUBTALAR JOINT MOVEMENT CODE
TIBIA HINDFOOT ALIGNMENT CODE
TUMOUR NECROSIS
ULTRASOUND RESULT CODE FOR BREAST CANCER
VENTRICULAR DILATION DIAGNOSED DURING CRANIAL ULTRASOUND SCAN INDICATOR

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DIABETES ROUTINE REVIEW RESULT (RETIRED)  renamed from DIABETES ROUTINE REVIEW RESULT

Change to Class: Changed status to Retired, Attributes, Name, Description, Supertype

A subtype of PERSON PROPERTY.This item has been retired from the NHS Data Model and Dictionary.

A routine review carried out for all young people and adults with diabetes, to provide regular surveillance for the long-term complications of diabetes.The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

 Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES ROUTINE REVIEW RESULT (RETIRED)  renamed from DIABETES ROUTINE REVIEW RESULT

Change to Class: Changed status to Retired, Attributes, Name, Description, Supertype

Attributes of this Class are:
DIABETES ROUTINE REVIEW CODE
DIABETES ROUTINE REVIEW TYPE
This class has no attributes.

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DIABETES ROUTINE REVIEW RESULT (RETIRED)  renamed from DIABETES ROUTINE REVIEW RESULT

Change to Class: Changed status to Retired, Attributes, Name, Description, Supertype

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PERSON PHENOTYPIC SEX

Change to Class: Changed Description

A classification of the observed sex of a PERSON, relating to the biological, physiological and physical characteristics that differentiate men and women, determined by endocrine influences.

PERSON PHENOTYPIC SEX is observed by a PERSON (such as a CARE PROFESSIONAL), and is not self-stated.

PERSON GENDER will be replaced with PERSON STATED GENDER or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.PERSON GENDER will be replaced with PERSON STATED GENDER or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.

 

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PERSON PROPERTY

Change to Class: Changed Attributes, Relationships, Description

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PERSON PROPERTY

Change to Class: Changed Attributes, Relationships, Description

Attributes of this Class are:
KPERSON PROPERTY IDENTIFIER
CLINICAL SIGN OBSERVED AT SAMPLE COLLECTION
DOMINANT ARM CODE
FAMILIAL CANCER SYNDROME INDICATOR
FREE PRESCRIPTIONS INDICATOR
LAST MENSTRUAL PERIOD DATE
PERSON PROPERTY EFFECTIVE DATE
PERSON PROPERTY EFFECTIVE END DATE
PERSON PROPERTY EFFECTIVE END TIME
PERSON PROPERTY EFFECTIVE TIME
PERSON PROPERTY OBSERVED DATE
PERSON PROPERTY OBSERVED TIME
PERSON PROPERTY RECORDED DATE
PERSON PROPERTY RECORDED TIME
PREGNANCY STATUS
SURGICAL VOICE RESTORATION COMMUNICATION METHOD FOR PLANNED POST OPERATIVE
SURGICAL VOICE RESTORATION COMMUNICATION METHOD FOR PRIMARY
YOUNG CARER INDICATOR

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PERSON PROPERTY

Change to Class: Changed Attributes, Relationships, Description

Each PERSON PROPERTY
Kmust be owned by one and only one PERSON
must be reported by one and only one PERSON
must be recorded by one and only one PERSON
must be observed by one and only one PERSON
may be the context for one and only one ACTIVITY GROUP
may be required by one and only one CARE ISSUE
may be of relevance to one or more CARE ISSUE
may be acting as one and only one CARE ISSUE
may be classified as one and only one CODED CLINICAL ENTRY
may be applied for one or more PERSON PROPERTY ASSIGNMENT PERIOD
may be related to one or more PERSON PROPERTY QUALIFIER
may be qualified by one or more PERSON PROPERTY QUALIFIER
may be qualified by one or more UNIT OF MEASUREMENT

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PERSON STATED GENDER

Change to Class: Changed Description

The stated gender of a PERSON.

PERSON STATED GENDER is self declared, or inferred by observation for those unable to declare.

PERSON GENDER will be replaced with PERSON STATED GENDER or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.

 
PERSON GENDER will be replaced with PERSON STATED GENDER or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.

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ACTIVITY DATE TYPE

Change to Attribute: Changed Description

The type of date that defines the usage with regard to the ACTIVITY.

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

National Codes:

001Angiogram Date (Retired July 2012)
002Arrival Date At Accident and Emergency Department
003Breast Assessment Date (Retired 1 January 2013)
004Cancer Dental Assessment Date
005Colorectal or Stoma Nurse Seen Date (Retired 1 January 2013)
006Coronary Angiography Date (Retired July 2012)
007Care Programme Approach Review Date
008Date Biopsy Taken (Retired 01 April 2014)
009Discharge Date
010Discharge Ready Date
011End Date
012Event Date (Retired July 2012)
013Expected Delivery Date (Retired September 2012)
014First Antenatal Assessment Date
015Full Postnatal Examination Date (Retired September 2012)
016Initial Patient Contact Date (Retired July 2012)
017Investigation Transfer Date (Retired July 2012)
018Intrauterine Device Application Date (Retired September 2012)
019Intrauterine Device Fitted Date (Retired September 2012)
020Last Dosage Date
021Mental Health Care Assessment Date (Retired September 2012)
022Miscarriage Date (Retired September 2012)
023Pathology Result Due Date
024Patient Informed Biopsy Result Date
025Patient Informed Of Outcome Date (Retired September 2012)
026Smoking Quit Date
027Review Planned Date (Retired 01 April 2014)
028Screening Result Date (Retired 01 April 2014)
029Screening Result Sent Date
030Specialist Palliative Care Date (Retired 01 April 2014)
031Start Date
032Cancer Symptoms First Noted Date
033Attendance Date
034Clinical Intervention Date
035Immunisation Completion Date (Retired 01 September 2015)
036Clinical Status Assessment Date
037Dose Given Date (Retired September 2012)
038Test Date (Retired September 2012)
039Contact Date
040Appointment Date
041Primary Procedure Date
042Second Operation Date (Retired 01 April 2014)
043Speech and Language Assessment Date
044Third Operation Date (Retired 01 April 2014)
045Date First Seen
046Statutory Assessment Date (Retired 01 January 2016)
047Screening Test Date
048Genitourinary Care Contact Date (Retired January 2014)
049Consultant Upgrade Date
101Referral Closure Date (Community Care) (Retired 01 September 2015)
102Discharge Letter Issued Date (Community Care) (Retired 01 September 2015)
103Systemic Anti-Cancer Therapy Administration Date
104Procedure Date
105Immunisation Date
106Antenatal Appointment Date
107Antenatal Booking Appointment Date
108Pregnancy First Contact Date
109Screening Test Information Given Date
110Assessment Date For Transplant Suitability
111Accident and Emergency Initial Assessment Date
112Accident and Emergency Date Seen For Treatment
113Accident and Emergency Attendance Conclusion Date
114Accident and Emergency Departure Date
115Clinical Assessment Date
116Imaging or Radiodiagnostic Event Date
117Neonatal Critical Care Daily Care Date
118Two Year Neonatal Outcomes Assessment Date
119Date of Pregnancy Outcome (Current Fetus)
120Neonatal Critical Incident Date
121American Joint Committee on Cancer Stage Date
122Ann Arbor Stage Date
123Barcelona Clinic Liver Cancer Stage Date
124Binet Stage Date
125Chang Staging System Stage Date
126Clinical Stage Date (Pancreatic Cancer)
127Final Figo Stage Date
128Holistic Needs Assessment Completed Date
129Intergroup Rhabdomyosarcoma Study Post Surgical Group Date
130International Neuroblastoma Staging System Date
131Myeloma International Staging System Stage Date
132Modified Dukes Stage Date
133Multidisciplinary Team Discussion Date (Cancer)
134Multidisciplinary Team Meeting Date (Cancer)
135Murphy St Jude Stage Date
136Rai Stage Date
137Retinoblastoma Assessment Date
138TNM Stage Grouping Date (Final Pretreatment)
139TNM Stage Grouping Date (Integrated)
140Wilms Tumour Stage Date
141Care Contact Cancellation Date
142Care Contact Date
143Child Protection Plan End Date
144Child Protection Plan Start Date
145Discharge Letter Issued Date (Mental Health and Community Care)
146Health Visitor First Antenatal Visit Date
147Infant Physical Examination Date
148Onward Referral Date
149Referral Closure Date
150Referral Rejection Date
151Replacement Appointment Booked Date
152Replacement Appointment Date Offered
153Service Discharge Date
154Date of Restrictive Intervention
155Indirect Activity Date
156Mental Health Crisis Plan Creation Date
157Mental Health Crisis Plan Last Updated Date

Note: This list is not in alphabetical order.

 

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ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

The type of ACTIVITY GROUP.

National Codes:

01Accident and Emergency Episode
02Acute Myocardial Infarction Care Spell (Retired July 2012)
03Augmented Care Period (Retired 1 April 2006)
04Breast Cancer Care Spell
05Cancer Care Spell
06Care Home Stay (Consultant Care)
07Care Home Stay (Midwife Care)
08Care Home Stay (Nursing Care)
09Care Home Stay (Residential)
10Care Programme Approach Care Episode
11Colorectal Cancer Care Spell
12Community Episode (Retired 01 January 2016)
13Mental Health Care Professional Episode (Acute Home-Based) (Retired 01 January 2016)
14Consultant Episode (Hospital Provider)
15Consultant Out-Patient Episode
16Dental Episode (Retired 01 April 2014)
17Drug Misuse Episode
18Sexual Health and HIV Episode
19Head and Neck Cancer Care Spell
20Home Dialysis Episode
21Hospital Provider Spell
22Lung Cancer Care Spell
23Adult Mental Health, Learning Disability or Autism Spectrum Disorder Care Spell (Retired 01 January 2016)
24Midwife Episode
25Neonatal Level Of Care Period
26Nursing Episode
27Palliative Care Episode
28Person Stop Smoking Episode
29Pregnancy Episode
30Professional Staff Group Episode (Retired 01 January 2016)
31Regular Attender Episode (Retired 01 January 2016)
32Road Traffic Accident Treatment (Retired 01 April 2014)
33Sarcoma Care Spell
34Skin Cancer Care Spell
35Supervised Discharge Episode (Retired 01 April 2014)
36Supervision Register Episode (Retired 01 April 2014)
37Upper Gastrointestinal Cancer Care Spell
38Urological Cancer Care Spell
39Ward Stay
40Hospital Stay
41Care Spell
42CRITICAL CARE PERIOD
43PATIENT PATHWAY
44REFERRAL TO TREATMENT PERIOD
45Active Monitoring
46Supervised Community Treatment Recall (Retired 01 January 2016)
47Supervised Community Treatment (Retired 01 January 2016)
48Mental Health Care Without Patient Consent (Retired 01 January 2016)
49Cancer Treatment Period
50Gynaecological Cancer Care Spell
51Mental Health Care Spell (Retired 01 January 2016)
52Improving Access to Psychological Therapies Care Spell
53Adult Mental Health Care Team Episode (Retired 01 January 2016)
54Mental Health NHS Day Care Episode (Retired 01 January 2016)
55Mental Health Delayed Discharge Period
56Mental Health Care Cluster Assignment Period (Retired 01 January 2016)
57Mental Health Care Coordinator Assignment Period
58Child and Adolescent Mental Health Clinical Intervention Episode (Retired 01 January 2016)
59Child and Adolescent Mental Health Care Spell (Retired 01 January 2016)
60Maternity Episode
61HIV Episode
62Central Nervous System Cancer Care Spell
63Children Teenagers and Young Adults Cancer Care Spell
64Haematology Cancer Care Spell
65Lung Cancer Care Spell
66Commissioner Assignment Period
67Breast Screening Episode
68High Risk Breast Screening Episode
69Open Breast Screening Episode
70Neonatal Critical Care Spell
71Radiotherapy Episode
72Healthy Person Stay
73Mental Health Responsible Clinician Assignment Period
74Mental Health Conditional Discharge Period
75Mental Health Act Legal Status Classification Period (Moved to PERSON PROPERTY ASSIGNMENT PERIOD TYPE 01 January 2016)
76Care Professional Admitted Care Episode

Note:
The list is not in alphabetical order.

 

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ACTIVITY TIME TYPE

Change to Attribute: Changed Description

The type of TIME that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many TIMES associated with it but may only have one TIME of a particular type.

