NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1758
Version No:1.0
Subject:January 2020 Release Patch
Effective Date:Immediate
Reason for Change:Change to Information Standards
Publication Date:26 March 2020

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the new 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: https://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

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

Summary of changes:

Supporting Information
ABOUT THE NHS DATA MODEL AND DICTIONARY VERSION 3   Changed Description
ADULT MENTAL HEALTH, LEARNING DISABILITY OR AUTISM SPECTRUM DISORDER CARE SPELL (RETIRED) renamed from ADULT MENTAL HEALTH, LEARNING DISABILITY OR AUTISM SPECTRUM DISORDER CARE SPELL (RETIRED)   Changed Name
ARRIVAL DATE AND TIME@ACCIDENT AND EMERGENCY DEPARTMENT (RETIRED) renamed from ARRIVAL DATE AND TIME AT ACCIDENT AND EMERGENCY DEPARTMENT (RETIRED)   Changed Name
CLINIC ATTENDANCE SEXUAL AND REPRODUCTIVE HEALTH SERVICE (RETIRED) renamed from CLINIC ATTENDANCE SEXUAL AND REPRODUCTIVE HEALTH SERVICE (RETIRED)   Changed Name
EMERGENCY CARE INITIAL ASSESSMENT DATE renamed from EMERGENCY CARE INITIAL ASSESSMENT DATE   Changed Name
HEALTHCARE RESOURCE GROUP   Changed Description
LEARNING DISABILITY   Changed Description
NATIONAL CASEMIX OFFICE   Changed Description
NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE   Changed Description
SPECIAL HEALTH AUTHORITY   Changed Description
SUPPORTING INFORMATION INTRODUCTION   Changed Description
SUPPORTING INFORMATION MENU   Changed Description
WHAT'S NEW: MARCH 2020 renamed from WHAT'S NEW: DECEMBER 2019   Changed Name, Description
 
Class Definitions
REGISTRABLE BIRTH   Changed Description
 
Attribute Definitions
ADMISSION OFFER OUTCOME   Changed Description
CONSULTATION MEDIUM USED   Changed Description
CONSULTATION TYPE   Changed Description
CONTINUITY OF CARER PATHWAY INDICATOR   Changed Description
DISCHARGE DESTINATION   Changed Description
FINANCIAL MONTH   Changed Description
JOB ROLE CODE   Changed Description
JOINT REPLACEMENT REVISION REASON CODE FOR ANKLE   Changed Description
LIVE OR STILL BIRTH   Changed Description
POINT OF DELIVERY CODE FOR PATIENT LEVEL INFORMATION COSTING   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
 
Data Elements
ARRIVAL TIME AT ACCIDENT AND EMERGENCY DEPARTMENT   Changed linked Attribute
CARE ACTIVITY TYPE (PATIENT LEVEL INFORMATION COSTING)   Changed Description
CLINICAL CONTACT DURATION OF APPOINTMENT   Changed Description
CLINICAL CONTACT DURATION OF CARE CONTACT   Changed Description
HIGH COST TARIFF EXCLUDED DEVICE CODE (SNOMED CT DM+D)   Changed Description
MONTHLY EXTRACT TOTAL COST (PATIENT LEVEL INFORMATION COSTING)   Changed Description
NEONATAL LEVEL OF CARE CODE   Changed Description
PATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY)   Changed Description
PREGNANCY TOTAL PREVIOUS PREGNANCIES   Changed Description
 

Date:26 March 2020
Sponsor:Nicholas Oughtibridge, Head of Clinical Data Architecture, 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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ABOUT THE NHS DATA MODEL AND DICTIONARY VERSION 3

Change to Supporting Information: Changed Description

Following the issue of DSCN 07/2004 'Data Standards: Meta Model', the NHS Data Model and Dictionary was changed to reflect and be based upon a more generic logical data model which better supports the strategic way forward. This NHS Data Model and Dictionary was published as the NHS Data Model and Dictionary Version 3.

There was extensive quality assurance of Version 3 including involvement of the Data Definition Group. All Version 3 contents were cross mapped and checked to ensure consistency with the Version 2 contents but the underlying structure was genericised. No changes were made to NHS Business Definitions. Version 3 superseded Version 2 on 1st May 2005.

The NHS Data Dictionary Version 2 has been frozen and made available for archive information purposes only and has been watermarked accordingly.The NHS Data Dictionary Version 2 has been frozen and made available for archive information purposes only and has been watermarked accordingly.

Summary of main changes and enhancements incorporated within Version 3

  • Introduction of the capability of holding Retired Items
  • Introduction of NHS Business Definitions, which allow specific business areas to be defined in a more flexible manner
  • New ‘All Items Index’ which lists all the contents held within the NHS Data Model and Dictionary
  • Reduction in the number of data model diagrams making them more comprehensible
  • Introduction of Domains, which are conceptual logical modelling objects which identify the logical format, length and value set attributable to one or more attribute(s)
  • 'Where Used' list expanded to include a description of usage column
  • Creation of a separate Meta Model area within the publication

The introduction of Version 3 had no impact on current information standards or system suppliers.

About the Generic Model

Version 3 introduced a new Generic Model which is 'PERSON based' rather than 'ORGANISATION based'. The model has been developed around generic 'CARE ACTIVITIES' for a PATIENT, with each event transaction being recorded.

The Generic Model supports all the messages, data sets and central returns which the model supported but the underlying structure has been genericised. This involved grouping many of the old classes into generic classes like ACTIVITY GROUP. However, none of the detail was lost and most of the old class definitions can be found under 'NHS Business Definitions'. The number of diagrams has been greatly reduced and they now describe coherent areas of the model which is a far more useful approach for data modellers.

The model is aimed at enabling all 'CARE ACTIVITIES' related to the same condition for the same PATIENT to be recorded and linked across ORGANISATIONS. The different states of the same 'CARE ACTIVITY' are recorded as event transactions e.g. requested, intended, scheduled, provided, cancelled, etc. These different state events also drive the scheduling and capacity planning of resources (people, equipment, facilities, etc.) to deliver the care.

