NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1694
Version No:1.0
Subject:November 2018 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:26 November 2018

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the November 2018 Release and includes:

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

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

Summary of changes:

Diagrams
ACTIVITY DIAGRAM   Changed Diagram
CANCER OUTCOMES AND SERVICES DIAGRAM   Changed Diagram
COMMUNITY SERVICES DIAGRAM   Changed Diagram
DIAGNOSTIC IMAGING DIAGRAM   Changed Diagram
HIV AND AIDS DIAGRAM   Changed Diagram
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM   Changed Diagram
MATERNITY SERVICES DIAGRAM   Changed Diagram
NATIONAL RENAL DIAGRAM   Changed Diagram
PATIENT PATHWAY DIAGRAM   Changed Diagram
SYSTEMIC ANTI-CANCER THERAPY DIAGRAM   Changed Diagram
 
Supporting Information
ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT   Changed Description
CARE HOME STAY (RESIDENTIAL)   Changed Description
CDS V6-2-1 TYPE 002 - CDS INTERCHANGE TRAILER OVERVIEW   Changed Description
CDS V6-2-1 TYPE 003 - CDS MESSAGE HEADER OVERVIEW   Changed Description
CDS V6-2-1 TYPE 011 - EMERGENCY CARE CDS OVERVIEW   Changed Description
IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50) OVERVIEW   Changed Description
NATIONAL RENAL DATA SET OVERVIEW   Changed Description
REFERRAL TO TREATMENT CLOCK STOP ADMINISTRATIVE EVENT   Changed Description
SUPPORTING DATA SETS MESSAGE DOCUMENTATION   Changed Description
WHAT'S NEW: NOVEMBER 2018 renamed from WHAT'S NEW: OCTOBER 2018   Changed Name, Description
XML SCHEMA TRUD DOWNLOAD   Changed Description
 
Class Definitions
ACTIVITY   Changed Relationships
ACTIVITY GROUP   Changed Attributes
ACTIVITY RELATIONSHIP (RETIRED) renamed from ACTIVITY RELATIONSHIP   Changed Name, Description, Attributes, status to Retired
BROAD PATIENT GROUP (RETIRED) renamed from BROAD PATIENT GROUP   Changed Name, Description, Attributes, status to Retired, Relationships
CANCER STAGING   Changed Attributes
CARE ACTIVITY   Changed Description
CARE CONTACT   Changed Attributes
CATEGORY VALUED PERSON OBSERVATION   Changed Attributes
CLINICAL INTERVENTION   Changed Attributes
CLINICAL INVESTIGATION RESULT ITEM   Changed Attributes
HEALTH PROGRAMME   Changed Attributes
HEALTH PROGRAMME POPULATION   Changed Attributes
LOCATION   Changed Attributes
MACHINE   Changed Attributes
NHS SERVICE AGREEMENT CHANGE   Changed Attributes
OPERATING THEATRE   Changed Attributes
PATIENT   Changed Attributes
PATIENT DIAGNOSIS   Changed Attributes
PATIENT PATHWAY   Changed Attributes
PERSON   Changed Attributes
PHARMACEUTICAL PRODUCT   Changed Relationships
PHARMACEUTICAL PRODUCT STOCK (RETIRED) renamed from PHARMACEUTICAL PRODUCT STOCK   Changed Name, Description, Attributes, status to Retired, Relationships
PLANNED ACTIVITY   Changed Attributes
PLANNED SERVICE (RETIRED) renamed from PLANNED SERVICE   Changed Name, Description, Attributes, status to Retired
REFERENCE LIMIT   Changed Attributes
REGISTER   Changed Relationships
REGISTRABLE BIRTH   Changed Attributes
SERVICE   Changed Relationships
SERVICE REQUEST RELATIONSHIP (RETIRED) renamed from SERVICE REQUEST RELATIONSHIP   Changed Name, Description, status to Retired, Relationships
TISSUE   Changed Relationships
TISSUE CARE ACTIVITY (RETIRED) renamed from TISSUE CARE ACTIVITY   Changed Name, Supertype, Description, Attributes, status to Retired
WARD OPERATIONAL PLAN   Changed Description
 
Attribute Definitions
ACCIDENT AND EMERGENCY INCIDENT LOCATION TYPE renamed from A AND E INCIDENT LOCATION TYPE   Changed Name
ACTIVITY RELATIONSHIP TYPE (RETIRED) renamed from ACTIVITY RELATIONSHIP TYPE   Changed Name, Description, status to Retired
AGE BAND AT SMOKING QUIT DATE   New Attribute
ANAESTHETIC ROOM PRESENT (RETIRED) renamed from ANAESTHETIC ROOM PRESENT   Changed Name, Description, status to Retired
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE   Changed Description
BROAD PATIENT GROUP CODE (RETIRED) renamed from BROAD PATIENT GROUP CODE   Changed Name, Description, status to Retired
CANCER CARE SETTING FOR TREATMENT   New Attribute
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS   Changed Description
CANCER TNM STAGING TYPE   Changed Description
CANCER TREATMENT INTENT   Changed Description
CARE PROFESSIONAL ROLE CODE FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES   Changed Description
CERVICAL CYTOLOGY AGE GROUP (RETIRED) renamed from CERVICAL CYTOLOGY AGE GROUP   Changed Name, Description, status to Retired
EMPLOYEE ABSENCE SICKNESS REASON CODE   Changed Description
HEPATITIS B INFECTION INDICATION CODE   New Attribute
HEPATITIS C INFECTION INDICATION CODE   New Attribute
INTENDED PROCEDURE STATUS   New Attribute
MACHINE NAME   New Attribute
MACHINE TYPE (RETIRED) renamed from MACHINE TYPE   Changed Name, Description, status to Retired
NHS NUMBER STATUS INDICATOR CODE   New Attribute
NHS SERVICE AGREEMENT CHANGE TYPE (RETIRED) renamed from NHS SERVICE AGREEMENT CHANGE TYPE   Changed Name, Description, status to Retired
OPERATION FUNDING FOR NATIONAL JOINT REGISTRY   New Attribute
OUTCOME AT 4 WEEK FOLLOW-UP FOR STOP SMOKING   Changed Description
PATIENT SOURCE SETTING TYPE FOR DIAGNOSTIC IMAGING   Changed Description
PERSON STATED NATIONALITY   Changed Description
PHARMACEUTICAL STOCK ADJUSTMENT AMOUNT (RETIRED) renamed from PHARMACEUTICAL STOCK ADJUSTMENT AMOUNT   Changed Name, Description, status to Retired
PHARMACEUTICAL STOCK ADJUSTMENT DATE (RETIRED) renamed from PHARMACEUTICAL STOCK ADJUSTMENT DATE   Changed Name, Description, status to Retired
PHARMACEUTICAL STOCK ADJUSTMENT TYPE (RETIRED) renamed from PHARMACEUTICAL STOCK ADJUSTMENT TYPE   Changed Name, Description, status to Retired
PLANNED SERVICE START DATE (RETIRED) renamed from PLANNED SERVICE START DATE   Changed Name, Description, status to Retired
PSYCHIATRIC PATIENT STATUS   New Attribute
RESUSCITATION METHOD DRUGS (RETIRED) renamed from RESUSCITATION METHOD DRUGS   Changed Name, Description, status to Retired
RESUSCITATION METHOD POSITIVE PRESSURE (RETIRED) renamed from RESUSCITATION METHOD POSITIVE PRESSURE   Changed Name, Description, status to Retired
SEXUAL ORIENTATION CODE   Changed Description
SOCIO-ECONOMIC CLASSIFICATION CODE FOR STOP SMOKING   Changed Description
SUBJECTIVE GLOBAL ASSESSMENT   Changed Description
TIME BETWEEN DELIVERY AND SPONTANEOUS RESPIRATION CODE   Changed Description
TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE   Changed Description
VACCINE PREVENTABLE DISEASE (RETIRED) renamed from VACCINE PREVENTABLE DISEASE   Changed Name, Description, status to Retired
 
Data Elements
ACTIVITY DATE (CRITICAL CARE)   Changed linked Attribute, Description
ADDRESS FORMAT CODE (RETIRED) renamed from ADDRESS FORMAT CODE   Changed Name, Description, status to Retired
AGE BAND AT SMOKING QUIT DATE   Changed linked Attribute, Description
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE   Changed linked Attribute
APGAR SCORE (10 MINUTES)   Changed linked Attribute
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE (NATIONAL JOINT REGISTRY)   Changed Description
BASE DEFICIT CONCENTRATION (WORST WITHIN 12 HOURS AFTER BIRTH)   Changed Description
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE   Changed Description
CANCER CARE SETTING (TREATMENT)   Changed linked Attribute, Description
DATE OF ASSAULT ON PATIENT   Changed linked Attribute
DATE OF SELF-HARM   Changed linked Attribute
DATE TIME OF BIRTH (BABY)   Changed linked Attribute
DIAGNOSIS TIME (CARDIAC ARREST DONOR)   Changed linked Attribute
DIAGNOSIS TIME (RESPIRATORY ARREST DONOR)   Changed linked Attribute
ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO)   Changed Description
ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA)   Changed Description
ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)   Changed Description
END DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME)   Changed linked Attribute
END OF THIRD STAGE OF LABOUR DATE TIME   Changed linked Attribute
END TIME   Changed linked Attribute
HEPATITIS B INFECTION INDICATION CODE   Changed linked Attribute, Description
HEPATITIS C INFECTION INDICATION CODE   Changed linked Attribute, Description
IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO)   Changed Description
IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA)   Changed Description
IMMUNISATION AGE GROUP (TUBERCULOSIS)   Changed Description
IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA)   Changed Description
IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO)   Changed Description
IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS)   Changed Description
IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR)   Changed Description
IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS)   Changed Description
INTENDED PROCEDURE STATUS CODE   Changed linked Attribute, Description
MANUFACTURERS NAME (DIALYSER)   Changed linked Attribute, Description
MAXIMUM DEPTH OF INVASION   Changed Description
NAME FORMAT CODE (RETIRED) renamed from NAME FORMAT CODE   Changed Name, Description, status to Retired
NHS NUMBER STATUS INDICATOR CODE   Changed linked Attribute, Description
NHS NUMBER STATUS INDICATOR CODE (BABY)   Changed linked Attribute, Description
NHS NUMBER STATUS INDICATOR CODE (MOTHER)   Changed linked Attribute, Description
ONS LOCAL GOVERNMENT GEOGRAPHY CODE (LOCAL AUTHORITY DISTRICT) (RETIRED)   Changed linked Attribute
OPERATION FUNDING (NATIONAL JOINT REGISTRY)   Changed linked Attribute, Description
ORGANISATION IDENTIFIER (RECEIVING)   Changed Description
PATIENT NAME   Changed Description
PATIENT USUAL ADDRESS   Changed Description
PSYCHIATRIC PATIENT STATUS CODE   Changed linked Attribute, Description
REGISTERED FOR OTHER TRANSPLANT TYPE (RETIRED) renamed from REGISTERED FOR OTHER TRANSPLANT TYPE   Changed Name, Description, status to Retired
RESUSCITATION METHOD CODE   Changed Description
RETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR   Changed linked Attribute
SITE CODE (RECEIVING)   Changed Description
WAITING TIME ADJUSTMENT (TREATMENT)   Changed Description
WAITING TIME ADJUSTMENT REASON (TREATMENT)   Changed Description
 

Date:26 November 2018
Sponsor:Alex Elias, Information Representation Services 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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ACTIVITY DIAGRAM

Change to Diagram: Changed Diagram

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CANCER OUTCOMES AND SERVICES DIAGRAM

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COMMUNITY SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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DIAGNOSTIC IMAGING DIAGRAM

Change to Diagram: Changed Diagram

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HIV AND AIDS DIAGRAM

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM

Change to Diagram: Changed Diagram

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MATERNITY SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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NATIONAL RENAL DIAGRAM

Change to Diagram: Changed Diagram

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PATIENT PATHWAY DIAGRAM

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SYSTEMIC ANTI-CANCER THERAPY DIAGRAM

Change to Diagram: Changed Diagram

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ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT

Change to Supporting Information: Changed Description

In 2008, the Department of Health and Social Care 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 and Social Care 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 Community Services 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 on the Department of Health and Social Care at: Allied Health Professional (AHP) Referral to Treatment (RTT) guide.

 

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CARE HOME STAY (RESIDENTIAL)

Change to Supporting Information: Changed Description

A Care Home Stay (Residential) is an ACTIVITY GROUP.

A Care Home Stay (Residential) is a period of time a PATIENT is resident in a Care Home. Residential accommodation provides board to the residents. Such premises are provided for vulnerable PERSONS (e.g. children, the elderly, the physically disabled, those with dependence on alcohol/drugs and those with learning disabilities or who are mentally ill) who require on-going care and supervision in the circumstances where nursing care would normally be inappropriate.

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

Information recorded for a Care Home Stay (Residential) includes:

BROAD PATIENT GROUP CODE
 

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CDS V6-2-1 TYPE 002 - CDS INTERCHANGE TRAILER OVERVIEW

Change to Supporting Information: Changed Description

The CDS V6-2-1 Type 002 - Commissioning Data Set Interchange Trailer carries mandatory controls for a Commissioning Data Set Interchange and is only used by inclusion in other CDS Types.

Note that the CDS V6-2-1 Type 002 - Commissioning Data Set Interchange Trailer should only be used when submitting the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set.

Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows.

Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:

Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:

Followed by:

  • The CDS Type - As required to carry the specific Commissioning Data Set data records

Each Commissioning Data Set message ends with:

Each Commissioning Data Set Interchange ends with:

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer is shown below.A high-level view of the Data Groups carried in the CDS V6-2-1 Type 002 - Commissioning Data Set Interchange Trailer is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2-1 TYPE 002 - CDS INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission .
M1..1DATA GROUP: CDS V6-2-1 Type 002 - Commissioning Data Set Interchange Trailer 
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CDS V6-2-1 TYPE 003 - CDS MESSAGE HEADER OVERVIEW

Change to Supporting Information: Changed Description

The CDS V6-2-1 Type 003 - Commissioning Data Set Message Header carries mandatory controls for a Commissioning Data Set Message and is only used by inclusion in other CDS Types.

Note that the CDS V6-2-1 Type 003 - Commissioning Data Set Message Header should only be used when submitting the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set.

Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows.

Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:

Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:

Followed by:

  • The CDS Type - As required to carry the specific Commissioning Data Set data records

Each Commissioning Data Set message ends with:

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 003 - Commissioning Data Set Message Header is shown below.A high-level view of the Data Groups carried in the CDS V6-2-1 Type 003 - Commissioning Data Set Message Header is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 003-1 - CDS MESSAGE HEADER
NotationDATA GROUP OVERVIEW: CDS V6-2-1 TYPE 003 - CDS MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission .
M1..*DATA GROUP: CDS V6-2-1 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CDS V6-2-1 TYPE 011 - EMERGENCY CARE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set carries the data for an Emergency Care Attendance.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2-1 Type 011 - Emergency Care CDS is shown below.A high-level view of the Data Groups carried in the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2-1 TYPE 011 - EMERGENCY CARE COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of an Emergency Care Attendance.

M1..1DATA GROUP: CDS V6-2-1 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2-1 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: COMMISSIONING DATA SET TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2-1 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2-1 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS (EMERGENCY CARE)
R0..*DATA GROUP: MENTAL HEALTH ACT LEGAL STATUS
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: EMERGENCY CARE ATTENDANCE LOCATION
R0..1DATA GROUP: AMBULANCE DETAILS
M1..1DATA GROUP: EMERGENCY CARE ATTENDANCE ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: INJURY CHARACTERISTICS
R0..1DATA GROUP: PATIENT CLINICAL HISTORY
M1..1SERVICE AGREEMENT DETAILS
R0..*DATA GROUP: CARE PROFESSIONALS (EMERGENCY CARE)
R0..*DATA GROUP: EMERGENCY CARE DIAGNOSES
R0..*DATA GROUP: EMERGENCY CARE INVESTIGATIONS
R0..*DATA GROUP: EMERGENCY CARE TREATMENTS
R0..*DATA GROUP: REFERRALS TO OTHER SERVICES
R0..1DATA GROUP: DISCHARGE FROM EMERGENCY CARE
O0..1DATA GROUP: RESEARCH AND DISEASE OUTBREAK NOTIFICATION

M1..*DATA GROUP: CDS V6-2-1 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2-1 Type 002 - Commissioning Data Set Interchange Trailer 
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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IMMUNISATION PROGRAMMES ACTIVITY DATA SET (KC50) OVERVIEW

Change to Supporting Information: Changed Description

This return is suspended.
For further information, see the NHS Digital website at: Immunisation Programmes Collection (KC50).

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

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

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

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

Reporting

The Immunisation Programmes Activity Data Set (KC50) is reported for each financial year (i.e. between 1st April and 31st March), and must be received no later than the last working day of April. Reporting is via the Omnibus Survey collection tool provided by NHS Digital.

For further information on the Immunisation Programmes Activity Data Set (KC50), see the NHS Digital website at: Immunisation Programmes Collection (KC50).

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

Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by NHS Digital and can be found on the NHS Digital website at: Immunisation Programmes Collection (KC50).

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

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

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

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

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

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

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

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

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

This group reports the delivery of Mantoux Tests.

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

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

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

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

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

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

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

National Codes:

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

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

National Codes:

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

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

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NATIONAL RENAL DATA SET OVERVIEW

Change to Supporting Information: Changed Description

This data set is out of date therefore the information should not be used.
For further information, see the UK Renal Registry or NHS Blood and Transplant.

