NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1614
Version No:1.0
Subject:June 2017 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:23 June 2017

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the June 2017 Release and includes:

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

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

Summary of changes:

Supporting Information
ACCESSIBLE INFORMATION   Changed Description
ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT   Changed Description
BRITISH ASSOCIATION FOR PAEDIATRIC NEPHROLOGY   Changed Description
BRITISH RENAL SOCIETY   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW   Changed Description
CARE QUALITY COMMISSION   Changed Description
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET OVERVIEW   Changed Description
CLINICAL CODING INTRODUCTION   Changed Description
COMMISSIONING DATA SET BUSINESS RULES   Changed Description
COMMISSIONING DATA SET VERSIONS   Changed Description
DATA DICTIONARY FOR CARE   Changed Description
FEMALE GENITAL MUTILATION DATA SET OVERVIEW   Changed Description
HEALTHWATCH ENGLAND   Changed Description
INDEX   Changed Description
INFORMATION SHARING TO TACKLE VIOLENCE MINIMUM DATA SET OVERVIEW   Changed Description
LOCAL HEALTHWATCH   Changed Description
MATERNITY SERVICES DATA SET OVERVIEW   Changed Description
NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW   Changed Description
NATIONAL CONTACT POINT   Changed Description
NATIONAL TARIFF PAYMENT SYSTEM   Changed Description
NHS ENGLAND   Changed Description
NHS WALES INFORMATICS SERVICE   Changed Description
ROYAL MARSDEN   Changed Description
SNOMED CT   Changed Description
SNOMED CT REFSET   Changed Description
SNOMED CT SUBSET   Changed Description
TECHNOLOGY REFERENCE DATA UPDATE DISTRIBUTION (TRUD)   Changed Description
WHAT'S NEW: JUNE 2017 renamed from WHAT'S NEW: APRIL 2017   Changed Name, Description
XML SCHEMA TRUD DOWNLOAD   Changed Description
 
Domain Definitions
ALPHANUMERIC (RETIRED) renamed from ALPHANUMERIC   Changed status to Retired, Name, Description
CLASSIFICATION (RETIRED) renamed from CLASSIFICATION   Changed status to Retired, Name, Description
DATE (RETIRED) renamed from DATE   Changed status to Retired, Name, Description
DATE AND TIME (RETIRED) renamed from DATE AND TIME   Changed status to Retired, Name, Description
NATIONAL CODE (RETIRED) renamed from NATIONAL CODE   Changed status to Retired, Name, Description
NUMERIC (RETIRED) renamed from NUMERIC   Changed status to Retired, Name, Description
TIME (RETIRED) renamed from TIME   Changed status to Retired, Name, Description
 
Attribute Definitions
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE   Changed Description
DELAY REASON TO TREATMENT FOR CANCER   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE   Changed Description
NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE   Changed Description
REFERRAL REQUEST RECEIVED DATE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE   Changed Description
 
Data Elements
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)   Changed Description
ACCOMMODATION STATUS (SNOMED CT)   Changed Description
AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT)   Changed Description
ANATOMICAL SIDE (NECK DISSECTION)   Changed Description
ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D)   Changed Description
BRONCHOSCOPY PERFORMED INDICATOR   Changed Description
CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (CONSULTANT PRESCRIBING CHEMOTHERAPY)   Changed Description
CHLAMYDIA TEST RESULT (SNOMED CT)   Changed Description
CODED ASSESSMENT TOOL TYPE (SNOMED CT)   Changed Description
COMORBIDITY (SNOMED CT)   Changed Description
DELAY REASON (CONSULTANT UPGRADE)   Changed Description
EMERGENCY CARE ACUITY (SNOMED CT)   Changed Description
EMERGENCY CARE ARRIVAL MODE (SNOMED CT)   Changed Description
EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT)   Changed Description
EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT)   Changed Description
EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT)   Changed Description
EMERGENCY CARE DIAGNOSIS (SNOMED CT)   Changed Description
EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT)   Changed Description
EMERGENCY CARE DISCHARGE STATUS (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY INTENT (SNOMED CT)   Changed Description
EMERGENCY CARE INJURY MECHANISM (SNOMED CT)   Changed Description
EMERGENCY CARE PLACE OF INJURY (SNOMED CT)   Changed Description
EMERGENCY CARE PROCEDURE (SNOMED CT)   Changed Description
EMPLOYMENT STATUS (PARTNER AT BOOKING)   Changed Description
IMAGING CODE (SNOMED CT)   Changed Description
INTERPRETER LANGUAGE (SNOMED CT)   Changed Description
NEWBORN BLOOD SPOT TEST RESULT RECEIVED DATE   Changed Description
NHS NUMBER   Changed Description
ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER))   Changed Description
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)   Changed Description
ORGANISATION IDENTIFIER (RECEIVING)   Changed Description
ORGANISATION IDENTIFIER (REFERRING) renamed from REFERRING ORGANISATION IDENTIFIER   Changed Name, Description
ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)   Changed Description
ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)   Changed Description
ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)   Changed Description
ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)   Changed Description
ORGANISATION SITE IDENTIFIER (OF IMAGING)   Changed Description
ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)   Changed Description
ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)   Changed Description
ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)   Changed Description
PREFERRED SPOKEN LANGUAGE (SNOMED CT)   Changed Description
REFERRED TO SERVICE (SNOMED CT)   Changed Description
SAFEGUARDING CONCERN (SNOMED CT)   Changed Description
SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT)   Changed Description
 
Packages
CD renamed from CDS   Changed Name
CE renamed from CEN   Changed Name
DM renamed from DO   Changed Name
FR renamed from FUE   Changed Name
GR renamed from GR   Changed Name
GR renamed from GR   Changed Name
HI renamed from HOR   Changed Name
HO renamed from HOM   Changed Name
IN renamed from INC   Changed Name
LE renamed from LEN   Changed Name
MI renamed from MHCS   Changed Name
 

Date:23 June 2017
Sponsor:Alex Elias, Standards Delivery and Cross-Government Programmes Director, NHS Digital

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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ACCESSIBLE INFORMATION

Change to Supporting Information: Changed Description

Accessible Information is information which is able to be read or received and understood by the individual or group for which it is intended.

The Equality Act 2010 places a duty on all service providers to take steps or make reasonable adjustments in order to avoid putting a disabled PERSON at a substantial disadvantage when compared to a PERSON who is not disabled.

SCCI 1605 Accessible Information requires that Health and Social Care Organisations identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss. These Organisations are also required to take action to ensure that these needs are met.

The information and communication support needs cover four areas:

  • communication support
  • requires specific contact method
  • requires communication professional
  • requires specific information format

For further information on Accessible Information, see the NHS England website.For further information on Accessible Information, see the NHS England website at: Accessible Information Standard.

 

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ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT

Change to Supporting Information: Changed Description

In 2008, the Department of Health published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the SERVICES which CARE PROFESSIONALS in NHS Allied Health Professional Services (Referral To Treatment Measurement) provide:

  • To mandate the collection of Referral To Treatment information for Allied Health Professionals and support SERVICE redesign to improve SERVICES for PATIENTS
  • To promote the benefits of self-referral to Physiotherapy SERVICES
  • To improve the quality of SERVICES delivered

The Department of Health introduced voluntary collection of Allied Health Professional REFERRAL TO TREATMENT PERIOD waiting time information from April 2010, and mandatory collection from April 2011.  The Community Information Data Set and the Commissioning Data Sets (version 6-2 onwards) include the facility to report the Allied Health Professional REFERRAL TO TREATMENT PERIOD waiting time data elements which are used for waiting time measurement.

The Allied Health Professionals mandated to collect and flow Referral To Treatment data are:

There is no maximum waiting time target attached to an Allied Health Professional REFERRAL TO TREATMENT PERIOD, so no adjustments can be applied to the calculated waiting time between the REFERRAL TO TREATMENT PERIOD START DATE and the REFERRAL TO TREATMENT PERIOD END DATE.  However, locally the EARLIEST CLINICALLY APPROPRIATE DATE and the EARLIEST REASONABLE OFFER DATE can be used by Health Care Providers and their Commissioners to analyse unexpectedly long waits for First Definitive Treatment.

Allied Health Professionals working as part of a Consultant Led Service in secondary care are excluded.

Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found at the Department of Health Publications websiteFurther guidance relating to the Allied Health Professional Referral To Treatment initiative can be found on the Department of Health at: Allied Health Professional (AHP) Referral to Treatment (RTT) guide.

 

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BRITISH ASSOCIATION FOR PAEDIATRIC NEPHROLOGY

Change to Supporting Information: Changed Description

The British Association for Paediatric Nephrology is an Organisation.

The aims of the British Association for Paediatric Nephrology are to set and to improve the standard of medical care of children with renal disease. This is facilitated through continuing professional development of paediatricians with responsibility for children with renal disease, collaborative research and audit and to formulate and express opinions on policy concerning the care of children with renal disease.

For further information on the British Association for Paediatric Nephrology see the British Association for Paediatric Nephrology website.For further information on the British Association for Paediatric Nephrology see the British Association for Paediatric Nephrology website.

 

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BRITISH RENAL SOCIETY

Change to Supporting Information: Changed Description

The British Renal Society is an Organisation.

The British Renal Society promotes formal dialogue between the many professional groups that support professionals involved in the care of PATIENTS with kidney disease.

Its core aims are:

  • The promotion of effective PATIENT-centred multi-professional care to improve the quality of life for people with kidney failure, and their families and carers
  • The advancement of education in the area of renal disease and replacement therapy
  • The funding and support of multi-professional research in to kidney disease and its management

For further information on the British Renal Society, see the British Renal Society website at: About Us.For further information on the British Renal Society, see the British Renal Society website at: About the BRS.

 

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CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

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

The standard:

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

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

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom and Ireland Association of Cancer Registries (UKIACR) as described in the User Guide at Appendix A and B.

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

Submission Information:

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set.

The Cancer Outcomes and Services Data Set is submitted to the National Cancer Registration and Analysis Service (NCRAS) using the COSDS XML Schema.

While the core and cancer site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS XML Schema integrates each core and cancer site specific set of data elements. Documentation provided on the Technology Reference Data Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification. Documentation provided on the Technology Reference Data Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification.

For all diagnoses not covered by a cancer site specific data set, only the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Registration and Analysis Service User Guide.

Pathology:

From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.

This replaced the current reporting to the National Cancer Registration and Analysis Service of electronic pathology reports which were then transcribed by the National Cancer Registration and Analysis Service into the Cancer Registration Reports. This also prevented Cancer Service teams, for example, Multidisciplinary Teams, Pathway Co-ordinators, duplicating the work, which had been happening as part of their data collection process.

From April 2017, a separate Pathology XML Schema was introduced, which is a sub-set of the main Cancer Outcomes and Services Data Set.

By creating a sub-set for pathology, this will allow the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set and the pathologists collecting and reporting the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Cancer Registration and Analysis Service.