Although this may seem complicated, it is necessary both to form a coherent logical model and to relate physical information such as that which flows on the Data Sets to the logical model. Every physical item should be represented logically in the NHS Data Model and Dictionary. However, the scope of the logical model is greater than the physical information it holds and therefore not all logical information has a physical existence.

Contact us for more information: information.standards@nhs.net.

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ADULT MENTAL HEALTH, LEARNING DISABILITY OR AUTISM SPECTRUM DISORDER CARE SPELL (RETIRED)  renamed from ADULT MENTAL HEALTH, LEARNING DISABILITY OR AUTISM SPECTRUM DISORDER CARE SPELL (RETIRED)

Change to Supporting Information: Changed Name
  • Changed Name from Retired.Data_Dictionary.NHS_Business_Definitions.A.Adult_Mental_Health,_Learning_Disability_or_ Autism_Spectrum_Disorder_Care_Spell to Retired.Data_Dictionary.NHS_Business_Definitions.A.Adult_Mental_Health,_Learning_Disability_or_Autism_Spectrum_Disorder_Care_Spell

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ARRIVAL DATE AND TIME@ACCIDENT AND EMERGENCY DEPARTMENT (RETIRED)  renamed from ARRIVAL DATE AND TIME AT ACCIDENT AND EMERGENCY DEPARTMENT (RETIRED)

Change to Supporting Information: Changed Name
  • Changed Name from Retired.Data_Dictionary.NHS_Business_Definitions.A.Arrival_Date_and_Time_at Accident_and_Emergency_Department to Retired.Data_Dictionary.NHS_Business_Definitions.A.Arrival_Date_and_Time_at_Accident_and_Emergency_Department

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CLINIC ATTENDANCE SEXUAL AND REPRODUCTIVE HEALTH SERVICE (RETIRED)  renamed from CLINIC ATTENDANCE SEXUAL AND REPRODUCTIVE HEALTH SERVICE (RETIRED)

Change to Supporting Information: Changed Name
  • Changed Name from Retired.Data_Dictionary.NHS_Business_Definitions.C.Clinic_Attendance_Sexual _and_Reproductive_Health_Service to Retired.Data_Dictionary.NHS_Business_Definitions.C.Clinic_Attendance_Sexual_and_Reproductive_Health_Service

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EMERGENCY CARE INITIAL ASSESSMENT DATE  renamed from EMERGENCY CARE INITIAL ASSESSMENT DATE

Change to Supporting Information: Changed Name
  • Changed Name from Data_Dictionary.NHS_Business_Definitions.E.Emergency_Care_Initial_Assessment _Date to Data_Dictionary.NHS_Business_Definitions.E.Emergency_Care_Initial_Assessment_Date

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HEALTHCARE RESOURCE GROUP

Change to Supporting Information: Changed Description

Developed by the National Casemix Office, Healthcare Resource Groups (HRGs) are standard groupings of clinically similar treatments which use common levels of healthcare resource.

Healthcare Resource Groups offer Organisations the ability to understand their ACTIVITY in terms of the types of PATIENTS they care for and the treatments they undertake. They enable the comparison of ACTIVITY within and between different Organisations and provide an opportunity to benchmark treatments and services to support trend analysis over time.

Healthcare Resource Groups are currently used as a means of determining fair and equitable reimbursement for care services delivered by Health Care Providers. Their use as consistent 'units of currency' supports standardised healthcare commissioning across the NHS. They improve the flow of finances within - and sometimes beyond - the NHS.

For further information on Healthcare Resource Groups, see the NHS Digital website at: Introduction to Healthcare Resource Groups.For further information on Healthcare Resource Groups, see the NHS Digital website at: Downloads - Groupers and Tools.

 

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LEARNING DISABILITY

Change to Supporting Information: Changed Description

A Learning Disability (formerly known as a Mental Handicap and referred to as an Intellectual Disability) is a type of DISABILITY.

A Learning Disability usually has a significant impact on a PERSON's life. A PERSON with a Learning Disability finds it harder than others to learn, understand and communicate.

People with Profound and Multiple Learning Disabilities need full-time help with every aspect of their lives, including eating, drinking, washing, dressing and toileting etc.

Learning Disability includes the presence of a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence), with

  • a reduced ability to cope independently (impaired social functioning)
  • which started before adulthood, with a lasting effect on development.

Further information regarding people covered by definition can be found in the document 'Valuing People: A New Strategy for Learning Disability for the 21st Century'.

Although, from a social care perspective, an Intelligence Quotient (IQ) of seventy or less is not sufficient reason for deciding if an individual should be provided with additional health and social care support, the following definition is applied within the Mental Health Services Data Set in the specific circumstance where data providers do not have an explicit data item to capture whether a PATIENT has a Learning Disability

Someone is considered to have a Learning Disability when they function at a level of intellectual ability which is significantly lower than their chronological age. This is usually considered to be equivalent to having an IQ of seventy or less:

  • Mild Learning Disability (roughly equivalent to an IQ of fifty to seventy) is comparable to the educational term 'Moderate Learning Difficulty'. It is usually caused by a combination of restricted learning and social opportunities plus a high rate of low to average intellectual ability and Learning Disability in close relatives.

  • Moderate-to-profound Learning Disability (roughly equivalent to an IQ below fifty) is comparable to the educational term 'Severe Learning Difficulty'. It usually has a specific biological cause.

Note: A Learning Difficulty is a type of Special Education Need which affects areas of learning, such as reading, writing, spelling, mathematics etc.

Further information on Learning Disabilities, can be found on the internet, for example:

 

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NATIONAL CASEMIX OFFICE

Change to Supporting Information: Changed Description

The National Casemix Office (NCO) is an Organisation.

The National Casemix Office designs and refines classifications that are used by the English NHS to describe healthcare ACTIVITY. These classifications underpin the National Tariff Payment System from costing through to payment, and support local commissioning and performance management.