Contextual Overview

The National Renal Data Set is used to:

  • Monitor the effectiveness of the National Service Framework for Renal Services (Parts 1 & 2)
  • Inform service development and implementation in renal medicine and transplantation
  • Analysis of the information is used by Primary Care Trusts, Acute and Foundation Trusts, Strategic Health Authorities, Special Health Authorities and professional bodies covering the renal specialty.

The reference group which supported the development of the National Renal Data Set included representatives from the following bodies:

Data Extract Specification

Description

The National Renal Data Set may be voluntarily submitted by Health Care Providers of renal care, paediatric renal care and renal transplantation

The Department of Health and Social Care require NHS providers of renal medicine and renal transplant to generate a data extract to fulfil the reporting requirements of the National Renal Data SetHealth Care Providers of renal care are required to collect all data items relating to renal care, including Renal Dialysis, prescribed items, demographic and administrative items.

Health Care Providers of renal care and renal transplantation are required to collect all data as defined above for renal care with the addition of data items relating to renal transplant.

Health Care Providers of paediatric renal care and renal transplantation are required to collect all data items as defined above for renal care and renal transplantation, with the addition of specific data items relating to paediatric PATIENTS.

Time period

The extract will cover one calendar quarter.

Format

Data should be formatted in accordance with the current UK Renal Registry requirements for data collection.

Data for Transplantation should be formatted in accordance with the current NHS Blood and Transplant requirements for data collection.

Data for Paediatric PATIENTS should be formatted in accordance with the current British Association for Paediatric Nephrology (BAPN) requirements.

Transmission

Electronic files will be extracted from clinical systems for transmission to the UK Renal Registry.

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REFERRAL TO TREATMENT CLOCK STOP ADMINISTRATIVE EVENT

Change to Supporting Information: Changed Description

DSCN 18/2006 published in December 2006, defined essential new data items required to support the measurement of 18 week REFERRAL TO TREATMENT PERIODS (monitoring of DH PSA target 13 - "By 2008, no one will have to wait longer than 18 weeks from GP referral to hospital treatment").

In particular, DSCN 18/2006 introduced the following new data items.

Strategic reporting of 18 weeks will be undertaken by the Secondary Uses Service using data obtained via the Commissioning Data Sets. The data items defined in DSCN 18/2006 are enabled to flow in Commissioning Data Set.

However, an event which results in an update to the REFERRAL TO TREATMENT PERIOD STATUS may occur outside the events that are defined in the Commissioning Data Sets (typically Outpatient or Inpatient encounters) and will therefore not flow to the Secondary Uses Service. These types of events have been termed as "administrative events". They can be defined as any communication event between the Health Care Provider and the PATIENT that occurs outside of an outpatient attendance or inpatient admission and that results in the PATIENT's REFERRAL TO TREATMENT PERIOD STATUS being changed to stop the 18 week clock. These events are not face to face consultations and do not necessarily involve clinical staff.

These Referral To Treatment Clock Stop Administrative Events may be carried using the Commissioning Data Set Type 020 Outpatient record type. They are differentiated from PATIENT contact ACTIVITY by the FIRST ATTENDANCE value carried within them. FIRST ATTENDANCE national code 5 "Referral to treatment clock stop administrative event" signifies that an ACTIVITY has taken place which has ended the REFERRAL TO TREATMENT PERIOD and changed the REFERRAL TO TREATMENT PERIOD STATUS to one of the following:

When to Use Referral To Treatment Clock Stop Administrative EventsWhen to Use Referral To Treatment Clock Stop Administrative Events

These events may happen because:

Secondary Uses Service Processing

The Secondary Uses Service currently processes the following Commissioning Data Set record types in order to build Referral To Treatment pathways.

All other types are not currently processed and so if they carry the REFERRAL TO TREATMENT PERIOD END DATE for a REFERRAL TO TREATMENT PERIOD, a Referral To Treatment Clock Stop Administrative Event must also be sent in order to inform the Secondary Uses Service of the clock stop.

Note that future versions of the Secondary Uses Service will also process:

The dates when Organisations submitting REFERRAL TO TREATMENT PERIOD data to the Secondary Uses Service can cease having to also send a Referral To Treatment Clock Stop Administrative Event when a clock stop is carried in one of the Elective Admission List Commissioning Data Set Types, will be notified as part of the Secondary Uses Service release documentation. It is also anticipated that CDS V6-2 Type 021 - Future Outpatient CDS will be accepted as a standard by the Data Coordination Board. A cancelled future APPOINTMENT record could carry a REFERRAL TO TREATMENT PERIOD Clock Stop. Again the timescales will be notified as part of the Secondary Uses Service release documentation.

There are no current plans for the Secondary Uses Service to process the remaining Commissioning Data Set Types:

This is because a Referral To Treatment Clock Stop Administrative Event occurring in the scenarios where these record types are generated, would be rare. However this will be reviewed as part of the ongoing maintenance of the Referral To Treatment Clock Stop Administrative Event, and the requirements for the Secondary Uses Service.

When NOT to Use a Referral To Treatment Clock Stop Administrative Event

The Referral To Treatment Clock Stop Administrative Event should NOT be used to correct previously submitted records where a REFERRAL TO TREATMENT PERIOD END DATE was submitted incorrectly to the Secondary Uses Service.

For example, if an Out-Patient Appointment took place where First Definitive Treatment was started, but the REFERRAL TO TREATMENT PERIOD END DATE was not sent in the corresponding CDS V6-2 Type 020 - Outpatient Commissioning Data Set record as it was not entered on the Patient Administration System until later; then the CDS V6-2 Type 020 - Outpatient Commissioning Data Set record should be resubmitted with the correct data. A Referral To Treatment Clock Stop Administrative Event should NOT be used.

Where an Organisation's Patient Administration System supports the submission of cancelled and Did Not Attend appointments in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set, the Referral To Treatment Clock Stop Administrative Event should NOT be used when a PATIENT has a booked Out-Patient Appointment, which is then cancelled because, for example, the PATIENT dies. In these cases the CDS V6-2 Type 020 - Outpatient Commissioning Data Set can carry the details of a cancelled CARE ACTIVITY, including the REFERRAL TO TREATMENT PERIOD END DATE and update to the REFERRAL TO TREATMENT PERIOD STATUS. (Note - not all Patient Administration Systems provide functionality to create and submit Commissioning Data Set records for cancellations/Did Not Attend's as this is not yet mandated - you should contact your Patient Administration System support team to ascertain whether your Patient Administration System supports this. If not, then it is permissible to send a Referral To Treatment Clock Stop Administrative Event in order to stop the clock in the Secondary Uses Service instead).

Referral To Treatment Clock Stop Administrative Events only require a sub-set of the data elements contained in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set record, to be submitted to the Secondary Uses Service. All other data elements not listed should be omitted from the XML submission of the CDS V6-2 Type 020 - Outpatient Commissioning Data Set record to the Secondary Uses Service. The submission of a Referral To Treatment Clock Stop Administrative Event is not reliant on the use of the Net Change Commissioning Data Set Submission Protocol to the Secondary Uses Service

The required data elements making up a Referral To Treatment Clock Stop Administrative Event are:

Data Element Required

Notes

UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) or PATIENT PATHWAY IDENTIFIERThe Commissioning Data Set Schema version 6-2 requires EITHER the PATIENT PATHWAY IDENTIFIER, or the UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) to be populated.
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)If the UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) is used, the ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) should contain X09 (which relates to the Choose and Book system)
REFERRAL TO TREATMENT PERIOD STATUSThis should contain only one of the following codes to signify that the REFERRAL TO TREATMENT PERIOD has ended:
WAITING TIME MEASUREMENT TYPEThis item is XML mandatory in the CDS V6-2 schema.
REFERRAL TO TREATMENT PERIOD START DATE  
REFERRAL TO TREATMENT PERIOD END DATE  
NHS NUMBER  

NHS NUMBER STATUS INDICATOR CODE

 
POSTCODE OF USUAL ADDRESS  
ORGANISATION CODE (RESIDENCE RESPONSIBILITY) 
FIRST ATTENDANCE CODEThis should always hold the National code 5 - "Referral to Treatment Period Clock Stop Administrative Event"
APPOINTMENT DATEThis field is XML mandatory in Commissioning Data Set Schema version 6-2 for Type 020 Outpatients, and for the purposes of the Referral To Treatment Clock Stop Administrative Event, should hold the same date as the REFERRAL TO TREATMENT PERIOD END DATE 
AGE AT CDS ACTIVITY DATE This field is XML mandatory in the Commissioning Data Set Schema version 6-2 for Type 020 Outpatients, and should hold the PATIENTS age at REFERRAL TO TREATMENT PERIOD END DATE
ORGANISATION CODE (CODE OF PROVIDER)This field is mandatory in the CDS V6-2 schema
ORGANISATION CODE (CODE OF COMMISSIONER) This field is mandatory in the CDS V6-2 schema

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SUPPORTING DATA SETS MESSAGE DOCUMENTATION

Change to Supporting Information: Changed Description


Data Set Constraints:

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WHAT'S NEW: NOVEMBER 2018  renamed from WHAT'S NEW: OCTOBER 2018

Change to Supporting Information: Changed Name, Description

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

Release: November 2018

  • CR1631 (Immediate) - DCB3017 Overseas Visitor Charging Category

Release: October 2018

  • CR1618 (1 October 2018) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
  • CR1666 (Immediate) - DDCN 1665/2018 Stop Smoking Services Quarterly Data Set
  • CR1666 (Immediate) - DDCN 1666/2018 Stop Smoking Services Quarterly Data Set

Release: September 2018

Release: July 2018

  • CR1639 (1 April 2018) - DCB2117 NHS Continuing Healthcare Data Set Update
  • CR1630 (4 June 2018) - DCB1567 National Joint Registry Data Set Version 7
  • CR1658 (Immediate) - DDCN 1658/2018 Young Offender Institution

Release: May 2018

  • CR1653 (Immediate) - DDCN 1653/2018 HIV and AIDS Reporting Data Set Update
  • CR1647 (Immediate) - DDCN 1647/2018 Terminology and Classifications Update

Release: April 2018

  • CR1636 (Immediate) - DDCN 1636/2018 Department of Health: Change of name
  • CR1638 (30 April 2018) - DCB0090 Health and Social Care Organisation Reference Data: Introducing an Application Programming Interface (API)

Release: March 2018

  • CR1588 (1 April 2018) - DCB1521 Cancer Outcomes and Services Data Set Version 8
  • CR1589 (1 April 2018) - DCB0147 National Cancer Waiting Times Monitoring Data Set Version 2.0
  • CR1610 (1 April 2018) - DCB0011 Mental Health Services Data Set Version 3.0
  • CR1642 (Immediate) - DDCN 1642/2018 Youth Offenders Institute: Change of name
  • CR1635 (Immediate) - DDCN 1635/2018 Edubase: Change of name

Release: January 2018

  • CR1633 (Immediate) - DDCN 1633/2017 Introduction of Strategic Data Collection Service (SDCS) and Data Services Platform (DSP)

Release: November 2017

  • CR1623 (Immediate) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set
  • CR1628 (Immediate) - DDCN 1628/2017 Employment Status

Release: October 2017

  • CR1619 (1 October 2017) - DCB1067 National Workforce Data Set Version 2.9
  • CR1595 (Immediate) - DCB0155 Stop Smoking Services Quarterly Data Set
  • CR1572 (Immediate) - DCB2094 Sexual Orientation
  • The October 2017 Release updates the NHS Data Model and Dictionary Help Pages and Demonstrations to reflect the new organisation structure.

Release: September 2017

  • CR1587 (1 October 2017) - SCCI1069 Community Services Data Set (CSDS) Version 1.0

Release: July 2017

  • CR1555 (Immediate) - SCCI1518 Sexual and Reproductive Health Activity Data Set Changes
  • CR1606 (Immediate) - SCCI0011 Mental Health Services Data Set Version 2 Corrigendum

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 2009) - 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.

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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ACTIVITY

Change to Class: Changed Relationships

Each ACTIVITY
Kmust be supplied by one and only one ORGANISATION
Kmust be for one and only one PATIENT
must be located at one and only one ADDRESS
or must be located at one and only one LOCATION
or must be located at one and only one ORGANISATION
or must be located at one and only one WARD
must be associated with one and only one ACTIVITY FREQUENCY
may be the subject of one or more ACTIVITY DATE TIME
may be the source of one or more ACTIVITY DRUG
may be the result of one and only one ACTIVITY OFFER
may be an activity having one or more ACTIVITY PROPERTY
may be the second party in one or more ACTIVITY RELATIONSHIP
may be the first party in one or more ACTIVITY RELATIONSHIP
may be the result of one and only one APPOINTMENT
may be utilising one or more CARE PROFESSIONAL ROLE
may be the result of one and only one CLINIC OR FACILITY
may be resultant in one and only one DECISION TO ADMIT
may be the result of one and only one HEALTH PROGRAMME
may be resulting in one or more PLANNED ACTIVITY
may be planned as one and only one PLANNED ACTIVITY
may be agreed as one or more SERVICE PROVIDED UNDER AGREEMENT
may be the context of one and only one SESSION
may be planned to be located at one and only one WARD

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ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
CANCER TRANSFER REASON FOR INTER PROVIDER TRANSFER
CANCER TREATMENT INTENT
CARER RESIDENT INDICATION CODE FOR NATIONAL NEONATAL DATA SET
CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY
COMMUNITY TREATMENT ORDER END REASON
DAUGHTER BORN AT THIS ENCOUNTER INDICATOR
DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
DELIVERY PLACE CHANGE REASON
DISCHARGE DESTINATION
DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATOR
DISCHARGE METHOD
ESTIMATED DATE OF DELIVERY
FIRST REGULAR DAY OR NIGHT ADMISSION
HOLISTIC NEEDS ASSESSMENT POINT OF PATHWAY FOR CANCER
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT IN DATE
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES STEPPED CARE INTENSITY DELIVERED
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY
MENTAL HEALTH CONDITIONAL DISCHARGE END REASON
MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE
MENTAL HEALTH DELAYED DISCHARGE REASON
MONITORING INTENT
NEONATAL CRITICAL INCIDENT TYPE
NEONATAL LEVEL OF CARE
NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR
NHS CONTINUING HEALTHCARE REFERRAL EXCEEDING 28 DAYS TIME BAND CATEGORY
NHS CONTINUING HEALTHCARE TYPE
NON SMOKING CONFIRMATION STATUS AT 4 WEEKS
OPERATION FUNDING FOR NATIONAL JOINT REGISTRY
OUTCOME AT 4 WEEK FOLLOW UP FOR STOP SMOKING
PALLIATIVE CARE SPECIALIST SEEN INDICATOR
PALLIATIVE TREATMENT REASON CODE FOR UPPER GASTROINTESTINAL
PATIENT ATTENDANCE SYMPTOMATIC INDICATOR FOR SEXUAL HEALTH SERVICE
PATIENT CLASSIFICATION
PATIENT RECEIVING ONE TO ONE NURSING CARE INDICATOR
PHARMACOTHERAPY STOP SMOKING AID RECEIVED
PREGNANCY OUTCOME CODE
PSYCHIATRIC PATIENT STATUS
SOURCE OF ADMISSION

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ACTIVITY RELATIONSHIP (RETIRED)  renamed from ACTIVITY RELATIONSHIP

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

This identifies the relationship between one ACTIVITY and another.This item has been retired from the NHS Data Model and Dictionary.

For example: a CARE ACTIVITY as part of an ACTIVITY GROUP, or a CLINICAL INTERVENTION that takes place at a CARE CONTACT. More specifically a Consultant Episode (Hospital Provider) taking place within a Hospital Provider Spell or an out-patient procedure taking place during an Out-Patient Attendance Consultant.The last live version of this item is available in the October 2018 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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ACTIVITY RELATIONSHIP (RETIRED)  renamed from ACTIVITY RELATIONSHIP

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

Attributes of this Class are:
ACTIVITY RELATIONSHIP TYPE
This class has no attributes.

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ACTIVITY RELATIONSHIP (RETIRED)  renamed from ACTIVITY RELATIONSHIP

Change to Class: Changed Name, Description, Attributes, status to Retired
  • Changed Name from Data_Dictionary.Classes.A.ACTIVITY_RELATIONSHIP to Retired.Data_Dictionary.Classes.A.ACTIVITY_RELATIONSHIP
  • Changed Description
  • Changed Attributes
  • Retired ACTIVITY RELATIONSHIP

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BROAD PATIENT GROUP (RETIRED)  renamed from BROAD PATIENT GROUP

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

The coded type of PATIENT intended to use, or using, a facility.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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BROAD PATIENT GROUP (RETIRED)  renamed from BROAD PATIENT GROUP

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

Attributes of this Class are:
KBROAD PATIENT GROUP CODE
This class has no attributes.