National Codes:

50Accident and Emergency Attendance Conclusion Time
51Accident and Emergency Departure Time
52Accident and Emergency Initial Assessment Time
53Accident and Emergency Time Seen For Treatment
54Arrival At Hospital Time (Retired April 2012)
55ARRIVAL TIME (Retired April 2012)
56End Time
57Event Time (Retired July 2012)
58Initial Patient Contact Time (Retired July 2012)
59Last Dosage Time
60Pathology Result Due Time
61Start Time
62Theatre Case Time In To Theatre Suite (Retired September 2012)
63Theatre Case Time Out Of Theatre (Retired September 2012)
64Theatre Case Time Out Of Theatre Suite (Retired September 2012)
65Time Seen
66Discharge Ready Time (Retired April 2012)
67Arrival Time At Accident and Emergency Department
68Arrival Time For Transport Requests (Retired September 2015)
69Discharge Time
70Clinical Intervention Time
71Care Contact Time
72Indirect Activity Time

Note: This list is not in alphabetical order.

 

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ADMINISTRATIVE CATEGORY CODE

Change to Attribute: Changed Description

This is recorded for PATIENT ACTIVITY.

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

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

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

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

National Codes:

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

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ALBUMINURIA STAGE (RETIRED)  renamed from ALBUMINURIA STAGE

Change to Attribute: Changed status to Retired, Name, Description

The level of albuminuria in relation to risk of diabetic renal disease and/or cardiovascular disease. Identifies renal and cardiovascular risk for a PATIENT with diabetes.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

01Normoalbuminuria
02Microalbuminuria
03Macroalbuminuria
 Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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ALBUMINURIA STAGE (RETIRED)  renamed from ALBUMINURIA STAGE

Change to Attribute: Changed status to Retired, Name, Description
  • Retired ALBUMINURIA STAGE
  • Changed Name from Data_Dictionary.Attributes.A.Age.ALBUMINURIA_STAGE to Retired.Data_Dictionary.Attributes.A.ALBUMINURIA_STAGE
  • Changed Description

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ANAPLASTIC NEPHROBLASTOMA TYPE

Change to Attribute: Changed Description

The type of anaplastic neuroblastoma present during a Children Teenagers and Young Adults Cancer Care Spell.

National Codes:

FFocal Anaplasia
DDiffused Anaplasia
UUncertain (Unable to give a definitive answer)
 

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CANCER IMAGING MODALITY

Change to Attribute: Changed Description

The type of imaging procedure used during an Imaging or Radiodiagnostic Event for a Cancer Care Spell.

National Codes:

C01XStandard Radiography
C01MMammogram
C02CVirtual colonoscopy
C02XCT Scan
C03XMRI Scan
C04XPET Scan
C05XUltrasound Scan
C06XNuclear Medicine imaging
C08AAngiography
C08BBarium
C08UUrography (Intravenous and retrograde)
C09XIntervention radiography
CXXXOther
 

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CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS

Change to Attribute: Changed Description

CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS is recorded to enable tracking of the status of REFERRAL REQUESTS for PATIENTS referred with a suspected cancer, or referred with breast symptoms with cancer not originally suspected.

Where a diagnosis of cancer is subsequently made, data on First Definitive Treatment and subsequent treatments should be recorded for PATIENTS receiving treatment within the NHS in England.

English NHS in this context refers to Health Care Provider ORGANISATIONS within England who are treating PATIENTS with cancer (where the PATIENTS have NHS NUMBERS which exist on the Patient Demographic Service database, and which can be used within the National Cancer Waiting Times Monitoring Data Set for transmission purposes) who may have been referred from outside England.

Further details can be found at: Cancer Waiting Times - Useful Documentation and Links.

Where PATIENTS with a diagnosis of cancer do NOT receive treatment within the NHS in England, or where the diagnosed condition is not within the NHS England list of cancer conditions (see Cancer Waiting Times - Useful Documentation and Links), further data need not be collected.

The National Codes have been listed in logical sequence rather than numeric order.

National Codes:

14Suspected primary cancer
09Under investigation following symptomatic referral, cancer not suspected (breast referrals only) *
03No new cancer diagnosis identified by the Health Care Provider 
10Diagnosis of new cancer confirmed - first treatment not yet planned
11Diagnosis of new cancer confirmed - English NHS first treatment planned
07Diagnosis of cancer confirmed - no English NHS treatment planned
08First treatment commenced (English NHS only)
12Diagnosis of new cancer confirmed - subsequent treatment not yet planned
13Diagnosis of new cancer confirmed - subsequent English NHS treatment planned
21Subsequent treatment commenced (English NHS only)
15Suspected recurrent cancer
16Diagnosis of recurrent cancer confirmed - first treatment not yet planned
17Diagnosis of recurrent cancer confirmed - English NHS first treatment planned
18Diagnosis of recurrent cancer confirmed - no English NHS treatment planned
19Diagnosis of recurrent cancer confirmed - subsequent treatment not yet planned
20Diagnosis of recurrent cancer confirmed - subsequent English NHS treatment planned

* National Code 09 'Under investigation following symptomatic referral, cancer not suspected (breast referrals only)' should only be used when the TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE is National Code 16 'Exhibited (non-cancer) breast symptoms - cancer not initially suspected.'

 

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CARE CONTACT TYPE

Change to Attribute: Changed Description

The type of CARE CONTACT.

National Codes:

01Accident and Emergency Attendance
02Acute Home-Based Contact (Retired 01 January 2016)
03Audiology Attendance (Retired 01 April 2014)
04Cancer Clinical Status Assessment
05Care Programme Approach Review
06Clinic Attendance Consultant
07Clinic Attendance Sexual and Reproductive Health Service (Retired November 2014)
08Clinic Attendance Midwife
09Clinic Attendance Non-Consultant
10Clinic Attendance Nurse
11Contact Tracing Activity (Retired 01 April 2014)
12Dental Treatment Contact (Retired 01 April 2014)
13Day Care Attendance (Retired 01 January 2016)
14Domiciliary Consultation
15Emergency Dental Attendance (Retired 01 April 2014)
16Face To Face Contact Community Care (Retired 01 January 2016)
17Face To Face Contact CPA Care Coordinator (Retired 01 January 2016)
18Face To Face Contact Dental (Retired 01 April 2014)
19Face To Face Contact Optical (Retired 01 April 2014)
20Face To Face Contact Social Worker (Retired 01 April 2011)
21Face To Face Contact Surveillance (Retired 01 April 2014)
22Sexual and Reproductive Health Domiciliary Visit
23Genitourinary Consultant Clinic Attendance
24GMP Consultation (Retired 01 April 2014)
25GMP Practice Consultation (Retired 01 April 2014)
26Home Assessment Visit (Retired 01 January 2016)
27Maternity Domiciliary Visit
28Night Consultation Visit (Retired 01 April 2014)
29Nurse or Midwife Contact
30Out-Patient Attendance Consultant
31Registration Health Check  (Retired 01 April 2014)
32Sheltered Work Attendance (Retired 01 April 2011)
33Sight Test (Retired 01 April 2014)
34Social Services Statutory Assessment (Retired 01 January 2016)
35Professional Advice And Support Contact (Retired 01 April 2014)
36Professional Staff Group Contact (Retired 01 January 2016)
37Telephone Contact NHS Direct (Mental Health) (Retired 01 April 2011)
38Theatre Case
39Ward Attendance
40Genitourinary Care Contact (Retired January 2014)
41Improving Access to Psychological Therapies Contact
42NHS Health Check Assessment
43Antenatal Booking Appointment
44Pregnancy First Contact
45Nutritional Assessment
46HIV Clinic Attendance
47Multi-Disciplinary Consultation (National Tariff Payment System)
48Multi-Professional Consultation (National Tariff Payment System)
49Two Year Neonatal Outcomes Assessment
50Radiotherapy Attendance
51Holistic Needs Assessment

Note: The list is not in alphabetical order.

 

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CARE ISSUE END DATE (RETIRED)  renamed from CARE ISSUE END DATE

Change to Attribute: Changed status to Retired, Name, Description

The date on which a PERSON PROPERTY stops acting as a CARE ISSUE.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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CARE ISSUE END DATE (RETIRED)  renamed from CARE ISSUE END DATE

Change to Attribute: Changed status to Retired, Name, Description
  • Retired CARE ISSUE END DATE
  • Changed Name from Data_Dictionary.Attributes.C.Card.CARE_ISSUE_END_DATE to Retired.Data_Dictionary.Attributes.C.CARE_ISSUE_END_DATE
  • Changed Description

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CARE ISSUE IDENTIFIER (RETIRED)  renamed from CARE ISSUE IDENTIFIER

Change to Attribute: Changed status to Retired, Name, Description

Uniquely identifies a CARE ISSUE.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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CARE ISSUE IDENTIFIER (RETIRED)  renamed from CARE ISSUE IDENTIFIER

Change to Attribute: Changed status to Retired, Name, Description
  • Retired CARE ISSUE IDENTIFIER
  • Changed Name from Data_Dictionary.Attributes.C.Card.CARE_ISSUE_IDENTIFIER to Retired.Data_Dictionary.Attributes.C.CARE_ISSUE_IDENTIFIER
  • Changed Description

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CARE ISSUE START DATE (RETIRED)  renamed from CARE ISSUE START DATE

Change to Attribute: Changed status to Retired, Name, Description

The date on which a PERSON PROPERTY starts to act as a CARE ISSUE.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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CARE ISSUE START DATE (RETIRED)  renamed from CARE ISSUE START DATE

Change to Attribute: Changed status to Retired, Name, Description
  • Retired CARE ISSUE START DATE
  • Changed Name from Data_Dictionary.Attributes.C.Card.CARE_ISSUE_START_DATE to Retired.Data_Dictionary.Attributes.C.CARE_ISSUE_START_DATE
  • Changed Description

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CARE PROFESSIONAL SENIOR OPERATING SURGEON GRADE FOR CANCER

Change to Attribute: Changed Description

The grade of the senior surgeon present at the operation during a Gynaecological Cancer Care Spell.

National Codes:

SSubspecialist Gynaecological Oncologist
CConsultant Gynaecologist (not subspecialist)
FSub-Specialty Fellow
AAssociate Specialist / Staff Grade
RSpecialist Registrar (SPR) / ST3+ (Specialty Training)
OSenior House Officer (SHO) / ST1 or ST2 (Specialty Training)
GGeneral Surgeon / other surgical specialty
ZColposcopist Not Otherwise Specified (this may be a qualified colposcopist who is not a surgeon)
 

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CARER RESIDENT INDICATION CODE FOR NATIONAL NEONATAL DATA SET

Change to Attribute: Changed Description

An indication of whether the parent/Carer of a PATIENT is staying with the PATIENT during a Neonatal Critical Care Spell; and if so, whether they are delivering any of the care that the  PATIENT requires.

National Codes:

1Parent/Carer not resident
2Parent/Carer resident but not caring for PATIENT
3Parent/Carer resident and caring for PATIENT
 

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CATEGORY VALUED PERSON OBSERVATION TYPE

Change to Attribute: Changed Description

The type of CATEGORY VALUED PERSON OBSERVATION.

National Codes:

01ALCOHOL STATUS (Retired 1 January 2013) 
02ASPIRIN THERAPY LOCATION (Retired July 2012)
03BLEED COMPLICATION (Retired July 2012)
04ETHNIC CATEGORY 
05JOINT REPLACEMENT REVISION CLASSIFICATION (Retired 1 April 2012) 
06LANGUAGE 
07MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION 
08PATIENT CLINICAL GROUP (Retired July 2012)
09PERFORMANCE STATUS 
10PERSON GENDER 
11PERSON MARITAL STATUS 
12SARCOMA PREDISPOSING CONDITION (Retired 1 January 2013) 
13SKIN LYMPHOMA MORPHOLOGY (Retired 1 January 2013) 
14ACCOMMODATION 
15SEXUAL ORIENTATION 
16RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION 
17RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP (Retired August 2013)
18CONTRACEPTION 
19DISABILITY 
20PREVIOUS SYMPTOM STATUS 
21PSYCHOTROPIC MEDICATION STATUS 
22STATUTORY SICK PAY STATUS 
23PERSON PHYSICAL ACTIVITY LEVEL 
24CHILDHOOD IMMUNISATION STATUS 
25FOLIC ACID SUPPLEMENT STATUS
26SUPPORT STATUS
27DISABILITY SEVERITY
28CONSCIOUSNESS STATUS
29PERSON PHENOTYPIC SEX
30PERSON STATED GENDER
31SOCIO-ECONOMIC CLASSIFICATION
32CARE CLUSTER
33NATIONALITY
 

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CHILDHOOD IMMUNISATION TYPE CODE

Change to Attribute: Changed Description

The type of childhood immunisation given to a child on the IMMUNISATION DATE.