There will be no requirement for Pathology Laboratories to double report. Once their Laboratory Information Management Systems (LIMS) are updated to report in the COSDS XML Schema, all other pathology reporting can cease.

Further Guidance:

Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Cancer Registration and Analysis Service at Cancer Outcomes and Services Dataset.

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CARE QUALITY COMMISSION

Change to Supporting Information: Changed Description

The Care Quality Commission is an Organisation.

The Care Quality Commission is the independent regulator of all health and adult social care services in England, whether provided by the NHS, Local Authorities, private companies or voluntary Organisations. It also protects the rights of people detained under the Mental Health Act.

The Care Quality Commission makes sure that essential common quality standards are being met where care is provided and works towards the improvement of care services. It promotes the rights and interests of people who use services and has a wide range of enforcement powers to take action on their behalf if services are unacceptably poor.

The Care Quality Commission's work brings together independent regulation of health, mental health and adult social care. Before 1 April 2009, this work was carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. These Organisations no longer exist.

The Care Quality Commission’s main activities are:

  • Registration of health and social care providers to ensure they are meeting essential common quality standards;
  • Monitoring and inspection of all health and adult social care;
  • Using its enforcement powers, such as fines and public warnings or closures, if standards are not being met;
  • Improving health and social care services by undertaking regular reviews of how well those who arrange and provide services locally are performing and special reviews on particular care services, pathways of care or themes where there are particular concerns about quality;
  • Reporting the outcomes of its work so that people who use services have information about the quality of their local health and adult social care services. It helps those who arrange and provide services to see where improvement is needed and learn from each other about what works best.

For further information on the Care Quality Commission, see the:

 

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CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

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

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

Data Collection

The Children and Young People's Health Services Data Set (also known as the Children and Young People's Health Service Secondary Uses Data Set) provides the definitions for data:

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

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

Submission Information

The Children and Young People's Health Services Data Set is submitted to NHS Digital using the Children and Young People's Health Services Data Set XML Schema.

Format Information

Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

For enquiries regarding the XML Schema, please contact NHS Digital at enquiries@nhsdigital.nhs.uk.

Further Guidance

Further information and implementation guidance has been produced by NHS Digital and is available at: Children and Young People's Health Services Data Set.

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COMMISSIONING DATA SET BUSINESS RULES

Change to Supporting Information: Changed Description

The Commissioning Data Sets have notation to identify the business and/or processing rules which apply to individual Data Elements.  This notation appears in the Rules column of the Commissioning Data Sets details page. 

Population Validation

All Data Elements are subject to length validation.  Some Data Elements are also subject to format and content validation against a list of permitted values defined in the NHS Data Model and Dictionary. The value lists are held on the Attribute which the Data Element is based on, plus default codes which are held on the Data Element itself.

RULE POPULATION VALIDATION 
F The format is validated, for example the format of a DATE must comply with the XML standard.
V The Data Element is validated against an explicit list of permitted values as defined in the NHS Data Model and Dictionary.


Business Rules

Some Data Elements are subject to additional Business Rules as indicated below:

PREFIX BUSINESS RULES: H - Healthcare Resource Group Business Rules 
H4 This Data Element is used by the Secondary Uses Service to derive the Healthcare Resource Group 4.
Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.
For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

PREFIX BUSINESS RULES: I - CDS-XML Schema Anomalies and Issues 
I1 This is a known schema anomaly and has been registered for future resolution.
I2 See the specifications in the NHS Data Model and Dictionary for the specific format characteristics of this Data Element.
I3 There is no national requirement to flow Healthcare Resource Group 4 (HRG4) through the Commissioning Data Sets, see DSCN 17/2008.

PREFIX BUSINESS RULES: N - NHS Data Standards and Policy Rules 
N1 Psychiatric PATIENTS only.
N2 Not defined or approved by the Data Coordination Board or its predecessors the Standardisation Committee for Care Information and Information Standards Board for Health and Social Care.
N3 The definition and value list for this data is under review.
N4 Up to 20 codes per daily activity occurrence may be recorded.
N5 This data should only flow in Commissioning Data Set version 6-1 for PATIENTS detained under the Mental Health Act prior to the Mental Health Act 2007 (Retired June 2015).
N6 This data should only flow in Commissioning Data Set version 6-2 for PATIENTS detained under the Mental Health Act 2007.
N7 From Commissioning Data Set version 6-0 onwards, the use of the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE in the location group is optional as it must be carried in the Episode Characteristics.

PREFIX BUSINESS RULES: S - Secondary Uses Service Business Rules 
S1 This mandatory Commissioning Data Set date is used as the originating date to determine the mandatory CDS ACTIVITY DATE.
S1 This mandatory Commissioning Data Set date is used as the originating date to determine the mandatory CDS ACTIVITY DATE.
S2 The Secondary Uses Service DOES NOT support the use of the CDS TEST INDICATOR. Therefore this Data Element must not be used (Retired June 2015).
S3 See Security Issues and Patient Confidentiality, for further information.
S4 Used to ensure the correct sequencing of multiple and/or subsequent Commissioning Data Set submissions.
S5These ORGANISATION CODES must be present and registered with the Secondary Uses Service. The Commissioning Data Set Schema does not validate the content value of this data
S6 All CDS REPORT PERIOD START DATES and CDS REPORT PERIOD END DATES must be consistent in all Commissioning Data Set records contained in a BULK Interchange submission.
The CDS REPORT PERIOD START DATE must be on or before the CDS REPORT PERIOD END DATE.
The CDS ACTIVITY DATE is a mandatory data element and must fall within the period defined.
See the Commissioning Data Set Submission Protocol.
S6 All CDS REPORT PERIOD START DATES and CDS REPORT PERIOD END DATES must be consistent in all Commissioning Data Set records contained in a BULK Interchange submission.
The CDS REPORT PERIOD START DATE must be on or before the CDS REPORT PERIOD END DATE.
The CDS ACTIVITY DATE is a mandatory data element and must fall within the period defined.
See the Commissioning Data Set Submission Protocol.
S7 See the Commissioning Data Set Addressing Grid.
S8 These Data Elements are required for correct processing by the Secondary Uses Service. If omitted, the Secondary Uses Service will reject the Commissioning Data Set data.
S9 The CDS UNIQUE IDENTIFIER is a mandatory data item when using the Net Change Protocol. When using the Bulk Update Protocol this data item is optional but it is strongly advised that where it can be correctly generated and maintained it should be used. See the Commissioning Data Set Submission Protocol.
S10 For CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set, the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE.
S11 For the following CDS Types, the CDS ACTIVITY DATE must contain the DATE OF ELECTIVE ADMISSION LIST CENSUS which is usually the end of the Period being reported: 
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set 
CDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) Commissioning Data Set 
CDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) Commissioning Data Set 
S9 The CDS UNIQUE IDENTIFIER is a mandatory data item when using the Net Change Protocol. When using the Bulk Update Protocol this data item is optional but it is strongly advised that where it can be correctly generated and maintained it should be used. See the Commissioning Data Set Submission Protocol.
S10 For CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set, the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE.
S11 For the following CDS Types, the CDS ACTIVITY DATE must contain the Date of the Elective Admission List Census which is usually the end of the Period being reported: 
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set 
CDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) Commissioning Data Set 
CDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) Commissioning Data Set 
S12 These PERSON BIRTH DATE Data Elements must use DATES between 01/01/1880 and 31/12/2999 in order to pass validation
S13 Data Elements reporting a DATE (which is not a PERSON BIRTH DATE Data Element) must use dates between 01/01/1900 and 31/12/2999 in order to pass validation
S14 For Data Elements reporting a TIME, the hour portion must be between 00 and 23 inclusive in order to pass validation

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COMMISSIONING DATA SET VERSIONS

Change to Supporting Information: Changed Description

Listed below are the Commissioning Data Set versions since 2001.

Current versions:

Retired versions:

  • November 2008: CDS Version 6-1 Type List 
  • December 2007 to November 2012: CDS Version 6-0
  • April 2005 to March 2008: CDS Version NHS005 Type List
  • April 2001 to March 2005: CDS Version NHS003 and 4 Type List

The XML Schemas and supporting information can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.The XML Schemas and supporting information can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

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DATA DICTIONARY FOR CARE

Change to Supporting Information: Changed Description

The Data Dictionary for Care (DD4C) publishes metadata associated with SNOMED CT Subsets.

For further information on the Data Dictionary for Care, see the NHS Digital website at: Welcome to DD4C.For further information on the Data Dictionary for Care, see the NHS Digital website at: Welcome to DD4C.

 

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FEMALE GENITAL MUTILATION DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.

The Female Genital Mutilation Data Set is used:

  • To publish Official Statistics which will inform the Department of Health, NHS England, other Government Agencies and the public, about female genital mutilation when it has been identified
  • To identify the potential risk of female genital mutilation to young girls and vulnerable women
  • For better planning and management of female genital mutilation SERVICES at a local level and across England

Data may be input immediately using an input screen via the NHS Digital Clinical Audit Platform when female genital mutilation is identified, or data extracts for Patients, can be submitted as a bulk upload on a monthly basis for each Organisation.

CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload.  This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Accident and Emergency Attendances, Group TherapyWard Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with an exception to Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to the NHS Digital.

SNOMED CT Subset Metadata:

  • Female genital mutilation related findings:
    • Subset Name: Female genital mutilation related findings
    • Subset Original Id: 58681000000133
    • Refset FSN: Female genital mutilation related findings simple reference set (foundation metadata concept)
    • Refset Id: 999002041000000103

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.

  • Female genital mutilation related procedures:
    • Subset Name: Female genital mutilation related procedures
    • Subset Original Id: 58671000000131
    • Refset FSN: Female genital mutilation related procedures simple reference set (foundation metadata concept)
    • Refset Id: 999002031000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.

DATA EXTRACT SPECIFICATION

Description:

The Department of Health requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. This requirement is applicable to all CARE PROFESSIONALS in these Organisations whenever it has been identified that a woman or young girl has undergone female genital mutilation.

Further information is available on the NHS Digital website at: Female Genital Mutilation Datasets.

Time period:

Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each Organisation.

Format:

Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS Digital Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.

Transmission

Electronic files must be transmitted to NHS Digital via the Clinical Audit Platform which is a secure web portal.

Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.

Further information about the Clinical Audit Platform and the data upload facility can be found on the Clinical Audit Platform web pages on the NHS Digital website.

Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

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HEALTHWATCH ENGLAND

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Healthwatch England is an Organisation.

Healthwatch England is the independent consumer champion for health and social care in England.

Healthwatch England works with Local Healthwatch and:

For further information on Healthwatch England, see the:For further information on Healthwatch England, see the Healthwatch website. 

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INDEX

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NHS DATA MODEL AND DICTIONARY

Version 3

What's New: April 2017

NHS DATA MODEL AND DICTIONARY Version 3

What's New: June 2017

Welcome to the NHS Data Model and Dictionary for England

If you would like to know more about us or need help using the NHS Data Model and Dictionary, see the Help pages

The NHS Data Model and Dictionary provides a reference point for approved Information Standards and Collections (including Extractions) (ISCEs) to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Coordination Board. Changes are published as Information Standards Notices (ISNs) and Data Dictionary Change Notices (DDCNs).