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BROAD PATIENT GROUP (RETIRED)  renamed from BROAD PATIENT GROUP

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

Each BROAD PATIENT GROUP
may be a classifier for one or more ACTIVITY GROUP
may be the classifier for one or more WARD OPERATIONAL PLAN

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BROAD PATIENT GROUP (RETIRED)  renamed from BROAD PATIENT GROUP

Change to Class: Changed Name, Description, Attributes, status to Retired, Relationships
  • Changed Name from Data_Dictionary.Classes.B.BROAD_PATIENT_GROUP to Retired.Data_Dictionary.Classes.B.BROAD_PATIENT_GROUP
  • Changed Description
  • Changed Attributes
  • Retired BROAD PATIENT GROUP
  • Changed Relationships

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CANCER STAGING

Change to Class: Changed Attributes

Attributes of this Class are:
AMERICAN JOINT COMMITTEE ON CANCER STAGE
ANN ARBOR BULKY DISEASE INDICATION CODE
ANN ARBOR EXTRANODALITY INDICATION CODE
ANN ARBOR SPLENIC INDICATION CODE
ANN ARBOR STAGE
ANN ARBOR SYMPTOMS INDICATION CODE
BARCELONA CLINIC LIVER CANCER STAGE
BINET STAGE
BREAST INVASIVE GRADE
CANCER TNM STAGING TYPE
CERVICAL INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
CHANG STAGING SYSTEM STAGE
CLINICAL STAGE FOR PANCREATIC CANCER
DUCTAL CARCINOMA IN SITU GRADE
FRENCH AMERICAN BRITISH CLASSIFICATION FOR ACUTE MYELOID LEUKAEMIA
GLEASON GRADE
INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUP
INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA
INTERNATIONAL FEDERATION OF GYNECOLOGY AND OBSTETRICS STAGE
INTERNATIONAL NEUROBLASTOMA RISK GROUP STAGING SYSTEM STAGE
INTERNATIONAL STAGING SYSTEM STAGE FOR RETINOBLASTOMA
MODIFIED DUKES STAGE
MURPHY ST JUDE STAGE
MYELOMA INTERNATIONAL STAGING SYSTEM STAGE
PRETEXT STAGING SYSTEM STAGE
PRETEXT STAGING SYSTEM STAGE OUTSIDE LIVER
STAGE GROUPING FOR TESTICULAR CANCER
TNM CATEGORY
TNM CODING EDITION
TNM VERSION NUMBER
WILMS TUMOUR STAGE

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CARE ACTIVITY

Change to Class: Changed Description

A subtype of ACTIVITY

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

Subtypes of CARE ACTIVITY are:

CARE ACTIVITIES include:

 

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CARE CONTACT

Change to Class: Changed Attributes

Attributes of this Class are:
A and E ATTENDANCE CATEGORY
A and E INITIAL ASSESSMENT TRIAGE CATEGORY
A and E STREAM
ACCIDENT AND EMERGENCY ARRIVAL MODE
ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL
BRIEF INTERVENTION PROVIDED INDICATOR
BRIEF INTERVENTION TYPE FOR NHS HEALTH CHECK
CARE CONTACT CANCELLATION REASON
CARE CONTACT SUBJECT
CARE CONTACT TYPE
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
CHILD DIFFICULT TO TEST REASON
CLINICAL NURSE SPECIALIST INDICATION CODE
CLINIC ATTENDANCE PURPOSE CODE FOR HIV
CONSULTATION TYPE
CONTRACEPTIVE SERVICE TYPE
DIETARY ADVICE REASON CODE
EMERGENCY CARE ATTENDANCE CATEGORY
FACE TO FACE COMMUNICATION MODE
FIRST ATTENDANCE
GROUP THERAPY INDICATOR
INFORMATION AND ADVICE PROVIDED INDICATOR
INFORMATION AND ADVICE TYPE PROVIDED FOR FEMALE GENITAL MUTILATION
INFORMATION AND ADVICE TYPE PROVIDED FOR NHS HEALTH CHECK
INITIAL CONTACT INDICATOR
INITIAL DIAGNOSIS CARE SETTING OR SERVICE FOR HIV
MEDICAL STAFF TYPE SEEING PATIENT
MENTAL HEALTH PREDICTION AND DETECTION INDICATOR
MULTIPROFESSIONAL OR MULTIDISCIPLINARY INDICATION CODE
NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR
OTHER PERSON IN ATTENDANCE AT CARE CONTACT
OUTCOME OF ATTENDANCE
PATIENT HIV CARE STATUS
POST EXPOSURE PROPHYLAXIS INDICATOR
POSTNATAL CARE INDICATOR
PRE EXPOSURE PROPHYLAXIS INDICATOR
PSYCHIATRIC CARE INDICATOR FOR HIV
SIGNPOSTING TO SERVICE INDICATOR
SIGNPOSTING TO SERVICE TYPE FOR NHS HEALTH CHECK
SKIN TO SKIN CONTACT INDICATOR
TWO YEAR NEONATAL OUTCOMES ASSESSMENT NOT CARRIED OUT REASON

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CATEGORY VALUED PERSON OBSERVATION

Change to Class: Changed Attributes

Attributes of this Class are:
AGE BAND AT SMOKING QUIT DATE
ALCOHOL USE ASSESSED AS PROBLEMATIC INDICATOR FOR SEXUAL HEALTH SERVICE
ALCOHOL USE ASSESSED INDICATOR FOR SEXUAL HEALTH SERVICE
BABY FIRST FEED BREAST MILK STATUS
BREASTFEEDING STATUS
BREAST SCREENING HIGH RISK CATEGORY
CATEGORY VALUED PERSON OBSERVATION TYPE
COMPLEX SOCIAL FACTORS INDICATOR
DOMINANT ARM CODE
EMPLOYMENT STATUS
EMPLOYMENT SUPPORT SUITABILITY INDICATOR
ESTIMATED DATE OF DELIVERY METHOD
FAMILIAL CANCER SYNDROME INDICATOR
FEMALE GENITAL MUTILATION AGE CATEGORY
FREE PRESCRIPTIONS INDICATOR
HIV POSITIVE PARTNERS IN THE LAST THREE MONTHS INDICATOR FOR PENETRATIVE SEX MALE SAME SEX PARTNERS
IN LABOUR BEFORE CAESARIAN SECTION INDICATOR
MENTAL CATEGORY
MENTAL HEALTH ACT 2007 MENTAL CATEGORY
OFFENCE HISTORY INDICATION CODE
PAEDIATRIC NEPHROLOGY REGISTRY STATUS CODE
PARTNER NOTIFICATION CONSULTATION INDICATOR FOR SEXUAL HEALTH SERVICE
PATIENT EXPOSURE TO HIV
PERSON RISK FACTOR FOR SEXUALLY TRANSMITTED INFECTION
PRE EXPOSURE PROPHYLAXIS ELIGIBILITY REASON
PRE EXPOSURE PROPHYLAXIS STOPPED REASON
PREGNANCY INDICATOR FOR HIV
PREGNANCY STATUS
PREVIOUS NEGATIVE HIV TEST INDICATOR
SOCIAL WORKER CARE INDICATOR FOR HIV
SUBJECTIVE GLOBAL ASSESSMENT
TIME BETWEEN DELIVERY AND SPONTANEOUS RESPIRATION CODE
WEEKLY HOURS WORKED
YOUNG CARER INDICATOR

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CLINICAL INTERVENTION

Change to Class: Changed Attributes

Attributes of this Class are:
ABDOMINAL XRAY PERFORMED REASON
ABDOMINAL XRAY PERFORMED TO INVESTIGATE ABDOMINAL SIGNS INDICATOR
ABLATIVE THERAPY TYPE
ACCIDENT AND EMERGENCY INVESTIGATION
ACCIDENT AND EMERGENCY TREATMENT
ADDITIONAL UNPLANNED PROCEDURE REQUIRED INDICATOR
ADJUNCTIVE THERAPY TYPE
ANAESTHESIA TYPE IN LABOUR AND DELIVERY
ANAESTHETIC METHOD TYPE FOR DIALYSIS ACCESS CONSTRUCTION
ANAESTHETIC TYPE FOR JOINT REPLACEMENT
ANTI CANCER REGIMEN NUMBER
ANTIRETROVIRAL THERAPY DRUG REGIMEN GROUP CODE
ANTIRETROVIRAL THERAPY HOME DELIVERY INDICATOR
ARTERIOVENOUS GRAFT MATERIAL TYPE
ARTHROPLASTY REVISION TYPE FOR HIP KNEE AND ANKLE REPLACEMENT
ARTHROPLASTY REVISION TYPE FOR SHOULDER AND ELBOW REPLACEMENT
ARTIFICIAL RUPTURE OF MEMBRANES REASON CODE
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
ASSOCIATED PROCEDURE TYPE FOR ANKLE REPLACEMENT
BIOLOGICAL GLENOID RESURFACING TYPE FOR SHOULDER REPLACEMENT
BIOPSY TYPE FOR CENTRAL NERVOUS SYSTEM TUMOURS
BLOOD FLOW RATE
BLOOD TRANSFUSION PRODUCT TYPE
BLOOD TRANSFUSION TYPE
BLOOD TRANSFUSION UNITS TRANSFUSED
BONE GRAFT INDICATOR FOR JOINT REPLACEMENT
BONE GRAFT SOURCE FOR JOINT REPLACEMENT
BONE GRAFT STRUCTURE FOR JOINT REPLACEMENT
BONE GRAFT TYPE FOR REVISION ANKLE REPLACEMENT
BRACHYTHERAPY TYPE
BREAST ASSESSMENT OUTCOME
BREAST SCREENING TEST OUTCOME
CANCER CARE SETTING FOR TREATMENT
CANCER IMAGING MODALITY
CANCER IMAGING OUTCOME
CANCER TREATMENT MODALITY
CARDIOPULMONARY EXERCISE TEST TYPE
CEMENT REMOVAL INDICATOR FOR JOINT REPLACEMENT
CHEMICAL THROMBOPROPHYLAXIS REGIME TYPE FOR JOINT REPLACEMENT
CHEMO RADIATION INDICATOR
CHEMOTHERAPY ACTUAL DOSE
CHEST DRAIN IN SITU INDICATOR
CLINICAL INTERVENTION TEXT STRING
CLINICAL INTERVENTION TYPE
CLINICAL INVESTIGATION NOT PERFORMED REASON CODE FOR MATERNITY
COLPOSCOPY PRIME PROCEDURE TYPE
CO MORBIDITY ADJUSTMENT INDICATOR
COMPLICATION TYPE FOR RENAL DIALYSIS ACCESS
COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT
COMPUTER GUIDED SURGERY INDICATOR FOR JOINT REPLACEMENT
CONTINUOUS INFUSION OF PULMONARY VASODILATOR RECEIVED INDICATOR
CONTINUOUS POSITIVE AIRWAY PRESSURE DELIVERY MODE
CONTRACEPTION METHOD STATUS
CYTOLOGY SCREENING ACTION TYPE
DEINFIBULATION UNDERTAKEN REASON
DELIVERED IN WATER INDICATOR
DELIVERY INSTRUMENT TYPE
DELIVERY OF PLACENTA METHOD
DIEPOXYBUTANE TEST RESULT
DRUG ADMINISTRATION DURATION
DRUG ADMINISTRATION STATUS
DRUG DAYS SUPPLY
DRUG DOSAGE AND ADMIN SPECIFICATION
DRUG IDENTIFICATION
DRUG INFORMATION COMMENT
DRUG INFORMATION TYPE
DRUG QUANTITY SUPPLIED
DRUG REGIMEN ACRONYM
DRUG TREATMENT INTENT
ENDOSCOPIC OR RADIOLOGICAL COMPLICATION TYPE
ENDOSCOPIC PROCEDURE TYPE
ENTERAL FEEDING METHOD
ENTERAL FEED TYPE GIVEN
EPISIOTOMY PERFORMED REASON CODE
EXCISION TYPE FOR CENTRAL NERVOUS SYSTEM TUMOURS
FETAL ORDER
FIRST ANTIRETROVIRAL THERAPY IN THE UNITED KINGDOM INDICATOR
FIRST DEFINITIVE TREATMENT PROVIDED
FIXATION TYPE FOR ELBOW REPLACEMENT
FIXATION TYPE FOR SHOULDER REPLACEMENT
FORMULA MILK OR MILK FORTIFIER TYPE
FRACTION NUMBER
GERMLINE GENETIC TEST TYPE OFFERED
HIP JOINT SURGERY PATIENT POSITION
HUMAN PAPILLOMAVIRUS VACCINATION DOSE GIVEN
IMAGE GUIDED SURGERY INDICATOR
IMAGING ANATOMICAL SITE
IMAGING INTERVENTION INDICATOR
IMAGING MODALITY
IMAGING OR RADIODIAGNOSTIC EVENT INDICATION CODE FOR RENAL CARE
INFECTION CULTURE TEST INDICATOR
INTERVENTION SESSION TYPE FOR STOP SMOKING
INTERVENTION SETTING TYPE FOR STOP SMOKING
INTRAPARTUM ANTIBIOTICS GIVEN INDICATOR
INTRAVESICAL CHEMOTHERAPY RECEIVED INDICATOR
INTRAVESICAL IMMUNOTHERAPY RECEIVED INDICATOR
JOINT REPLACEMENT PATIENT PROCEDURE PERFORMED INDICATOR
JOINT REPLACEMENT REVISION REASON CODE FOR ANKLE
JOINT REPLACEMENT REVISION REASON CODE FOR ELBOW
JOINT REPLACEMENT REVISION REASON CODE FOR HIP
JOINT REPLACEMENT REVISION REASON CODE FOR KNEE
JOINT REPLACEMENT REVISION REASON CODE FOR SHOULDER
KIDNEY TRANSPLANTED CODE
LABOUR FIRST STAGE LENGTH
LABOUR OR DELIVERY ONSET METHOD
LABOUR SECOND STAGE LENGTH
LAPAROTOMY FOR NECROTISING ENTEROCOLITIS INDICATION CODE
LINER REMOVAL INDICATOR FOR JOINT REPLACEMENT
LIVER CANCER SURVEILLANCE SCAN INDICATOR
LIVER SURGERY PERFORMED TYPE
LIVER TRANSARTERIAL EMBOLISATION MATERIAL INJECTION TYPE
LIVER TRANSARTERIAL EMBOLISATION OF HEPATOCELLULAR CARCINOMA INDICATOR
MARGIN INVOLVED INDICATION CODE
MATERNAL CRITICAL INCIDENT TYPE
MECHANICAL THROMBOPROPHYLAXIS REGIME TYPE FOR JOINT REPLACEMENT
MECONIUM PRESENT IN LIQUOR INDICATOR
MINIMALLY INVASIVE SURGERY INDICATOR FOR JOINT REPLACEMENT
MORE THAN THREE RECTAL WASHOUTS RECEIVED INDICATOR
NEOADJUVANT THERAPY INDICATOR
NEONATAL RESUSCITATION METHOD
NEONATAL RESUSCITATION METHOD FOR NATIONAL NEONATAL DATA SET
NEPHRECTOMY TYPE
NEURODEVELOPMENTAL ASSESSMENT ALREADY TAKEN INDICATOR
NEWBORN HEARING INCOMPLETE REASON CODE
NEWBORN HEARING SCREENING TEST TYPE
NITRIC OXIDE GIVEN INDICATOR
NUMBER OF TELETHERAPY FIELDS
OBSERVATION SCHEME IN USE
OPPORTUNISTIC SCREENING TYPE
ORGAN OR TISSUE UNSUITABLE ORGAN CODE RENAL TRANSPLANT
PAIN RELIEF TYPE IN LABOUR AND DELIVERY
PARENTAL CONSENT TO ADMINISTER VITAMIN K INDICATOR
PARENTAL CONSENT TO POST MORTEM INDICATOR
PARENTERAL NUTRITION RECEIVED INDICATOR
PATHOLOGY INVESTIGATION PRIORITY
PATHOLOGY RESULT REPORTED DATE
PATIENT DIAGNOSIS TREATMENT PROVIDED INDICATION CODE FOR SEXUAL HEALTH SERVICE
PATIENT PROCEDURE PERFORMED INDICATOR
PATIENT PROCEDURE TYPE FOR PRIMARY ANKLE REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY ELBOW REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY HIP REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY KNEE REPLACEMENT
PATIENT PROCEDURE TYPE FOR PRIMARY SHOULDER REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION ANKLE REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION ELBOW REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION HIP REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION KNEE REPLACEMENT
PATIENT PROCEDURE TYPE FOR REVISION SHOULDER REPLACEMENT
PATIENT SPECIFIC INSTRUMENTS INDICATOR FOR SHOULDER OR KNEE REPLACEMENT
PATIENT TREATED TO CHILDRENS CANCER AND LEUKAEMIA GROUP GUIDELINES INDICATOR
PERITONEAL DIALYSIS CATHETER INSERTION TECHNIQUE
PERITONEAL DIALYSIS CATHETER TYPE
PERITONEAL DIALYSIS TREATMENT REGIME
PLANE OF SURGICAL EXCISION TYPE
PLANNED TREATMENT CHANGE REASON
POST MORTEM CARRIED OUT INDICATOR
POST MORTEM CONFIRMED NECROTISING ENTEROCOLITIS DIAGNOSIS INDICATOR
POST MORTEM TYPE
PRETREATMENT PROSTATE BIOPSY TECHNIQUE TYPE
PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT FOR ANKLE REPLACEMENT
PREVIOUS FRACTURE OF INDEX JOINT INDICATOR FOR ANKLE REPLACEMENT
PREVIOUS INDEX JOINT SURGERY TYPE FOR ANKLE REPLACEMENT
PREVIOUS SURGERY TYPE FOR SHOULDER REPLACEMENT
PRIMARY INDUCTION CHEMOTHERAPY FAILURE INDICATOR
PRINCIPAL DIAGNOSTIC IMAGING TYPE
PROCEDURE RENAL DIALYSIS ACCESS REPAIR OR REVISION TYPE
PROCEDURE SCHEME IN USE
PROCEDURE SIDE RENAL DIALYSIS ACCESS CONSTRUCTION CODE
PROCEDURE SITE RENAL DIALYSIS ACCESS CONSTRUCTION CODE
PROSTATE NERVE SPARING SURGERY TYPE
RADICAL PROSTATECTOMY MARGIN STATUS
RADIOISOTOPE
RADIOTHERAPY ACTUAL DOSE
RADIOTHERAPY BEAM TYPE
RADIOTHERAPY INTENT
RADIOTHERAPY PRESCRIBED DOSE
RADIOTHERAPY TREATMENT MODALITY
REGIONAL ANAESTHETIC TECHNIQUE FOR CANCER
RELAPSE METHOD DETECTION TYPE
REMOVAL REASON TYPE FOR DIALYSIS ACCESS
RENAL DIALYSIS ACCESS TYPE
RENAL DIALYSIS SCHEDULE TYPE
RENAL TRANSPLANT FAILURE CAUSE CODE
RENAL TREATMENT MODALITY CHANGE REASON CODE
RENAL TREATMENT MODALITY CODE
RENAL TREATMENT PRIMARY SUPERVISION CODE
REPLOGLE TUBE IN SITU INDICATOR
RESPIRATORY SUPPORT DEVICE TYPE FOR NATIONAL NEONATAL DATA SET
RESPIRATORY SUPPORT MODE FOR NATIONAL NEONATAL DATA SET
RESULT SENT DIRECT
RETINOPATHY OF PREMATURITY SCREENING OUTCOME STATUS CODE
REVISION PROCEDURE TYPE FOR ANKLE REPLACEMENT
REVISION PROCEDURE TYPE FOR ELBOW REPLACEMENT
REVISION PROCEDURE TYPE FOR HIP REPLACEMENT
REVISION PROCEDURE TYPE FOR KNEE REPLACEMENT
REVISION PROCEDURE TYPE FOR SHOULDER REPLACEMENT
ROTATOR CUFF CONDITION FOR SHOULDER REPLACEMENT
ROTATOR CUFF REPAIRED INDICATOR FOR SHOULDER REPLACEMENT
ROTATOR CUFF REPAIR TYPE FOR SHOULDER REPLACEMENT
RUPTURE OF MEMBRANES METHOD
SARCOMA SURGICAL MARGIN
SENTINEL LYMPH NODE BIOPSY TYPE
SIGNIFICANT MATERNAL PYREXIA IN LABOUR INDICATOR
STEM CELL INFUSION DONOR TYPE
STEM CELL INFUSION SOURCE CODE
STEM CELL TRANSPLANT CONDITIONING REGIMEN
STEROIDS GIVEN DURING PREGNANCY TO MATURE FETAL LUNGS INDICATOR
STOMA PRESENT INDICATOR
SURFACTANT GIVEN INDICATOR
SURGICAL ACCESS TYPE
SURGICAL APPROACH FOR PRIMARY HIP REPLACEMENT
SURGICAL APPROACH FOR PRIMARY KNEE REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION ANKLE REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION ELBOW REPLACEMENT
SURGICAL APPROACH FOR PRIMARY OR REVISION SHOULDER REPLACEMENT
SURGICAL APPROACH FOR REVISION HIP REPLACEMENT
SURGICAL APPROACH FOR REVISION KNEE REPLACEMENT
SURGICAL COMPLICATION TYPE
SURGICAL PALLIATION TYPE
SURVEILLANCE TECHNIQUE DIALYSIS TYPE
SYSTEMIC ANTI CANCER THERAPY DRUG ROUTE OF ADMINISTRATION
SYSTEMIC ANTI CANCER THERAPY PROGRAMME NUMBER
SYSTEMIC ANTI CANCER THERAPY REGIMEN MODIFICATION INDICATOR
THERAPY TYPE FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES
TRACHEOSTOMY TUBE IN SITU INDICATOR
TREATMENT TYPE FOR NECROTISING ENTEROCOLITIS
TREATMENT TYPE FOR PATENT DUCTUS ARTERIOSUS
UNTOWARD INTRAOPERATIVE EVENT CODE FOR ANKLE REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR ELBOW REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR HIP REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR KNEE REPLACEMENT
UNTOWARD INTRAOPERATIVE EVENT CODE FOR SHOULDER REPLACEMENT
VASCULAR LINE TYPE IN SITU
VISUAL INSPECTION CONFIRMED NECROTISING ENTEROCOLITIS DURING LAPAROTOMY INDICATOR
VITAMIN K ADMINISTERED INDICATOR
VITAMIN K ROUTE OF ADMINISTRATION