Note: National Codes in bold are at a high level. Either the higher level national code or the lower level code national code should be reported as required by the Data Set. 

National Codes:

010Diphtheria
011D3 - Diphtheria
012D4 - Diphtheria booster
020Pertussis
021aP3 - Pertussis
022aP4 - Pertussis booster
030Tetanus
031T3 - Tetanus
032T4 - Tetanus booster
040Polio
041Po3 - Polio
042Po4 - Polio booster
050Haemophilus influenzae type b
051Hib3 - Haemophilus influenzae type b
060Measles, Mumps, Rubella (MMR)
061MMR1 - Measles, Mumps, Rubella
062MMR2 - Measles, Mumps, Rubella
070Meningococcal serogroup C (MenC)
080Haemophilus influenzae type b and Meningococcal C (booster) (Hib/MenC (booster))
090Pneumococcal (PCV)
091PCV2 - Pneumococcal
092PCV (booster) - Pneumococcal (booster)
100Low dose Diphtheria
110Human papillomavirus (HPV)
120Rotavirus
130Hepatitis B (Hep B)
140Tuberculosis (BCG)
150Meningococcal serogroup B (MenB)
151MenB2 - Meningococcal serogroup B
152MenB (booster) - Meningococcal serogroup B (booster)
 

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CLARKS LEVEL IV INDICATION CODE

Change to Attribute: Changed Description

An indication of whether the Tumour is greater than or equal to Clark's level IV skin cancer.

Note: Clark level IV skin cancer is skin cancer that has spread into the reticular dermis (the thick bottom layer of the dermis).

National Codes:

YYes
NNo
UUncertain (Unable to give a definitive answer)
 

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CLINICAL INTERVENTION TYPE

Change to Attribute: Changed Description

The type of CLINICAL INTERVENTION.

National Codes:

01Anaesthetic Service (Retired November 2013)
02Anti-Cancer Drug Cycle
03Anti-Cancer Drug Fraction (Retired 1 January 2013)
04Anti-Cancer Drug Programme
05Anti-Cancer Drug Regimen
06Brachytherapy Treatment Course
07Contraceptive Service (Retired November 2013)
08Dental Haemorrhage Service (Retired November 2013)
09Dental Treatment (Retired 01 April 2014)
10Drug Dosage and Administration (Retired 1 January 2013)
11Drug Treatment
12Emergency Treatment Service (Retired November 2013)
13Endocrine Therapy (Retired 1 January 2013)
14Fraction
15Primary Hip Replacement Surgery
16Imaging or Radiodiagnostic Event
17Immunisation Dose Given
18Joint Replacement Surgery
19Primary Knee Replacement Surgery
20Labour and Delivery
21Lithotripsy Course Attendance (Retired 1 April 2014)
22Maternity Medical Service (Retired November 2013)
23Minor Surgery Procedure (Retired November 2013)
24Pathology Laboratory Investigation (Retired January 2015)
25Patient Procedure
26Post Mortem
27Radiotherapy Treatment Course
28Screening Test (Retired November 2013)
29Teletherapy Treatment Course (Retired 1 April 2014)
30Test Of Immunity (Retired November 2013)
31Therapy After Discharge (Retired July 2012)
32Thromboprophylaxis Regime
33Unsealed Source Treatment Course (Retired 1 April 2014)
34Vaccination Service (Retired November 2013)
35Vasectomy Performed (Retired November 2013)
36Clinical Investigation
37Systemic Anti-Cancer Drug Cycle
38Systemic Anti-Cancer Drug Programme
39Systemic Anti-Cancer Drug Regimen
40Chemotherapy
41Cytotoxic Chemotherapy
42Hormone Therapy
43Immunotherapy
44Diagnostic Imaging (Retired January 2015)
456 - 8 Week Physical Examination (Retired January 2015)
46Ultrasound Scan In Pregnancy (Retired January 2015)
47Newborn Physical Examination (Retired January 2015)
48Biological Therapy
49Brachytherapy
50Chemoradiotherapy
51Cryotherapy
52High Intensity Focused Ultrasound
53Hyperbaric Oxygen Therapy
54Laser Treatment
55Light Therapy
56Photodynamic Therapy
57Proton Therapy
58Psoralen and Ultraviolet A Therapy
59Radiofrequency Ablation
60Radioisotope Therapy
61Radiosurgery
62Radiotherapy
63Teletherapy
64Tissue Typing (Retired January 2015)
65Blood Transfusion
66Renal Dialysis
67Antiretroviral Therapy
68Drug Regimen
69Ablative Therapy
70Laparoscopy
71Primary Ankle Replacement Surgery
72Revision Ankle Replacement Surgery
73Primary Elbow Replacement Surgery
74Revision Elbow Replacement Surgery
75Revision Hip Replacement Surgery
76Revision Knee Replacement Surgery
77Primary Shoulder Replacement Surgery
78Revision Shoulder Replacement Surgery
79Oxygen Therapy
80Therapeutic Hypothermia
81Parenteral Nutrition
82Enteral Feeding
83Radiotherapy Exposure
84Mental Health Treatment
85Restrictive Intervention
 

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CLUSTERING TOOL ASSESSMENT CATEGORY

Change to Attribute: Changed Description

The category of the Clustering Tool assessment completed.

Note: only CLUSTERING TOOL ASSESSMENT CATEGORY National Code 'Adult Mental Health Clustering Tool' is currently supported in the Mental Health Services Data Set. Other National Codes have been included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Mental Health Services Data Set.

National Codes:

01Adult Mental Health Clustering Tool
02Child and Adolescent Mental Health Clustering Tool
03Learning Disabilities Clustering Tool
04Forensic (Mental Health) Clustering Tool
05Forensic (Learning Disabilities) Clustering Tool
 

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CLUSTERING TOOL ASSESSMENT REASON

Change to Attribute: Changed Description

The reason that a Clustering Tool assessment for a PATIENT was undertaken.

National Codes:

10Initial assessment
11Scheduled re-assessment
12Re-assessment following significant unanticipated change in need
97Other Reason
 

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CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR

Change to Attribute: Changed Description

An indication of whether a disabled PERSON requires constant (round the clock) care and/or supervision for maintenance of their safety and/or wellbeing.

National Codes:

YYes - PERSON requires constant care and/or supervision
NNo - PERSON does not require constant care and/or supervision
 

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CONSULTATION TYPE

Change to Attribute: Changed Description

The type of consultation between the CARE PROFESSIONAL and the PATIENT.

National Codes:

01Initial Consultation
02Follow-up Consultation
 

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DAUGHTER BORN AT THIS ENCOUNTER INDICATOR

Change to Attribute: Changed Description

An indication of whether a baby daughter has been born to the PATIENT at this ACTIVITY.

National Codes:

YYes - baby daughter born at this activity
NNo - baby daughter not born at this activity
 

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DEINFIBULATION UNDERTAKEN REASON

Change to Attribute: Changed Description

The reason a deinfibulation Patient Procedure was undertaken.

National Codes:

1Deinfibulation undertaken to facilitate delivery
2Deinfibulation undertaken for other reasons
 

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DEPARTMENT TYPE

Change to Attribute: Changed Description

The type of DEPARTMENT.

For the KH12, this is the Isotope Procedure Department, based on the MAIN SPECIALTY CODE of the head of the DEPARTMENT, or the type of Physiological Measurement Department.

National Codes:

01Accident and Emergency Department
02Pathology Department
03Professional Staff Group Department (Retired 01 January 2016)
04Radiology Department
05Radiotherapy Department
20Isotope Procedure Department 
 21nuclear medicine
 22medical physics
 23other
30Physiological Measurement Department 
 31electrocardiography
 32electroencephalography
 33respiratory function
 

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DIABETES ROUTINE REVIEW CODE (RETIRED)  renamed from DIABETES ROUTINE REVIEW CODE

Change to Attribute: Changed status to Retired, Name, Description

A record about the regular DIABETES ROUTINE REVIEW RESULT for a PERSON with diabetes.

National Codes:This item has been retired from the NHS Data Model and Dictionary.

01Carried out
02Not done
03Not necessary
 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES ROUTINE REVIEW CODE (RETIRED)  renamed from DIABETES ROUTINE REVIEW CODE

Change to Attribute: Changed status to Retired, Name, Description
  • Retired DIABETES ROUTINE REVIEW CODE
  • Changed Name from Data_Dictionary.Attributes.D.Den.DIABETES_ROUTINE_REVIEW_CODE to Retired.Data_Dictionary.Attributes.D.DIABETES_ROUTINE_REVIEW_CODE
  • Changed Description

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DIABETES ROUTINE REVIEW TYPE (RETIRED)  renamed from DIABETES ROUTINE REVIEW TYPE

Change to Attribute: Changed status to Retired, Name, Description

Identifies the type of regular DIABETES ROUTINE REVIEW RESULT for a PERSON with diabetes.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

01Eye Examination
02Foot Examination
 Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES ROUTINE REVIEW TYPE (RETIRED)  renamed from DIABETES ROUTINE REVIEW TYPE

Change to Attribute: Changed status to Retired, Name, Description
  • Retired DIABETES ROUTINE REVIEW TYPE
  • Changed Name from Data_Dictionary.Attributes.D.Den.DIABETES_ROUTINE_REVIEW_TYPE to Retired.Data_Dictionary.Attributes.D.DIABETES_ROUTINE_REVIEW_TYPE
  • Changed Description

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DIABETES TYPE (RETIRED)  renamed from DIABETES TYPE

Change to Attribute: Changed status to Retired, Name, Description

Classifies the type of diabetes experienced by the PATIENT.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

01Type 1
02Type 2
06MODY
08Other Specified
99Not specified

'99 - Not Specified' should only be used in the short term and refined to one of the alternative options as soon as possible.Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES TYPE (RETIRED)  renamed from DIABETES TYPE

Change to Attribute: Changed status to Retired, Name, Description
  • Retired DIABETES TYPE
  • Changed Name from Data_Dictionary.Attributes.D.Den.DIABETES_TYPE to Retired.Data_Dictionary.Attributes.D.DIABETES_TYPE
  • Changed Description

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DIAGNOSIS SCHEME IN USE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY used for the PATIENT DIAGNOSIS.

National Codes:

01Accident & Emergency Diagnosis ***
02ICD-10
03Read Code 4Byte Version (retired 1 October 2009)
04Read Coded Clinical Terms Version 2
05Read Coded Clinical Terms Version 3 (CTV3) *
06Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) **

Notes:

 

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DISABILITY IMPACT PERCEPTION

Change to Attribute: Changed Description

The PATIENT or Patient Proxy's perception of whether the PATIENT's day-to-day activities are limited because of a health problem or DISABILITY which has lasted, or is expected to last, at least 12 months.

National Codes:

01Yes - limited a lot
02Yes - limited a little
03No - not limited
04Prefer not to say (PERSON asked but declined to provide a response)
 

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DISCHARGE DESTINATION

Change to Attribute: Changed Description

The destination of a PATIENT on completion of a Hospital Provider Spell, or a note that the PATIENT died or was a still birth.

National Codes:

19Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes PATIENTS with no fixed abode.
29Temporary place of residence when usually resident elsewhere (includes hotel, residential Educational Establishment)
30Repatriation from high security psychiatric accommodation in an NHS Hospital Provider (NHS Trust or NHS Foundation Trust)
37Court
38Penal establishment or police station
48High Security Psychiatric Hospital, Scotland
49NHS other Hospital Provider - high security psychiatric accommodation
50NHS other Hospital Provider - medium secure unit
51NHS other Hospital Provider - WARD for general PATIENTS or the younger physically disabled
52NHS other Hospital Provider - WARD for maternity PATIENTS or Neonates 
53NHS other Hospital Provider - WARD for PATIENTS who are mentally ill or have Learning Disabilities
54NHS run Care Home 
65Local Authority residential accommodation i.e. where care is provided
66Local Authority foster care
79Not applicable - PATIENT died or still birth
84Non-NHS run hospital - medium secure unit
85Non-NHS (other than Local Authority) run Care Home 
87Non-NHS run hospital
88Non-NHS (other than Local Authority) run Hospice
 

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DONOR CATEGORY CODE NON HEART BEATING

Change to Attribute: Changed Description

The donor category as defined by the Maastricht Classification used to categorise non-heart beating donors.