 

Related Links
Frequently Asked Questions
Department of Health website
NHS Digital website
Published Information Standards Documentation

Welcome to the NHS Data Model and Dictionary for England

If you would like to:

  • know more about us or need help using the NHS Data Model and Dictionary, see the Help pages
  • view our Frequently Asked Questions, see Frequently Asked Questions.

The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Standardisation Committee for Care Information. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).

 

Related Links:
Frequently Asked Questions
Department of Health website
NHS Digital website
Published Information Standards Documentation

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INFORMATION SHARING TO TACKLE VIOLENCE MINIMUM DATA SET OVERVIEW

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The purpose of the Information Sharing to Tackle Violence Minimum Data Set is to enable the collection of anonymised information on those PATIENTS presenting at  Accident and Emergency Departments for treatment as a result of a violent assault.  This information is to be shared with Community Safety Partnerships (formerly known as Crime and Disorder Reduction Partnerships in England) to reduce community violence.

The requirement for ACCIDENT AND EMERGENCY DEPARTMENT TYPE '01' to collect the Information Sharing to Tackle Violence Minimum Data Set is considered mandatory

The requirement for ACCIDENT AND EMERGENCY DEPARTMENT TYPE '02', '03' and '04' to collect the Information Sharing to Tackle Violence Minimum Data Set is considered optional.

The frequency of reporting the Information Sharing to Tackle Violence Minimum Data Set should be determined locally, but must be at least monthly.

Submission Information:

The Information Sharing to Tackle Violence Minimum Data Set is submitted to a Community Safety Partnership using the Information Sharing to Tackle Violence XML Schema.

The XML Schema and Release Notes are available as a downloadable zip file from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.The XML Schema and Release Notes are available as a downloadable zip file from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

Contact the Community Safety Partnership before submitting using the XML Schema.

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LOCAL HEALTHWATCH

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A Local Healthwatch is an Organisation.

A Local Healthwatch covers every Local Authority area in England.

A Local Healthwatch:

  • represents the views of:
    • people who use SERVICES
    • carers and
    • the public

on the Health and Wellbeing Boards set up by Local Authorities

  • provides a complaints advocacy service to support people who make a complaint about SERVICES

For further information on Local Healthwatch, see the:For further information on Local Healthwatch, see the Healthwatch website.

 

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MATERNITY SERVICES DATA SET OVERVIEW

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Contextual Overview

The Maternity and Children's Data Sets have been developed as a key driver to achieving better outcomes of care for mothers, babies and children.

The Maternity Services Data Set provides comparative, mother and child-centric data that includes information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities.

The Maternity Services Data Set contains two data sets for:

The Maternity Services Data Set:

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

Data Collection

The Maternity Services Data Set provides the definitions for data:

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

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

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

The Maternity Services Data Set enables standardised collection of data from various services to be assembled for reporting purposes.

Submission information

The Maternity Services Data Set is submitted to NHS Digital using the Maternity Services Data Set XML Schema.

Format information

Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

For enquiries regarding the XML Schema, please contact NHS Digital at enquiries@nhsdigital.nhs.uk.

Further guidance

Further guidance has been produced by NHS Digital and is available at Maternity Data Set.

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NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW

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Introduction:

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

Following this review it was confirmed in Improving Outcomes: A Strategy for Cancer that:

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

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

Patient Pathway Scenarios:

The Patient Pathway Scenarios for the National Cancer Waiting Times Monitoring Data Set are to be used to manage the collection of data for all PATIENTS suspected of having, or diagnosed with cancer.

Cancer for the purpose of this data collection exercise is defined using the International Classification of Diseases (ICD) codes. Data for Patient Pathway Scenarios two to seven must be collected and transmitted as specified for all PATIENTS with a PRIMARY DIAGNOSIS within the range C00 to C97 or D05, or a secondary or metastatic disease linked to the original PRIMARY DIAGNOSIS (ICD) within this range (excluding categories relating to non-melanoma skin cancer).

A full list of the International Classification of Diseases (ICD) diagnosis codes the Cancer Waiting Times Database will accept is available at: Cancer Waiting Times.

When reporting patient records to the Cancer Waiting Times Database:

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

Transmission:

Security and Confidentiality:

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

Further guidance:

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NATIONAL CONTACT POINT

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The National Contact Point (NCP) is an Organisation.

The National Contact Point is run by NHS England.

The primary role of the National Contact Point is the provision of information to prospective European PATIENTS travelling to England for treatment (‘incoming PATIENTS’) and English residents seeking funding for healthcare in the European Economic Area (‘outgoing PATIENTS’).

For further information on the role of the National Contact Point, see the NHS England website.For further information on the role of the National Contact Point, see the NHS Choices website.

 

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NATIONAL TARIFF PAYMENT SYSTEM

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The National Tariff Payment System is managed by NHS England and NHS Improvement.

The National Tariff Payment System sets out the national tariff for each year.

This set of prices and rules helps local Clinical Commissioning Groups work with Health Care Providers, such as NHS Trusts and NHS Foundation Trusts to identify which health care SERVICES provide best value to their PATIENTS.

For further information on the National Tariff Payment System, see the:

 

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NHS ENGLAND

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NHS England (known as the NHS Commissioning Board in the Health and Social Care Act 2012) is an Organisation.

The NHS Commissioning Board was established as an independent body, at arm's length to the Government, from October 2012 and took on its full range of responsibilities once it became established on 1 April 2013.

The NHS Commissioning Board has adopted the name NHS England.

The main aim of NHS England is to improve the health outcomes for people in England.

NHS England empowers and supports clinical leaders at every level of the NHS through Clinical Commissioning Groups (CCGs), Clinical Networks and Clinical Senates and helps Health Care Providers make genuinely informed decisions to provide high quality SERVICES.

For further information on NHS England, see the NHS England website.For further information on NHS England, see the NHS England website.

 

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NHS WALES INFORMATICS SERVICE

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NHS Wales Informatics Service (NWIS) is an NHS Wales Organisation.

The NHS Wales Informatics Service was established on 1 April, 2010, as part of the healthcare reform programme. It brings together the strategic development of Information Communications Technology (ICT), the delivery of operational ICT services and information management.

The new Organisation has a national remit to support the transformation of NHS Wales and make better use of scarce skills and resources. It was formed by merging Informing Healthcare, Health Solutions Wales, the Business Services Centre IM&T element, the Corporate Health Information Programme and the Primary Care Informatics Programme.

The new arrangements will allow Information Communications Technology resources to work together more closely to support a consistent approach to health informatics and the implementation of common national systems. The Organisation will also be an exemplar for health informatics professional development.

For further information on the NHS Wales Informatics Service, see the NHS Wales Informatics Service website.For further information on the NHS Wales Informatics Service, see the NHS Wales Informatics Service website.

 

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ROYAL MARSDEN

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The Royal Marsden is an Organisation.

The Royal Marsden is a world-leading cancer centre specialising in cancer diagnosis, treatment, research and education.

For further information on The Royal Marsden, see the Royal Marsden website.For further information on The Royal Marsden, see the Royal Marsden website.

 

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SNOMED CT

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SNOMED CT® is the clinical terminology approved as an Information Standard.

Requirements for utilising SNOMED CT® are stated within the National Information Board document "A Framework for Action".

SNOMED CT® provides the clinical language that facilitates electronic communication between healthcare professionals in clear and unambiguous terms, and can be used to code, retrieve and analyse clinical data.

SNOMED CT® is comprehensive and provides clinical terms for all healthcare professions. Applications often use subsets of SNOMED CT® that have been developed to support specific requirements. The NHS Data Model and Dictionary references SNOMED CT Subsets to support data reporting for specific data items.

SNOMED CT® is currently provided in two release formats:

SNOMED CT® is managed and maintained internationally by the International Health Terminology Standards Development Organisation (IHTSDO) and in the UK by the UK Terminology Centre (UKTC).

National and International arrangements have been established to ensure there is adequate and relevant governance of SNOMED CT®, to ensure it meets the needs of healthcare in the respective jurisdictions with:

Note: previous versions of SNOMED (including SNOMED RT and SNOMED 3) cease to be licenced by the International Health Terminology Standards Development Organisation (IHTSDO) after April 2017 other than for historical content.Note: previous versions of SNOMED (including SNOMED RT and SNOMED 3) ceased to be licenced by the International Health Terminology Standards Development Organisation (IHTSDO) after April 2017 other than for historical content.

Mapping tables and guidance to enable historical data previously captured using a previous version of SNOMED, can be found on the Technology Reference Data Update Distribution (TRUD) at: SNOMED Antecedent Versions Data Migration.Mapping tables and guidance to enable historical data previously captured using a previous version of SNOMED, can be found on the Technology Reference Data Update Distribution (TRUD) at: SNOMED Antecedent Versions Data Migration.

For further information on SNOMED CT®, see the NHS Digital website at: SNOMED CT.

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SNOMED CT REFSET

Change to Supporting Information: Changed Description

A SNOMED CT Refset:

  • Is a data structure defined within SNOMED CT® 2 (RF2)
  • Consists of a set of references to SNOMED CT® components, like concepts, descriptions or relationships.

In its simple form a SNOMED CT Refset can represent a SNOMED CT Subset.

Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.

 

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SNOMED CT SUBSET

Change to Supporting Information: Changed Description

A SNOMED CT Subset is a:

SNOMED CT Subsets:

  • Usually represent groups of concepts that share specified characteristics (for example, a specific clinical domain)
  • Support user interface development through the organisation of clinical display, creation of menus and pick-lists, or support of knowledge structures
  • May be created as value sets for messaging or data entry.

Different types of SNOMED CT Subsets are used to represent:

  • Descriptions or concepts for particular realms or specialties
  • Suitability of particular concepts for use in a particular context in a record.

Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.