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CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Attributes

Attributes of this Class are:
KINVESTIGATION RESULT DATE
KINVESTIGATION RESULT TIME
ABNORMALITY DETECTED INDICATOR
ACUTE MYELOID LEUKAEMIA RISK FACTORS
ALK 1 STATUS
ANKLE DORSIFLEXION CODE FOR PRIMARY ANKLE REPLACEMENT
ANKLE PLANTARFLEXION CODE FOR PRIMARY ANKLE REPLACEMENT
ARITHMETIC COMPARATOR
BIOPSY REFERRAL OUTCOME
BREAST BIOPSY REFERRAL OUTCOME
BREAST CANCER HISTOLOGICAL TYPE
BREAST SCREENING MAMMOGRAPHY OUTCOME CODE
CALCULATED CREATININE CLEARANCE TYPE
CANCER VASCULAR OR LYMPHATIC INVASION
CENTRAL TONE STATUS
CERVICAL GLANDULAR INTRAEPITHELIAL NEOPLASIA PRESENCE AND GRADE
CERVICAL NODE STATUS
CERVICAL SMEAR EXAMINED DATE
CHLAMYDIA TEST RESULT
CLINICAL ASSESSMENT RESULT CODE FOR BREAST CANCER
CLINICAL INVESTIGATION ITEM TYPE
CLINICAL INVESTIGATION ITEM UNIT OF MEASURE
CLINICAL INVESTIGATION RESULT ANALYSED DATE
CLINICAL INVESTIGATION RESULT CODE FOR RENAL CARE
CLINICAL INVESTIGATION RESULT CODE FOR RENAL TRANSPLANT
CLINICAL INVESTIGATION RESULT RECEIVED DATE
CLINICAL INVESTIGATION RESULT VALUE
CONDITION SEEN IN ABDOMEN DURING XRAY
CYSTIC PERIVENTRICULAR LEUKOMALACIA OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR
CYTOGENETIC ABNORMALITY RISK GROUP
CYTOGENETIC ANALYSIS CODE
CYTOGENETIC PRESENCE TYPE FOR RHABDOMYOSARCOMA
CYTOGENETIC RISK CODE
CYTOGENETIC RISK GROUP FOR PAEDIATRIC MOLECULAR GENETIC ABNORMALITIES
CYTOLOGY RESULT TYPE
CYTOLOGY SMEAR REASON
D29 BONE MARROW TEST RESULT
DEGREES OF FIXED FLEXION DEFORMITY FOR PRIMARY KNEE REPLACEMENT
DEGREES OF FLEXION RANGE FOR PRIMARY KNEE REPLACEMENT
DETRUSOR MUSCLE PRESENCE INDICATION CODE
DEVIATING RESULT INDICATOR
DIPSTICK TEST RESULT CODE
EPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS
EXCISION MARGIN INDICATION CODE
FINDING SCHEME IN USE
GENETIC CONFIRMATION INDICATOR
GRADE OF DIFFERENTIATION
GRADE OF DIFFERENTIATION FOR COLORECTAL
HAEMOGLOBINOPATHY INVESTIGATION RESULT CODE FOR NATIONAL NEONATAL DATA SET
HbA1C ASSAY MEASUREMENT METHOD
HEPATITIS B INFECTION INDICATION CODE
HEPATITIS C INFECTION INDICATION CODE
HEPATOMEGALY INDICATOR
HORMONE EXPRESSION TYPE
INTRAVENTRICULAR HAEMORRHAGE GRADE
INVASIVE CANCER SPECIAL TYPE INDICATOR
INVESTIGATION EXAMINATION RESULT CODE
INVESTIGATION HAEMOGLOBINOPATHY RESULT CODE
INVESTIGATION RESULT STATUS CODE
INVESTIGATION RESULT TEXT
INVESTIGATION RISK RATIO RESULT CODE
INVESTIGATION RUBELLA RESULT INDICATOR
INVESTIGATION SENSITISED RESULT INDICATOR
KARYOTYPE TEST OUTCOME
LACTATE DEHYDROGENASE LEVEL
LYMPH NODE STATUS
MEASURED GLOMERULAR FILTRATION RATE TYPE CODE
METASTASIS EXTENT CODE
NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE
NEWBORN HEARING AUDIOLOGY OUTCOME
NEWBORN HEARING SCREENING OUTCOME
NUMBER OF FETUSES
NUMERICAL VALUE
OBSERVATION VALUE
PAEDIATRIC MYELODYSPLASIA CLINICAL FINDINGS
PATHOLOGICAL RISK CLASSIFICATION CODE AFTER NEPHRECTOMY
PATHOLOGICAL RISK CLASSIFICATION CODE AFTER PREOPERATIVE CHEMOTHERAPY
PERSON BLOOD GROUP
PERSON RHESUS FACTOR
PHYSIOLOGICAL MEASUREMENT INDICATION CODE FOR ELECTROCARDIOGRAM
PORENCEPHALIC CYST VISIBLE DURING CRANIAL ULTRASOUND SCAN INDICATOR
PREOPERATIVE THERAPY RESPONSE TYPE
RADIOLOGICAL RESULT VERIFIED DATE
RADIOLOGICAL RESULT VERIFIED TIME
RESULT ITEM STATUS
RETINOPATHY OF PREMATURITY CLOCK HOURS MAXIMUM STAGE
RETINOPATHY OF PREMATURITY MAXIMUM ZONE
RETINOPATHY OF PREMATURITY PLUS DISEASE STATUS
RETINOPATHY OF PREMATURITY STAGE
RISK GROUP ALLOCATION FOR ACUTE LYMPHOBLASTIC LEUKAEMIA
S CATEGORY CODE
SENTINEL LYMPH NODE BIOPSY OUTCOME
SERUM CALCIUM CONCENTRATION CORRECTION CODE
SPECIMEN NATURE
SPLEEN BELOW COSTAL MARGIN
SPLENOMEGALY INDICATOR
SUBTALAR JOINT MOVEMENT CODE FOR PRIMARY ANKLE REPLACEMENT
TIBIA HINDFOOT ALIGNMENT CODE FOR PRIMARY ANKLE REPLACEMENT
TUMOUR NECROSIS
VENTRICULAR DILATION DIAGNOSED DURING CRANIAL ULTRASOUND SCAN INDICATOR
VISUAL ACUITY OR FIELD TEST RESULT

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HEALTH PROGRAMME

Change to Class: Changed Attributes

Attributes of this Class are:
BREAST SCREENING AGE GROUP FOR KC62 PARTS 1 TO 3
BREAST SCREENING AGE GROUP FOR KC62 PARTS 4 TO 5
BREAST SCREENING AGE GROUP FOR KC63
BREAST SCREENING READING TYPE
CERVICAL SCREENING RECALL INTERVAL
HEALTH PROGRAMME TYPE
IMMUNISATION AGE GROUP
IMMUNISATION PROGRAMME TYPE
VACCINE PREVENTABLE DISEASE

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HEALTH PROGRAMME POPULATION

Change to Class: Changed Attributes

Attributes of this Class are:
CERVICAL CYTOLOGY AGE GROUP
TARGET POPULATION

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LOCATION

Change to Class: Changed Attributes

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
ACCIDENT AND EMERGENCY INCIDENT LOCATION TYPE
ACTIVITY LOCATION TYPE CODE
ASSAULT LOCATION TYPE
LOCATION IN HOSPITAL TYPE
LOCATION OF HIGHEST LEVEL OF CARE
PLACE OF SAFETY INDICATOR

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MACHINE

Change to Class: Changed Attributes

Attributes of this Class are:
KMACHINE IDENTIFIER
MACHINE TYPE
MACHINE NAME

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NHS SERVICE AGREEMENT CHANGE

Change to Class: Changed Attributes

Attributes of this Class are:
KNHS SERVICE AGREEMENT CHANGE DATE
NHS SERVICE AGREEMENT CHANGE TYPE

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OPERATING THEATRE

Change to Class: Changed Attributes

Attributes of this Class are:
KOPERATING THEATRE CODE
ANAESTHETIC ROOM PRESENT
OPERATING THEATRE DEDICATED TO DAY CASES

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PATIENT

Change to Class: Changed Attributes

Attributes of this Class are:
CARER SUPPORT INDICATOR
COMMUNITY HEALTH INDEX NUMBER
HEALTH AND CARE NUMBER
NHS NUMBER
NHS NUMBER STATUS INDICATOR CODE
OVERSEAS VISITOR UK ARRIVAL DATE
RENAL REASON FOR NO TREATMENT CODE
RENAL REGISTRATION NUMBER
SCOTTISH RENAL REGISTRY NUMBER

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PATIENT DIAGNOSIS

Change to Class: Changed Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY DIAGNOSIS
BABY COMPLICATION AT BIRTH DIAGNOSIS
BASIS OF DIAGNOSIS FOR CANCER
BREAST CANCER INVASIVE STATUS
CEREBRAL PALSY TYPE CODE FOR NATIONAL NEONATAL DATA SET
CYTOMEGALOVIRUS DISEASE CODE
DIABETES TYPE FOR RENAL CARE
DIAGNOSIS SCHEME IN USE
FEMALE GENITAL MUTILATION TYPE 4 CODE
FETAL ANOMALY DIAGNOSIS
HISTOLOGY CONFIRMED NECROTISING ENTEROCOLITIS FOLLOWING LAPAROTOMY INDICATOR
HISTORY OF FEMALE GENITAL MUTILATION INDICATOR
HYPOXIC ISCHEMIC ENCEPHALOTHAPY GRADE
LIFE THREATENING SYMPTOMS AT DIAGNOSIS INDICATOR
LIVER CIRRHOSIS CAUSE TYPE
LIVER CIRRHOSIS TYPE
LONG HEAD BICEPS PRESENT INDICATOR FOR SHOULDER REPLACEMENT
LONG TERM PHYSICAL HEALTH CONDITION INDICATOR FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES
MATERNITY COMPLICATING MEDICAL DIAGNOSIS
MATERNITY FAMILY HISTORY DIAGNOSIS TYPE
MATERNITY MEDICAL DIAGNOSIS TYPE
NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR
NEONATAL DIAGNOSIS
OBSTETRIC DIAGNOSIS
OTHER MYELODYSPLASIA SYMPTOMS AT DIAGNOSIS
PATIENT DIAGNOSIS CODING SIGNIFICANCE
PATIENT DIAGNOSIS CONFIRMED INDICATION CODE FOR SEXUAL HEALTH SERVICE
PATIENT DIAGNOSIS INDICATION FOR PRIMARY ANKLE REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY ELBOW REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY HIP REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY KNEE REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY SHOULDER REPLACEMENT
PATIENT DIAGNOSIS INDICATOR
PATIENT DIAGNOSIS SITE OF INFECTION FOR SEXUAL HEALTH SERVICE
PATIENT DIAGNOSIS TYPE FOR NHS HEALTH CHECK
POST HAEMORRHAGIC HYDROCEPHALUS OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR
PRESENT ON ADMISSION INDICATOR
PRIMARY CANCER SITE FOR CANCER FASTER DIAGNOSIS PATHWAY
PRIMARY DIAGNOSIS
PROVISIONAL DIAGNOSIS
RENAL DONOR DIAGNOSIS TYPE
RENAL LIVING DONOR DIAGNOSIS TYPE
RENAL PAEDIATRIC DIAGNOSIS TYPE
RENAL RECIPIENT CARDIOVASCULAR COMPLICATION TYPE
RENAL RECIPIENT DIAGNOSIS TYPE
SEIZURE OCCURRED INDICATOR
SEPSIS SUSPECTED INDICATOR
TRAUMATIC LESION OF GENITAL TRACT TYPE
TUMOUR OR LESION LATERALITY

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PATIENT PATHWAY

Change to Class: Changed Attributes

Attributes of this Class are:
KPATIENT PATHWAY IDENTIFIER
CANCER FASTER DIAGNOSIS PATHWAY END REASON
CANCER FASTER DIAGNOSIS PATHWAY EXCLUSION REASON
CANCER TREATMENT EVENT TYPE
NON PRIMARY CANCER PATHWAY TYPE
WAITING TIME MEASUREMENT TYPE

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PERSON

Change to Class: Changed Attributes

Attributes of this Class are:
KPERSON IDENTIFIER
EX BRITISH ARMED FORCES INDICATOR
LOOKED AFTER CHILD INDICATOR
NATIONAL INSURANCE NUMBER
NEW SEX PARTNERS IN THE LAST THREE MONTHS INDICATOR
NUMBER OF SEX PARTNERS IN LAST THREE MONTHS CODE
PERSON BIRTH DATE
PERSON BIRTH TIME
PRISONER INDICATOR
SEX WORKER INDICATOR
YEAR OF BIRTH

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PHARMACEUTICAL PRODUCT

Change to Class: Changed Relationships

Each PHARMACEUTICAL PRODUCT
may be administered as one or more ACTIVITY DRUG
may be supplied from one or more PHARMACEUTICAL PRODUCT STOCK
may be requested for provision as one or more PRESCRIBED ITEM

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PHARMACEUTICAL PRODUCT STOCK (RETIRED)  renamed from PHARMACEUTICAL PRODUCT STOCK

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

The amount of or adjustments made to PHARMACEUTICAL PRODUCT held in stock by a particular Organisation.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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PHARMACEUTICAL PRODUCT STOCK (RETIRED)  renamed from PHARMACEUTICAL PRODUCT STOCK

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

Attributes of this Class are:
KPRODUCT STOCK AMOUNT ADDED
KPRODUCT STOCK AMOUNT WASTED
PRODUCT STOCK AMOUNT
This class has no attributes.