National Codes:

01Category 1 - Dead-on-arrival at hospital cause of death is obvious (e.g. serious head injury) and no resuscitation is given. (This is an unusual event and rare source of Non Heart Beating donors).
02Category 2 - Unsuccessful resuscitation an individual is brought to an Accident and Emergency Department while being resuscitated but this is not effective or arrest occurs on the hospital WARD and they are unable to be resuscitated. (These are relatively common events and represent the largest potential pool of Non Heart Beating donors).
03Category 3 - Awaiting cardiac arrest e.g. severe brain damage without brain death has occurred. PATIENTS are mostly ventilator-dependent and after consent from relatives, the ventilator is switched off and cardiac arrest awaited. The agonal period is limited to 2 hours to avoid damage from hypotension and hypoxia.
04Category 4 - Cardiac arrest while brain dead these PATIENTS are in the process of being diagnosed brain dead and do not respond to cardiopulmonary resuscitation.
 

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EDUCATIONAL ASSESSMENT OUTCOME

Change to Attribute: Changed Description

The outcome of an EDUCATIONAL ASSESSMENT.

National Codes:

01No Special Education Needs
02School Action (Retired 01 September 2015)
03School Action Plus and Statutory Assessment (Retired 01 September 2015)
04Statemented (Retired 01 September 2015)
05Subject to Education, Health and Care Plan (EHC)
 

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FEMALE GENITAL MUTILATION IDENTIFICATION METHOD CODE

Change to Attribute: Changed Description

A code to identify how Female Genital Mutilation was identified.

National Codes:

1Self report (includes notification by the PATIENT, social worker, teacher etc.)
2On examination by CARE PROFESSIONAL
3Other CARE PROFESSIONAL
XOther
 

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FINDING SCHEME IN USE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY used for the finding.

National Codes:

01ICD-10
02Read Coded Clinical Terms Version 2
03Read Coded Clinical Terms Version 3 (CTV3)
04Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT)
 

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GENETIC CONFIRMATION INDICATOR

Change to Attribute: Changed Description

An indication of whether there is any cytogenetic or molecular genetic data confirming the histological diagnosis.

National Codes:

YYes - confirmed
NNo - not confirmed
 

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GROUP SESSION TYPE CODE FOR COMMUNITY CARE

Change to Attribute: Changed Description

The type of Group Session provided by a Community Health Service.

National Codes:

01Antenatal Session
02Parent/Carer and Child Session
03General Health Promotion Session
04Screening Programme
05Stop Smoking Education Programme
06Substance Misuse
07Weight Management
08Contraception and Sexual Health
98Other
 

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HEALTH PROGRAMME TYPE

Change to Attribute: Changed Description

The type of HEALTH PROGRAMME.

National Codes:

01Contact Tracing Programme (Retired 01 April 2014)
02Health Promotion Programme
03Nursing In The Community Programme (Retired 01 January 2016)
04Oral Health Programme (Retired 01 April 2014)
05Professional Advice And Support Programme (Retired 01 April 2014)
06Screening Programme
07Surveillance Programme
08Immunisation Programme
09NHS Breast Screening Programme
10NHS Newborn and Infant Physical Examination Programme
 

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HISTORY OF FEMALE GENITAL MUTILATION INDICATOR

Change to Attribute: Changed Description

An indication of whether there is any history of PATIENT DIAGNOSIS of female genital mutilation for a PERSON.

National Codes:

YYes - history of female genital mutilation
NNo - no history of female genital mutilation
ZNot stated (PERSON asked but declined to provide a response)
 

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INTERNATIONAL STAGING SYSTEM FOR RETINOBLASTOMA

Change to Attribute: Changed Description

The International Retinoblastoma Staging System stage for a PATIENT during a Children Teenagers and Young Adults Cancer Care Spell.

National Codes:

CODESTAGEDESCRIPTION
00PATIENTS treated conservatively, grouped according to intraocular classification
1IEye enucleated, completely resected histologically
2IIEye enucleated, microscopic residual Tumour
3IIIRegional extension
a) Overt orbital disease
b) Pre-auricular or cervical Lymph Node extension
4IVMetastatic disease
a) Haematogenous metastasis 1. Single lesion 2. Multiple lesions
b) CNS (Central Nervous System) extension 1. Prechiasmatic lesion 2. CNS mass 3. Leptomeningeal disease
 

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JOINT REPLACEMENT REVISION REASON CODE FOR ELBOW

Change to Attribute: Changed Description

The reason that a PATIENT requires Revision Elbow Replacement Surgery.

National Codes:

1Infection
2Instability
3Aseptic Loosening
4Periprosthetic Fracture
5Other (Retired 31 October 2014)
6Failed Hemi-arthroplasty
9Other
 

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KEY WORKER SEEN INDICATOR

Change to Attribute: Changed Description

An indication of whether the PATIENT was seen by a Key Worker.

During a Cancer Care Spell, this is whether the PATIENT was seen by a Key Worker (other than a Clinical Nurse Specialist (CNS) or Palliative Care Specialist).

National Codes:

YYes - PATIENT was seen by a Key Worker
NNo - PATIENT was not seen by a Key Worker
 

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LESION DIAMETER GREATER THAN 20MM INDICATION CODE

Change to Attribute: Changed Description

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)
UUncertain (Unable to give a definitive answer)
 

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LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE

Change to Attribute: Changed Description

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)
UUncertain (Unable to give a definitive answer)
 

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MENTAL HEALTH ABSENCE WITHOUT LEAVE END REASON

Change to Attribute: Changed Description

The reason the Mental Health Absence Without Leave ended.

National Codes:

01PATIENT returned voluntarily
02PATIENT is taken back into custody
03PATIENT fails to return by the end of the relevant period for which they are liable to be detained or subject to guardianship
04PATIENT discharged, care or treatment finished
05PATIENT died
 

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MENTAL HEALTH ACT 2007 MENTAL CATEGORY

Change to Attribute: Changed Description

The primary reason for the detention of PATIENTS under the Mental Health Act 1983, as amended by the Mental Health Act 2007. 

MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be used for PATIENTS detained from 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, and replaces MENTAL CATEGORY which is applicable until then.

A PATIENT should be included under only one MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

National Codes:

AMental disorder (Learning Disability not present or not primary reason for using Act)
BMental disorder (Learning Disability primary reason for using Act)
 

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD END REASON

Change to Attribute: Changed Description

The reason for the end of the Mental Health Act Legal Status Classification Assignment Period.

National Codes:

01Change in MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (including to informal)
02Unrestricted treatment order (Community Treatment Order) (Retired 01 January 2016)
03Restricted treatment order (Conditional Discharge) (Retired 01 January 2016)
04Transfer to other Health Care Provider
05Death of PATIENT
 

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START REASON

Change to Attribute: Changed Description

The reason for the start of the Mental Health Act Legal Status Classification Assignment Period.

National Codes:

01Change in MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (including from informal)
02Recall from unrestricted treatment order (Community Treatment Order) (Retired 01 January 2016)
03Recall from restricted treatment order (Conditional Discharge) (Retired 01 January 2016)
04Transfer from other Health Care Provider
 

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MENTAL HEALTH DELAYED DISCHARGE REASON

Change to Attribute: Changed Description

The reason that a Mental Health Delayed Discharge Period was initiated for a PATIENT.

National Codes:

A1Awaiting completion of assessment
B1Awaiting public funding
C1Awaiting further non-acute (including community and mental health) NHS care (including intermediate care, rehabilitation services etc)
D1Awaiting Care Home Without Nursing placement or availability
D2Awaiting Care Home With Nursing placement or availability
E1Awaiting care package in own home
F1Awaiting community equipment and adaptations
G1PATIENT or family choice
H1Disputes
I1Housing - PATIENT not covered by NHS and Community Care Act
J1Awaiting availability of social care support
K1Awaiting availability of local health service provision
Z1Other Reason
 

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MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE

Change to Attribute: Changed Description

An indication of whether there is evidence of microsatellite or in-transit metastases (intralymphatic metastatic CELLS that have separated from the main Tumour) during a Skin Cancer Care Spell.

National Codes:

YYes
NNo
UUncertain (Unable to give a definitive answer)
 

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NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE

Change to Attribute: Changed Description

The outcome/status of a Newborn Blood Spot Test request.

NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE is aligned with descriptors in SNOMED CT® as follows:

    • original ID is 61081000000135 and
    • name is Newborn blood spot screening result status.

National Codes:

01Specimen received in LABORATORY
02Screening declined
03Repeat/Further Sample Required
04Condition not suspected
05Carrier
06Sickle Cell Disease not suspected, carrier of other haemoglobin
07Condition not suspected, other disorders follow up
08Condition suspected
09Not screened/screening incomplete
10Haemoglobin S not suspected (by DNA) No other haemoglobin /thalassemia excluded
 

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NODAL STATUS

Change to Attribute: Changed Description

The status of a PATIENT's regional nodal metastases, determined during a follow up Cancer Clinical Status Assessment.

National Codes:

1Residual regional nodal metastases
2No evidence of regional nodal metastases
3New regional nodal metastases
4Not assessed
5Uncertain (Unable to give a definitive answer)
 

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OBSERVATION SCHEME IN USE

Change to Attribute: Changed Description

The type of CLINICAL TERMINOLOGY CODE used for the observation.

National Codes:

01Read Coded Clinical Terms Version 2
02Read Coded Clinical Terms Version 3 (CTV3)
03Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT)
 

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ONWARD REFERRAL REASON

Change to Attribute: Changed Description

The reason why the PATIENT was referred from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.

National Codes:

01Transfer of Clinical Responsibility
02For Opinion Only
03For Diagnostic Test Only
04New Referral (Non Transfer)
96Other
 

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OTHER PERSON IN ATTENDANCE AT CARE CONTACT

Change to Attribute: Changed Description

The other PERSON in attendance, with the PATIENT, at the CARE CONTACT.

National Codes:

01Independent Advocate (Family Member)
02Independent Advocate (Independent PERSON)
03Independent Mental Capacity Advocate (IMCA)
04Independent Mental Health Advocate (IMHA)
05Non-Instructed Advocate
 

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PALLIATIVE CARE SPECIALIST SEEN INDICATOR

Change to Attribute: Changed Description

An indication of whether the PATIENT was seen by a Palliative Care specialist during a Care Spell.

National Codes:

YYes - PATIENT was seen by a Palliative Care specialist
NNo - PATIENT was not seen by a Palliative Care specialist
 

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PATIENT DIAGNOSIS INDICATION FOR PRIMARY ELBOW REPLACEMENT

Change to Attribute: Changed Description

The PATIENT DIAGNOSIS that indicates that a PATIENT requires Primary Elbow Replacement Surgery.

National Codes:

1Osteoarthritis
2Other Inflammatory Arthropathy
3Essex Lopresti
4Avascular Necrosis
5Other Acute Trauma
6Trauma Sequelae
7Failed Hemi-arthroplasty (Retired 31 October 2014)
8Other
 

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PATIENT DIAGNOSIS INDICATION FOR PRIMARY HIP REPLACEMENT

Change to Attribute: Changed Description

The PATIENT DIAGNOSIS that indicates that a PATIENT requires Primary Hip Replacement Surgery.

National Codes:

01Osteoarthritis
02Inflammatory Arthropathy
03Congenital Dislocation/ Dysplasia of The Hip
04Avascular Necrosis
05Trauma - Acute (Neck of Femur)
06Failed Hemi-arthroplasty
07Trauma - Chronic
08Previous Hip Surgery - Non Trauma Related
09Previous Arthrodesis
10Previous Infection
11Other (Retired 31 October 2014)
12Slipped Upper Femoral Epiphysis (SUFE)
13Perthes
14Skeletal Dysplasia
15Metastatic Cancer/Malignancy
99Other
 

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PATIENT DIAGNOSIS INDICATION FOR PRIMARY SHOULDER REPLACEMENT

Change to Attribute: Changed Description

The PATIENT DIAGNOSIS that indicates that a PATIENT requires  Primary Shoulder Replacement Surgery.

National Codes:

1Osteoarthritis
2Cuff Tear Arthropathy
3Inflammatory arthropathy
4Avascular Necrosis
5Acute Trauma
6Trauma Sequelae
7Other (Retired 31 October 2014)
8Metastatic Cancer/Malignancy
9Other
 

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PATIENT DIAGNOSIS INDICATOR

Change to Attribute: Changed Description

An indication of whether a PATIENT DIAGNOSIS has been made. 

National Codes:

YPATIENT DIAGNOSIS made
NPATIENT DIAGNOSIS not made
 

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PATIENT DIAGNOSIS TYPE FOR NHS HEALTH CHECK

Change to Attribute: Changed Description

The type of PATIENT DIAGNOSIS provided as a result of an NHS Health Check Assessment.