For further information on SNOMED CT Subsets, see the NHS Digital website at: SNOMED CT

 

 

 

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TECHNOLOGY REFERENCE DATA UPDATE DISTRIBUTION (TRUD)

Change to Supporting Information: Changed Description

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WHAT'S NEW: JUNE 2017  renamed from WHAT'S NEW: APRIL 2017

Change to Supporting Information: Changed Name, Description

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

Release: June 2017

  • CR1607 (Immediate) - DDCN 1607/2017 Renaming of NHS Commissioning Board Commissioning Region and NHS England Region (Geography)
  • CR1604 (Immediate) - DDCN 1604/2017 Introduction of the Data Coordination Board

Release: April 2017

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2017:

  • CR1598 (1 October 2017) - SCCI0092-2062 Commissioning Data Set Type 011 Emergency Care

Release: March 2017

  • CR1605 (Immediate) - DDCN 1605/2017 NHS Number Status Indicator Code
  • CR1594 (Immediate) - DDCN 1594/2017 Technology Reference Data Update Distribution (TRUD)
  • CR1564 (01 April 2017) - SCCI1521 Cancer Outcomes and Services Data Set Version 7
  • CR1563 (01 April 2017) - SCCI0011 Mental Health Services Data Set Version 2.0
  • CR1577 (01 April 2017) - SCCI0084 Introduction of OPCS-4.8

Release: December 2016

Release: November 2016

Release: October 2016

  • CR1578 (Immediate) - DDCN 1578/2016 Religious or Other Belief System Affiliation Groups SNOMED CT Subset
  • CR1569 (Immediate) - DDCN 1569/2016 NHS Improvement

Release: September 2016

  • CR1545 (Immediate) - SCCI0075 and SCCI0076 Updates to the Neonatal Critical Care and Paediatric Critical Care Minimum Data Sets

Release: August 2016

  • CR1532 (Immediate) - SCCI0090 Health and Social Care Organisation Reference Data
  • CR1583 (Immediate) - DDCN 1583/2016 Introduction of NHS Digital
  • CR1575 (Immediate) - DDCN 1575/2016 Introduction of the National Cancer Registration and Analysis Service (NCRAS)
  • CR1570 (Immediate) - DDCN 1570/2016 Update to COVER Central Return Data Set

Release: July 2016

  • CR1565 (Immediate) - ISB 1561 Retirement of Diabetes Summary Core Data Set ISB 1561

Release: March 2016

  • CR1300 (1 April 2016) - SCCI01477 Updates to the National Cancer Waiting Times Monitoring Data Set and introduction of the XML Schema
  • CR1412 (1 April 2016) - SCCI0021 Introduction of the International Classification of Diseases (ICD) 10th Revision 5th Edition
  • CR1544 (1 April 2016) - SCCI1111 Radiotherapy Data Set - Change of data flow
  • CR1549 (1 April 2016) - SCCII0011 Mental Health Services Data Set Version 1.1

Release: February 2016

  • CR1517 (1 January 2016) - SCCI1067 Workforce Data Set Version 2.8
  • CR1559 (Immediate) - DDCN 1559/2016 Lower Layer Super Output Area (Residence) and ONS Local Government Geography Code (Local Authority District)

Release: December 2015

  • CR1514 (1 January 2016) - SCCI0011 Mental Health Services Data Set
  • CR1515 (1 January 2016) - SCCI0011 Retirement of Mental Health Standards
  • CR1560 (Immediate) - DDCN 1560/2015 Retirement of Data Management and Integration Centre

Release: November 2015

  • CR1558 (Immediate) - DDCN 1558/2015 Children and Young People’s Health Services Data Set and Community Information Data Set Inconsistencies
  • CR1554 (1 October 2015) - SCCI2026 Corrigendum to CR1494 Female Genital Mutilation Data Set

Release: October 2015

  • CR1534 (Immediate) - DDCN 1534/2015 Retirement of Hospital Episode Statistics Cross Reference Tables

Release: September 2015

  • CR1521 (Immediate) - SCCI1580 Palliative Care Co-ordination: Core content (Formerly End of Life Care)
  • CR1522 (Immediate) - DDCN 1522/2015 Update General Dental Council Registration Number
  • CR1530 (Immediate) - ISB 0158 Retirement of Ambulance Services (KA34) Central Return Data Set
  • CR1528 (Immediate) - ISB 1568 Retirement of KO41 (A) Hospital and Community Health Service Complaints and KO41 (B) General Practice (including Dental) Complaints Central Return Forms
  • CR1551 (Immediate) - ISB 0133 Retirement of HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set and HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set

Release: August 2015

  • CR1374 (1 September 2015) - SCCI1510 Community Information Data Set Update
  • CR1356 (1 September 2015) - SCCI1069 Children and Young People’s Health Services Data Set Update and XML Schema
  • CR1529 (Immediate) - DDCN 1529/2015 Change to the Mechanism for XML Schema Publication and Download
  • CR1543 (Immediate) - DDCN 1543/2015 Treatment Function Code: 840 Audiology

Release: July 2015

  • CR1475 (Immediate) - SCCI1605 Accessible Information

Release: June 2015

  • CR1518 (Immediate) - ISB 092 CDS 6-1 Retirement
  • CR1525 (Immediate) - DDCN 1525/2015 Burden Advice and Assessment Service (BAAS)
  • CR1524 (Immediate) - DDCN 1524/2015 Updating of Activity Location Type and Source of Admission Attributes
  • CR1505 (Immediate) - DDCN 1505/2015 Death Cause Information

Release: May 2015

  • CR1507 (Immediate) - DDCN 1507/2015 To add SUS CDS business rule H4 text

Release: April 2015

  • CR 1494 and CR 1506 (1 April 2015) - SCCI2026 Amd 12/2014 Female Genital Mutilation Data Set and Retirement of Female Genital Mutilation Prevalence Data Set
  • CR1513 (27 April 2015) - DDCN 1513/2015 Introduction of NHS England Region (Geography)
  • CR1509 (1 April 2015) - ISB 1513 Maternity Services Data Set

  • CR1509 is a corrigendum to CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema published in the October 2014 release

Release: March 2015

  • CR1492 (1 April 2015) - SCCI1521 Amd 17/2014 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: February 2015

  • CR1486 (27 February 2015) - ISB 0090 Amd 9/2014 Organisation Data Service – Health and Justice Organisation Identifiers

Due to a delay in the Organisation Data Service (ODS) February release, the implementation date is now 6 March 2015.

Release: January 2015

Release: December 2014

  • CR1396 (31 October 2014) - ISB 1567 Amd 15/2014 National Joint Registry Data Set Version 6

    The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2015:

  • CR1487 (1 October 2015) - ISB 0089 Amd 8/2014 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set

Release: November 2014

  • CR1420 (Immediate) - ISB 0139 Amd 29/2013 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Update
  • CR1421 (Immediate) - ISB 1518 Amd 30/2013 Sexual and Reproductive Health Activity Data Set (SRHAD) Update
  • CR1422 (Immediate) - ISB 1518 Amd 30/2013 Retirement of Central Return Form KT31 Cross Sector Services

Release: October 2014

Release: September 2014

  • CR1484 (Immediate) - DDCN 1484/2014 Female Genital Mutilation SNOMED CT Subsets

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 31 July 2015:

  • CR1344 (31 July 2015) - ISB 1594 Amd 31/2012 Information Sharing to Tackle Violence Minimum Data Set

Release: August 2014

  • CR1360 (1 September 2014) - ISB 0011 Amd 5/2014 Mental Health and Learning Disabilities Data Set

Release: July 2014

  • CR1351 (1 July 2014) - ISB 1520 Amd 02/2013 Improving Access to Psychological Therapies Data Set Version 1.5
  • CR1482 (Immediate) - DDCN 1482/2014 Source of Referral for Mental Health
  • CR1480 (Immediate) - DDCN 1480/2014 Mental Health Care Cluster 9
  • CR1477 (Immediate) - DDCN 1477/2014 Payment by Results

  • Note: CR1383 (31 December 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

At the Standardisation Committee for Care Information meeting on 28th May 2014, an amendment to the implementation date of the ISB information standard was approved. The implementation date is now 31 December 2014.

  • The July 2014 Release updates the NHS Data Model and Dictionary Help Pages to reflect the new organisation structure.

Release: June 2014

  • CR1465 (Immediate) - DDCN 1465/2014 Primary Care Trusts and NHS Trusts
  • CR1461 (Immediate) - DDCN 1461/2014 New Standardisation Committee for Care Information (SCCI) Process
  • CR1383 (30 June 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

Release: May 2014

Release: April 2014

Release: March 2014

  • CR1388 (1 April 2014) - ISB 1521 Amd 23/2013 Updates to the Cancer Outcomes and Services Data Set and XML Schema
  • CR1370 (1 April 2014) - ISB 1533 Amd 24/2013 Updates to the Systemic Anti-Cancer Therapy Data Set and XML Schema
  • CR1322 (1 April 2014) - ISB 0111 Amd 26/2012 Changes to the Radiotherapy Data Set
  • CR1387 (1 April 2014) - ISB 0084 Amd 10/2013 Introduction of OPCS-4.7
  • CR1376 (1 April 2014) - ISB 1607 Amd 26/2013 Emergency Care Weekly Situation Report Data Set
  • CR1433 (Immediate) - DDCN 1433/2014 Data Services for Commissioners
  • CR1467 (1 April 2014) - DDCN 1467/2014 Retirement of Standards
  • CR1464 (1 April 2014) - DDCN 1464/2014 Retirement of Standards - Domains and Diagrams
  • CR1458 (1 April 2014) - DDCN 1458/2014 Retirement of Standards - DSCNs - 11/97/P05, 12/97/P06, 15/97/P09, 18/97/P12, 22/96/P19, 32/96/P27, 49/97/P35, 62/95/P51, 07/2007, 08/2009, 17/92, 20/2001, 22/2006 and 38/2002
  • CR1444 (1 April 2014) - DDCN 1444/2014 Retirement of Standards
  • CR1436 (1 April 2014) - DDCN 1436/2014 Retirement of Standards
  • CR1435 (1 April 2014) - DDCN 1435/2014 Retirement of Standards - DSCNs 22/95/P21, 20/91, 21/93, 40/95/P34, 09/94/P04, 93/95/P76, 23/94/A04, 8/92 and 17/93
  • CR1432 (1 April 2014) - DDCN 1432/2014 Retirement of Standards - DSCN 3/92, DSCN 12/96/P11, DSCN 50/94/P36, DSCN 66/96/W09 and DSCN 16/93
  • CR1429 (1 April 2014) - DDCN 1429/2014 Retirement of Standards - DSCN 07/96/P06
  • CR1425 (1 April 2014) - DDCN 1425/2014 Retirement of Standards
  • CR1423 (1 April 2014) - DDCN 1423/2014 Retirement of Standards - DSCNs 37/98/A09, 14/97/P08, 12/2002, 37/2003, 14/2004 and 27/2001
  • CR1419 (1 April 2014) - DDCN 1419/2014 Retirement of Standards - DSCNs 39/98/A11, 09/99/P06, 11/99/P07, 13/2003, 38/2001, 22/2001, 19/98/A02, 40/96/P34, 29/94/P19, 49/94/P35, 34/95/P29, 53/96/P44 and 96/95/P79
  • CR1418 (1 April 2014) - DDCN 1418/2014 Retirement of Standards
  • CR1417 (1 April 2014) - DDCN 1417/2014 Retirement of Standards - DSCNs 13/95/P12, 44/2001, 29/2004, 18/98/W02 and 24/98/F01
  • CR1416 (1 April 2014) - DDCN 1416/2014 Retirement of Standards - KC64 - DSCNs 05/98/P05 and 26/95/W02
  • CR1414 (1 April 2014) - DDCN 1414/2014 Retirement of Standards - DSCNs 03/99/P03, 10/2002, 12/99/A04, 20/98/A03, 30/98/P21, 35/99/P25, 37/97/P24 and 43/97/P29
  • CR1413 (1 April 2014) - DDCN 1413/2014 Retirement of Standards - DSCNs 13/97/P07, 15/96/P14, 17/2001, 20/2004, 21/2001, 21/2003, 28/98/P20, 33/2003 and 43/2002
  • CR1409 (1 April 2014) - DDCN 1409/2014 Retirement of Standards - DSCN's 46/97/P32, 01/2004, 04/2004, 11/2005, 27/2002, 31/2002, 53/2002 and 54/2002