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PHARMACEUTICAL PRODUCT STOCK (RETIRED)  renamed from PHARMACEUTICAL PRODUCT STOCK

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

Each PHARMACEUTICAL PRODUCT STOCK
Kmust be the stock belonging to one and only one ORGANISATION
Kmust be the stock of one and only one PHARMACEUTICAL PRODUCT

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PHARMACEUTICAL PRODUCT STOCK (RETIRED)  renamed from PHARMACEUTICAL PRODUCT STOCK

Change to Class: Changed Name, Description, Attributes, status to Retired, Relationships
  • Changed Name from Data_Dictionary.Classes.P.PHARMACEUTICAL_PRODUCT_STOCK to Retired.Data_Dictionary.Classes.P.PHARMACEUTICAL_PRODUCT_STOCK
  • Changed Description
  • Changed Attributes
  • Retired PHARMACEUTICAL PRODUCT STOCK
  • Changed Relationships

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PLANNED ACTIVITY

Change to Class: Changed Attributes

Attributes of this Class are:
KPLANNED ACTIVITY SEQUENCE NUMBER
DECISION TO TREAT DATE
FIRST DEFINITIVE TREATMENT PLANNED
FURTHER ASSESSMENT TYPE FOR NHS HEALTH CHECK
INTENDED PROCEDURE STATUS
PLANNED CANCER TREATMENT TYPE
PLANNED SERVICE DESCRIPTION
RADIOLOGY INVESTIGATION PLAN STATUS
RADIOLOGY INVESTIGATION STATUS REASON

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PLANNED SERVICE (RETIRED)  renamed from PLANNED SERVICE

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

A SERVICE planned to be provided by an Organisation.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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PLANNED SERVICE (RETIRED)  renamed from PLANNED SERVICE

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

Attributes of this Class are:
KPLANNED SERVICE START DATE
This class has no attributes.

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PLANNED SERVICE (RETIRED)  renamed from PLANNED SERVICE

Change to Class: Changed Name, Description, Attributes, status to Retired
  • Changed Name from Data_Dictionary.Classes.P.PLANNED_SERVICE to Retired.Data_Dictionary.Classes.P.PLANNED_SERVICE
  • Changed Description
  • Changed Attributes
  • Retired PLANNED SERVICE

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REFERENCE LIMIT

Change to Class: Changed Attributes

Attributes of this Class are:
KREFERENCE LIMIT LOWER QUANTITY
KREFERENCE LIMIT UNIT OF MEASURE
KREFERENCE LIMIT UPPER QUANTITY
KUNIT OF MEASURE
REFERENCE LIMIT POPULATION DESCRIPTION

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REGISTER

Change to Class: Changed Relationships

Each REGISTER
Kmust be a register held by one and only one ORGANISATION
may be the registration holder for one or more PROFESSIONAL REGISTRATION
may be register for one or more PROFESSIONAL REGISTRATION TYPE (retired)

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REGISTRABLE BIRTH

Change to Class: Changed Attributes

Attributes of this Class are:
APGAR SCORE 10 MINUTES
APGAR SCORE 1 MINUTE
APGAR SCORE 5 MINUTES
BIRTH ORDER
DELIVERY METHOD
DELIVERY PLACE TYPE
DELIVERY TIME
GESTATION LENGTH IN DAYS
GESTATION LENGTH IN WEEKS
LIVE OR STILL BIRTH
MODE OF DELIVERY
NUMBER OF BABIES IDENTIFIER
PARENTS CONSANGUINEOUS INDICATOR
PRESENTATION OF FETUS
RESUSCITATION METHOD DRUGS
RESUSCITATION METHOD POSITIVE PRESSURE
STATUS OF PERSON CONDUCTING DELIVERY

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SERVICE

Change to Class: Changed Relationships

Each SERVICE
may be provided during one or more CLINIC OR FACILITY
may be applicable to one or more NHS SERVICE AGREEMENT CHANGE
may be subject of one or more NHS SERVICE AGREEMENT LINE
may be intended to be provided as one or more PLANNED SERVICE
may be allocated one or more SERVICE FINANCIAL ALLOCATION
may be reported in one or more SERVICE REPORT

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SERVICE REQUEST RELATIONSHIP (RETIRED)  renamed from SERVICE REQUEST RELATIONSHIP

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

This identifies the relationship between one SERVICE REQUEST and another.

For example, a SERVICE REQUEST for an APPOINTMENT may be related to a previous SERVICE REQUEST where the PATIENT refused all the offered dates. Another example is where a SERVICE REQUEST has been subdivided into further SERVICE REQUESTS each for a specific and different treatment, all related back to the originating SERVICE REQUEST.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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SERVICE REQUEST RELATIONSHIP (RETIRED)  renamed from SERVICE REQUEST RELATIONSHIP

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

Each SERVICE REQUEST RELATIONSHIP
Kmust be the main one and only one SERVICE REQUEST
Kmust be related to a subsequent one and only one SERVICE REQUEST

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SERVICE REQUEST RELATIONSHIP (RETIRED)  renamed from SERVICE REQUEST RELATIONSHIP

Change to Class: Changed Name, Description, status to Retired, Relationships
  • Changed Name from Data_Dictionary.Classes.S.SERVICE_REQUEST_RELATIONSHIP to Retired.Data_Dictionary.Classes.S.SERVICE_REQUEST_RELATIONSHIP
  • Changed Description
  • Retired SERVICE REQUEST RELATIONSHIP
  • Changed Relationships

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TISSUE

Change to Class: Changed Relationships

Each TISSUE
Kmust be related to one or more CELL
may be part of one or more PERSON ORGAN
may be related to one or more TISSUE CARE ACTIVITY
may be related to one and only one TISSUE TRANSPLANT

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TISSUE CARE ACTIVITY (RETIRED)  renamed from TISSUE CARE ACTIVITY

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

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

An action performed to the TISSUES of a PATIENT by one or more CARE PROFESSIONALS.The last live version of this item is available in the October 2018 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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TISSUE CARE ACTIVITY (RETIRED)  renamed from TISSUE CARE ACTIVITY

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

Attributes of this Class are:
CANCER TREATMENT EVENT TYPE
This class has no attributes.

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TISSUE CARE ACTIVITY (RETIRED)  renamed from TISSUE CARE ACTIVITY

Change to Class: Changed Name, Supertype, Description, Attributes, status to Retired
  • Changed Name from Data_Dictionary.Classes.T.TISSUE_CARE_ACTIVITY to Retired.Data_Dictionary.Classes.T.TISSUE_CARE_ACTIVITY
  • Changed Supertype from Data_Dictionary.Classes.C.CARE_ACTIVITY to null
  • Changed Description
  • Changed Attributes
  • Retired TISSUE CARE ACTIVITY

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WARD OPERATIONAL PLAN

Change to Class: Changed Description

This is a statement of the operational planning intent for a particular WARD, including intended time and Hospital Bed availability, TREATMENT FUNCTION, BROAD PATIENT GROUP CODE and CLINICAL CARE INTENSITY.This is a statement of the operational planning intent for a particular WARD, including intended time and Hospital Bed availability, TREATMENT FUNCTION and CLINICAL CARE INTENSITY.

Hospital Bed availability, in the above, is expressed as the WARD Total Beds Intended (CONSULTANT Care, NURSE Care and MIDWIFE Care) available for the use of PATIENTS. This should reflect the number of places available for PATIENT care rather than just a count of physical devices that may be used as a Hospital Bed.

 

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ACCIDENT AND EMERGENCY INCIDENT LOCATION TYPE  renamed from A AND E INCIDENT LOCATION TYPE

Change to Attribute: Changed Name
  • Changed Name from Data_Dictionary.Attributes.A.A_AND_E_INCIDENT_LOCATION_TYPE to Data_Dictionary.Attributes.A.ACCIDENT_AND_EMERGENCY_INCIDENT_LOCATION_TYPE

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ACTIVITY RELATIONSHIP TYPE (RETIRED)  renamed from ACTIVITY RELATIONSHIP TYPE

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

Identifies how one ACTIVITY relates to another.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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ACTIVITY RELATIONSHIP TYPE (RETIRED)  renamed from ACTIVITY RELATIONSHIP TYPE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.A.Acc.ACTIVITY_RELATIONSHIP_TYPE to Retired.Data_Dictionary.Attributes.A.ACTIVITY_RELATIONSHIP_TYPE
  • Changed Description
  • Retired ACTIVITY RELATIONSHIP TYPE

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AGE BAND AT SMOKING QUIT DATE

Change to Attribute: New Attribute

The number of completed years between the PERSON BIRTH DATE and the Intended Smoking Quit Date of the Person Stop Smoking Episode.

Permitted National Codes:

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

This attribute is also known by these names:
ContextAlias
pluralAGE BANDS AT SMOKING QUIT DATE

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AGE BAND AT SMOKING QUIT DATE

Change to Attribute: New Attribute

AGE BAND AT SMOKING QUIT DATE
 
Data Elements:
AGE BAND AT SMOKING QUIT DATE

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ANAESTHETIC ROOM PRESENT (RETIRED)  renamed from ANAESTHETIC ROOM PRESENT

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

This records the presence or absence of an anaesthetic room which will affect the volume of work performed in the OPERATING THEATRE.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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ANAESTHETIC ROOM PRESENT (RETIRED)  renamed from ANAESTHETIC ROOM PRESENT

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.A.Ana.ANAESTHETIC_ROOM_PRESENT to Retired.Data_Dictionary.Attributes.A.ANAESTHETIC_ROOM_PRESENT
  • Changed Description
  • Retired ANAESTHETIC ROOM PRESENT

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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. For further information see the American Society of Anesthesiologists website at: 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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BROAD PATIENT GROUP CODE (RETIRED)  renamed from BROAD PATIENT GROUP CODE

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

The coded type of PATIENT intended to use, or using, a facility.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

1General PATIENTS 
2Younger physically disabled
3Neonates 
4Maternity PATIENTS 
5PATIENTS with mental illness
6PATIENTS with learning disabilities
8Terminally ill/Palliative Care 
 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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BROAD PATIENT GROUP CODE (RETIRED)  renamed from BROAD PATIENT GROUP CODE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.B.Bri.BROAD_PATIENT_GROUP_CODE to Retired.Data_Dictionary.Attributes.B.BROAD_PATIENT_GROUP_CODE
  • Changed Description
  • Retired BROAD PATIENT GROUP CODE

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CANCER CARE SETTING FOR TREATMENT

Change to Attribute: New Attribute

The type of care setting where the cancer care, relating to the TREATMENT START DATE (CANCER), took place.

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

National Codes:

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

This attribute is also known by these names:
ContextAlias
pluralCANCER CARE SETTINGS FOR TREATMENT

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CANCER CARE SETTING FOR TREATMENT

Change to Attribute: New Attribute

CANCER CARE SETTING FOR TREATMENT
 
Data Elements:
CANCER CARE SETTING (TREATMENT)

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CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS

Change to Attribute: Changed Description

The status of a REFERRAL REQUEST for a PATIENT referred with a suspected cancer, or referred with breast symptoms with cancer not originally suspected.

For the Cancer Outcomes and Services Data Set, CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS can be recorded for all PATIENTS (regardless of the referral route).

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

National Codes:

14Suspected Primary Cancer
09Under investigation following symptomatic referral, cancer not suspected (breast referrals only) *
09Under investigation following symptomatic referral, cancer not suspected (breast referrals only). This National Code should only be used when the TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE is National Code 'Exhibited (non-cancer) breast symptoms - cancer not initially suspected.'
03No new cancer diagnosis identified by the Health Care Provider 
10Diagnosis of new cancer confirmed - NHS funded first treatment not yet planned
11Diagnosis of new cancer confirmed - NHS funded first treatment planned
07Diagnosis of new cancer confirmed - no NHS funded treatment planned
08First NHS funded treatment commenced
12Diagnosis of new cancer confirmed - subsequent NHS funded treatment not yet planned
13Diagnosis of new cancer confirmed - subsequent NHS funded treatment planned
21Subsequent NHS funded treatment commenced
15Suspected Recurrent Cancer
16Diagnosis of Recurrent Cancer confirmed - first NHS funded treatment not yet planned
17Diagnosis of Recurrent Cancer confirmed - NHS funded first treatment planned
18Diagnosis of Recurrent Cancer confirmed - no NHS funded treatment planned
19Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment not yet planned
20Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment planned

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

 

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CANCER TNM STAGING TYPE

Change to Attribute: Changed Description

The type of CANCER STAGING for which Tumour, node and metastasis (TNM) values are collected i.e. clinically determined prior to treatment, determined on histological evidence, or determined on the basis of all the clinical, imaging and pathological data available following the first surgical procedure.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

1Final pre-treatment stage
2Pathological stage
3Integrated stage
 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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CANCER TREATMENT INTENT

Change to Attribute: Changed Description

The original intention of the cancer treatment provided during a Cancer Care Spell.

National Codes:

AAdjuvant (Retired 1 January 2013)
CCurative (Retired 1 April 2018)
DDiagnostic (Retired 1 April 2018)
NNeoadjuvant (Retired 1 January 2013)
SStaging (Retired 1 April 2018)
PPalliative (Retired 1 April 2018)
01Curative
02Palliative
03Disease Modification *
04Diagnostic **
05Staging **
03Disease Modification (specific to drug treatment)
04Diagnostic (specific to surgery)
05Staging (specific to surgery)
08Other (not listed)

Notes:

  • * National Code 'Disease Modification' is specific to drug treatment
  • ** National Codes 'Diagnostic' and 'Staging' are specific to surgery.
 

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CARE PROFESSIONAL ROLE CODE FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES

Change to Attribute: Changed Description

The primary role undertaken by a CARE PROFESSIONAL administering the therapy session in an Improving Access to Psychological Therapies Contact.

National Codes:

 Trainee
10Psychological Well-being Practitioner (PWP) - Trainee
11High Intensity Cognitive Behavioural Therapist - Trainee
12High Intensity Counselling for Depression - Trainee
13High Intensity Couple Therapist for Depression - Trainee
14High Intensity Brief Dynamic Interpersonal Psychotherapist - Trainee
15High Intensity Interpersonal Therapist - Trainee
16Eye Movement Desensitisation Reprocessing - Trainee
17Mindfulness based Cognitive Therapist - Trainee
 Qualified
40Psychological Well-being Practitioner (PWP) - Qualified
41Employment support worker - Qualified
42Other low intensity Therapist - Qualified
43High Intensity Cognitive Behavioural Therapist - Qualified
44High Intensity Counselling for Depression - Qualified
45High Intensity Couple Therapist for Depression - Qualified
46High Intensity Brief Dynamic Interpersonal Psychotherapist - Qualified
47High Intensity Interpersonal Therapist - Qualified
48Eye Movement Desensitisation Reprocessing - Qualified
49Mindfulness based Cognitive Therapist - Qualified
50Other High Intensity Therapist - Qualified
 

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CERVICAL CYTOLOGY AGE GROUP (RETIRED)  renamed from CERVICAL CYTOLOGY AGE GROUP

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

The age range of the population for the cervical cytology adult screening programmes.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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CERVICAL CYTOLOGY AGE GROUP (RETIRED)  renamed from CERVICAL CYTOLOGY AGE GROUP

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.C.Ce.CERVICAL_CYTOLOGY_AGE_GROUP to Retired.Data_Dictionary.Attributes.C.CERVICAL_CYTOLOGY_AGE_GROUP
  • Changed Description
  • Retired CERVICAL CYTOLOGY AGE GROUP

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EMPLOYEE ABSENCE SICKNESS REASON CODE

Change to Attribute: Changed Description

The reason given for an EMPLOYEE absence where the EMPLOYEE ABSENCE TYPE CODE is National Code 'Sickness'.

The reason will normally be recorded from the certification of the sickness episode, either by the EMPLOYEE (Self certified) or by a GENERAL MEDICAL PRACTITIONER (Fit note).

National Codes:

01Heart, Cardiac and Circulatory Problems
02Eyes, Ears, Nose and Throat - Retired 01 June 2011
03Gastro-intestinal Problems
04Genitourinary and Gynaecological Disorders
05Infections, Anaemia, Endocrine Disorders - Retired 01 June 2011
06Benign and Malignant Tumours, Cancers
07Back Problems
08Musculo-skeletal Neck - Retired 01 June 2011
09Musculo-skeletal Other Joint, Lower Limb - Retired 01 June 2011
10Nervous System Disorders
11Other Known Causes - not elsewhere classified
12Other Mental Disorders - Retired 01 June 2011
13Pregnancy Related Disorders
14Psychological - Retired 01 June 2011
15Psychoses - Retired 01 June 2011
16Chest and Respiratory Problems
17Injury, Fracture
18Skin Disorders
19Stress - Retired 01 June 2011
20Substance Abuse
21Surgery Related *
21Surgery Related (National Code 21 is a separate flag in the Electronic Staff Record, and is not implemented as a value in its own right)
22Upper Limb Disorders - Retired 01 June 2011
23Ear, Nose, Throat (ENT)
24Eye Problems
25Infectious Diseases
26Blood Disorders
27Cold, Cough, Flu - Influenza
28Endocrine/Glandular Problems
29Other Musculoskeletal Problems
30Anxiety/Stress/Depression/Other Psychiatric Illnesses
31Asthma
32Burns, Poisoning, Frostbite, Hypothermia
33Dental and Oral Problems
34Headache/Migraine

* Note - National Code 21 is a separate flag in the Electronic Staff Record, and is not implemented as a value in its own right.