National Codes:

01Chronic Kidney Disease Stage 3
02Chronic Kidney Disease Stage 4
03Chronic Kidney Disease Stage 5
04Type 2 Diabetes
05Hypertension
06Non Diabetic Hyperglycaemia
 

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PATIENT PROCEDURE PERFORMED INDICATOR

Change to Attribute: Changed Description

An indication of whether a Patient Procedure was performed.

National Codes:

YYes - a Patient Procedure was performed
NNo - a Patient Procedure was not performed
 

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PATIENT PROCEDURE TYPE FOR PRIMARY KNEE REPLACEMENT

Change to Attribute: Changed Description

The type of Patient Procedure performed on a PATIENT who requires Primary Knee Replacement Surgery.

National Codes:

1Primary Total Prosthetic Replacement Using Cement
2Primary Total Prosthetic Replacement Not Using Cement
3Unicondylar Knee Replacement (Retired 31 October 2014)
4Patello-Femoral Replacement
5Primary Total Prosthetic Replacement Not Classified Elsewhere (e.g. Hybrid)
6Unicondylar Knee Replacement - Medial
7Unicondylar Knee Replacement - Lateral
 

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PERINEURAL INVASION INDICATOR

Change to Attribute: Changed Description

An indication of whether there is perineural invasion (PNI) into the nerve bundles during a Cancer Care Spell.

National Codes:

YYes - there is perineural invasion
NNo - there is no perineural invasion
 

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PERSON ACCOMPANYING TRANSPORTED PATIENT

Change to Attribute: Changed Description

The PERSON accompanying a PATIENT on a PATIENT TRANSPORT JOURNEY.

National Codes:

1NURSE - not Advanced Neonatal Nurse Practitioner
2NURSE - Advanced Neonatal Nurse Practitioner
3Doctor
4Paramedic
5Parent/Carer
 

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PERSON AT RISK OF UNEXPECTED DEATH INDICATOR

Change to Attribute: Changed Description

An indication of whether a PATIENT is at risk of sudden, unexpected death, as assessed by a CARE PROFESSIONAL.

For the Children and Young People's Health Services Data Set and Community Information Data Set, this is whether a Child or Young Person is at risk of sudden, unexpected death before the age of 18.

National Codes:

YYes - PATIENT at risk of unexpected death
NNo - PATIENT not at risk of unexpected death
 

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PREFERRED DEATH LOCATION DISCUSSED INDICATOR

Change to Attribute: Changed Description

An indication of whether the preferred LOCATION of death was discussed with the PATIENT or Patient Proxy by a CARE PROFESSIONAL.

For the Children and Young People's Health Services Data Set and Community Information Data Set, this is whether the preferred LOCATION of death was discussed with the Child or Young Person or their family, in the event that there is an expected risk of death before the age of 18 for the Child or Young Person.

National Codes:

YYes - the preferred LOCATION of death was discussed with the PATIENT or Patient Proxy
NNo - the preferred LOCATION of death was not discussed with the PATIENT or Patient Proxy
 

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PRIMARY TUMOUR STATUS

Change to Attribute: Changed Description

The status of a PATIENT's primary Tumour, determined during a Cancer Clinical Status Assessment.

National Codes:

1Residual primary Tumour
2No evidence of primary Tumour
3Recurrent primary Tumour
4Not assessed (Sample is not suitable to assess)
5Uncertain (Unable to give a definitive answer)
 

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PROCEDURE SCHEME IN USE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY used for the CLINICAL INTERVENTION.

National Codes:

01Accident & Emergency Treatment ***
02OPCS-4 ***
03Read Code 4Byte Version (retired 1 October 2009)
04Read Coded Clinical Terms Version 2
05Read Coded Clinical Terms Version 3 (CTV3) *
06Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) **

Notes:

 

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REASON FOR REFERRAL TO COMMUNITY CARE

Change to Attribute: Changed Description

The reason that a PATIENT was referred to a Community Health Service

National Codes:

001Accident/Trauma
002Alopecia
003Antenatal Care
004Bereavement
005Bladder Care
006Blood Pressure
007Bowel Problems
008Cancer
009Cardiac Conditions
010Catheter Problems
011Cerebral Palsy
012Cleft Palate
013Cognitive Problems
014Colostomy Care
015Continence Problems
016Contraception and Sexual Health (Retired 01 September 2015)
017Developmental Problems
018Diabetes
019Diarrhoea and Vomiting
020Dizziness/Balance Problems
021Downs Syndrome
022Deep Vein Thrombosis
023Ear Infections/Problems
024Eating Disorder
025Emotional/Behavioural Problems
026End of Life Support
027Epilepsy
028Equipment Provision
029Eustachian Tube Dysfunction
030Falls Risk
031Family Support
032Feeding/Swallowing Problems
033Foot Care/Problems
034Head Injury
035Hearing Problems/Loss
036Immunisation
037Laryngectomy
038Leg Ulcer
039Looked After Children
040Low Muscle Tone
041Lymphoedema Management
042Mobility Problems
043Musculoskeletal Problems
044Neurological Problems
045Healthy Child Pathway
046Nutrition and Dietetics
047Ophthalmic Problems
048Over 75 Assessment
049Pain/Symptom Control
050Parkinsons Disease
051Personal Hygiene
052Post Operative Care
053Pressure Ulcer
054Problems with Activities of Daily Living
055Psychological Conditions
056Rehabilitation
057Respiratory Conditions
058Safeguarding
059Skin Problems
060Sleep Problems
061Smoking Cessation
062Speech and Language Problems
063Stoma Care
064Structural/Functional Impairment
065Substance Misuse
066Trismus/Restricted Mouth Opening
067Tuberculosis
068Vascular Problems
069Vomiting/Nausea
070Wound Care
071Multiple Complex Communication Difficulties
072Dental Care/Problems
073Haematology/Phlebotomy
074Chronic Fatigue Syndrome/Myalgic Encephalopathy
075Chronic Allergy/Immunological Problem
076Metabolic/Endocrine Disorders
077Renal Problems
078Minor Surgery
079Gastrostomy Management/Care
080Care of the Next Infant (CONI) Pathway
081Failure to Thrive
082Maternal Mood Problems
083Complex Social Factors (as defined by the National Institute for Health and Care Excellence guidance)
084Condition(s) Requiring Respite Care
085Other Congenital Conditions
086Blood Disorders
087Genetic Disorders
088Neonatal Abstinence Syndrome

Note: This list is not in alphabetical order.

 

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REFERRAL CLOSURE REASON

Change to Attribute: Changed Description

The reason that a REFERRAL REQUEST was closed by a Health Care Provider.

National Codes:

01Admitted elsewhere (at the same or other Health Care Provider)
02Treatment completed
03Moved out of the area
04No further treatment appropriate
05PATIENT did not attend
06PATIENT died
07PATIENT requested discharge
08Referred to other speciality/SERVICE (at the same or other Health Care Provider)
09PATIENT refused to be seen
 

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REFERRAL REJECTION REASON

Change to Attribute: Changed Description

The reason that a REFERRAL REQUEST was rejected by a Health Care Provider.

National Codes:

01Duplicate REFERRAL REQUEST (PATIENT already undergoing treatment for the same condition at the same or other Health Care Provider)
02Inappropriate REFERRAL REQUEST (REFERRAL REQUEST is inappropriate for the SERVICES offered by the Health Care Provider)
03Incomplete REFERRAL REQUEST (incomplete information on REFERRAL REQUEST)
 

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REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE

Change to Attribute: Changed Description

The staff group of a CARE PROFESSIONAL who referred a PATIENT to a Community Health Service or Mental Health Service.

National Codes:

 Allied Health Professionals
A01Art Therapist
A02Clinical Psychologist
A03Dietitian
A04Drama Therapist
A05Music Therapist
A06Occupational Therapist
A07Orthotist
A08Physiotherapist
A09Podiatrist
A10Prosthetist
A11Psychotherapist
A12Radiographer
A13Speech and Language Therapist
A14Orthoptist
 Medical/Dental
M01Community Dentist
M02CONSULTANT
M03GENERAL MEDICAL PRACTITIONER
M04General Practitioner With A Special Interest
 Nursing, Health Visiting and Midwifery
N01MIDWIFE
N02District NURSE
N03Health Visitor
N04Macmillan NURSE
N05School Nurse
N06Specialist Nursing - Active Case Management (Community Matrons)
N07Specialist Nursing - Arthritis Nursing/Liaison
N08Specialist Nursing - Asthma and Respiratory Nursing/Liaison
N09Specialist Nursing - Breast Care Nursing/Liaison
N10Specialist Nursing - Cancer Related
N11Specialist Nursing - Cardiac Nursing/Liaison
N12Specialist Nursing - Children's Services
N13Specialist Nursing - Community Cystic Fibrosis
N14Specialist Nursing - Continence Services
N15Specialist Nursing - Diabetic Nursing/Liaison
N16Specialist Nursing - Enteral Feeding Nursing Services
N17Specialist Nursing - Haemophilia Nursing Services
N18Specialist Nursing - HIV/AIDS Nursing Services (Retired 01 September 2015)
N19Specialist Nursing - Infectious Diseases
N20Specialist Nursing - Intensive Care Nursing
N21Specialist Nursing - Palliative/Respite Care
N22Specialist Nursing - Parkinson's and Alzheimers Nursing/Liaison
N23Specialist Nursing - Rehabilitation Nursing
N24Specialist Nursing - Stoma Care Services
N25Specialist Nursing - Tissue Viability Nursing/Liaison
N26Specialist Nursing - Transplantation Patients Nursing Service
N27Specialist Nursing - Treatment Room Nursing Services
N28Specialist Nursing - Tuberculosis Specialist Nursing
N29Specialist Nursing - Other Specialist Nursing
N30Specialist Nursing - Safeguarding
N31Practice Nursing
N32Staff NURSE
N33Other Registered NURSE
N34Public Health NURSE
 Other Care Professionals
C01Appliances Technician
C02Audiologist
C03Counsellor
C04Nursery Nurse
C06Play Therapist
C07Social Worker
C08Voluntary Care Worker
C09Screener (in a National Screening Programme)
C10
Health Trainer (Non Clinical) *
C11Health Trainer (Clinical) *
C12Health Care Assistant *
C13Health Care Support Worker *
C99Other CARE PROFESSIONAL

* Note: National Codes C10, C11, C12 and C13 are only valid for use in the Community Information Data Set and Children and Young People's Health Services Data Set.

 

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RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

Change to Attribute: Changed Description

The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Children and Young People's Health Services Data Set.

This is used to identify, for example, with whom the child or young person is living in a permanent context or the relationship with the main Carer etc.

Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE codes at the high level (shown in bold) or at the more detailed level below each high-level code.

National Codes:

BPX Biological Parent 
BPMBiological mother
BPFBiological father
SPX Step-Parent 
SPMStepmother
SPFStepfather
GPX Grandparent 
GPMGrandmother
GPFGrandfather
ORX Other Relative 
ORAAunt
ORUUncle
ORSSister
ORBBrother
OROOther
APX Adoptive Parent 
APMAdoptive mother
APFAdoptive father
FPX Foster Parent 
FPMFoster mother
FPFFoster father
RCX Residential Carer 
OTX Other 
NOX None - Lives Alone 
 

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RESTRICTIVE INTERVENTION TYPE

Change to Attribute: Changed Description

The type of Restrictive Intervention used on a PATIENT during a Hospital Provider Spell.

National Codes:

01Physical restraint - Prone
02Physical restraint - Excluding prone
03Chemical restraint
04Mechanical restraint
05Seclusion
06Segregation
 

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RETINOBLASTOMA ASSESSMENT LATERALITY

Change to Attribute: Changed Description

The laterality for which the retinoblastoma details were recorded for a PATIENT during a Children Teenagers and Young Adults Cancer Care Spell.

National Codes:

LLeft eye
RRight eye
 

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SAFEGUARDING VULNERABILITY FACTORS TYPE

Change to Attribute: Changed Description

The type of Child Safeguarding vulnerability factors identified.

National Codes:

01Repeat Accident and Emergency Attendances
02Concerning parent child interaction
03Worrying parent behaviour / Mental Health concerns
04Worrying child behaviour
05Self harm
06Genital injury (excluding Female Genital Mutilation (FGM))
07Referral from Social Services or Police
08Previously known to Social Services
09Significant injury in child (in the last 12 months)
10Domestic abuse
11History inconsistent with injuries
12Disclosure of abuse
13Bullying 
14Delay in presentation (Children with frequent minor injuries and there is a delay in presentation to medical staff)
15Other (Retired 01 September 2015)
16Female Genital Mutilation (FGM)
98Other
 

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SERVICE OR TEAM TYPE FOR MENTAL HEALTH

Change to Attribute: Changed Description

The type of SERVICE or team within a Mental Health Service.