The National Casemix Office enables the NHS to:

  • support ACTIVITY costing: to inform the National Tariff Payment System processes
  • report on PATIENT ACTIVITY information: to ensure that providers are paid for the SERVICES they deliver
  • provide information: to support epidemiological studies and service planning
  • enable providers and commissioners to use HRGs to benchmark and performance manage.
For further information on the National Casemix Office, see the NHS Digital website at: National Casemix Office (NCO).For further information on the National Casemix Office, see the NHS Digital website at: National Casemix Office. 

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NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE

Change to Supporting Information: Changed Description

A NHS Continuing Healthcare Previously Unassessed Period of Care (PUPoC) is a period of NHS Continuing Healthcare.An NHS Continuing Healthcare Previously Unassessed Period of Care (PUPoC) is a period of NHS Continuing Healthcare.

A NHS Continuing Healthcare Previously Unassessed Period of Care refers to a specific request to consider eligibility for a past period of NHS Continuing Healthcare.An NHS Continuing Healthcare Previously Unassessed Period of Care refers to a specific request to consider eligibility for a past period of NHS Continuing Healthcare.

NHS Continuing Healthcare Previously Unassessed Periods of Care may relate to either deceased or ongoing eligible cases.

For example, an individual may be:

  • Deceased and their family may make a claim to consider eligibility for a past period of care in isolation or
  • Agreed eligible for Standard NHS Continuing Healthcare via the normal assessment route and also have a claim for a past period of care considered.

For further information on NHS Continuing Healthcare Previously Unassessed Periods of Care, see the:

 

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SPECIAL HEALTH AUTHORITY

Change to Supporting Information: Changed Description

A Special Health Authority (SpHA) is an Organisation.

A Special Health Authority provides a health service to the whole of England, not just to a local community, for example, the NHS Business Services Authority, Health Research Authority etc.

Special Health Authorities are independent, but can be subject to ministerial direction in the same way as other NHS bodies.

For further information on Special Health Authorities, see the NHS website at:

 

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WHAT'S NEW: MARCH 2020  renamed from WHAT'S NEW: DECEMBER 2019

Change to Supporting Information: Changed Name, Description

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

March 2020

  • CR1690 (1 April 2020) - DCB1069 Community Services Data Set Version 1.5
  • CR1714 (1 April 2020) - DCB1521 Cancer Outcomes and Services Data Set Version 9
  • CR1719 (1 April 2020) - DCB1520 Improving Access to Psychological Therapies Data Set Version 2
  • CR1732 (1 April 2020) - DCB0011 Mental Health Services Data Set Version 4.1
  • CR1723 (1 April 2020) - DCB0084 Introduction of OPCS-4.9
  • CR1743 (1 April 2020) - DCB1533 Aggregate Contract Monitoring Data Set Update
  • CR1744 (1 April 2020) - DCB1533 Patient Level Contract Monitoring Data Set Update
  • CR1753 (1 April 2020) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
  • CR1757 (1 April 2020) - DDCN 1757/2020 Organisation Data Service Information Update
  • CR1752 (Immediate) - DDCN 1752/2020 Practitioners with a Special Interest Name Change

Release: December 2019

  • CR1746 (Immediate) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
  • CR1747 (Immediate) - DCB2212 Drugs Patient Level Contract Monitoring Data Set
  • CR1747 (Immediate) - DCB2212 Drugs Patient Level Contract Monitoring Data Set Update
  • CR1724 (1 January 2020) - DCB1533 National Workforce Data Set Version 3.1
  • CR1756 (Immediate) - DDCN 1756/2019 Social Work England
  • CR1703 (Immediate) - DDCN 1703/2019 Update to GP Default Code V81998 Definition
  • CR1741 (Immediate) - DDCN 1741/2019 Critical Care Minimum Data Set

Release: October 2019

  • CR1668 (Immediate) - DDCN 1668/2019 Retirement of National Renal Data Set

Release: August 2019

  • CR1661 (1 September 2019) - DCB1533 Systemic Anti-Cancer Therapy Data Set Version 3
  • CR1734 (Immediate) - DDCN 1734/2019 Consultation Medium Used Update
  • CR1731 (Immediate) - DDCN 1731/2019 Retirement of Quarterly Bed Availability and Occupancy Data Set (KH03)
  • CR1735 (Immediate) - DDCN 1735/2019 Retirement of Mixed Sex Accommodation Data Set
  • CR1641 (Immediate) - DDCN 1641/2019 Retirement of Emergency Care Weekly Situation Report Data Set

Release: July 2019

  • CR1634 (Immediate) - DCB2123 Patient Level Information Costing System (PLICS) Acute Data Set
  • CR1696 (Immediate) - DDCN 1696/2019 SNOMED CT Subsets
  • CR1722 (Immediate) - DDCN 1722/2019 GUMCAD Sexually Transmitted Infection Surveillance System Data Set

Release: May 2019

  • CR1611 (Immediate) - DCB2050 Introduction of the Aggregate Contract Monitoring Data Set
  • CR1613 (Immediate) - DCB3003 Introduction of Patient Level Contract Monitoring Data Set
  • CR1612 (Immediate) - DCB3002 Introduction of Devices Patient Level Contract Monitoring Data Set
  • CR1615 (Immediate) - DCB2212 Introduction of Drugs Patient Level Contract Monitoring Data Set
  • CR1713 (Immediate) - DCB1593 Venous Thromboembolism Risk Assessment Data Set Update
  • CR1730 (Immediate) - DDCN 1730/2019 Retirement of Diagnostics Waiting Times and Activity Data Set
  • CR1729 (Immediate) - DDCN 1729/2019 Retirement of Diagnostics Waiting Times Census Data Set
  • CR1728 (Immediate) - DDCN 1728/2019 Retirement of Referral To Treatment Data Set
  • CR1727 (Immediate) - DDCN 1727/2019 Retirement of National Direct Access Audiology Data Set
  • CR1725 (Immediate) - DDCN 1725/2019 Retirement of Quarterly Monitoring Cancelled Operations Data Set (QMCO)