 

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HEPATITIS B INFECTION INDICATION CODE

Change to Attribute: New Attribute

An indication of whether the PATIENT has a hepatitis B infection and the type of infection.

For the HIV and AIDS Reporting Data Set, HEPATITIS B INFECTION INDICATION CODE indicates if there is Laboratory evidence of the PATIENT having an acute or chronic hepatitis B infection.

National Codes:

1Yes - the PATIENT has an acute hepatitis B infection
2Yes - the PATIENT has a chronic hepatitis B infection
3No - the PATIENT does not have a hepatitis B infection
4Not tested for a hepatitis B infection
 

This attribute is also known by these names:
ContextAlias
pluralHEPATITIS B INFECTION INDICATION CODES

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HEPATITIS B INFECTION INDICATION CODE

Change to Attribute: New Attribute

HEPATITIS B INFECTION INDICATION CODE
 
Data Elements:
HEPATITIS B INFECTION INDICATION CODE

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HEPATITIS C INFECTION INDICATION CODE

Change to Attribute: New Attribute

An indication of whether the PATIENT has a hepatitis C infection and the type of infection.

For the HIV and AIDS Reporting Data Set, HEPATITIS C INFECTION INDICATION CODE indicates if there is Laboratory evidence of the PATIENT having an acute or chronic hepatitis C infection.

National Codes:

1Yes - the PATIENT has an acute hepatitis C infection
2Yes - the PATIENT has a chronic hepatitis C infection
3No - the PATIENT does not have a hepatitis C infection
4Not tested for a hepatitis C infection
 

This attribute is also known by these names:
ContextAlias
pluralHEPATITIS C INFECTION INDICATION CODES

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HEPATITIS C INFECTION INDICATION CODE

Change to Attribute: New Attribute

HEPATITIS C INFECTION INDICATION CODE
 
Data Elements:
HEPATITIS C INFECTION INDICATION CODE

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INTENDED PROCEDURE STATUS

Change to Attribute: New Attribute

The status of whether the operative procedure was intended.

National Codes:

1Operative procedure intended
8Not applicable: no operative procedure intended
 

This attribute is also known by these names:
ContextAlias
pluralINTENDED PROCEDURE STATUSES

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INTENDED PROCEDURE STATUS

Change to Attribute: New Attribute

INTENDED PROCEDURE STATUS
 
Data Elements:
INTENDED PROCEDURE STATUS CODE

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MACHINE NAME

Change to Attribute: New Attribute

The name of the MACHINE.

 

This attribute is also known by these names:
ContextAlias
pluralMACHINE NAMES

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MACHINE NAME

Change to Attribute: New Attribute

MACHINE NAME
 
Data Elements:
MANUFACTURERS NAME (DIALYSER)

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MACHINE TYPE (RETIRED)  renamed from MACHINE TYPE

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

A classification of MACHINE.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

Radiotherapy Machine: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.

01Planning machine
02Simulation machine
10Radiotherapy treatment machine - superficial X-ray
11Radiotherapy treatment machine - deep X-ray
12Radiotherapy treatment machine - cobalt
13Radiotherapy treatment machine - linear accelerator with electron facility
14Radiotherapy treatment machine - linear accelerator without electron facility
15Radiotherapy treatment machine - after loading - high activity
16Radiotherapy treatment machine - after loading - low activity
17Radiotherapy treatment machine - other

Lithotripter:

30Lithotripter
 

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MACHINE TYPE (RETIRED)  renamed from MACHINE TYPE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.M.MACHINE_TYPE to Retired.Data_Dictionary.Attributes.M.MACHINE_TYPE
  • Changed Description
  • Retired MACHINE TYPE

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NHS NUMBER STATUS INDICATOR CODE

Change to Attribute: New Attribute

The trace status of the NHS NUMBER.

National Codes:

01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS NUMBER or PATIENT detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old)
 

This attribute is also known by these names:
ContextAlias
pluralNHS NUMBER STATUS INDICATOR CODES

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NHS NUMBER STATUS INDICATOR CODE

Change to Attribute: New Attribute

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NHS SERVICE AGREEMENT CHANGE TYPE (RETIRED)  renamed from NHS SERVICE AGREEMENT CHANGE TYPE

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

A classification of a change to a SERVICE PROVIDED UNDER AGREEMENT to record the reason for a change in the NHS SERVICE AGREEMENT to apply to a SERVICE.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

01New Commissioner
02Change of NHS SERVICE AGREEMENT - same Commissioner
 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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NHS SERVICE AGREEMENT CHANGE TYPE (RETIRED)  renamed from NHS SERVICE AGREEMENT CHANGE TYPE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.N.NHS.NHS_SERVICE_AGREEMENT_CHANGE_TYPE to Retired.Data_Dictionary.Attributes.N.NHS_SERVICE_AGREEMENT_CHANGE_TYPE
  • Changed Description
  • Retired NHS SERVICE AGREEMENT CHANGE TYPE

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OPERATION FUNDING FOR NATIONAL JOINT REGISTRY

Change to Attribute: New Attribute

An indication of whether the Joint Replacement Surgery is funded by the NHS, for the purpose of the National Joint Registry Data Set.

National Codes:

2NHS
3Independent
 

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OPERATION FUNDING FOR NATIONAL JOINT REGISTRY

Change to Attribute: New Attribute

OPERATION FUNDING FOR NATIONAL JOINT REGISTRY
 
Data Elements:
OPERATION FUNDING (NATIONAL JOINT REGISTRY)

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OUTCOME AT 4 WEEK FOLLOW-UP FOR STOP SMOKING

Change to Attribute: Changed Description

The outcome of a Person Stop Smoking Episode, at the 4 week follow-up after the Intended Smoking Quit Date on a self-reporting basis. That is those who have received at least one session of a structured, multi-session intervention (delivered by the NHS or one of its trained agents), whose quit status at four weeks from their Intended Smoking Quit Date (or within 25 to 42 days of the Intended Smoking Quit Date) has been assessed (face-to-face, by telephone or by postal questionnaire).

National Codes:

1Successfully quit at 4 week follow-up (self-report)*
1Successfully quit at 4 week follow-up (self-report). This should be those who report not having smoked for 2 weeks after the Intended Smoking Quit Date.
2Not quit at 4 week follow-up (self-report)
3Non-smoking status not known/lost to follow-up**
3Non-smoking status not known/lost to follow-up. This should include all PERSONS for whom it has not been possible to successfully follow-up at four weeks (-3 days or +14 days) from the Intended Smoking Quit Date.

Notes:

  • * National Code 'Successfully quit at 4 week follow-up (self-report)' should be those who report not having smoked for 2 weeks after the Intended Smoking Quit Date.
  • ** National Code 'Non-smoking status not known/lost to follow-up' should include all PERSONS for whom it has not been possible to successfully follow-up at four weeks (-3 days or +14 days) from the Intended Smoking Quit Date.
 

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PATIENT SOURCE SETTING TYPE FOR DIAGNOSTIC IMAGING

Change to Attribute: Changed Description

The type of setting that the PATIENT came from at the time of request for Diagnostic Imaging for use in the Diagnostic Imaging Data Set.

National Codes:

01Admitted Patient Care - Inpatient (this Health Care Provider) *
02Admitted Patient Care - Day case (this Health Care Provider) *
01Admitted Patient Care - Inpatient (this Health Care Provider). This National Code is based on INTENDED MANAGEMENT at the time of the DIAGNOSTIC TEST REQUEST.
02Admitted Patient Care - Day case (this Health Care Provider). This National Code is based on INTENDED MANAGEMENT at the time of the DIAGNOSTIC TEST REQUEST.
03Outpatient (this Health Care Provider)
04GP Direct Access
05Accident and Emergency Department (this Health Care Provider)
06Other Health Care Provider
07Other

* Note: these values are based on INTENDED MANAGEMENT at the time of the DIAGNOSTIC TEST REQUEST.

 

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PERSON STATED NATIONALITY

Change to Attribute: Changed Description

The nationality of a PERSON, as specified by a PERSON.The NATIONALITY of a PERSON, as specified by a PERSON.

For the National Workforce Data Set, the codes are provided by NHS Digital and can be found in the National Workforce Data Set v2.8 Data Set Specification document on the NHS Digital website at: National Workforce Data Set (NWD) and NHS occupation codes.

 

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PHARMACEUTICAL STOCK ADJUSTMENT AMOUNT (RETIRED)  renamed from PHARMACEUTICAL STOCK ADJUSTMENT AMOUNT

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

The number of items or amount of PHARMACEUTICAL PRODUCT added to or removed from the PHARMACEUTICAL PRODUCT STOCK held within an Organisation.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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PHARMACEUTICAL STOCK ADJUSTMENT AMOUNT (RETIRED)  renamed from PHARMACEUTICAL STOCK ADJUSTMENT AMOUNT

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.P.Pha.PHARMACEUTICAL_STOCK_ADJUSTMENT_AMOUNT to Retired.Data_Dictionary.Attributes.P.PHARMACEUTICAL_STOCK_ADJUSTMENT_AMOUNT
  • Changed Description
  • Retired PHARMACEUTICAL STOCK ADJUSTMENT AMOUNT

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PHARMACEUTICAL STOCK ADJUSTMENT DATE (RETIRED)  renamed from PHARMACEUTICAL STOCK ADJUSTMENT DATE

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

The date on which an adjustment is made to PHARMACEUTICAL PRODUCT STOCK.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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PHARMACEUTICAL STOCK ADJUSTMENT DATE (RETIRED)  renamed from PHARMACEUTICAL STOCK ADJUSTMENT DATE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.P.Pha.PHARMACEUTICAL_STOCK_ADJUSTMENT_DATE to Retired.Data_Dictionary.Attributes.P.PHARMACEUTICAL_STOCK_ADJUSTMENT_DATE
  • Changed Description
  • Retired PHARMACEUTICAL STOCK ADJUSTMENT DATE

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PHARMACEUTICAL STOCK ADJUSTMENT TYPE (RETIRED)  renamed from PHARMACEUTICAL STOCK ADJUSTMENT TYPE

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

The type of adjustment of PHARMACEUTICAL PRODUCT STOCK.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

1Delivery
2Dispensed or used
3Unusable

Unusable items include those that have breached cold-chain requirements, exceeded their expiry date, were faulty or could otherwise not be returned to stock for later use.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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PHARMACEUTICAL STOCK ADJUSTMENT TYPE (RETIRED)  renamed from PHARMACEUTICAL STOCK ADJUSTMENT TYPE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.P.Pha.PHARMACEUTICAL_STOCK_ADJUSTMENT_TYPE to Retired.Data_Dictionary.Attributes.P.PHARMACEUTICAL_STOCK_ADJUSTMENT_TYPE
  • Changed Description
  • Retired PHARMACEUTICAL STOCK ADJUSTMENT TYPE

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PLANNED SERVICE START DATE (RETIRED)  renamed from PLANNED SERVICE START DATE

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

The date on which a SERVICE that it is planned to deliver will start.This item has been retired from the NHS Data Model and Dictionary.

 The last live version of this item is available in the October 2018 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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PLANNED SERVICE START DATE (RETIRED)  renamed from PLANNED SERVICE START DATE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.P.Pha.PLANNED_SERVICE_START_DATE to Retired.Data_Dictionary.Attributes.P.PLANNED_SERVICE_START_DATE
  • Changed Description
  • Retired PLANNED SERVICE START DATE

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PSYCHIATRIC PATIENT STATUS

Change to Attribute: New Attribute

An indication of whether the PATIENT has been admitted or transferred to a CONSULTANT in one of the psychiatric specialties within a Hospital Provider Spell.

PSYCHIATRIC PATIENT STATUS should be recorded against the first CONSULTANT episode in one of the psychiatric specialties but not for subsequent psychiatric consultant episodes or for any non-psychiatric episodes.

This information is used to indicate the turnover period within the SERVICE and identify, where possible, all first time psychiatric admissions and re-admissions.

Where a PATIENT has a history of admissions to several Hospital Providers, then priority between National Codes 1 and 2 should be given to the current Hospital Provider, and National Code 1 selected, irrespective of whether or not the last admission was to the same Hospital Provider.

National Codes:

0No known previous Hospital Provider Spells with a Consultant Episode (Hospital Provider) within a psychiatric speciality within any Health Care Provider
1One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with this Health Care Provider
2One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with another Health Care Provider, but none with this Health Care Provider
8Not applicable: the PATIENT is not receiving admitted patient care under a CONSULTANT in a psychiatric specialty
9Not known: the PATIENT is receiving admitted patient care under a CONSULTANT in a psychiatric specialty, but the information is not available. This constitutes a validation error
 

This attribute is also known by these names:
ContextAlias
pluralPSYCHIATRIC PATIENT STATUSES

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PSYCHIATRIC PATIENT STATUS

Change to Attribute: New Attribute

PSYCHIATRIC PATIENT STATUS
 
Data Elements:
PSYCHIATRIC PATIENT STATUS CODE

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RESUSCITATION METHOD DRUGS (RETIRED)  renamed from RESUSCITATION METHOD DRUGS

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

An indicator to show whether resuscitation was administered using drugs.This item has been retired from the NHS Data Model and Dictionary.

Classification:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

a.Yes
b.No
c.Not known
 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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RESUSCITATION METHOD DRUGS (RETIRED)  renamed from RESUSCITATION METHOD DRUGS

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.R.Resp.RESUSCITATION_METHOD_DRUGS to Retired.Data_Dictionary.Attributes.R.RESUSCITATION_METHOD_DRUGS
  • Changed Description
  • Retired RESUSCITATION METHOD DRUGS

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RESUSCITATION METHOD POSITIVE PRESSURE (RETIRED)  renamed from RESUSCITATION METHOD POSITIVE PRESSURE

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

A classification of resuscitation by positive pressure.This item has been retired from the NHS Data Model and Dictionary.

Classification:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

a.Nil
b.By mask
c.By endotracheal tube
d.Not known
 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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RESUSCITATION METHOD POSITIVE PRESSURE (RETIRED)  renamed from RESUSCITATION METHOD POSITIVE PRESSURE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.R.Resp.RESUSCITATION_METHOD_POSITIVE_PRESSURE to Retired.Data_Dictionary.Attributes.R.RESUSCITATION_METHOD_POSITIVE_PRESSURE
  • Changed Description
  • Retired RESUSCITATION METHOD POSITIVE PRESSURE

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SEXUAL ORIENTATION CODE

Change to Attribute: Changed Description

The SEXUAL ORIENTATION of a PATIENT.

National Codes:

1Heterosexual
2Gay/Lesbian
3Bi-sexual
4PERSON asked and does not know or is not sure *
ZNot Stated (PERSON asked but declined to provide a response) *
4PERSON asked and does not know or is not sure
ZNot Stated (PERSON asked but declined to provide a response)

 

SEXUAL ORIENTATION CODE will be replaced with PERSON STATED SEXUAL ORIENTATION CODE, which is the most recent approved national information standard to describe the required definition.

 

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SOCIO-ECONOMIC CLASSIFICATION CODE FOR STOP SMOKING

Change to Attribute: Changed Description

The SOCIO-ECONOMIC CLASSIFICATION codes are based on the Office for National Statistics socio-economic classification for a Stop Smoking Service

National Codes:

01Full-time Student
02Never worked or unemployed for over one year*
02Never worked or unemployed for over one year. If unemployed for less than one year, last known occupation should be used for classification.
03Retired
04Home carer i.e. looking after children, family or home
05Sick or disabled and unable to work
06Managerial/ professional. Examples include: accountant, artist, civil/mechanical engineer, medical practitioner, musician, nurse, police officer (sergeant or above), physiotherapist, scientist, social worker, software engineer, solicitor, teacher, welfare officer. Those usually responsible for planning, organising and co-ordinating work for finance
07Intermediate. Examples include: call centre agent, clerical worker, nursery auxiliary, office clerk, secretary
08Routine and manual (self employed should not be included in this category). Examples include: electrician, fitter, gardener, inspector, plumber, printer, train driver, tool maker, bar staff, caretaker, catering assistant, cleaner, farm worker, HGV driver, labourer, machine operative, messenger, packer, porter, postal worker, receptionist, sales assistant, security guard, sewing machinist, van driver, waiter/waitress
09Prisoner
96Other (not listed)

* Note: If unemployed for less than one year, last known occupation should be used for classification.

Further information on mapping can be found on the National Centre for Smoking Cessation and Training website at Local Stop Smoking Services: Service and Delivery Guidance 2014

 

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SUBJECTIVE GLOBAL ASSESSMENT

Change to Attribute: Changed Description

The subjective global assessment of the PATIENT as observed by a CARE PROFESSIONAL during a Nutritional Assessment

National Codes:

1Well nourished
2Moderately malnourished
3Severely malnourished
1Well nourished
2Moderately malnourished
3Severely malnourished
 

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TIME BETWEEN DELIVERY AND SPONTANEOUS RESPIRATION CODE

Change to Attribute: Changed Description

A coded representation of the length of time between delivery of the baby and the time spontaneous respiration began.