National Codes:

 General Mental Health Services
A01Day Care Service
A02Crisis Resolution Team/Home Treatment Service
A03Crisis Resolution Team
A04Home Treatment Service
A05Primary Care Mental Health Service
A06Community Mental Health Team - Functional
A07Community Mental Health Team - Organic
A08Assertive Outreach Team
A09Rehabilitation and Recovery Service
A10General Psychiatry Service
A11Psychiatric Liaison Service
A12Psychotherapy Service
A13Psychological Therapy Service (non IAPT)
A14Early Intervention Team for Psychosis
A15Young Onset Dementia Team
A16Personality Disorder Service
A17Memory Services/Clinic
A18Single Point of Access Service
 Forensic Services
B01Forensic Mental Health Service
B02Forensic Learning Disability Service
 Specialist Mental Health Services
C01Autistic Spectrum Disorder Service
C02Peri-Natal Mental Illness Service
C03Eating Disorders/Dietetics Service
C04Neurodevelopment Team
C05Paediatric Liaison Service
C06Looked After Children Service
C07Community Young Offenders Service
C08Acquired Brain Injury Service
C09Community Eating Disorder Service (CEDS) for Children and Young People
 Other Mental Health Services
D01Substance Misuse Team
D02Criminal Justice Liaison and Diversion Service
D03Prison Psychiatric Inreach Service
D04Asylum Service
 Learning Disability Services
E01Community Team for Learning Disabilities
E02Epilepsy/Neurological Service
E03Specialist Parenting Service
 Other
Z01Other Mental Health Service - in scope of National Tariff Payment System
Z02Other Mental Health Service - out of scope of National Tariff Payment System
 

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SERVICE OR TEAM TYPE REFERRED TO FOR COMMUNITY CARE

Change to Attribute: Changed Description

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

National Codes:

01Appliances Service
02Arts Therapy Service
03Cancer Service
04Cardiac Service
05Community Dental Service
06Community Paediatrics Service 
07Continence Service
08Contraception and Sexual Health Service (Retired 01 September 2015)
09Counselling Service 
10Dermatology Service
11Diabetes Service
12District Nursing Service 
13Ear, Nose and Throat Service 
14End of Life Care Service
15Gastrointestinal Service
16Health Visiting Service 
17Hearing Service
18Intermediate Care Service 
19Long Term Conditions Case Management Service
20Musculoskeletal Service
21Neurology Service
22Nutrition and Dietetics Service 
23Occupational Therapy Service 
24Orthoptist Service 
25Pain Management Service
26Physiotherapy Service 
27Podiatry Service
28Public Health and Lifestyle Service
29Rehabilitation Service 
30Respiratory Service
31Rheumatology Service
32School Nursing Service 
33Speech and Language Therapy Service
34Vulnerable Children's Service
35Vulnerable Adult's Service
36Respite Care Service
37Clinical Psychology Service
38Children's Community Nursing Service
39Diagnostic Service
40Treatment Room Nursing Service
41Haematology Service
42Phlebotomy Service
43Tissue Viability Service
44Family Support Service
45Integrated Multidisciplinary Team (jointly commissioned)
 

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SERVICE TYPE FOR CHLAMYDIA TESTING

Change to Attribute: Changed Description

The type of SERVICE or setting providing chlamydia testing.

National Codes:

01Genitourinary Medicine Services
02Community Sexual Health Services (CASH/CSHC)
03General Medical Practitioner Practice
04Pharmacy Premises
05Termination of Pregnancy (TOP) Services
06Internet
XXOther
 

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SETTLED ACCOMMODATION INDICATOR

Change to Attribute: Changed Description

An indication of whether the main/permanent residence of a PATIENT is settled ACCOMMODATION.

Settled ACCOMMODATION refers to secure, medium to long term ACCOMMODATION. The principle characteristic is that the occupier has security of tenure/residence in their usual accommodation in the medium to long term, or is part of a household whose head holds such security or tenure/residence.

Non-settled ACCOMMODATION refers to ACCOMMODATION arrangements that are precarious, or where the PERSON has no or low security of tenure/residence in their usual ACCOMMODATION and so may be required to leave at very short notice.

National Codes:

YYes - Settled ACCOMMODATION
NNo - Non-settled ACCOMMODATION
ZNot Stated (PERSON asked but declined to provide a response)
 

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SOURCE OF REFERRAL FOR COMMUNITY

Change to Attribute: Changed Description

The source of a SERVICE REQUEST to a Community Health Service.

National Codes:

01General Medical Practitioner Practice
02Self referral
03Carer/Relative
04Employer
05Accident and Emergency Department (including Minor Injuries Units and Walk In Centres)
06Acute Hospital Inpatient/Outpatient Department
07Community Health Service (same or other Health Care Provider)
08Dental Practice
09National Screening Programme 
10Educational Establishment 
11Local Authority Social Services
12Hospice
13Care Home 
14Police
15Courts
16Probation Service
17Prison Health Service
18Asylum Service
19Telephone or Electronic Access Service
20Voluntary Sector
21Independent Sector
22Ambulance Service
23Mental Health Service
 

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SOURCE OF REFERRAL FOR FEMALE GENITAL MUTILATION

Change to Attribute: Changed Description

The source of referral for the Female Genital Mutilation Data Set.

National Codes:

01General Medical Practitioner Practice
02Other NHS Organisations
03Self Referral
04Educational Establishment
05Voluntary Sector (including charitable organisations, victim/survivor groups etc.)
06Local Authority
07Police
08Justice Service
09Immigration Removal Centre
10Religious Organisation
XXOther
ZZNot Stated (PERSON asked but declined to provide a response)
 

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SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

The source of referral to a Mental Health Service.

Note: For the Mental Health Services Data Set, National Code P1 has been introduced to replace the National Codes under the headings:

  • Internal referrals  from Community Mental Health Team (within own NHS Trust)
  • Internal referrals from Inpatient Service (within own NHS Trust) and
  • Transfer by graduation (within own NHS Trust).

Users collecting the National Codes at the lower level must map to National Code P1 prior to submission of the Mental Health Services Data Set

National Codes:

 Primary Health Care 
A1GENERAL MEDICAL PRACTITIONER 
A2Health Visitor 
A3Other Primary Health Care
 Self Referral 
B1Self
B2Carer
 Local Authority Services 
C1Social Services
C2Education Service
 Employer 
D1Employer
 Justice System 
E1Police
E2Courts
E3Probation Service
E4Prison
E5Court Liaison and Diversion Service
 Child Health 
F1School Nurse 
F2Hospital-based Paediatrics
F3Community-based Paediatrics
 Independent/Voluntary Sector 
G1Independent sector - Medium Secure Inpatients
G2Independent Sector - Low Secure Inpatients
G3Other Independent Sector Mental Health Services
G4Voluntary Sector
 Acute Secondary Care 
H1Accident and Emergency Department 
H2Other secondary care specialty
 Other Mental Health NHS Trust 
I1Temporary transfer from another Mental Health NHS Trust
I2Permanent transfer from another Mental Health NHS Trust
 Internal referrals  from Community Mental Health Team (within own NHS Trust) 
J1Community Mental Health Team (Adult Mental Health) ***
J2Community Mental Health Team (Older People) ***
J3Community Mental Health Team (Learning Disabilities) ***
J4Community Mental Health Team (Child and Adolescent Mental Health) ***
 Internal referrals from Inpatient Service (within own NHS Trust) 
K1Inpatient Service (Adult Mental Health) ***
K2Inpatient Service (Older People) ***
K3Inpatient Service (Forensics) ***
K4Inpatient Service (Child and Adolescent Mental Health) ***
K5Inpatient Service (Learning Disabilities) ***
 Transfer by graduation (within own NHS Trust) 
L1Transfer by graduation from Child and Adolescent Mental Health Service to Adult Mental Health Services
L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services
 Other
M1Asylum Services
M2Telephone or Electronic Access Service
M3Out of Area Agency
M4Drug Action Team / Drug Misuse Agency
M5Jobcentre Plus **
M6Other SERVICE or agency
M7Single Point of Access Service ****
 Improving Access to Psychological Therapies
N1Stepped up from low intensity Improving Access to Psychological Therapies Service *
N2Stepped down from high intensity Improving Access to Psychological Therapies Service *
N3Improving Access to Psychological Therapies Service ****
 Internal
P1Internal Referral ****

Notes:

 

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SYNCHRONOUS TUMOUR INDICATOR

Change to Attribute: Changed Description

An indication of whether there is a presence of synchronous Tumours at a Tumour site during a Cancer Care Spell.

National Codes:

YYes - synchronous Tumours present
NNo - synchronous Tumours present
 

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TUMOUR NECROSIS INDICATOR

Change to Attribute: Changed Description

An indication of whether there is evidence of coagulative Tumour necrosis.

National Codes:

YYes - there is evidence of coagulative Tumour necrosis
NNo - there is no evidence of coagulative Tumour necrosis
 

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TUMOUR REGRESSION INDICATION CODE

Change to Attribute: Changed Description

An indication of whether there is an area of loss of Tumour (regression) associated with reactive changes during a Skin Cancer Care Spell.

National Codes:

YYes
NNo
UUncertain (Unable to give a definitive answer)
 

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TUMOUR RUPTURE INDICATOR

Change to Attribute: Changed Description

An indication of whether the Tumour has ruptured based on the pathologist's assessment.

National Codes:

YYes - the Tumour has ruptured
NNo - the Tumour has not ruptured
XNot Stated
 

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ULCERATION INDICATION CODE

Change to Attribute: Changed Description

An indication of whether there is a loss of full thickness of epidermis (ulceration) associated with reactive changes during a Skin Cancer Care Spell.

National Codes:

YYes
NNo
UUncertain (Unable to give a definitive answer)
 

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VIABLE TUMOUR INDICATOR

Change to Attribute: Changed Description

An indication of whether there is evidence of a viable Tumour in the renal sinus.

National Codes:

YYes - there is evidence of a viable Tumour
NNo - there is no evidence of a viable Tumour
 

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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 PATHWAY.

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
03Improving Access to Psychological Therapies Referral To Treatment Measurement *
04Early Intervention in Psychosis Waiting Time Measurement *
09Other Referral To Treatment Measurement Type

Notes:

 

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WARD SETTING TYPE FOR MENTAL HEALTH

Change to Attribute: Changed Description

The type of WARD setting for a Mental Health Service's PATIENT during a Hospital Provider Spell.

National Codes:

01Child and Adolescent Mental Health WARD
02Paediatric WARD
03Adult Mental Health WARD
04Non Mental Health WARD
05Learning Disabilities WARD
06Older People's Mental Health WARD
 

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WEEKLY HOURS WORKED

Change to Attribute: Changed Description

A code to identify the number of hours worked per week by a PERSON.

National Codes:

0130+ hours
0216-29 hours
035-15 hours
041-4 hours
97Not disclosed (PATIENT was asked but refused to respond)
 

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YOUNG CARER INDICATOR

Change to Attribute: Changed Description

An indication of whether a child or young PERSON has a caring role for an ill or disabled parent, Carer or sibling. 

National Codes:

YYes - child or young PERSON has a caring role for an ill or disabled parent, Carer or sibling
NNo - child or young PERSON does not have a caring role for an ill or disabled parent, Carer or sibling
ZNot Stated (PERSON asked but declined to provide a response)
 

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ALBUMINURIA STAGE (RETIRED)  renamed from ALBUMINURIA STAGE

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

Format/Length:n2
National Codes:See ALBUMINURIA STAGE
Default Codes: 

Notes:
ALBUMINURIA STAGE is the same as attribute ALBUMINURIA STAGE.

This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic. uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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ALBUMINURIA STAGE (RETIRED)  renamed from ALBUMINURIA STAGE

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

ALBUMINURIA STAGE
 
Attribute:
ALBUMINURIA STAGE

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ALBUMINURIA STAGE (RETIRED)  renamed from ALBUMINURIA STAGE

Change to Data Element: Changed status to Retired, linked Attribute, Name, Description
  • Retired ALBUMINURIA STAGE
  • null
  • Changed Name from Data_Dictionary.Data_Field_Notes.A.Ag.ALBUMINURIA_STAGE to Retired.Data_Dictionary.Data_Field_Notes.A.ALBUMINURIA_STAGE
  • Changed Description

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BIRTH DATE (RETIRED)  renamed from BIRTH DATE

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

Format/Length:n8 - ccyymmdd
National Codes: 
Default Codes: 


Notes:
BIRTH DATE is the date on which a PERSON was born.This item has been retired from the NHS Data Model and Dictionary.