Release: April 2019

  • CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
  • CR1708 (Immediate) - DDCN 1708/2019 Retirement of KC50: Immunisation Programmes Activity Data Set (KC50)
  • CR1700 (Immediate) - DDCN 1700/2019 Retirement of KC65: Colposcopy Clinics: Referrals, Treatments and Outcomes
  • CR1699 (Immediate) - DDCN 1699/2019 Retirement of KC53: Adult Screening Programmes - Cervical Screening
  • CR1698 (Immediate) - DDCN 1698/2019 Retirement of Edifact Items
  • CR1568 (Immediate) - DDCN 1568/2019 Retirement of KC61: Pathology Laboratories: Cervical Screening and Outcome of Referrals
  • CR1536 (Immediate) - DDCN 1536/2019 Retirement of KH12: Imaging and Radiological Examinations or Tests in any Part of a Hospital
  • CR1499 (Immediate) - DDCN 1499/2019 Retirement of NHS Health Checks Data Set

Release: March 2019

  • CR1550 (1 April 2019) - DCB1513 Maternity Services Data Set Version 2
  • CR1648 (1 April 2019) - DCB0011 Mental Health Services Data Set Version 4 
  • CR1654 (1 April 2019) - DCB0092-2062 Update to Commissioning Data Set Type 011 Emergency Care
  • CR1715 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-2 Type 011 Emergency Care
  • CR1717 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-1 Type 011 Emergency Care
  • CR1695 (Immediate) - DDCN 1695/2019 Emergency Care Department Type - Urgent Treatment Centres
  • CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update

Release: December 2018

  • CR1650 (1 January 2018) - DCB1067 National Workforce Data Set v3.0

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 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
  • 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
  • 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
  • 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

  • CR1442 (01 November 2016) - SCCI1570 Amd 20/2015 HIV and AIDS Reporting Data Set and XML Schema Version 3
  • CR1442 (01 November 2016) - SCCI1570 Amd 20/2015 HIV and AIDS Reporting Data Set and XML Schema Version 3
  • CR1531 (Immediate) - DDCN 1531/2016 Clinical Terminology Update

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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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)
  • 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
  • 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
  • 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
  • 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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REGISTRABLE BIRTH

Change to Class: Changed Description

A type of PATIENT.

A baby born live at any time or a still birth, i.e. a birth after a gestation of 24 weeks (168 days), or more, where a baby shows no identifiable signs of life at delivery.A baby born live at any time or a stillbirth, i.e. a birth after a gestation of 24 weeks (168 days), or more, where a baby shows no identifiable signs of life at delivery.

 

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ADMISSION OFFER OUTCOME

Change to Attribute: Changed Description

A code which indicates the outcome of an OFFER OF ADMISSION to a PATIENT on an ELECTIVE ADMISSION LIST.

National Codes:

8PATIENT admitted - treatment commenced
1PATIENT admitted - treatment completed
2Admission cancelled by, or on behalf of, the patient
2Admission cancelled by, or on behalf of, the PATIENT
6Admission cancelled by hospital before day offered for admission
7Admission cancelled by hospital on day offered for admission
4PATIENT failed to arrive
5PATIENT admitted - treatment deferred

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

 

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CONSULTATION MEDIUM USED

Change to Attribute: Changed Description

CONSULTATION MEDIUM USED identifies the communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE ACTIVITY.

The consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, types of CARE ACTIVITY.A non-face to face consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, types of CARE ACTIVITY.

A record of the consultation must be retained in the PATIENT's records.

Telephone contacts solely for informing PATIENTS of results are excluded.

Notes:

National Codes:

01Face to face communication
02Telephone
03Telemedicine
04Talk type for a PERSON unable to speak
05Email
06Short Message Service (SMS) - Text Messaging
07On-line Triage
08Online Instant Messaging
98Other (not listed)
 

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CONSULTATION TYPE

Change to Attribute: Changed Description

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

National Codes:

01Initial Consultation
02Follow-up Consultation
 

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CONTINUITY OF CARER PATHWAY INDICATOR

Change to Attribute: Changed Description

An indication of whether a mother has been booked onto a continuity of carer pathway, as defined in the NHS England guidance: Implementing Better Births: Continuity of Carer.

National Codes:

YYes - a mother has been booked onto a continuity of carer pathway
NNo - a mother has not been booked onto a continuity of carer pathway
 

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DISCHARGE DESTINATION

Change to Attribute: Changed Description

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

National Codes:

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

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FINANCIAL MONTH

Change to Attribute: Changed Description

The financial month in which an ACTIVITY is deemed to have occurred.

National Codes:

1Month 1 (April)
2Month 2 (May)
3Month 3 (June)
4Month 4 (July)
5Month 5 (August)
6Month 6 (September)
7Month 7 (October)
8Month 8 (November)
9Month 9 (December)
10Month 10 (January)
11Month 11 (February)
12Month 12 (March)
 

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JOB ROLE CODE

Change to Attribute: Changed Description

A National Code for a POSITION applicable to an EMPLOYEE.