National Codes:

0Less than 1 minute
1Between 1.0 and 1.5 minutes
2Between 1.6 and 2.0 minutes
3Between 2.1 and 3.0 minutes
4Between 3.1 and 4.0 minutes
5Between 4.1 and 5.0 minutes
6More than 5.0 minutes
 

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TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE

Change to Attribute: Changed Description

The site where cancer is suspected:

National Codes:

01Suspected breast cancer
02Suspected children's cancer *
02Suspected children's cancer. For monitoring of the cancer Two Week Wait and 28 Day Faster Diagnosis standards, a child is defined as under the age of 16 years at the CANCER REFERRAL TO TREATMENT PERIOD START DATE
03Suspected lung cancer
04Suspected haematological malignancies excluding acute leukaemia
05Suspected acute leukaemia
06Suspected upper gastrointestinal cancers
07Suspected lower gastrointestinal cancers
08Suspected skin cancers
09Suspected gynaecological cancers
10Suspected brain or central nervous system tumours
11Suspected urological cancers (excluding testicular)
12Suspected testicular cancer
13Suspected head and neck cancers
14Suspected sarcomas
15Other suspected cancer (not listed)
16Exhibited (non-cancer) breast symptoms - cancer not initially suspected **
16Exhibited (non-cancer) breast symptoms - cancer not initially suspected. This National Code is only to be used where a PATIENT has been referred on the basis of exhibited breast symptoms, but those symptoms do not place the PATIENT within the scope of the referral guidelines that specify that an urgent referral for suspected cancer from a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER must be made.

Notes:

  • * For monitoring of the cancer Two Week Wait and 28 Day Faster Diagnosis standards, a child is defined as under the age of 16 years at the CANCER REFERRAL TO TREATMENT PERIOD START DATE
  • ** National Code Exhibited (non-cancer) breast symptoms - cancer not initially suspected is only to be used where a PATIENT has been referred on the basis of exhibited breast symptoms, but those symptoms do not place the PATIENT within the scope of the referral guidelines that specify that an urgent referral for suspected cancer from a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER must be made.
 

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VACCINE PREVENTABLE DISEASE (RETIRED)  renamed from VACCINE PREVENTABLE DISEASE

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

A disease, or group of diseases, or the name of the vaccine used to provide immunity for one or several diseases, against which an Immunisation Programme is directed.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

01Diphtheria (d/D)*
02Tetanus (T)*
03Inactivated poliomyelitis vaccine (IPV)*
04Pertussis (P)*
05Diphtheria, tetanus, pertussis and polio (dTaP/IPV and DTaP/IPV)*
06Tuberculosis (BCG)*
07Anthrax
08Haemophilus influenzae type b (Hib)*
09Measles, Mumps and Rubella (MMR)*
10Rabies
11Typhoid
12Group C meningococcal disease (MenC)*
13Hepatitis B (Hep B)*
14Pneumococcal conjugate vaccine (PCV)*
15Pneumococcal polysaccaride vaccine (PPV)*
16Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC)*
17Influenza
18Human Papillomavirus (HPV)*
19Diphtheria, tetanus and polio (Td/IPV)*
20Varicella
21Measles*
22Mumps*
23Rubella*
96Other

*required to enable data to be returned centrallyAccess 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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VACCINE PREVENTABLE DISEASE (RETIRED)  renamed from VACCINE PREVENTABLE DISEASE

Change to Attribute: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Attributes.V.VACCINE_PREVENTABLE_DISEASE to Retired.Data_Dictionary.Attributes.V.VACCINE_PREVENTABLE_DISEASE
  • Changed Description
  • Retired VACCINE PREVENTABLE DISEASE

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ACTIVITY DATE (CRITICAL CARE)

Change to Data Element: Changed linked Attribute, Description

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

Notes:
ACTIVITY DATE (CRITICAL CARE) is the date the PATIENT receives care which is a CRITICAL CARE ACTIVITY.ACTIVITY DATE (CRITICAL CARE) is the DATE the PATIENT receives care which is a CRITICAL CARE ACTIVITY.

ACTIVITY DATE (CRITICAL CARE) is the ACTIVITY DATE where the CARE ACTIVITY is during a CRITICAL CARE PERIOD.

 

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ACTIVITY DATE (CRITICAL CARE)

Change to Data Element: Changed linked Attribute, Description

ACTIVITY DATE (CRITICAL CARE)
 
Attribute:
ACTIVITY DATE

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ADDRESS FORMAT CODE (RETIRED)  renamed from ADDRESS FORMAT CODE

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

Format/Length:an1
National Codes: 
Default Codes: 

Notes:
A code to determine the format of the associated PATIENT USUAL ADDRESS data.

This is necessary whenever an address is included in a CDS message to allow correct interpretation by the recipient. The following values have been used in many CDS message implementations and are recommended to be used.This item has been retired from the NHS Data Model and Dictionary.

Permitted National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

1 or STo denote a "Label format" address, i.e. an address consisting of up to five address lines of 35 characters where each line is left justified as a specific data element
2 or UTo denote an unstructured address, i.e. an address consisting of up to five contiguous data elements of 35 characters representing a 175 character string
 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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ADDRESS FORMAT CODE (RETIRED)  renamed from ADDRESS FORMAT CODE

Change to Data Element: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Data_Field_Notes.A.Ad.ADDRESS_FORMAT_CODE to Retired.Data_Dictionary.Data_Field_Notes.A.ADDRESS_FORMAT_CODE
  • Changed Description
  • Retired ADDRESS FORMAT CODE

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AGE BAND AT SMOKING QUIT DATE

Change to Data Element: Changed linked Attribute, Description

Format/Length:an2
National Codes: 
National Codes:See AGE BAND AT SMOKING QUIT DATE
Default Codes: 

Notes:
AGE BAND AT SMOKING QUIT DATE is derived as the number of completed years between the PERSON BIRTH DATE and the Intended Smoking Quit Date of the Person Stop Smoking Episode.

Permitted National Codes:

01Under 18 years of age
0218 to 34 years of age
0335 - 44 years of age
0445 - 59 years of age
0560 and over years of age
AGE BAND AT SMOKING QUIT DATE is the same as attribute AGE BAND AT SMOKING QUIT DATE. 

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AGE BAND AT SMOKING QUIT DATE

Change to Data Element: Changed linked Attribute, Description

AGE BAND AT SMOKING QUIT DATE
 
Attribute:
AGE BAND AT SMOKING QUIT DATE

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ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE

Change to Data Element: Changed linked Attribute

ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE
 
Attribute:
ANAESTHETIC OR ANALGESIC CATEGORY

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APGAR SCORE (10 MINUTES)

Change to Data Element: Changed linked Attribute

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ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE (NATIONAL JOINT REGISTRY)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes:
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE (NATIONAL JOINT REGISTRY) is the physical status of the PATIENT as recorded by an anaesthetist for the operative procedure, for the purpose of the National Joint Registry Data Set.

The National Joint Registry Data Set National Codes are based on 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.  For further information see the American Society of Anesthesiologists website at: ASA Physical Status Classification System.

Permitted National Codes:

1Fit and healthy
2Mild disease; not incapacitating
3Incapacitating systemic disease
4Life threatening disease
8Expected to die within 24hrs with or without an operation
 

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BASE DEFICIT CONCENTRATION (WORST WITHIN 12 HOURS AFTER BIRTH)

Change to Data Element: Changed Description

Format/Length:max n2.n1
National Codes: 
Default Codes:99.9 - Worst base deficit not known

Notes:
BASE DEFICIT CONCENTRATION (WORST WITHIN 12 HOURS AFTER BIRTH) is the worst deficit result of any  Clinical Investigation which measures the PERSON's base excess concentration, where the UNIT OF MEASUREMENT is 'Millimoles per litre (mmol/L)', taken within twelve hours of the PERSON BIRTH DATE (BABY).

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BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes:
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE is the composite score PERSON SCORE for the Communication (Expressive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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CANCER CARE SETTING (TREATMENT)

Change to Data Element: Changed linked Attribute, Description

Format/Length:an2
National Codes: 
National Codes:See CANCER CARE SETTING FOR TREATMENT
Default Codes:99 - Unknown (Not Recorded)

Notes:
CANCER CARE SETTING (TREATMENT) is the type of care setting where the cancer care relating to the Treatment Start Date (Cancer) took place.

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

Permitted National Codes:

01Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 'Ordinary admission')
02Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 'Day case admission')
03Cancer treatment delivered in an Out-patient setting
04Cancer treatment delivered in another care setting
CANCER CARE SETTING (TREATMENT) is the same as attribute CANCER CARE SETTING FOR TREATMENT. 

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CANCER CARE SETTING (TREATMENT)

Change to Data Element: Changed linked Attribute, Description

CANCER CARE SETTING (TREATMENT)
 
Attribute:
CANCER CARE SETTING FOR TREATMENT

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DATE OF ASSAULT ON PATIENT

Change to Data Element: Changed linked Attribute

DATE OF ASSAULT ON PATIENT
 
Attribute:
PERSON PROPERTY EFFECTIVE START DATE

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DATE OF SELF-HARM

Change to Data Element: Changed linked Attribute

DATE OF SELF-HARM
 
Attribute:
PERSON PROPERTY EFFECTIVE START DATE

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DATE TIME OF BIRTH (BABY)

Change to Data Element: Changed linked Attribute

DATE TIME OF BIRTH (BABY)
 
Attribute:
PERSON BIRTH DATE
PERSON BIRTH TIME

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DIAGNOSIS TIME (CARDIAC ARREST DONOR)

Change to Data Element: Changed linked Attribute

DIAGNOSIS TIME (CARDIAC ARREST DONOR)
 
Attribute:
PERSON PROPERTY OBSERVED TIME

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DIAGNOSIS TIME (RESPIRATORY ARREST DONOR)

Change to Data Element: Changed linked Attribute

DIAGNOSIS TIME (RESPIRATORY ARREST DONOR)
 
Attribute:
PERSON PROPERTY OBSERVED TIME

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ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO)

Change to Data Element: Changed Description

Format/Length:an10
National Codes: 
Default Codes: 

Notes:
ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) reports the total number of PERSONS eligible to receive immunisation against VACCINE PREVENTABLE DISEASE of Diphtheria, Tetanus and Polio (Td/IPV), for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) that the vaccine if offered to within a REPORTING PERIOD.ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) reports the total number of PERSONS eligible to receive immunisation against Diphtheria, Tetanus and Polio (Td/IPV), for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) that the vaccine is offered to within a REPORTING PERIOD.

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

 

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ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA)

Change to Data Element: Changed Description

Format/Length:an10
National Codes: 
Default Codes: 

Notes:
ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) reports the total number of PERSONS eligible to receive immunisation against VACCINE PREVENTABLE DISEASE of Measles, Mumps and Rubella (MMR), for each  IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) that the vaccine is offered to within a REPORTING PERIOD.ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) reports the total number of PERSONS eligible to receive immunisation against Measles, Mumps and Rubella (MMR), for each  IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) that the vaccine is offered to within a REPORTING PERIOD.

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

 

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ELIGIBLE POPULATION TOTAL (TUBERCULOSIS)

Change to Data Element: Changed Description

Format/Length:an10
National Codes: 
Default Codes: 

Notes:
ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) reports the total number of PERSONS:
  • identified as requiring immunisation against VACCINE PREVENTABLE DISEASE of Tuberculosis (BCG) on the basis of meeting any of the following conditions:
    • the PERSON is aged six years and over
    • the PERSON is under six years of age with a history of residence or prolonged stay of over three months in a country with an annual Tuberculosis incidence of 40/100,000 or greater
    • PERSONS who have had close contact with a PERSON known to have Tuberculosis, or
    • PERSONS who have a family history of Tuberculosis within the last five years
  • identified as requiring immunisation against Tuberculosis (BCG) on the basis of meeting any of the following conditions:
    • the PERSON is aged six years and over
    • the PERSON is under six years of age with a history of residence or prolonged stay of over three months in a country with an annual Tuberculosis incidence of 40/100,000 or greater
    • PERSONS who have had close contact with a PERSON known to have Tuberculosis, or
    • PERSONS who have a family history of Tuberculosis within the last five years
  • for each IMMUNISATION AGE GROUP (TUBERCULOSIS) and IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS) that the vaccine is offered to within a REPORTING PERIOD.
 

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END DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME)

Change to Data Element: Changed linked Attribute

END DATE (RENAL PAEDIATRIC TRANSITION PROGRAMME)
 
Attribute:
ACTIVITY DATE

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END OF THIRD STAGE OF LABOUR DATE TIME

Change to Data Element: Changed linked Attribute

END OF THIRD STAGE OF LABOUR DATE TIME
 
Attribute:
ACTIVITY DATE
ACTIVITY TIME

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END TIME

Change to Data Element: Changed linked Attribute

END TIME
 
Attribute:
ACTIVITY TIME

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HEPATITIS B INFECTION INDICATION CODE

Change to Data Element: Changed linked Attribute, Description

Format/Length:an1
National Codes: 
National Codes:See HEPATITIS B INFECTION INDICATION CODE
Default Codes: 

Notes:
HEPATITIS B INFECTION INDICATION CODE is the result of the Clinical Investigation to indicate whether the PATIENT has a hepatitis B infection.

For the HIV and AIDS Reporting Data Set, HEPATITIS B INFECTION INDICATION CODE indicates if there is Laboratory evidence of the PATIENT having an acute or chronic hepatitis B infection.

Permitted National Codes:

1Yes - the PATIENT has an acute hepatitis B infection
2Yes - the PATIENT has a chronic hepatitis B infection
3No - the PATIENT does not have a hepatitis B infection
4Not tested for a hepatitis B infection
HEPATITIS B INFECTION INDICATION CODE is the same as attribute HEPATITIS B INFECTION INDICATION CODE. 

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HEPATITIS B INFECTION INDICATION CODE

Change to Data Element: Changed linked Attribute, Description

HEPATITIS B INFECTION INDICATION CODE
 
Attribute:
HEPATITIS B INFECTION INDICATION CODE

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HEPATITIS C INFECTION INDICATION CODE

Change to Data Element: Changed linked Attribute, Description

Format/Length:an1
National Codes: 
National Codes:See HEPATITIS C INFECTION INDICATION CODE
Default Codes: 

Notes:
HEPATITIS C INFECTION INDICATION CODE is the result of the Clinical Investigation to indicate whether the PATIENT has a hepatitis C infection.

For the HIV and AIDS Reporting Data Set, HEPATITIS C INFECTION INDICATION CODE indicates if there is Laboratory evidence of the PATIENT having an acute or chronic hepatitis C infection.

Permitted National Codes:

1Yes - the PATIENT has an acute hepatitis C infection
2Yes - the PATIENT has a chronic hepatitis C infection
3No - the PATIENT does not have a hepatitis C infection
4Not tested for a hepatitis C infection
HEPATITIS C INFECTION INDICATION CODE is the same as attribute HEPATITIS C INFECTION INDICATION CODE. 

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HEPATITIS C INFECTION INDICATION CODE

Change to Data Element: Changed linked Attribute, Description

HEPATITIS C INFECTION INDICATION CODE
 
Attribute:
HEPATITIS C INFECTION INDICATION CODE

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IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
An IMMUNISATION AGE GROUP for an Immunisation Programme offering and delivering immunisation against the VACCINE PREVENTABLE DISEASE Diphtheria, tetanus and polio (Td/IPV).IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) is an IMMUNISATION AGE GROUP for an Immunisation Programme offering and delivering immunisation against Diphtheria, tetanus and polio (Td/IPV).

For the Immunisation Programmes Activity Data Set (KC50) the following IMMUNISATION AGE GROUPS must be reported:

Permitted National Codes:

08Age 13 years
09Age 14 years
10Age 15 years
11Age 16 years
12Age 17 years
13Age 18 years
14Age 13 - 18 years
 

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IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
An IMMUNISATION AGE GROUP for an Immunisation Programme delivering immunisation against the VACCINE PREVENTABLE DISEASE Measles, Mumps and Rubella (MMR).IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) is an IMMUNISATION AGE GROUP for an Immunisation Programme delivering immunisation against Measles, Mumps and Rubella (MMR).

For the Immunisation Programmes Activity Data Set (KC50) the following IMMUNISATION AGE GROUPS must be reported:

Permitted National Codes:

08Age 13 years
09Age 14 years
10Age 15 years
11Age 16 years
12Age 17 years
13Age 18 years
14Age 13 - 18 years
 

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IMMUNISATION AGE GROUP (TUBERCULOSIS)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
An IMMUNISATION AGE GROUP for an Immunisation Programme delivering immunisation against the VACCINE PREVENTABLE DISEASE Tuberculosis (BCG).IMMUNISATION AGE GROUP (TUBERCULOSIS) is an IMMUNISATION AGE GROUP for an Immunisation Programme delivering immunisation against Tuberculosis (BCG).

For the Immunisation Programmes Activity Data Set (KC50):

Permitted National Codes:

16Age 6 - 15 years
17Age 16 years and over

Permitted National Codes:

15Age 1 - 5 years
16Age 6 - 15 years
17Age 16 years and over
 

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IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA)

Change to Data Element: Changed Description

Format/Length:an10
National Codes: 
Default Codes: 

Notes:
IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA) reports the total number of completed courses of immunisation against the VACCINE PREVENTABLE DISEASE Measles, Mumps and Rubella (MMR), for each IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) within a REPORTING PERIOD.IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA) reports the total number of completed courses of immunisation against Measles, Mumps and Rubella (MMR), for each IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) within a REPORTING PERIOD. 

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IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO)

Change to Data Element: Changed Description

Format/Length:an10
National Codes: 
Default Codes: 

Notes:
IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO) reports the total number of Immunisation Doses Given against the VACCINE PREVENTABLE DISEASE of Diphtheria, Tetanus and Polio (Td/IPV), for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO)  within a REPORTING PERIOD.IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO) reports the total number of Immunisation Doses Given against Diphtheria, Tetanus and Polio (Td/IPV), for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) within a REPORTING PERIOD. 