BIRTH DATE will be replaced with PERSON BIRTH DATE which is the most recent approved national information standard to describe the required definition.The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

 
Access to this version can be obtained by emailing information.standards@hscic.
gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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BIRTH DATE (RETIRED)  renamed from BIRTH DATE

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

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BODY MASS INDEX

Change to Data Element: Changed Description

Format/Length:n2.n1
National Codes: 
Default Codes: 

Notes:
BODY MASS INDEX (BMI) is the Body Mass Index of the PATIENT.

For the Cancer Outcomes and Services Data Set, BODY MASS INDEX is the estimate of a PATIENT's Body Mass Index at PATIENT DIAGNOSIS.

PERSON OBSERVATION (BMI) will be replaced with BODY MASS INDEX, which is the most recent approved national information standard to describe the required definition.

 

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DIABETES ROUTINE REVIEW (EYE) (RETIRED)  renamed from DIABETES ROUTINE REVIEW (EYE)

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

Format/length:n2
National Codes:See DIABETES ROUTINE REVIEW CODE
Default Codes: 

Notes:
A DIABETES ROUTINE REVIEW CODE of the eyes within an approved diabetes eye screening programme.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES ROUTINE REVIEW (EYE) (RETIRED)  renamed from DIABETES ROUTINE REVIEW (EYE)

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

DIABETES ROUTINE REVIEW (EYE)
 
Attribute:
DIABETES ROUTINE REVIEW CODE

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DIABETES ROUTINE REVIEW (EYE) (RETIRED)  renamed from DIABETES ROUTINE REVIEW (EYE)

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

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DIABETES ROUTINE REVIEW (FOOT) (RETIRED)  renamed from DIABETES ROUTINE REVIEW (FOOT)

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

Format/length:n2
National Codes:See DIABETES ROUTINE REVIEW CODE
Default Codes: 

Notes:
A DIABETES ROUTINE REVIEW CODE of the foot carried out by appropriately trained personnel using an approved foot screening procedure.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES ROUTINE REVIEW (FOOT) (RETIRED)  renamed from DIABETES ROUTINE REVIEW (FOOT)

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

DIABETES ROUTINE REVIEW (FOOT)
 
Attribute:
DIABETES ROUTINE REVIEW CODE

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DIABETES ROUTINE REVIEW (FOOT) (RETIRED)  renamed from DIABETES ROUTINE REVIEW (FOOT)

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

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DIABETES TYPE (RETIRED)  renamed from DIABETES TYPE

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

Format/Length:n2
National Codes:See DIABETES TYPE
Default Codes: 

Notes:
DIABETES TYPE is the same as attribute DIABETES TYPE. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIABETES TYPE (RETIRED)  renamed from DIABETES TYPE

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

DIABETES TYPE
 
Attribute:
DIABETES TYPE

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DIABETES TYPE (RETIRED)  renamed from DIABETES TYPE

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

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DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10) (RETIRED)  renamed from DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10)

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

Format/Length:an6
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10) is the International Classification of Diseases (ICD) code identified in the following relevant conditions and complications associated with the diabetic condition: The list shows those conditions and complications currently extracted by QUIDS using data linkage to Hospital Episode Statistics (HES).

ICD-10 Codes for relevant conditions and complicationsThis item has been retired from the NHS Data Model and Dictionary.

HYPERDKA (Hyperglycaemic emergencies)
E10.1Type 1 diabetes mellitus with ketoacidosis
E11.1Type 2 diabetes mellitus with ketoacidosis
E13.1Other specified diabetes mellitus with ketoacidosis
E14.1Unspecified diabetes mellitus with ketoacidosis
E10.0Type 1 diabetes mellitus with coma
E11.0Type 2 diabetes mellitus with coma
E13.0Other specified diabetes mellitus with coma
E14.0Unspecified diabetes mellitus with coma
  
ANGINA 
I20.0Unstable angina
I20.1Angina pectoris with documented spasm
I20.8Other forms of angina pectoris
I20.9Angina pectoris, unspecified
  
MI (Myocardial Infarction) 
I21.0Acute transmural myocardial infarction of anterior wall
I21.1Acute transmural myocardial infarction of inferior wall
I21.2Acute transmural myocardial infarction of other sites
I21.3Acute transmural myocardial infarction of unspecified site
I21.4Acute subendocardial myocardial infarction
I21.9Acute myocardial infarction, unspecified
I22.0Subsequent myocardial infarction of anterior wall
I22.1Subsequent myocardial infarction of inferior wall
I22.8Subsequent myocardial infarction of other sites
I22.9Subsequent myocardial infarction of unspecified site
  
CF (Cardiac Failure) 
I50.0Congestive heart failure.
I50.1Left ventricular failure.
I50.9Heart failure, unspecified
  
CVA (Stroke / Cerebro-Vascular Accident) 
I61.0Intracerebral haemorrhage in hemisphere, subcortical
I61.1Intracerebral haemorrhage in hemisphere, cortical
I61.2Intracerebral haemorrhage in hemisphere, unspecified
I61.3Intracerebral haemorrhage in brain stem
I61.4Intracerebral haemorrhage in cerebellum
I61.5Intracerebral haemorrhage, intraventricular
I61.6Intracerebral haemorrhage, multiple localised
I61.8Other intracerebral haemorrhage
I61.9Intracerebral haemorrhage, unspecified
I63.0Cerebral infarct due to thrombosis of precerebral arteries
I63.1Cerebral infarction due to embolism of precerebral arteries
I63.2Cerebral infarct due to unspecified occlusion or stenos of precerebral arteries
I63.3Cerebral infarction due to thrombosis of cerebral arteries
I63.4Cerebral infarction due to embolism of cerebral arteries
I63.5Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries
I63.6Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.8Other cerebral infarction
I63.9Cerebral infarction, unspecified
I64.XStroke, not specified as haemorrhage or infarction
  
RRT (End stage renal failure requiring renal replacement therapy) 
N18.5Chronic kidney disease, stage 5
Z99.2Dependence on renal dialysis
Z49.0Preparatory care for dialysis
Z49.1Extracorporeal dialysis
Z49.2Other dialysis
 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10) (RETIRED)  renamed from DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10)

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

DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10)
 
Attribute:
CLINICAL CLASSIFICATION CODE

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DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10) (RETIRED)  renamed from DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10)

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

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DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES) (RETIRED)  renamed from DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES)

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

Format/Length:an7
National Codes: 
Default Codes: 

Notes:
DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES) is the Read Coded Clinical Terms identified in the following relevant conditions and complication associated with the diabetic condition:

Read Codes (diagnosis)This item has been retired from the NHS Data Model and Dictionary.

DKA (Hyperglycaemic emergencies)
4Byte Version (retired 1 October 2009)
C2..Diabetes mellitus  (retired 1 October 2009)
Ketoacidosis - diabetic (synonym)  (retired 1 October 2009)
C24.Diabetes mellitus + ketoacidosis - no coma  (retired 1 October 2009)
C25.Diabetes with coma  (retired 1 October 2009)
Version 2 
C101.Diabetes mellitus with ketoacidosis
C1010Diabetes mellitus, juvenile type, with ketoacidosis
C1011Diabetes mellitus, adult onset, with ketoacidosis
C101yOther specified diabetes mellitus with ketoacidosis
C101zDiabetes mellitus NOS with ketoacidosis
  
ANGINA
4Byte Version (retired 1 October 2009)
G44.Angina pectoris  (retired 1 October 2009)
G440Unstable angina  (retired 1 October 2009)
G444Stable angina  (retired 1 October 2009)
Version 2 
G3111Unstable angina
G33..Angina pectoris
G33z.Angina pectoris NOS
G33z7Stable angina
  
MI (Myocardial Infarction)
4Byte Version  (retired 1 October 2009)
G6A.Heart failure (preferred term)  (retired 1 October 2009)
Cardiac failure (synonym)  (retired 1 October 2009)
G6A1Congestive cardiac failure  (retired 1 October 2009)
Version 2 
G58..Heart failure (preferred term)
Cardiac failure (synonym)
G580.Congestive cardiac failure
  
CVA (Stroke/Cerebro-Vascular Accident)
4Byte Version  (retired 1 October 2009)
G7..Cerebrovascular disease  (retired 1 October 2009)
G712Intracerebral haemorrhage  (retired 1 October 2009)
G73.Cerebral arterial occlusion  (retired 1 October 2009)
G75.Stroke/CVA undefined  (retired 1 October 2009)
Version 2 
G6...Cerebrovascular disease
G61..Intracerebral haemorrhage
G64..Cerebral arterial occlusion
G66..Stroke/CVA unspecified
  
RRT (End stage renal failure requiring renal replacement therapy)
4Byte Version (retired 1 October 2009)
J16.Chronic renal failure (preferred term)  (retired 1 October 2009)
End stage renal failure (synonym)  (retired 1 October 2009)
Version 2 
K050.End stage renal failure
 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES) (RETIRED)  renamed from DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES)

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

DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES)
 
Attribute:
CLINICAL TERMINOLOGY CODE

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DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES) (RETIRED)  renamed from DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES)

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

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OBSERVATION DATE (BMI) (RETIRED)  renamed from OBSERVATION DATE (BMI)

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

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

Notes:
OBSERVATION DATE (BMI) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Clinical Intervention Date'.

OBSERVATION DATE (BMI) is the date when the Body Mass Index was calculated.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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OBSERVATION DATE (BMI) (RETIRED)  renamed from OBSERVATION DATE (BMI)

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

OBSERVATION DATE (BMI)
 
Attribute:
ACTIVITY DATE

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OBSERVATION DATE (BMI) (RETIRED)  renamed from OBSERVATION DATE (BMI)

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

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OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS) (RETIRED)  renamed from OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS)

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

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

Notes:
OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS) is the same as attribute PERSON PROPERTY EFFECTIVE DATE.

OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS) is the date when the DIAGNOSTIC CODING (DIABETES RELEVANT ICD-10) or DIAGNOSTIC CODING (DIABETES RELEVANT READ CODES) was first recognised or the date on which a diabetic complication occurred.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS) (RETIRED)  renamed from OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS)

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

OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS)
 
Attribute:
PERSON PROPERTY OBSERVED DATE

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OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS) (RETIRED)  renamed from OBSERVATION DATE (DIABETES RELEVANT DIAGNOSIS)

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

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OBSERVATION DATE (EYE EXAMINATION) (RETIRED)  renamed from OBSERVATION DATE (EYE EXAMINATION)

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

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

Notes:
OBSERVATION DATE (EYE EXAMINATION) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Clinical Intervention Date'.

OBSERVATION DATE (EYE EXAMINATION) is the date when the DIABETES ROUTINE REVIEW (EYE) took place.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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OBSERVATION DATE (EYE EXAMINATION) (RETIRED)  renamed from OBSERVATION DATE (EYE EXAMINATION)

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

OBSERVATION DATE (EYE EXAMINATION)
 
Attribute:
ACTIVITY DATE

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OBSERVATION DATE (EYE EXAMINATION) (RETIRED)  renamed from OBSERVATION DATE (EYE EXAMINATION)

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

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OBSERVATION DATE (FOOT EXAMINATION) (RETIRED)  renamed from OBSERVATION DATE (FOOT EXAMINATION)

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

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

Notes:
OBSERVATION DATE (FOOT EXAMINATION) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Clinical Intervention Date'.

OBSERVATION DATE (FOOT EXAMINATION) is the date when the DIABETES ROUTINE REVIEW (FOOT) took place.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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OBSERVATION DATE (FOOT EXAMINATION) (RETIRED)  renamed from OBSERVATION DATE (FOOT EXAMINATION)

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

OBSERVATION DATE (FOOT EXAMINATION)
 
Attribute:
ACTIVITY DATE

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OBSERVATION DATE (FOOT EXAMINATION) (RETIRED)  renamed from OBSERVATION DATE (FOOT EXAMINATION)

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

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OBSERVATION DATE (SERUM CHOLESTEROL LEVEL) (RETIRED)  renamed from OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)

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

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

Notes:
OBSERVATION DATE (SERUM CHOLESTEROL LEVEL) is the is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Clinical Intervention Date'.

OBSERVATION DATE (SERUM CHOLESTEROL LEVEL) is the date when the Serum Cholesterol Level was measured.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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OBSERVATION DATE (SERUM CHOLESTEROL LEVEL) (RETIRED)  renamed from OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)

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

OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)
 
Attribute:
ACTIVITY DATE

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OBSERVATION DATE (SERUM CHOLESTEROL LEVEL) (RETIRED)  renamed from OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)

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

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OBSERVATION DATE (SERUM CREATININE LEVEL) (RETIRED)  renamed from OBSERVATION DATE (SERUM CREATININE LEVEL)

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

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

Notes:
OBSERVATION DATE (SERUM CREATININE LEVEL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Clinical Intervention Date'.