National Codes:

01000Medical and Dental
01001Medical Director
01002Clinical Director - Medical
01003Professor
01004Senior Lecturer
01005CONSULTANT
01006Dental surgeon acting as Hospital CONSULTANT
01007Special salary scale in Public Health Medicine
01008Associate Specialist (Closed to new entrants from 01 April 2008 or regrading from 01 April 2009)
01009Staff Grade (Closed to new entrants 01 April 2008)
01010Hospital Practitioner (Closed to new entrants)
01011Clinical Assistant (Closed to new entrants)
01012Specialist Registrar - Closed (Retired 01 April 2010)
01013Senior House Officer - Closed (Retired 01 April 2010)
01014House Officer - Pre-registration - Closed (Retired 01 April 2010) 
01015House Officer - Post-registration - Closed (Retired 01 April 2010)
01016Trust Grade Doctor - House Officer level - Closed (Retired 01 April 2010) 
01017Trust Grade Doctor - SHO level - Closed (Retired 01 April 2010)
01018Trust Grade Doctor - Specialist Registrar level - Closed (Retired 01 April 2010)
01019Trust Grade Doctor - Career Grade level 
01020Director of Public Health 
01021Clinical Medical Officer (Closed to new entrants)
01022Senior Clinical Medical Officer (Closed to new entrants)
01023'Other' Community Health Service 
01024GENERAL PRACTITIONER
01025GENERAL PRACTITIONER
01026Salaried GENERAL PRACTITIONER
01027Regional Dental Officer (Retired 01 October 2017)
01028Clinical Director - Dental 
01029Dental Officer
01030Senior Dental Officer
01031Salaried Dental Practitioner
01032Specialty Doctor
01033Foundation Year 1
01034Foundation Year 2 
01035Specialty Registrar
01036Medical Student
01037Trust Grade Doctor - Specialty Registrar
01038Foundation Dentist
01039Associate Postgraduate Dean 
01040Trust Grade Doctor - Foundation Level
01041GP Senior Partner 
01042GP Partner/Provider 
01043GP Retainer
01044GP Locum
01045Dental Core Trainee
01046Specialist Dentist
02000Students
02001Student NURSE - Adult Branch
02002Student NURSE - Child Branch
02003Student NURSE - Mental Health Branch
02004Student NURSE - Learning Disabilities Branch
02005Student MIDWIFE
02006Student Health Visitor
02007Student District Nurse
02008Student School Nurse
02009Student Practice Nurse
02010Student Occupational Health Nurse
02011Student Community Children's Nurse
02012Student Mental Health Nurse
02013Student Learning Disabilities Nurse
02014Student Chiropodist
02015Student Dietitian
02016Student Occupational Therapist
02017Student Orthoptist
02018Student Physiotherapist
02019Student Radiographer - Diagnostic
02020Student Radiographer - Therapeutic
02021Student Speech and Language Therapist
02022Art, Music and Drama Student
02023Student Psychotherapist
02024Student Social Worker
02025Student Paramedic
02026Student Prosthetics and Orthotics
03000Nursing and Midwifery Registered
03001Director of Nursing
03002Nurse Consultant
03003Nurse Manager
03004Modern Matron
03005Specialist Nurse Practitioner
03006Sister/Charge Nurse
03007Staff Nurse
03008Enrolled Nurse 
03008Enrolled Nurse 
03009Midwife - Consultant
03010Midwife - Specialist Practitioner
03011Midwife - Manager
03012MIDWIFE  - Sister/Charge Nurse (Retired 01 December 2012)
03013MIDWIFE 
03014Community Practitioner
03015Community Nurse
03016Advanced Practitioner
03017Practice Nurse
03018Extended Role Practice Nurse
03019Practice Nurse Partner
03020Practice Research Nurse
03021Practice Nurse Dispenser
04000Allied Health Professionals
04001Art Therapist
04002Art Therapist Consultant
04003Art Therapist Manager
04004Art Therapist Specialist Practitioner
04005Chiropodist/Podiatrist 
04006Chiropodist/Podiatrist Consultant
04007Chiropodist/Podiatrist Manager
04008Chiropodist/Podiatrist Specialist Practitioner
04009Dietitian 
04010Dietitian Consultant
04011Dietitian Manager
04012Dietitian Specialist Practitioner
04013Drama Therapist
04014Drama Therapist Consultant
04015Drama Therapist Manager
04016Drama Therapist Specialist Practitioner
04017Multi Therapist
04018Multi Therapist Consultant
04019Multi Therapist Manager
04020Multi Therapist Specialist Practitioner
04021Music Therapist
04022Music Therapist Consultant
04023Music Therapist Manager
04024Music Therapist Specialist Practitioner
04025Occupational Therapist 
04026Occupational Therapist Consultant
04027Occupational Therapist Manager
04028Occupational Therapist Specialist Practitioner
04029Orthoptist 
04030Orthoptist Consultant
04031Orthoptist Manager
04032Orthoptist Specialist Practitioner
04033Orthotist 
04034Orthotist Consultant
04035Orthotist Manager
04036Orthotist Specialist Practitioner
04037Paramedic
04038Paramedic Consultant
04039Paramedic Manager
04040Paramedic Specialist Practitioner
04041Physiotherapist 
04042Physiotherapist Consultant
04043Physiotherapist Manager
04044Physiotherapist Specialist Practitioner
04045Prosthetist
04046Prosthetist Consultant
04047Prosthetist Manager
04048Prosthetist Specialist Practitioner
04049Radiographer - Diagnostic
04050Radiographer - Diagnostic, Consultant
04051Radiographer - Diagnostic, Manager
04052Radiographer - Diagnostic, Specialist Practitioner
04053Radiographer - Therapeutic
04054Radiographer - Therapeutic, Consultant
04055Radiographer - Therapeutic, Manager
04056Radiographer - Therapeutic, Specialist Practitioner
04057Speech and Language Therapist 
04058Speech and Language Therapist Consultant
04059Speech and Language Therapist Manager
04060Speech and Language Therapist Specialist Practitioner
04061Advanced Practitioner
04062Emergency Care Practitioner
05000Additional Professional, Scientific and Technical
05001Clinical Director
05002OPTOMETRIST 
05003Pharmacist 
05004Psychotherapist
05005Applied Psychologist - Clinical
05006Chaplain
05007Social Worker
05008Approved Social Worker (Retired 01 October 2017)
05009Youth Worker
05010Specialist Practitioner
05011Practitioner
05012Technician
05013Osteopath 
05014High Intensity Therapist
05015Trainee High Intensity Therapist
05016Physician Assistant (Retired 01 January 2016)
05017Advanced Practitioner
05018Physician Associate
05019Operating Department Practitioner
05020Social Care Manager
05021Manager
05022Approved Mental Health Professional
05023Trainee Clinical Psychologist
05024Trainee Counselling Psychologist
05025Trainee Health Psychologist
05026Trainee Other Applied Psychologist
05027Applied Psychologist – Counselling
05028Applied Psychologist – Educational
05029Applied Psychologist – Forensic
05030Applied Psychologist – Health
05031Applied Psychologist – Occupational
05032Applied Psychologist – Sport and Exercise
05033Applied Psychologist – Neuropsychologist
05034Counsellor
05035Social Worker - Psychological Therapist
05036Play Therapist
05037Family Therapist
05038Child and Adolescent Psychological Therapist or Psychotherapist
05039Surgical Care Practitioner
06000Healthcare Scientists
06001Clinical Scientist (Retired 01 April 2013)
06002Consultant Healthcare Scientist
06003Biomedical Scientist (Retired 01 April 2013)
06004Technician (Retired 01 April 2013)
06005Therapist (Retired 01 April 2013)
06006Manager
06007Specialist Healthcare Scientist
06008Healthcare Scientist
06009Specialist Healthcare Science Practitioner
06010Healthcare Science Practitioner
07000Additional Clinical Services
07001Health Care Support Worker
07002Social Care Support Worker
07003Home Help
07004Healthcare Assistant
07005Nursery Nurse
07006Play Therapist
07007Play Specialist
07008Technician
07009Technical Instructor
07010Assistant/Associate Practitioner
07011Counsellor
07012Assistant
07013Dental Surgery Assistant
07014Medical Laboratory Assistant (Retired 01 January 2016)
07015Phlebotomist
07016Cytoscreener
07017Student Technician
07018Trainee Scientist
07019Trainee Practitioner
07020Nursing Cadet
07021Healthcare Cadet
07022Pre-reg Pharmacist
07023Assistant Psychologist
07024Assistant Psychotherapist
07025Call Operator
07026Gateway Worker
07027Support, Time, Recovery Worker
07028Psychological Wellbeing Practitioner
07029Trainee Psychological Wellbeing Practitioner
07030Apprentice (Retired 01 January 2019)
07031Assistant Practitioner Nursing
07032Ambulance Care Assistant/Patient Transport Service Driver
07033Emergency Care Assistant
07034Emergency Care Practitioner (Retired 01 January 2019)
07035Emergency Medical Dispatcher
07036Healthcare Science Associate
07037Healthcare Science Assistant
07038Trainee Healthcare Scientist
07039Trainee Healthcare Science Practitioner
07040Trainee Healthcare Science Associate
07041Analyst
07042Emergency Call Handler
07043Urgent Care Assistant
07044Urgent Care Practitioner
07045Employment Support Worker or Advisor
07046Family Therapist
07047Nursing Associate
07048Trainee Nursing Associate
07049Social Prescribing Link Worker
07050Peer Support Worker
07051Senior Peer Support Worker
07052Children's Wellbeing Practitioner
07053Trainee Children's Wellbeing Practitioner
07054Education Mental Health Practitioner
07055Trainee Education Mental Health Practitioner
08000Administrative and Clerical
08001Clerical Worker
08002Receptionist
08003Secretary
08004Personal Assistant
08005Medical Secretary
08006Officer
08007Manager
08009Senior Manager
08010Technician
08011Accountant
08012Librarian
08013Interpreter
08014Analyst
08015Adviser
08016Researcher
08017Control Assistant
08018Architect
08019Lawyer
08020Surveyor
08021Chair
08022Chief Executive
08023Finance Director
08024Other Executive Director
08025Board Level director
08026Non-executive Director
08027Childcare Coordinator
08028Apprentice (Retired 01 January 2019)
08029Non-Emergency Call Handler
08030Non-Emergency Medical Dispatcher
09000Estates and Ancillary
09001Support Worker
09002Housekeeper
09003Cook
09004Porter
09005Driver
09006Telephonist
09007Gardener/Groundsperson
09008Technician
09009Electrician
09010Fitter
09011Assistant
09012Labourer
09013Plumber
09014Carpenter
09015Bricklayer
09016Painter/Decorator
09017Work Analyst
09018Chargehand
09019Supervisor
09020Engineer
09021Building Officer
09022Maintenance Craftsperson
09023Building Craftsperson
09024Mechanic
09025Apprentice (Retired 01 January 2019)
09026Cleaner
10000Supplementary Roles
10001Assessor
10002Clinical Supervisor
10003Educational Supervisor
10004Tutor
 