Release: February 2014

  • CR1460 (Immediate) - DDCN 1460/2014 NHS Dental Services Update
  • CR1459 (Immediate) - DDCN 1459/2014 General Medical Practitioner (Specified), Doctor Index Number and General Medical Practitioner PPD Code Update
  • CR1446 (Immediate) - DDCN 1446/2014 Health and Social Care Information Centre Update
  • CR1404 (Immediate) - DDCN 1404/2014 Retirement of e-Gif definitions
  • CR1395 (28 February 2014) - ISB 0090 Amd 17/2013 Organisation Data Service – NHS Postcode Directory

Release: January 2014

  • CR1386 (31 January 2014) - ISB 0090 Amd 9/2013 Special Health Authority (SpHA) Code Structure Change
  • CR1443 (Immediate) - DDCN 1443/2014 Change of name of the National Institute for Health and Clinical Excellence
  • CR1441 (Immediate) - DDCN 1441/2014 Retirement of Review of Central Returns (ROCR) - Central Return Form KH03A
  • CR1440 (Immediate) - DDCN 1440/2014 Retirement of Review of Central Returns (ROCR) - Genitourinary Medicine Access Monthly Monitoring Data Set
  • CR1439 (Immediate) - DDCN 1439/2013 Retirement of Review of Central Returns (ROCR) Returns
  • CR1405 (Immediate) - DDCN 1405/2013 Overseas Visitors
  • CR1393 (Immediate) - DDCN 1393/2013 Amendment to Inter-Provider Transfer Administrative Minimum Data Set Overview
  • CR1392 (Immediate) - DDCN 1392/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment Performance Sharing Data Set
  • CR1391 (Immediate) - DDCN 1391/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment (RTT) Summary Patient Tracking List Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 June 2014:

Release: November 2013

  • CR1424 (Immediate) - DDCN 1424/2013 Application Identifier (GS1)
  • CR1367 (29 November 2013) - ISB 0090 Amd 5/2013 Organisation Data Service - Introduction of New Sub Type Identifier for Private Dental Practices
  • CR1359 (29 November 2013) - ISB 0090 Amd 47/2012 Organisation Data Service - Identification Codes for Local Authorities
  • CR1407 (Immediate) - DDCN 1407/2013 Clinical Investigations
  • CR1415 (Immediate) - DDCN 1415/2013 Area Teams
  • CR1411 (Immediate) - DDCN 1411/2013 Update to Supporting Information: SNOMED CT®

Release: September 2013

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

Release: July 2013

  • CR1377 (Immediate) - ISB 0105 Retirement of Accident and Emergency Quarterly Monitoring Data Set (QMAE)

Release: May 2013

Release: April 2013

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

Release: March 2013

Release: February 2013

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

Release: December 2012

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

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

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

Release: November 2012

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

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

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

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

Release: September 2012

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

Release: August 2012

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

Release: June 2012

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

Release: May 2012

  • CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

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

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

Release: March 2012

Release: January 2012

Release: November 2011

  • CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
  • CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

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

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

Release: October 2011

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

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

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

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

Release: August 2011

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

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

Release: July 2011

  • CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

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

Release: June 2011

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

Release: April 2011

  • CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
  • CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
  • CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

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

Release: March 2011

Release: January 2011

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

Release: December 2010

Release: November 2010

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

Release: September 2010

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

Release: August 2010

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

Release: July 2010

Release: May 2010

Release: March 2010

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

Release: January 2010

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

Release: December 2009

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

Release: November 2009

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

Release: September 2009

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

Release: June 2009

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

Release: March 2009

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

Release: December 2008

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

Release: November 2008

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

Release: August 2008

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

Release: May 2008

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

Release: February 2008

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

Release: November 2007

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

Release: August 2007

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

Release: June 2007

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

Release: May 2007

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

Release: February 2007

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

Release: September 2006

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

Release: May 2006

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

Release: April 2006

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

Release: August 2005

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

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XML SCHEMA TRUD DOWNLOAD

Change to Supporting Information: Changed Description

Background:

XML Schemas and Release Notes can be downloaded from Technology Reference Data Update Distribution (TRUD).

In order to access the XML Schemas and Release Notes on Technology Reference Data Update Distribution (TRUD), users will be required to:

Once an XML Schema has been added to TRUD, users who have subscribed to that item will be automatically notified by email of any updates to that area, for example, new versions, retirements etc.

XML Schema Download:

XML Schemas and Release Notes for the following Data Sets in the NHS Data Model and Dictionary can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.XML Schemas and Release Notes for the following Data Sets in the NHS Data Model and Dictionary can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

For supplementary information on the XML Schema Publication and Download, see the NHS Data Model and Dictionary Service part of the NHS Digital website at: Policies: XML Schema Publication and Download guidance.

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ALPHANUMERIC (RETIRED)  renamed from ALPHANUMERIC

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

Data Type:Alphanumeric
Data Length:Various

A string of alphabetic and numeric characters (which may include symbols such as @ in an email address).This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

 

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ALPHANUMERIC (RETIRED)  renamed from ALPHANUMERIC

Change to Domain: Changed status to Retired, Name, Description
  • Retired ALPHANUMERIC
  • Changed Name from Web_Site_Content.Pages.Domains.ALPHANUMERIC to Retired.Web_Site_Content.Pages.Domains.ALPHANUMERIC
  • Changed Description

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CLASSIFICATION (RETIRED)  renamed from CLASSIFICATION

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

Data Type:Alphanumeric
Data Length:Various

A set of codes defined on attributes which are used for derivation purposes.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

 

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CLASSIFICATION (RETIRED)  renamed from CLASSIFICATION

Change to Domain: Changed status to Retired, Name, Description
  • Retired CLASSIFICATION
  • Changed Name from Web_Site_Content.Pages.Domains.CLASSIFICATION to Retired.Web_Site_Content.Pages.Domains.CLASSIFICATION
  • Changed Description

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DATE (RETIRED)  renamed from DATE

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

Data Type:Alphanumeric
Data Length:Various
The year, month and day of an event. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

 

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DATE (RETIRED)  renamed from DATE

Change to Domain: Changed status to Retired, Name, Description
  • Retired DATE
  • Changed Name from Web_Site_Content.Pages.Domains.DATE to Retired.Web_Site_Content.Pages.Domains.DATE
  • Changed Description

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DATE AND TIME (RETIRED)  renamed from DATE AND TIME

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

Data Type:Alphanumeric
Data Length:Various
The combined DATE and TIME of an event. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

 

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DATE AND TIME (RETIRED)  renamed from DATE AND TIME

Change to Domain: Changed status to Retired, Name, Description
  • Retired DATE AND TIME
  • Changed Name from Web_Site_Content.Pages.Domains.DATE_AND_TIME to Retired.Web_Site_Content.Pages.Domains.DATE_AND_TIME
  • Changed Description

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NATIONAL CODE (RETIRED)  renamed from NATIONAL CODE

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

Data Type:Alphanumeric
Data Length:Various
A set of codes defined on attributes and data elements which are used for reporting within a data set. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

 

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NATIONAL CODE (RETIRED)  renamed from NATIONAL CODE

Change to Domain: Changed status to Retired, Name, Description
  • Retired NATIONAL CODE
  • Changed Name from Web_Site_Content.Pages.Domains.NATIONAL_CODE to Retired.Web_Site_Content.Pages.Domains.NATIONAL_CODE
  • Changed Description

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NUMERIC (RETIRED)  renamed from NUMERIC

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

Data Type:Numeric
Data Length:Various

A string of numeric characters.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

 

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NUMERIC (RETIRED)  renamed from NUMERIC

Change to Domain: Changed status to Retired, Name, Description
  • Retired NUMERIC
  • Changed Name from Web_Site_Content.Pages.Domains.NUMERIC to Retired.Web_Site_Content.Pages.Domains.NUMERIC
  • Changed Description

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TIME (RETIRED)  renamed from TIME

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

Data Type:Alphanumeric
Data Length:Various
The time of an event. This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

 

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TIME (RETIRED)  renamed from TIME

Change to Domain: Changed status to Retired, Name, Description
  • Retired TIME
  • Changed Name from Web_Site_Content.Pages.Domains.TIME to Retired.Web_Site_Content.Pages.Domains.TIME
  • Changed Description

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ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE

Change to Attribute: Changed Description

The physical status of the PATIENT as recorded by an anaesthetist for the operative procedure.

This is the American Society of Anesthesiologists (ASA) Physical Status Classification System, see the American Society of Anesthesiologists website.This is the American Society of Anesthesiologists (ASA) Physical Status Classification System. For further information see the American Society of Anesthesiologists website at: ASA Physical Status Classification System.

National Codes:

1A normal healthy PATIENT 
2A PATIENT with mild systemic disease
3A PATIENT with severe systemic disease
4A PATIENT with severe systemic disease that is a constant threat to life
5A moribund PATIENT who is not expected to survive without the operation
6A declared brain-dead PATIENT whose organs are being removed for donor purposes
 

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DELAY REASON TO TREATMENT FOR CANCER

Change to Attribute: Changed Description

The reason why a Cancer Care Spell Delay was experienced with regard to a Cancer Care Spell.

The national codes to be used are the same for delays between:

This is the reason why the Health Care Provider was unable to offer a DATE within the service standard (31 days between DECISION TO TREAT DATE and TREATMENT START DATE FOR CANCER, and CONSULTANT UPGRADE DATE and TREATMENT START DATE FOR CANCER; or 62 days between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER). 

National Codes:The reason why a delay occurred between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and the DATE FIRST SEEN, when the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 'Two Week Wait'.

CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER
DECISION TO TREAT DATE and TREATMENT START DATE FOR CANCER
CONSULTANT UPGRADE DATE and TREATMENT START DATE FOR CANCER.

Delays relating to diagnostic and pre-treatment eventsThis is the reason why the Health Care Provider was unable to offer a DATE within the service standard (31 days between DECISION TO TREAT DATE and TREATMENT START DATE FOR CANCER, and CONSULTANT UPGRADE DATE and TREATMENT START DATE FOR CANCER; or 62 days between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER).