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IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS)

Change to Data Element: Changed Description

Format/Length:an10
National Codes: 
Default Codes: 

Notes:
IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) reports the total number of Immunisation Doses Given against the VACCINE PREVENTABLE DISEASE Tuberculosis (BCG), for each IMMUNISATION AGE GROUP (TUBERCULOSIS) and IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS) within a REPORTING PERIOD.IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) reports the total number of Immunisation Doses Given against Tuberculosis (BCG), for each IMMUNISATION AGE GROUP (TUBERCULOSIS) and IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS) within a REPORTING PERIOD. 

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IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR)

Change to Data Element: Changed Description

Format/Length:an10
National Codes: 
Default Codes: 

Notes:
IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR) reports the total number of Immunisation Doses Given against the VACCINE PREVENTABLE DISEASE Tuberculosis (BCG) to all PERSONS aged under 1 year, within a REPORTING PERIOD.IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR) reports the total number of Immunisation Doses Given against Tuberculosis (BCG) to all PERSONS aged under 1 year, within a REPORTING PERIOD. 

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IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes:
An IMMUNISATION PROGRAMME TYPE for an Immunisation Programme delivering immunisation against the VACCINE PREVENTABLE DISEASE Tuberculosis (BCG).IMMUNISATION PROGRAMME TYPE (TUBERCULOSIS) is an IMMUNISATION PROGRAMME TYPE for an Immunisation Programme delivering immunisation against the Tuberculosis (BCG).

For the Immunisation Programmes Activity Data Set (KC50):

Permitted National Codes:

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

Permitted National Codes:

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

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INTENDED PROCEDURE STATUS CODE

Change to Data Element: Changed linked Attribute, Description

Format/Length:an1
National Codes: 
Default Codes: 
National Codes:See INTENDED PROCEDURE STATUS
Default Codes:9 - Not known


Notes:
Permitted National Codes:

1Operative procedure intended
8Not applicable: no operative procedure intended
9Not known
INTENDED PROCEDURE STATUS CODE is the same as INTENDED PROCEDURE STATUS. 

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INTENDED PROCEDURE STATUS CODE

Change to Data Element: Changed linked Attribute, Description

INTENDED PROCEDURE STATUS CODE
 
Attribute:
INTENDED PROCEDURE STATUS

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MANUFACTURERS NAME (DIALYSER)

Change to Data Element: Changed linked Attribute, Description

Format/Length:max an250
National Codes: 
Default Codes: 

Notes:
MANUFACTURERS NAME (DIALYSER) is the same as attribute MACHINE NAME.

MANUFACTURERS NAME (DIALYSER) is the manufacturer's name of the dialyser MACHINE that was used to perform the haemodialysis.  

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MANUFACTURERS NAME (DIALYSER)

Change to Data Element: Changed linked Attribute, Description

MANUFACTURERS NAME (DIALYSER)
 
Attribute:
MACHINE NAME

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MAXIMUM DEPTH OF INVASION

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes:00 - Not Applicable for nasopharynx, hypopharynx, nasal cavity or sinuses *
Default Codes:00 - Not Applicable for nasopharynx, hypopharynx, nasal cavity or sinuses

Notes:
MAXIMUM DEPTH OF INVASION is the same as attribute MAXIMUM DEPTH OF INVASION.

* Note: For the Cancer Outcomes and Services Data Set, MAXIMUM DEPTH OF INVASION is not applicable for nasopharynx, hypopharynx, nasal cavity or sinuses and value 00 should be returned in these circumstances.For the Cancer Outcomes and Services Data Set, MAXIMUM DEPTH OF INVASION is not applicable for nasopharynx, hypopharynx, nasal cavity or sinuses and value 00 should be returned in these circumstances.

 

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NAME FORMAT CODE (RETIRED)  renamed from NAME FORMAT CODE

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

Format/Length:n1
National Codes: 
Default Codes:9 - Not known: a validation error

Notes:
This is used in the CDS to identify the format of a PATIENT NAME, with the classification values indicating whether it is a PERSON NAME STRUCTURED or PERSON NAME UNSTRUCTURED.

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

1Structured - two element name, forename followed by surname, each element an35
2Unstructured - an70
 The last live version of this item is available in the October 2018 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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NAME FORMAT CODE (RETIRED)  renamed from NAME FORMAT CODE

Change to Data Element: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Data_Field_Notes.N.NAME_FORMAT_CODE to Retired.Data_Dictionary.Data_Field_Notes.N.NAME_FORMAT_CODE
  • Changed Description
  • Retired NAME FORMAT CODE

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NHS NUMBER STATUS INDICATOR CODE

Change to Data Element: Changed linked Attribute, Description

Format/Length:an2
National Codes: 
National Codes:See NHS NUMBER STATUS INDICATOR CODE
Default Codes: 

Notes:
NHS NUMBER STATUS INDICATOR CODE is the trace status of the NHS NUMBER.

Permitted National Codes:

01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS Number or PATIENT detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old)
NHS NUMBER STATUS INDICATOR CODE is the same as attribute NHS NUMBER STATUS INDICATOR CODE. 

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NHS NUMBER STATUS INDICATOR CODE

Change to Data Element: Changed linked Attribute, Description

NHS NUMBER STATUS INDICATOR CODE
 
Attribute:
NHS NUMBER STATUS INDICATOR CODE

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NHS NUMBER STATUS INDICATOR CODE (BABY)

Change to Data Element: Changed linked Attribute, Description

Format/Length:See NHS NUMBER STATUS INDICATOR CODE 
National Codes: 
National Codes:See NHS NUMBER STATUS INDICATOR CODE
Default Codes: 

Notes:
NHS NUMBER STATUS INDICATOR CODE (BABY) is the NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (BABY).

Permitted National Codes:

01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS Number or PATIENT detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old)
NHS NUMBER STATUS INDICATOR CODE (BABY) is the is the same as attribute NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (BABY). 

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NHS NUMBER STATUS INDICATOR CODE (BABY)

Change to Data Element: Changed linked Attribute, Description

NHS NUMBER STATUS INDICATOR CODE (BABY)
 
Attribute:
NHS NUMBER STATUS INDICATOR CODE

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NHS NUMBER STATUS INDICATOR CODE (MOTHER)

Change to Data Element: Changed linked Attribute, Description

Format/Length:See NHS NUMBER STATUS INDICATOR CODE 
National Codes: 
National Codes:See NHS NUMBER STATUS INDICATOR CODE
Default Codes: 

Notes:
NHS NUMBER STATUS INDICATOR CODE (MOTHER) is the NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (MOTHER).NHS NUMBER STATUS INDICATOR CODE (MOTHER) is the same as attribute NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (MOTHER).

Permitted National Codes:For the purposes of the Maternity Services Data Set, NHS NUMBER STATUS INDICATOR CODE National Code 08 Trace postponed (baby under six weeks old) is not reported.

01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS Number or PATIENT detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old)*

*For the purposes of the Maternity Services Data Set, National Code 08 Trace postponed (baby under six weeks old) is not reported.

 

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NHS NUMBER STATUS INDICATOR CODE (MOTHER)

Change to Data Element: Changed linked Attribute, Description

NHS NUMBER STATUS INDICATOR CODE (MOTHER)
 
Attribute:
NHS NUMBER STATUS INDICATOR CODE

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ONS LOCAL GOVERNMENT GEOGRAPHY CODE (LOCAL AUTHORITY DISTRICT) (RETIRED)

Change to Data Element: Changed linked Attribute

ONS LOCAL GOVERNMENT GEOGRAPHY CODE (LOCAL AUTHORITY DISTRICT) (retired)
 
Attribute:
GEOGRAPHIC AREA CODE

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OPERATION FUNDING (NATIONAL JOINT REGISTRY)

Change to Data Element: Changed linked Attribute, Description

Format/Length:an1
National Codes: 
National Codes:See OPERATION FUNDING FOR NATIONAL JOINT REGISTRY
Default Codes: 

Notes:
OPERATION FUNDING (NATIONAL JOINT REGISTRY) is an indication of whether the Joint Replacement Surgery is funded by the NHS, for the purpose of the National Joint Registry Data Set.

Permitted National Codes:

2NHS
3Independent
OPERATION FUNDING (NATIONAL JOINT REGISTRY) is the same as attribute OPERATION FUNDING FOR NATIONAL JOINT REGISTRY. 

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OPERATION FUNDING (NATIONAL JOINT REGISTRY)

Change to Data Element: Changed linked Attribute, Description

OPERATION FUNDING (NATIONAL JOINT REGISTRY)
 
Attribute:
OPERATION FUNDING FOR NATIONAL JOINT REGISTRY

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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) *
Default Codes: 

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.

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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PATIENT NAME

Change to Data Element: Changed Description

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

Notes:
PATIENT NAME is the PERSON NAME where the PERSON NAME CLASSIFICATION is 'Preferred Name' of the PATIENT.

NAME FORMAT CODE indicates whether it is a PERSON NAME STRUCTURED or PERSON NAME UNSTRUCTURED.

The PATIENT's name and address should be withheld from any commissioning data that contains a valid NHS NUMBER.  See Security Issues and Patient Confidentiality for more details.For the Commissioning Data Sets it is necessary to identify whether the PERSON NAME is a PERSON NAME STRUCTURED or PERSON NAME UNSTRUCTURED using the following codes.

1Structured - two element name, forename followed by surname, each element an35
2Unstructured - an70
9Not known: a validation error
 The PATIENT's name and ADDRESS should be withheld from any Commissioning Data Set that contains a valid NHS NUMBER.  For further information, see the Security Issues and Patient Confidentiality.

 

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PATIENT USUAL ADDRESS

Change to Data Element: Changed Description

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

Notes:
PATIENT USUAL ADDRESS is the usual ADDRESS nominated by the PATIENT, where the ADDRESS ASSOCIATION TYPE is 'Main Permanent Residence' or 'Other Permanent Residence'.

For Commissioning Data Set functionality see ADDRESS FORMAT CODE.For the Commissioning Data Sets it is necessary whenever an ADDRESS is included in a Commissioning Data Set message to allow correct interpretation by the recipient. The following values have been used in Commissioning Data Set message implementations and are recommended to be used.

1 or STo denote a "Label format" ADDRESS, i.e. an ADDRESS consisting of up to five address lines of 35 characters where each line is left justified as a specific data element
2 or UTo denote an unstructured ADDRESS, i.e. an ADDRESS consisting of up to five contiguous data elements of 35 characters representing a 175 character string

If PATIENTS usually resident elsewhere are staying in hotels, hostels or other residential establishments for a short term, say a week, they should be recorded as staying at their usual place of residence. However if long term, such as at boarding school, the school ADDRESS must be recorded.If PATIENTS usually resident elsewhere are staying in hotels, hostels or other residential establishments for a short term, for example, a week, they should be recorded as staying at their usual place of residence. However if it is long term, such as at boarding school, the School ADDRESS must be recorded. University students may nominate either their home ADDRESS or the ADDRESS of their university accommodation.

Where PATIENTS are not capable of supplying this information, because of age or mental illness, for example, then the PERSON responsible for the PATIENT, such as a parent or guardian, should nominate the usual address.Where PATIENTS are not capable of supplying this information, because of age or mental illness, for example, then the PERSON responsible for the PATIENT, such as a parent or guardian, should nominate the PATIENT USUAL ADDRESS.

PATIENTS not able to provide an ADDRESS should be asked for their most recent ADDRESS. If this cannot be established, record the ADDRESS as 'No fixed abode' or 'Address unknown'. These PATIENTS are regarded as resident in the local geographical district for commissioning purposes.

For birth episodes this should refer to the mother's usual place of residence.

The format of 5 lines of an35 conforms to ADDRESS FORMAT TYPE 'Unstructured Format'. The format refers to the physical layout of the address, not the logical layout, and does not require intelligent intervention when splitting the text string into lines. The format refers to the physical layout of the ADDRESS, not the logical layout, and does not require intelligent intervention when splitting the text string into lines. For example:

 Flat 1, 21 Arbuthnott Avenue, Pollo (35 chars)
 k Estate, Lesser Hinkley, Staffords (35 chars)
 hire (4 chars)

The PATIENT's name and ADDRESS should be withheld from any commissioning record which contains a valid NHS NUMBER.

 

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PSYCHIATRIC PATIENT STATUS CODE

Change to Data Element: Changed linked Attribute, Description

Format/Length:an1
National Codes: 
National Codes:See PSYCHIATRIC PATIENT STATUS
Default Codes: 

Notes:
The PSYCHIATRIC PATIENT STATUS CODE applies only to PATIENTS admitted or transferred to a CONSULTANT in one of the psychiatric specialties within a Hospital Provider Spell. Record this against the first consultant episode under a CONSULTANT in one of the psychiatric specialties but not for subsequent psychiatric consultant episodes or for any non-psychiatric episodes. This information is used to indicate the turnover period within the service and identify, where possible, all first time psychiatric admissions and re-admissions.

Where a PATIENT has a history of admissions to several Hospital Provider, then priority between National Codes 1 and 2 should be given to the current Hospital Provider, and National Code 1 selected, irrespective of whether or not the last admission was to the same Hospital Provider.

Permitted National Codes:

0No known previous Hospital Provider Spells with a Consultant Episode (Hospital Provider) within a psychiatric speciality within any Health Care Provider.
1One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with this Health Care Provider.
2One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with another Health Care Provider, but none with this Health Care Provider.
8Not applicable: the PATIENT is not receiving admitted patient care under a CONSULTANT in a psychiatric specialty.
9Not known: the PATIENT is receiving admitted patient care under a CONSULTANT in a psychiatric specialty, but the information is not available. This constitutes a validation error
PSYCHIATRIC PATIENT STATUS CODE is the same as attribute PSYCHIATRIC PATIENT STATUS. 

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PSYCHIATRIC PATIENT STATUS CODE

Change to Data Element: Changed linked Attribute, Description

PSYCHIATRIC PATIENT STATUS CODE
 
Attribute:
PSYCHIATRIC PATIENT STATUS

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REGISTERED FOR OTHER TRANSPLANT TYPE (RETIRED)  renamed from REGISTERED FOR OTHER TRANSPLANT TYPE

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

Format/Length:an1
National Codes: 
Default Codes: 

Notes:
REGISTERED FOR OTHER TRANSPLANT TYPE is a derived indicator of if the recipient is registered for other types of transplant. The two types that are of interest are heart (and/or) lungs or liver transplants.

This is derived from if the PATIENT is on an ELECTIVE ADMISSION LIST for a transplant where the type of transplant is heart and/or lungs or liver.This item has been retired from the NHS Data Model and Dictionary.

Permitted National Codes:The last live version of this item is available in the October 2018 release of the NHS Data Model and Dictionary.

1Heart and/or lung(s)
2Liver
 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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REGISTERED FOR OTHER TRANSPLANT TYPE (RETIRED)  renamed from REGISTERED FOR OTHER TRANSPLANT TYPE

Change to Data Element: Changed Name, Description, status to Retired
  • Changed Name from Data_Dictionary.Data_Field_Notes.R.Reg.REGISTERED_FOR_OTHER_TRANSPLANT_TYPE to Retired.Data_Dictionary.Data_Field_Notes.R.REGISTERED_FOR_OTHER_TRANSPLANT_TYPE
  • Changed Description
  • Retired REGISTERED FOR OTHER TRANSPLANT TYPE

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RESUSCITATION METHOD CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:8 - Not applicable (e.g. stillborn, where no method of resuscitation was attempted)
 9 - Not known: a validation error


Notes:
RESUSCITATION METHOD CODE is derived from RESUSCITATION METHOD POSITIVE PRESSURE and RESUSCITATION METHOD DRUGS.RESUSCITATION METHOD CODE is an indicator of whether resuscitation was:

  • by positive pressure and
  • administered using drugs.

RESUSCITATION METHOD CODE records the means by which regular respiration of the baby was attempted. This is not recorded for stillbirths. For local purposes, the actual drugs administered should be specified.RESUSCITATION METHOD CODE records the means by which regular respiration of the baby was attempted and is not recorded for stillbirths.

For local purposes, the actual drugs administered should be specified.

Permitted National Codes:

1Positive pressure nil, drugs nil
2Positive pressure nil, drugs administered
3Positive pressure by mask, drugs nil
4Positive pressure by mask, drugs administered
5Positive pressure by endotracheal tube, drugs nil
6Positive pressure by endotracheal tube, drugs administered
 

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RETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR

Change to Data Element: Changed linked Attribute

RETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR
 
Attribute:
PATIENT PROCEDURE PERFORMED INDICATOR

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SITE CODE (RECEIVING)

Change to Data Element: Changed Description

Format/Length:min an5 max an9
National Codes: 
Default Codes:ZZ201 - Not applicable (not discharged to another Organisation) *
Default Codes:ZZ201 - Not applicable (not discharged to another Organisation)

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

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

For the National Neonatal Data Set - Episodic and Daily Care, SITE CODE (RECEIVING) is the ORGANISATION SITE CODE of the Organisation where a baby is transferred to on discharge from the Neonatal Critical Care Unit. 

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

 

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WAITING TIME ADJUSTMENT (TREATMENT)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

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

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

Adjustments are allowed in the following circumstances:

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

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

Guidance on calculating the number of days which may be removed from the waiting time is available on the NHS Digital website at: Cancer Waiting Times.

 

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WAITING TIME ADJUSTMENT REASON (TREATMENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See WAITING TIME ADJUSTMENT REASON 
Default Codes: 

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

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

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

 

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

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