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JOINT REPLACEMENT REVISION REASON CODE FOR ANKLE

Change to Attribute: Changed Description

The reason that a PATIENT requires Revision Ankle Replacement SurgeryThe reason that a PATIENT requires Revision Ankle Replacement Surgery.

National Codes:

 Infection
0High Suspicion (e.g. Pus or Confined Micro)
1Low Suspicion (Awaiting Micro-History)
 Aseptic Loosening
2Tibial Component Aseptic Loosening
3Talar Component Aseptic Loosening
 Lysis
4Tibia
5Talus
6Malalignment
 Implant Fracture
7Tibial Component Implant Fracture
8Talar Component Implant Fracture
9Meniscal Component
10Wear of Polyethylene Component
11Meniscal Insert Dislocation
12Component Migration/Dissociation
13Unexplained Pain
14Stiffness
15Soft Tissue Impingement
16Other (not listed)

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

 

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LIVE OR STILL BIRTH

Change to Attribute: Changed Description

An indication of whether the birth was a live or still birth.An indication of whether the birth was a live or stillbirth.

A still birth is a birth after a gestation of 24 weeks (168 days) where the baby shows no identifiable signs of life at delivery.A stillbirth is a birth after a gestation of 24 weeks (168 days) where the baby shows no identifiable signs of life at delivery.