National Codes:

 Delays relating to diagnostic and pre-treatment events 
01Clinic cancellation
02Out-patient capacity inadequate (i.e. no cancelled clinic, but not enough slots for this PATIENT)
03Administrative delay
07Complex diagnostic pathway (many, or complex, diagnostic tests required)
08Delay due to referral between Trusts (Retired 1 July 2012) 
11Diagnosis delayed for medical reasons (PATIENT unfit for diagnostic episode, excluding planned recovery period following diagnostic test)
13Delay due to recovery after an invasive test (PATIENT DIAGNOSIS or treatment delayed due to planned recovery period following an invasive diagnostic test)
17PATIENT choice delay relating to first outpatient APPOINTMENT 
18Health Care Provider initiated delay to diagnostic test or treatment planning
19PATIENT initiated (choice) delay to diagnostic test or treatment planning, advance notice given
20PATIENT Did Not Attend an APPOINTMENT for a diagnostic test or treatment planning event (no advance notice)
98Other reason
 Delays relating to treatment in an admitted care setting 
04Elective cancellation (for non-medical reason)
05Elective capacity inadequate (PATIENT unable to be scheduled for treatment within standard time)
06Delay to diagnostic test or treatment planning (Retired 1 July 2012) 
10Treatment delayed for medical reasons (PATIENT unfit for treatment episode, excluding planned recovery period following diagnostic test)
21PATIENT failed to present for elective treatment (choice)
22PATIENT care not commissioned by the English NHS (waiting time standard does not apply)
98Other reason
 Delays relating to treatment in a non-admitted care setting 
01Clinic cancellation
02Out-patient capacity inadequate (i.e. no cancelled clinic, but not enough slots for this PATIENT)
10Treatment delayed for medical reasons (PATIENT unfit for treatment episode, excluding planned recovery period following diagnostic test)
14PATIENT Did Not Attend treatment APPOINTMENT 
16PATIENT Choice (PATIENT declined or cancelled an offered APPOINTMENT DATE for treatment)
22PATIENT care not commissioned by the English NHS (waiting time standard does not apply)
98Other reason
99Other reason (Retired 1 July 2012) 

Notes:

 

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Change to Attribute: Changed Description

A code which identifies the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.

Note that the National Code 'Informal' is used for those PATIENTS who are neither formally detained nor receiving supervised aftercare.

Where applicable, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE is aligned with descriptors for "Mental Health Act legal status findings" in SNOMED CT® as follows:

SNOMED CT Subset Metadata:

  • Subset Name: Mental Health Act legal status findings
  • Subset Original Id: 75081000000134
  • Refset FSN: Mental Health Act legal status findings simple reference set
  • Refset Id: 999003071000000100

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Mental Health Act legal status findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Mental Health Act legal status findings.

National Codes:

01Informal
02Formally detained under Mental Health Act Section 2
03Formally detained under Mental Health Act Section 3
04Formally detained under Mental Health Act Section 4
05Formally detained under Mental Health Act Section 5(2)
06Formally detained under Mental Health Act Section 5(4)
07Formally detained under Mental Health Act Section 35
08Formally detained under Mental Health Act Section 36
09Formally detained under Mental Health Act Section 37 with section 41 restrictions
10Formally detained under Mental Health Act Section 37
12Formally detained under Mental Health Act Section 38
13Formally detained under Mental Health Act Section 44
14Formally detained under Mental Health Act Section 46
15Formally detained under Mental Health Act Section 47 with section 49 restrictions
16Formally detained under Mental Health Act Section 47
17Formally detained under Mental Health Act Section 48 with section 49 restrictions
18Formally detained under Mental Health Act Section 48
19Formally detained under Mental Health Act Section 135
20Formally detained under Mental Health Act Section 136
31Formally detained under Criminal Procedure(Insanity) Act 1964 as amended by the Criminal Procedures (Insanity and Unfitness to Plead) Act 1991
32Formally detained under other acts
33Supervised Discharge (Mental Health (Patients in the Community) Act 1995) (Retired 03 November 2008 - but may apply to some patients until 3 May 2009) 
34Formally detained under Mental Health Act Section 45A (Retired 01 September 2014)
35Subject to guardianship under Mental Health Act Section 7
36Subject to guardianship under Mental Health Act Section 37
37Formally detained under Mental Health Act Section 45A (Limited direction in force)
38Formally detained under Mental Health Act Section 45A (Limitation direction ended)
 

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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:

SNOMED CT Subset Metadata:

  • Subset Name: Newborn blood spot screening result status
  • Subset Original Id: 61081000000135
  • Refset FSN: Newborn blood spot screening result status simple reference set (foundation metadata concept)
  • Refset Id: 966281000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Newborn blood spot screening result status.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: 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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REFERRAL REQUEST RECEIVED DATE

Change to Attribute: Changed Description

The date the REFERRAL REQUEST was received by the Health Care Provider.

The waiting time for a first Out-Patient Appointment should be calculated from the date when the REFERRAL REQUEST is received.

Where an electronic REFERRAL REQUEST made through Choose and Book is rejected by the chosen provider, the ORIGINAL REFERRAL REQUEST RECEIVED DATE should be used when the PATIENT is subsequently re-referred to another service, so that  PATIENTS are not unfairly disadvantaged when their waiting time calculations are made.

In the circumstance that a PATIENT calls the national Choose and Book Appointments Line and an APPOINTMENT SLOT is not available with the chosen Health Care Provider, the national Choose and Book Appointments Line will electronically forward the REFERRAL REQUEST details to the chosen Health Care Provider so the Health Care Provider can liaise directly with the PATIENT to arrange their Out-Patient Appointment. The REFERRAL REQUEST RECEIVED DATE will be the date that the Health Care Provider receives electronic notification from the national Choose and Book Appointments Line that the PATIENT has experienced slot unavailability. (Note that this is NOT the date that the Health Care Provider opens or actions the electronic notification).

For written REFERRAL REQUESTS letters must be opened and date stamped on the day of receipt. It is this date that must be entered on any Patient Administration System (PAS) or similar system, not the date on which the information is fed into the system if this is later than the date of receipt.

If the REFERRAL REQUEST takes the form of a phone call followed by a letter, record the date when the letter arrives. If there is no following letter, the date of the verbal request should be recorded.

 

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Attribute: Changed Description

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

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

Where applicable, RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is aligned with descriptors for "Religious and Other Belief System Affiliation" in SNOMED CT® as follows:

SNOMED CT Subset Metadata:

  • Subset Name: Religious or Other Belief System Affiliation
  • Subset Original Id: 10791000000130
  • Refset FSN: Religious or other belief system affiliation simple reference set (foundation metadata concept)
  • Refset Id: 999000531000000100

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or Other Belief System Affiliation.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or Other Belief System Affiliation.

National Codes:

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

Note:

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

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

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

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE

Change to Attribute: Changed Description

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

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

RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE is aligned with descriptors for "Religious or other belief system affiliation groups" in SNOMED CT® as follows:

SNOMED CT Subset Metadata:

  • Subset Name: Religious or other belief system affiliation groups
  • Subset Original Id: 71981000000132
  • Refset FSN: Religious or other belief system affiliation groups simple reference set (foundation metadata concept)
  • Refset Id : 999002601000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or other belief system affiliation groups.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or other belief system affiliation groups.

National Codes:

ABaha'i
BBuddhist
CChristian
DHindu
EJain
FJewish
GMuslim
HPagan
ISikh
JZoroastrian
KOther
LNone
MDeclines to Disclose
NPatient Religion Unknown
 

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ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires support (aids/equipment/adjustments) to enable communication.

SNOMED CT Subset Metadata:

  • Subset Name: Accessible information - communication support
  • Subset Original Id: 58921000000137
  • Refset FSN: Accessible information - communication support simple reference set (foundation metadata concept)
  • Refset Id: 999002121000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - communication support.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - communication support.

 

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ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires a different or specific contact method.

SNOMED CT Subset Metadata:

  • Subset Name: Accessible Information - requires specific contact method
  • Subset Original Id: 58931000000135
  • Refset FSN: Accessible information - requires specific contact method simple reference set (foundation metadata concept)
  • Refset Id: 999002131000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific contact method.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific contact method.

 

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ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires support from a communication professional.

SNOMED CT Subset Metadata:

  • Subset Name: Accessible Information - requires communication professional
  • Subset Original Id: 58951000000133
  • Refset FSN: Accessible information - requires communication professional simple reference set (foundation metadata concept)
  • Refset Id: 999002151000000104

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires communication professional.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires communication professional.

 

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ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify that the PATIENT requires information in a specific format.

SNOMED CT Subset Metadata:

  • Subset Name: Accessible Information - requires specific information format
  • Subset Original Id: 58941000000130
  • Refset FSN: Accessible information - requires specific information format simple reference set (foundation metadata concept)
  • Refset Id: 999002141000000102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific information format.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific information format.

 

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ACCOMMODATION STATUS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
ACCOMMODATION STATUS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCOMMODATION STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the details of the ACCOMMODATION of the PERSON.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care usual residence type
  • Subset Original Id: 72091000000139
  • Refset FSN: Emergency care usual residence type simple reference set (foundation metadata concept)
  • Refset Id: 999003051000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accommodation Status.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accommodation Status.

 

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AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of Acquired Immune Deficiency Syndrome (AIDS) defining illness a PATIENT is diagnosed with.

AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is used for adult PERSONS over 15 years of age.

SNOMED CT Subset Metadata:

  • Subset Name: AIDS defining illness for adults
  • Subset Original Id: 69311000000130
  • Refset FSN: Acquired immune deficiency syndrome defining illness for adults simple reference set (foundation metadata concept)
  • Refset Id : 999002431000000102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: AIDS defining illness for adults.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: AIDS defining illness for adults.

 

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ANATOMICAL SIDE (NECK DISSECTION)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANATOMICAL SIDE
Default Codes:4 - Not Performed
 8 - Not Applicable

Notes:
ANATOMICAL SIDE (POSITIVE NODES) is the same as attribute ANATOMICAL SIDE to identify the laterality of the neck dissection if performed during a Head and Neck Cancer Care Spell.ANATOMICAL SIDE (NECK DISSECTION) is the same as attribute ANATOMICAL SIDE to identify the laterality of the neck dissection if performed during a Head and Neck Cancer Care Spell. 

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ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D)

Change to Data Element: Changed Description

Format/Length:See DM+D CODE
Format/Length:See DM+D CODE
National Codes: 
Default Codes: 

Notes:
ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D) is the same as attribute CLINICAL TERMINOLOGY CODE.

ANTIRETROVIRAL THERAPY DRUG (SNOMED CT DM+D) is the SNOMED CT® concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the Antiretroviral Therapy drug prescribed to a PATIENT at the HIV Clinic Attendance.

SNOMED CT Subset Metadata:

  • Subset Name: NHS dm+d VTM
  • Subset Original Id: 601000001138
  • Refset FSN: National Health Service dictionary of medicines and devices virtual therapeutic moiety simple reference set (foundation metadata concept)
  • Refset Id : 999000581000001102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: NHS dm+d VTM.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: NHS dm+d VTM.

 

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BRONCHOSCOPY PERFORMED INDICATOR

Change to Data Element: Changed Description

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

Notes:
VIRAL LOAD COUNT PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if a Bronchoscopy was performed on a PATIENT.BRONCHOSCOPY PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if a Bronchoscopy was performed on a PATIENT. 