OBSERVATION DATE (SERUM CREATININE LEVEL) is the date when the Serum Creatinine Level was measured.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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OBSERVATION DATE (SERUM CREATININE LEVEL) (RETIRED)  renamed from OBSERVATION DATE (SERUM CREATININE LEVEL)

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

OBSERVATION DATE (SERUM CREATININE LEVEL)
 
Attribute:
ACTIVITY DATE

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OBSERVATION DATE (SERUM CREATININE LEVEL) (RETIRED)  renamed from OBSERVATION DATE (SERUM CREATININE LEVEL)

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

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OBSERVATION DATE (URINARY ALBUMIN LEVEL) (RETIRED)  renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)

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

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

Notes:
OBSERVATION DATE (URINARY ALBUMIN LEVEL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Clinical Intervention Date'.

OBSERVATION DATE (URINARY ALBUMIN LEVEL) is the date when the Urinary Albumin Level was taken.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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OBSERVATION DATE (URINARY ALBUMIN LEVEL) (RETIRED)  renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)

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

OBSERVATION DATE (URINARY ALBUMIN LEVEL)
 
Attribute:
ACTIVITY DATE

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OBSERVATION DATE (URINARY ALBUMIN LEVEL) (RETIRED)  renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)

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

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PERSON BIRTH DATE

Change to Data Element: Changed Description

Format/Length:See DATE 
NWDS ID:PEBD
NWDS Field Name:Date of Birth
National Codes: 
Default Codes: 

Notes:
PERSON BIRTH DATE is the same as attribute PERSON BIRTH DATE.

BIRTH DATE will be replaced with PERSON BIRTH DATE which is the most recent approved national information standard to describe the required definition.

 

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PERSON OBSERVATION (BMI) (RETIRED)  renamed from PERSON OBSERVATION (BMI)

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

Format/Length:nn.n
National Codes: 
Default Codes: 

Notes:
PERSON OBSERVATION (BMI) is the Body Mass Index of the PATIENT.

PERSON OBSERVATION (BMI) will be replaced with BODY MASS INDEX, which is the most recent approved national information standard to describe the required definition.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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PERSON OBSERVATION (BMI) (RETIRED)  renamed from PERSON OBSERVATION (BMI)

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

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PERSON OBSERVATION (HBA1C LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (HBA1C LEVEL)

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

Format/Length:n2.n1
National Codes: 
Default Codes: 

Notes:
PERSON OBSERVATION (HbA1c LEVEL) is the result of the Clinical Investigation which measures the PATIENT's Glycated Hemoglobin (HbA1c), where the UNIT OF MEASUREMENT is 'Millimoles per litre (mmol/L)'. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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PERSON OBSERVATION (HBA1C LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (HBA1C LEVEL)

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

PERSON OBSERVATION (HbA1c LEVEL)
 
Attribute:
CLINICAL INVESTIGATION RESULT VALUE

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PERSON OBSERVATION (HBA1C LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (HBA1C LEVEL)

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

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PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)

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

Format/Length:n3
National Codes: 
Default Codes: 

Notes:
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) is the result of the Clinical Investigation which measures the PATIENT's Serum Cholesterol Level, where the UNIT OF MEASUREMENT is 'Millimoles per litre (mmol/L)'. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)

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

PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)
 
Attribute:
CLINICAL INVESTIGATION RESULT VALUE

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PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)

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

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PERSON OBSERVATION (SERUM CREATININE LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (SERUM CREATININE LEVEL)

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

Format/Length:n4
National Codes: 
Default Codes: 

Notes:
PERSON OBSERVATION (SERUM CREATININE LEVEL) is the result of the Clinical Investigation which measures the PATIENT's Serum Creatinine Level, using laboratory assay, where the UNIT OF MEASUREMENT is 'Micromoles per litre (µmol/L)'. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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PERSON OBSERVATION (SERUM CREATININE LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (SERUM CREATININE LEVEL)

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

PERSON OBSERVATION (SERUM CREATININE LEVEL)
 
Attribute:
CLINICAL INVESTIGATION RESULT VALUE

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PERSON OBSERVATION (SERUM CREATININE LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (SERUM CREATININE LEVEL)

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

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PERSON OBSERVATION (URINARY ALBUMIN LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (URINARY ALBUMIN LEVEL)

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

Format/Length:n3
National Codes: 
Default Codes: 

Notes:
PERSON OBSERVATION (URINARY ALBUMIN LEVEL) is the result of the Clinical Investigation which measures the PATIENT's Urinary Albumin Level test.

For the Diabetes Data Set (Summary Core), PERSON OBSERVATION (URINARY ALBUMIN LEVEL) must be accompanied by a recorded URINARY ALBUMIN LEVEL TESTING METHOD.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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PERSON OBSERVATION (URINARY ALBUMIN LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (URINARY ALBUMIN LEVEL)

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

PERSON OBSERVATION (URINARY ALBUMIN LEVEL)
 
Attribute:
CLINICAL INVESTIGATION RESULT VALUE

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PERSON OBSERVATION (URINARY ALBUMIN LEVEL) (RETIRED)  renamed from PERSON OBSERVATION (URINARY ALBUMIN LEVEL)

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

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PROCEDURE CODING (DIABETES RELEVANT OPCS-4) (RETIRED)  renamed from PROCEDURE CODING (DIABETES RELEVANT OPCS-4)

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

Format/Length:See OPCS-4 CODE
National Codes: 
Default Codes: 

Notes:
PROCEDURE CODING (DIABETES RELEVANT OPCS-4) is the OPCS Classification of Interventions and Procedures code identified in the following relevant procedures associated with the diabetic condition.

OPCS-4 CodesThis item has been retired from the NHS Data Model and Dictionary.

LASER (Ocular retinal photocoagulation) 
C82.1Cauterisation of lesion of retina
Includes: Photocoagulation of lesion of retina NEC; Electrocoagulation of lesion of retina NEC
Y08.4Laser destruction of lesion of organ NOC (secondary procedure)
MINOR AMPUTATION (amputation toe or below ankle) 
X11.1Amputation of great toe
X11.2Amputation of phalanx of toe
X11.8Amputation of toe, other specified
X11.9Amputation of toe, unspecified
X10.1Amputation of foot through ankle
X10.8Amputation of foot, other specified
X10.9Amputation of foot, unspecified
MAJOR AMPUTATION (amputation leg, above or below knee) 
X09.3Amputation of leg above knee
X09.4Amputation of leg through knee
X09.5Amputation of leg below knee
RRT (End stage renal failure requiring renal replacement therapy) 
X40.1Compensation for renal failure, renal dialysis
X40.2Compensation for renal failure, peritoneal dialysis NEC
X40.3Compensation for renal failure, haemodialysis NEC
X40.8Compensation for renal failure, other specified
X40.9Compensation for renal failure, unspecified
M01.1Transplantation of kidney autotransplantation of kidney
M01.2Transplantation of kidney allotransplantation of kidney from live donor
M01.3Transplantation of kidney allotransplantation of kidney from cadaver NEC
M01.8Transplantation of kidney other specified
M01.9Transplantation of kidney unspecified
 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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PROCEDURE CODING (DIABETES RELEVANT OPCS-4) (RETIRED)  renamed from PROCEDURE CODING (DIABETES RELEVANT OPCS-4)

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

PROCEDURE CODING (DIABETES RELEVANT OPCS-4)
 
Attribute:
CLINICAL CLASSIFICATION CODE

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PROCEDURE CODING (DIABETES RELEVANT OPCS-4) (RETIRED)  renamed from PROCEDURE CODING (DIABETES RELEVANT OPCS-4)

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

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PROCEDURE CODING (DIABETES RELEVANT READ CODES) (RETIRED)  renamed from PROCEDURE CODING (DIABETES RELEVANT READ CODES)

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

Format/Length:an7
National Codes: 
Default Codes: 

Notes:
PROCEDURE CODING (DIABETES RELEVANT READ CODES) is the Read Coded Clinical Terms identified in the following relevant procedures associated with the diabetic condition.

Read CodesThis item has been retired from the NHS Data Model and Dictionary.

LASER (Ocular retinal photocoagulation)
4Byte Version  (retired 1 October 2009)
8633Retinal photocoag. therapy  (retired 1 October 2009)
Version 2 
 No equivalent term
AMPUTATION
4Byte Version  (retired 1 October 2009)
7EU.Amputation - lower limb  (retired 1 October 2009 )
7EU1Amputation of toes  (retired 1 October 2009)
7EU2Amputation foot: tarsal-metatar  (retired 1 October 2009)
7EU3Amputation foot: mid-tarsal  (retired 1 October 2009)
7EU5Supramalleolar ankle amptat  (retired 1 October 2009)
7EU6Below knee amputation  (retired 1 October 2009)
7EU7Above knee amputation  (retired 1 October 2009)
Version 2 
7L06.Amputation of leg
7L07.Amputation of foot
7L08.Amputation of toe
RRT (End stage renal failure requiring renal replacement therapy)
4Byte Version  (retired 1 October 2009 - CP1016)
8874Haemodialysis (preferred term)  (retired 1 October 2009)
Dialysis - renal (synonym)  (retired 1 October 2009)
7A4Kidney Transplant  (retired 1 October 2009)
Version 2 
7L1A.Compensation for renal failure
7B00.Kidney Transplant
 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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PROCEDURE CODING (DIABETES RELEVANT READ CODES) (RETIRED)  renamed from PROCEDURE CODING (DIABETES RELEVANT READ CODES)

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

PROCEDURE CODING (DIABETES RELEVANT READ CODES)
 
Attribute:
CLINICAL TERMINOLOGY CODE

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PROCEDURE CODING (DIABETES RELEVANT READ CODES) (RETIRED)  renamed from PROCEDURE CODING (DIABETES RELEVANT READ CODES)

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

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SEX (RETIRED)  renamed from SEX

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

Format/Length:n1
National Codes:See PERSON GENDER CODE
Default Codes: 

Notes:
SEX is the same as the attribute PERSON GENDER CODE.

SEX will be replaced with PERSON STATED GENDER CODE or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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SEX (RETIRED)  renamed from SEX

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

SEX
 
Attribute:
PERSON GENDER CODE

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SEX (RETIRED)  renamed from SEX

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

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SMOKING STATUS (RETIRED)  renamed from SMOKING STATUS

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

Format/Length:n1
National Codes:See SMOKING STATUS 
Default Codes:9 - Unknown

Notes:
SMOKING STATUS is the same as attribute SMOKING STATUS.

SMOKING STATUS will be replaced with SMOKING STATUS CODE, which is the most recent approved national information standard to describe the required definition.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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SMOKING STATUS (RETIRED)  renamed from SMOKING STATUS

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

SMOKING STATUS
 
Attribute:
SMOKING STATUS

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SMOKING STATUS (RETIRED)  renamed from SMOKING STATUS

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

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SMOKING STATUS CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See SMOKING STATUS 
Default Codes:9 - Unknown (Not Recorded)

Notes:
SMOKING STATUS CODE is the same as attribute SMOKING STATUS.

Code '9 - Unknown' is not a valid code in the NHS Health Checks Data Set.

SMOKING STATUS will be replaced with SMOKING STATUS CODE, which is the most recent approved national information standard to describe the required definition.

 

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URINARY ALBUMIN LEVEL TESTING METHOD (RETIRED)  renamed from URINARY ALBUMIN LEVEL TESTING METHOD

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

Format/Length:n2
National Codes: 
Default Codes: 

Notes:
URINARY ALBUMIN LEVEL TESTING METHOD is the method used to determine the PERSON OBSERVATION (URINARY ALBUMIN LEVEL).

The urine specimen used to check for albuminuria may be collected in several ways depending on local preference. Staging definitions vary by method so PERSON OBSERVATION (URINARY ALBUMIN LEVEL) must be accompanied by the method used.This item has been retired from the NHS Data Model and Dictionary.

Permitted National Codes:The last live version of this item is available in the March 2016 release of the NHS Data Model and Dictionary.

01Albumin concentration (mg/L)
02Albumin creatinine ratio (mg/mmol)
03Timed overnight albumin (µg/min)
0424hr albumin excretion (mg/24hr)
 Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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URINARY ALBUMIN LEVEL TESTING METHOD (RETIRED)  renamed from URINARY ALBUMIN LEVEL TESTING METHOD

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

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For enquiries about this Change Request, please email information.standards@hscic.gov.uk