Note:

National Codes:

1Live
2Still birth ante-partum
3Still birth intra-partum
4Still birth indeterminate
2Stillbirth ante-partum
3Stillbirth intra-partum
4Stillbirth indeterminate
5Baby born but died later
 

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POINT OF DELIVERY CODE FOR PATIENT LEVEL INFORMATION COSTING

Change to Attribute: Changed Description

The code of the Point of Delivery for the purposes of reporting Patient Level Information Costing.

National Codes:

RPAdmitted PATIENT Care - Regular Day or Night Admission
DCAdmitted PATIENT Care - Day Case
ELAdmitted PATIENT Care - Elective Inpatient
NESAdmitted PATIENT Care - Non Elective Short Stay (Less than 2 days)
NELAdmitted PATIENT Care - Non Elective Long Stay (2 days or more)
NESTRAdmitted PATIENT Care - Non Elective Short Stay Transfer (Less than 2 days)
NELTRAdmitted PATIENT Care - Non Elective Long Stay Transfer (2 days or more)
CLOut-Patient Clinic - Clinic Attendance Consultant
NCLOut-Patient ClinicClinic Attendance Non-Consultant
OPROCOut-Patient Clinic - Patient Procedure


For further guidance please see the NHS Improvement website at: Patient Level Costing (PLICS).

 

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SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

The source of referral to a Mental Health Service.

Notes:

  • National Codes:

     Primary Health Care
    A1General Medical Practitioner Practice
    A2Health Visitor
    A3Other Primary Health Care
    A4Maternity Service
     Self Referral
    B1Self
    B2Carer/Relative
     Local Authority and Other Public Services
    C1Social Services
    C2Education Service / Educational Establishment
    C3Housing Service
     Employer
    D1Employer
    D2Occupational Health
     Justice System
    E1Police
    E2Courts
    E3Probation Service
    E4Prison
    E5Court Liaison and Diversion Service
    E6Youth Offending Team
     Child Health
    F1School Nurse
    F2Hospital-based Paediatrics
    F3Community-based Paediatrics
     Independent/Voluntary Sector
    G1Independent sector - Medium Secure Inpatients
    G2Independent Sector - Low Secure Inpatients
    G3Other Independent Sector Mental Health Services
    G4Voluntary Sector
     Acute Secondary Care
    H1Accident and Emergency Department
    H2Other secondary care specialty
     Other Mental Health NHS Trust
    I1Temporary transfer from another Mental Health NHS Trust
    I2Permanent transfer from another Mental Health NHS Trust
     Internal referrals from Community Mental Health Team (within own NHS Trust) (Retired 1 April 2020)
    J1Community Mental Health Team (Adult Mental Health) (Retired 1 April 2020)
    J2Community Mental Health Team (Older People) (Retired 1 April 2020)
    J3Community Mental Health Team (Learning Disabilities) (Retired 1 April 2020)
    J4Community Mental Health Team (Child and Adolescent Mental Health) (Retired 1 April 2020)
     Internal referrals from Inpatient Service (within own NHS Trust) (Retired 1 April 2020)
    K1Inpatient Service (Adult Mental Health) (Retired 1 April 2020)
    K2Inpatient Service (Older People) (Retired 1 April 2020)
    K3Inpatient Service (Forensics) (Retired 1 April 2020)
    K4Inpatient Service (Child and Adolescent Mental Health) (Retired 1 April 2020)
    K5Inpatient Service (Learning Disabilities)
     Transfer by graduation (within own NHS Trust) (Retired 1 April 2020)
    L1Transfer by graduation from Child and Adolescent Mental Health Service to Adult Mental Health Services (Retired 1 April 2020)
    L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services (Retired 1 April 2020)
     Other
    M1Asylum Services
    M2Telephone or Electronic Access Service
    M3Out of Area Agency
    M4Drug Action Team / Drug Misuse Agency
    M5Jobcentre Plus
    M6Other SERVICE or agency
    M7Single Point of Access Service
    M8Debt Agency
     Improving Access to Psychological Therapies
    N1Stepped up from low intensity Improving Access to Psychological Therapies Service
    N2Stepped down from high intensity Improving Access to Psychological Therapies Service
    N3Improving Access to Psychological Therapies Service
     Internal
    P1Internal Referral
 National Codes:

 Primary Health Care
A1General Medical Practitioner Practice
A2Health Visitor
A3Other Primary Health Care
A4Maternity Service
 Self Referral
B1Self
B2Carer/Relative
 Local Authority and Other Public Services
C1Social Services
C2Education Service / Educational Establishment
C3Housing Service
 Employer
D1Employer
D2Occupational Health
 Justice System
E1Police
E2Courts
E3Probation Service
E4Prison
E5Court Liaison and Diversion Service
E6Youth Offending Team
 Child Health
F1School Nurse
F2Hospital-based Paediatrics
F3Community-based Paediatrics
 Independent/Voluntary Sector
G1Independent sector - Medium Secure Inpatients
G2Independent Sector - Low Secure Inpatients
G3Other Independent Sector Mental Health Services
G4Voluntary Sector
 Acute Secondary Care
H1Accident and Emergency Department
H2Other secondary care specialty
 Other Mental Health NHS Trust
I1Temporary transfer from another Mental Health NHS Trust
I2Permanent transfer from another Mental Health NHS Trust
 Internal referrals from Community Mental Health Team (within own NHS Trust) (Retired 1 April 2020)
J1Community Mental Health Team (Adult Mental Health) (Retired 1 April 2020)
J2Community Mental Health Team (Older People) (Retired 1 April 2020)
J3Community Mental Health Team (Learning Disabilities) (Retired 1 April 2020)
J4Community Mental Health Team (Child and Adolescent Mental Health) (Retired 1 April 2020)
 Internal referrals from Inpatient Service (within own NHS Trust) (Retired 1 April 2020)
K1Inpatient Service (Adult Mental Health) (Retired 1 April 2020)
K2Inpatient Service (Older People) (Retired 1 April 2020)
K3Inpatient Service (Forensics) (Retired 1 April 2020)
K4Inpatient Service (Child and Adolescent Mental Health) (Retired 1 April 2020)
K5Inpatient Service (Learning Disabilities) (Retired 1 April 2020)
 Transfer by graduation (within own NHS Trust) (Retired 1 April 2020)
L1Transfer by graduation from Child and Adolescent Mental Health Service to Adult Mental Health Services (Retired 1 April 2020)
L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services (Retired 1 April 2020)
 Other
M1Asylum Services
M2Telephone or Electronic Access Service
M3Out of Area Agency
M4Drug Action Team / Drug Misuse Agency
M5Jobcentre Plus
M6Other SERVICE or agency
M7Single Point of Access Service
M8Debt Agency
 Improving Access to Psychological Therapies
N1Stepped up from low intensity Improving Access to Psychological Therapies Service
N2Stepped down from high intensity Improving Access to Psychological Therapies Service
N3Improving Access to Psychological Therapies Service
 Internal
P1Internal Referral
 