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CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY (CONSULTANT PRESCRIBING CHEMOTHERAPY)

Change to Data Element: Changed Description

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CHLAMYDIA TEST RESULT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
CHLAMYDIA TEST RESULT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

CHLAMYDIA TEST RESULT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the result of the Chlamydia test.

SNOMED CT Subset Metadata:

  • Subset Name: Chlamydia test result findings
  • Subset Original Id: 58851000000137
  • Refset FSN: Chlamydia test result findings simple reference set (foundation metadata concept)
  • Refset Id: 999002091000000108

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test result findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test result findings.

 

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CODED ASSESSMENT TOOL TYPE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:min an6 max an18
National Codes: 
Default Codes: 

Notes:

CODED ASSESSMENT TOOL TYPE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

CODED ASSESSMENT TOOL TYPE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an ASSESSMENT TOOL.

Nationally published SNOMED CT Subset Metadata can be found on the Data Dictionary for Care (DD4C) website at: Published Subset Metadata.Nationally published SNOMED CT Subset Metadata can be found on the Data Dictionary for Care (DD4C) website at: Published Subset Metadata.

 

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COMORBIDITY (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
COMORBIDITY (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

COMORBIDITY (SNOMED CT) is the SNOMED CT® concept ID which is used to identify comorbid conditions.

SNOMED CT Subset Metadata:

  • Subset Name: Comorbid conditions for selection
  • Subset 61071000000137
  • Refset FSN: Comorbid conditions for selection simple reference set (foundation metadata concept)
  • Refset Id: 991381000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Comorbid conditions for selection.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Comorbid conditions for selection.

 

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EMERGENCY CARE ACUITY (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE ACUITY (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE ACUITY (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the acuity of the PATIENT's condition on the Emergency Care Initial Assessment Date and Emergency Care Initial Assessment Time.

The EMERGENCY CARE ACUITY (SNOMED CT) may be determined by a formal triage process, or by the physical allocation of the PATIENT to a specific clinical area such as Resuscitation.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care acuity
  • Subset Original Id: 75071000000132
  • Refset FSN: Emergency care acuity simple reference set (foundation metadata concept)
  • Refset Id: 999003061000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care acuity.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care acuity.

 

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EMERGENCY CARE ARRIVAL MODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE ARRIVAL MODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE ARRIVAL MODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the transport mode by which the PATIENT arrived at the Emergency Care Department.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care arrival mode
  • Subset Original Id: 72101000000133
  • Refset FSN: Emergency care arrival mode simple reference set (foundation metadata concept)
  • Refset Id: 999002981000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care arrival mode.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care arrival mode.

 

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EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the source of an Emergency Care Attendance.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care attendance source
  • Subset Original Id: 75011000000136
  • Refset FSN: Emergency care source of attendance findings simple reference set (foundation metadata concept)
  • Refset Id: 999003041000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care attendance source.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care attendance source.

 

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EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the nature of the PATIENT’s chief complaint as assessed by the CARE PROFESSIONAL first assessing the PATIENT.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care presenting complaints or issues
  • Subset Original Id: 63491000000132
  • Refset FSN: Emergency care presenting complaints or issues simple reference set (foundation metadata concept)
  • Refset Id: 991401000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care presenting complaints or issues.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care presenting complaints or issues.

 

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EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT) is the SNOMED CT® concept ID which is used to identify a Clinical Investigation performed while a PATIENT is under the care of an Emergency Care Department.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care investigations
  • Subset Original Id: 63541000000137
  • Refset FSN: Emergency care investigations simple reference set (foundation metadata concept)
  • Refset Id: 991261000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care investigations.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care investigations.

 

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EMERGENCY CARE DIAGNOSIS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DIAGNOSIS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DIAGNOSIS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the PATIENT DIAGNOSIS.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care diagnosis
  • Subset 63481000000130
  • Refset FSN: Emergency care diagnosis simple reference set (foundation metadata concept)
  • Refset Id: 991411000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis.

 

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EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT) is the SNOMED CT® concept ID which is used to express the level of certainty of a PATIENT DIAGNOSIS.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care diagnosis qualifier
  • Subset Original Id: 75021000000133
  • Refset FSN: Emergency care diagnosis qualifier simple reference set (foundation metadata concept)
  • Refset Id: 999003001000000108

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis qualifier.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis qualifier.

 

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EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the intended destination of the PATIENT following discharge from the Emergency Care Department.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care discharge destination
  • Subset Original Id: 75031000000130
  • Refset FSN: Emergency care discharge destination simple reference set (foundation metadata concept)
  • Refset Id: 999003011000000105

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge destination.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge destination.

 

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EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the SERVICE to which a PATIENT was referred for continuing care following an Emergency Care Attendance.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care follow-up procedures
  • Subset Original Id: 63571000000134
  • Refset FSN: Emergency care follow-up procedures simple reference set (foundation metadata concept)
  • Refset Id: 991441000000105

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care follow-up procedures.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care follow-up procedures.

 

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EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify whether a copy of a letter to their GENERAL PRACTITIONER has been printed and given to the PATIENT on discharge from an Emergency Care Department.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care notification to general practitioner
  • Subset Original Id: 63611000000139
  • Refset FSN: Emergency care notification to general practitioner simple reference set (foundation metadata concept)
  • Refset Id: 991241000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care notification to general practitioner.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care notification to general practitioner.

 

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EMERGENCY CARE DISCHARGE STATUS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE DISCHARGE STATUS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE DISCHARGE STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used indicate the status of the PATIENT on discharge from an Emergency Care Department.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care discharge status
  • Subset Original Id: 75041000000135
  • Refset FSN: Emergency care discharge status simple reference set (foundation metadata concept)
  • Refset Id: 999003021000000104

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge status.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge status.

 

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EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the status of activity being undertaken by the PATIENT when the injury occurred.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care injury activity status
  • Subset Original Id: 75051000000137
  • Refset FSN: Emergency care injury activity status simple reference set (foundation metadata concept)
  • Refset Id: 999003031000000102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury activity status.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury activity status.

 

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EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of activity being undertaken by the PERSON at the moment the injury occurred.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care injury activity type
  • Subset Original Id: 63511000000138
  • Refset FSN: Emergency care injury activity type simple reference set (foundation metadata concept)
  • Refset Id: 1024501000000108

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury activity type.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury activity type.

 

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EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify any drugs or alcohol used by the PATIENT, which are thought likely to have contributed to the need to attend the Emergency Care Department.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care drug or alcohol use related to injury
  • Subset Original Id: 63781000000138
  • Refset FSN: Emergency care drug or alcohol use related to injury simple reference set (foundation metadata concept)
  • Refset Id: 991421000000103

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care drug or alcohol use related to injury.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care drug or alcohol use related to injury.

 

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EMERGENCY CARE INJURY INTENT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY INTENT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY INTENT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the most likely human intent in the occurrence of the injury or poisoning as assessed by the CARE PROFESSIONAL.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care injury intent type
  • Subset Original Id: 63531000000132
  • Refset FSN: Emergency care injury intent type simple reference set (foundation metadata concept)
  • Refset Id: 991431000000101

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury intent type.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care injury intent type.

 

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EMERGENCY CARE INJURY MECHANISM (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE INJURY MECHANISM (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE INJURY MECHANISM (SNOMED CT) is the SNOMED CT® concept ID which is used to identify how an injury was caused.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care mechanism of injury
  • Subset Original Id: 63521000000130
  • Refset FSN: Emergency care mechanism of injury simple reference set (foundation metadata concept)
  • Refset Id: 991281000000103

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care mechanism of injury.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care mechanism of injury.

 

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EMERGENCY CARE PLACE OF INJURY (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE PLACE OF INJURY (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE PLACE OF INJURY (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of LOCATION at which the PATIENT was present when the injury occurred.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care place of injury type
  • Subset Original Id: 63731000000137
  • Refset FSN: Emergency care place of injury type simple reference set (foundation metadata concept)
  • Refset Id: 991291000000101

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care place of injury type.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care place of injury type.

 

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EMERGENCY CARE PROCEDURE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
EMERGENCY CARE PROCEDURE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

EMERGENCY CARE PROCEDURE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify a Patient Procedure performed while a PATIENT is under the care of an Emergency Care Department.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care treatments
  • Subset Original Id: 611000000135
  • Refset FSN: Emergency care treatments simple reference set (foundation metadata concept)
  • Refset Id: 991271000000100

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care treatments.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care treatments.

 

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EMPLOYMENT STATUS (PARTNER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See EMPLOYMENT STATUS
Default Codes:UU - Unknown (PERSON asked but does not know or is unsure)

Notes:
EMPLOYMENT STATUS (PARTNER AT BOOKING) is the same as attribute EMPLOYMENT STATUS  at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), for the PERSON; where the PERSON RELATIONSHIP TYPE is National Codes 01 'Spouse' or 02 'Partner'.EMPLOYMENT STATUS (PARTNER AT BOOKING) is the same as attribute EMPLOYMENT STATUS for the spouse or partner of the PERSON at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING). 

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IMAGING CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
IMAGING CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

IMAGING CODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the Diagnostic Imaging test.

SNOMED CT Subset Metadata:

  • Subset Name: UK Diagnostic Imaging Procedure Concepts
  • Subset Original Id: 611000000135
  • Refset FSN: United Kingdom diagnostic imaging procedure simple reference set (foundation metadata concept)
  • Refset Id: 999001111000000105

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: UK Diagnostic Imaging Procedure Concepts.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: UK Diagnostic Imaging Procedure Concepts.

IMAGING CODE (SNOMED-CT) will be replaced with IMAGING CODE (SNOMED CT), which is the most recent approved national information standard to describe the required definition.

 

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INTERPRETER LANGUAGE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
INTERPRETER LANGUAGE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

INTERPRETER LANGUAGE (SNOMED CT) is the SNOMED CT® concept ID which is used to record the LANGUAGE of the interpreter required by the PERSON.

SNOMED CT Subset Metadata:

  • Subset Name: Interpreter type findings
  • Subset Original Id: 63651000000135
  • Refset FSN: Interpreter type findings simple reference set
  • Refset Id: 991231000000102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Interpreter type findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Interpreter type findings.

 

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NEWBORN BLOOD SPOT TEST RESULT RECEIVED DATE

Change to Data Element: Changed Description

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

Notes:
NEWBORN BLOOD SPOT TEST RESULT RECEIVED DATE is the same as attribute CLINICAL INVESTIGATION RESULT RECEIVED DATE.

NEWBORN BLOOD SPOT TEST RESULT RECEIVED DATE is the DATE the Newborn Blood Spot Test result was received from the LABORATORY by the Health Care Provider.NEWBORN BLOOD SPOT TEST RESULT RECEIVED DATE is the DATE the Newborn Blood Spot Test result was received from the Laboratory by the Health Care Provider.

 

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NHS NUMBER

Change to Data Element: Changed Description

Format/Length:n10
National Codes:See NHS NUMBER 
National Codes: 
Default Codes: 

Notes:
NHS NUMBER is the same as attribute NHS NUMBER.

For the AIDC for Patient Identification Data SetNHS NUMBER must be displayed in accordance with the NHS Common User Interface Information Standard - NHS Number Input and Display (ISB 1504).

 

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ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
ODS Default Codes:Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
 X98 - Primary Care Organisation Not Applicable (Overseas Visitors)

Notes:
ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the ORGANISATION IDENTIFIER of the Organisation responsible for the GP Practice where the PATIENT is registered, irrespective of whether they reside within the boundary of the Clinical Commissioning Group.

ORGANISATION CODE (GP PRACTICE RESPONSIBILITY) will be replaced with ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY), when it has been approved for use in national information standards.

 

 

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ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER))

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes: 

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

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

ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) will be replaced with ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER)), when it has been approved for use in national information standards.ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) will be replaced with ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER)), when it has been approved for use in national information standards.

 

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ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes: 

Notes:
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) is the ORGANISATION IDENTIFIER of the Organisation issuing the PATIENT PATHWAY IDENTIFIER

Where Choose and Book has been used, the ORGANISATION IDENTIFIER X09 should be used.

Use in Commissioning Data Set version 6-0 onwards

If the Commissioning Data Set record relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, and is of the following Commissioning Data Set Types:

then ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) must be present in the Commissioning Data Set PATIENT PATHWAY Data Group.

ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) will be replaced with ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER), when it has been approved for use in national information standards.

 

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ORGANISATION IDENTIFIER (RECEIVING)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes:ZZ201 - Not applicable (not discharged to another Organisation) *

Notes:
ORGANISATION IDENTIFIER (RECEIVING) is the same as the attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (RECEIVING) is the ORGANISATION IDENTIFIER of the Organisation that is receiving the PATIENT from another Health Care Provider.

For the National Neonatal Data Set - Episodic and Daily Care, this is the ORGANISATION CODE of the Organisation where a baby is transferred to on discharge from the neonatal critical care. 

* Note: default code ZZ201 is ONLY valid for the National Neonatal Data Set - Episodic and Daily Care.
* Note: default code ZZ201 is ONLY valid for the National Neonatal Data Set - Episodic and Daily Care.

ORGANISATION CODE (RECEIVING) will be replaced with ORGANISATION IDENTIFIER (RECEIVING), when it has been approved for use in national information standards.

 

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ORGANISATION IDENTIFIER (REFERRING)  renamed from REFERRING ORGANISATION IDENTIFIER

Change to Data Element: Changed Name, Description

Format/Length:max an6
Format/Length:min an3 max an6
National Codes: 
ODS Default Codes:X99998 - Referring ORGANISATION IDENTIFIER not applicable
 X99999 - Referring ORGANISATION IDENTIFIER not known

Notes:
REFERRING ORGANISATION IDENTIFIER is the same as attribute ORGANISATION IDENTIFIER.ORGANISATION IDENTIFIER (REFERRING) is the same as attribute ORGANISATION IDENTIFIER.

REFERRING ORGANISATION CODE is the ORGANISATION IDENTIFIER of the Organisation from which the referral is made, such as a GP PracticeNHS Trust or NHS Foundation Trust.ORGANISATION IDENTIFIER (REFERRING) is the ORGANISATION IDENTIFIER of the Organisation from which the referral is made, such as a GP PracticeNHS Trust or NHS Foundation Trust.

This information is essential for managing service agreements which are based on patterns of referral.

REFERRING ORGANISATION CODE will be replaced with REFERRING ORGANISATION IDENTIFIER, when it has been approved for use in national information standards.REFERRING ORGANISATION CODE will be replaced with ORGANISATION IDENTIFIER (REFERRING), when it has been approved for use in national information standards.

 

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ORGANISATION IDENTIFIER (REFERRING)  renamed from REFERRING ORGANISATION IDENTIFIER

Change to Data Element: Changed Name, Description
  • Changed Name from Data_Dictionary.Data_Field_Notes.R.Ref.REFERRING_ORGANISATION_IDENTIFIER to Data_Dictionary.Data_Field_Notes.O.Org.ORGANISATION_IDENTIFIER_(REFERRING)
  • Changed Description

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ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION IDENTIFIER has been issued
 89997 - Non-UK Provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE) is the ORGANISATION IDENTIFIER of the Organisation Site to which a PATIENT is discharged following an Emergency Care Attendance.

 

 

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ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION IDENTIFIER has been issued
 89997 - Non-UK Provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE) is the ORGANISATION IDENTIFIER of the Organisation Site from which a PATIENT arrived at an Emergency Care Department.

 

 

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ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
Default Codes:ZZ201 - Not Applicable: delivered at home
 ZZ888 - Not Applicable: delivered at non-NHS Organisation
 ZZ203 - Not known: place of delivery not known

Notes:
ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY) is the ORGANISATION IDENTIFIER of the Organisation where the baby was delivered as part of a Maternity Episode.

SITE CODE (OF ACTUAL PLACE OF DELIVERY) will be replaced with ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY), when it has been approved for use in national information standards.

 

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ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
Default Codes: 

Notes:
ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT) is the ORGANISATION IDENTIFIER of the neonatal unit where the Neonate was transferred to as part of a Maternity Episode.

SITE CODE (OF ADMITTING NEONATAL UNIT) will be replaced with ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT), when it has been approved for use in national information standards.

 

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ORGANISATION SITE IDENTIFIER (OF IMAGING)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION IDENTIFIER has been issued
 89997 - Non-UK Provider where no ORGANISATION IDENTIFIER has been issued

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

ORGANISATION SITE IDENTIFIER (OF IMAGING) is the ORGANISATION IDENTIFIER of the Organisation Site where the Diagnostic Imaging took place.

SITE CODE (OF IMAGING) will be replaced with ORGANISATION SITE IDENTIFIER (OF IMAGING), when it has been approved for use in national information standards.

 

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ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
Default Codes:ZZ201 - Not applicable (intended to deliver at home)
 ZZ888 - Not Applicable (intended to deliver at non-NHS Organisation)
 ZZ203 - Not known (intended place of delivery not known)

Notes:
ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY) is the ORGANISATION IDENTIFIER of the Organisation Site that is the intended place of delivery of the baby as part of a Maternity Episode.

SITE CODE (OF INTENDED PLACE OF DELIVERY) will be replaced with ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY), when it has been approved for use in national information standards.

 

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ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION IDENTIFIER has been issued
 89997 - Non-UK Provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE) is the ORGANISATION IDENTIFIER of the Organisation Site acting as Health Care Provider when a decision is made to upgrade the PATIENT to an urgent Cancer PATIENT PATHWAY.

The decision to upgrade must be made by a CONSULTANT or an authorised member of the CONSULTANTS team (subject to local agreement).

SITE CODE (OF PROVIDER CONSULTANT UPGRADE) will be replaced with ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE), when it has been approved for use in national information standards.

 

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ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
ODS Default Codes:89999 - Non-NHS UK Provider where no ORGANISATION IDENTIFIER has been issued
 89997 - Non-UK Provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) is the ORGANISATION IDENTIFIER of the Organisation Site of the Health Care Provider at the first contact with the PATIENT.

For the National Cancer Waiting Times Monitoring Data Set this may be the:

whichever is the earlier SERVICE related to the initial REFERRAL REQUEST.

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) is may be the same Health Care Provider as for SITE CODE (OF PROVIDER FIRST CANCER SPECIALIST) if the PATIENT was first seen by the appropriate specialist for cancer.

SITE CODE (OF PROVIDER FIRST SEEN) will be replaced with ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN), when it has been approved for use in national information standards.

 

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PREFERRED SPOKEN LANGUAGE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
PREFERRED SPOKEN LANGUAGE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

PREFERRED SPOKEN LANGUAGE (SNOMED CT) is the SNOMED CT® concept ID which is used to capture the preferred spoken LANGUAGE of the PERSON.

SNOMED CT Subset Metadata:

  • Subset Name: Preferred spoken language findings
  • Subset Original Id: 58761000000134
  • Refset FSN: Preferred spoken language findings simple reference set
  • Refset Id: 991181000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Preferred spoken language findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Preferred spoken language findings.

 

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REFERRED TO SERVICE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
REFERRED TO SERVICE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

REFERRED TO SERVICE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the SERVICE to which a PATIENT was referred for admission or opinion by the treating CARE PROFESSIONAL.

SNOMED CT Subset Metadata:

  • Subset Name: Emergency care referral procedures
  • Subset Original Id: 63501000000135
  • Refset FSN: Emergency care referral procedures simple reference set (foundation metadata concept)
  • Refset Id: 991451000000108

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care referral procedures.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care referral procedures.

 

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SAFEGUARDING CONCERN (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
SAFEGUARDING CONCERN (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

SAFEGUARDING CONCERN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an unresolved issue or concern regarding adult and child safeguarding that requires communication to another ORGANISATION or care agency.

SNOMED CT Subset Metadata:

  • Subset Name: Safeguarding issues
  • Subset Original Id: 69241000000138
  • Refset FSN: Safeguarding issues simple reference set (foundation metadata concept)
  • Refset Id: 999002381000000108

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Safeguarding issues.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Safeguarding issues.

 

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SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes:
SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of specimen used for Chlamydia testing.

SNOMED CT Subset Metadata:

  • Subset Name: Chlamydia test procedures
  • Subset Original Id: 58831000000130
  • Refset FSN: Chlamydia test procedures simple reference set (foundation metadata concept)
  • Refset Id: 999002071000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test procedures.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test procedures.

 

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CD  renamed from CDS

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Data_Field_Notes.C.CDS to Data_Dictionary.Data_Field_Notes.C.CD

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CE  renamed from CEN

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Attributes.C.Cen to Data_Dictionary.Attributes.C.Ce

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DM  renamed from DO

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Data_Field_Notes.D.Do to Data_Dictionary.Data_Field_Notes.D.Dm

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FR  renamed from FUE

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Attributes.F.Fue to Data_Dictionary.Attributes.F.Fr

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GR  renamed from GR

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Attributes.G.GR to Data_Dictionary.Attributes.G.Gr

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GR  renamed from GR

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Data_Field_Notes.G.GR to Data_Dictionary.Data_Field_Notes.G.Gr

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HI  renamed from HOR

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Data_Field_Notes.H.Hor to Data_Dictionary.Data_Field_Notes.H.Hi

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HO  renamed from HOM

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Attributes.H.Hom to Data_Dictionary.Attributes.H.Ho

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IN  renamed from INC

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Attributes.I.Inc to Data_Dictionary.Attributes.I.In

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LE  renamed from LEN

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Attributes.L.Len to Data_Dictionary.Attributes.L.Le

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MI  renamed from MHCS

Change to Package: Changed Name
  • Changed Name from Data_Dictionary.Attributes.M.MHCS to Data_Dictionary.Attributes.M.Mi

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

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