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ARRIVAL TIME AT ACCIDENT AND EMERGENCY DEPARTMENT

Change to Data Element: Changed linked Attribute

ARRIVAL TIME AT ACCIDENT AND EMERGENCY DEPARTMENT
 
Attribute:
ARRIVAL TIME (retired)
ACTIVITY TIME

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CARE ACTIVITY TYPE (PATIENT LEVEL INFORMATION COSTING)

Change to Data Element: Changed Description

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CLINICAL CONTACT DURATION OF APPOINTMENT

Change to Data Element: Changed Description

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

Notes:
CLINICAL CONTACT DURATION OF APPOINTMENT is the duration of the direct clinical contact at an APPOINTMENT in minutes, excluding any administration time prior to or after the contact and excluding the CARE PROFESSIONAL's travelling time to an APPOINTMENT.CLINICAL CONTACT DURATION OF APPOINTMENT is the duration of the direct clinical contact at an APPOINTMENT in minutes, excluding any administration time prior to or after the contact and excluding the CARE PROFESSIONAL's travelling time to an APPOINTMENT.

CLINICAL CONTACT DURATION OF APPOINTMENT is calculated from the Start Time and End Time of the clinical contact at an APPOINTMENT.

 

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CLINICAL CONTACT DURATION OF CARE CONTACT

Change to Data Element: Changed Description

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

Notes:
CLINICAL CONTACT DURATION OF CARE CONTACT is the total duration of the direct clinical contact at CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT.CLINICAL CONTACT DURATION OF CARE CONTACT is the total duration of the direct clinical contact at CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT.

CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT.  The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY.

CLINICAL CONTACT DURATION OF CARE CONTACT is calculated from the Start Time and End Time of the CARE CONTACT.

 

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HIGH COST TARIFF EXCLUDED DEVICE CODE (SNOMED CT DM+D)

Change to Data Element: Changed Description

Format/Length:min an6 max an20
National Codes: 
Default Codes: 

Notes:
HIGH COST TARIFF EXCLUDED DEVICE CODE (SNOMED CT DM+D) is the same as attribute CLINICAL TERMINOLOGY CODE.

HIGH COST TARIFF EXCLUDED DEVICE CODE (SNOMED CT DM+D) is the SNOMED CT® concept ID from the NHS Dictionary of Medicines and Devices which is used to identify theHIGH COST TARIFF EXCLUDED DEVICE CODE (SNOMED CT DM+D) inserted in or provided to the PATIENT.

For further information relating to Specialised Services, see the NHS England website at: Specialised services.

 

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MONTHLY EXTRACT TOTAL COST (PATIENT LEVEL INFORMATION COSTING)

Change to Data Element: Changed Description

Format/Length:max n18.max n8
National Codes: 
Default Codes: 

Notes:
MONTHLY EXTRACT TOTAL COST (PATIENT LEVEL INFORMATION COSTING) is the same as attribute FINANCIAL AMOUNT for purposes of reporting Patient Level Information CostingMONTHLY EXTRACT TOTAL COST (PATIENT LEVEL INFORMATION COSTING) is the same as attribute FINANCIAL AMOUNT for purposes of reporting Patient Level Information Costing.

MONTHLY EXTRACT TOTAL COST (PATIENT LEVEL INFORMATION COSTING) is the total sum of the costs within the monthly extract submitted for the Patient Level Information Costing System Acute Data Sets.

 

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NEONATAL LEVEL OF CARE CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See NEONATAL LEVEL OF CARE
Default Codes:8 - Not applicable: a still birth or the episode of care does not involve a neonate during all, or part, of the duration of the episode
Default Codes:8 - Not applicable: a stillbirth or the episode of care does not involve a neonate during all, or part, of the duration of the episode
 9 - Not known: the episode of care involves a neonate and is finished but no data has been entered, or the episode involves a neonate and is unfinished therefore no data needs to be present. This would constitute a validation error only for a finished episode

Notes:
NEONATAL LEVEL OF CARE CODE is the same as attribute NEONATAL LEVEL OF CARE.

The value recorded must be the highest level of care given during a Hospital Provider Spell with Neonatal Level Of Care Periods.

NEONATAL LEVEL OF CARE CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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PATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PATIENT DIAGNOSIS INDICATOR
Default Codes: 

Notes:
PATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY) is the same as attribute PATIENT DIAGNOSIS INDICATOR.

For the National Neonatal Data Set - Two Year Neonatal Outcomes AssessmentPATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY) is an indication of whether a PATIENT DIAGNOSIS of Cerebral Palsy has been made for the PATIENT, between birth and the Two Year Neonatal Outcomes Assessment Date.For the National Neonatal Data Set - Two Year Neonatal Outcomes AssessmentPATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY) is an indication of whether a PATIENT DIAGNOSIS of Cerebral Palsy has been made for the PATIENT, between birth and the TWO YEAR NEONATAL OUTCOMES ASSESSMENT DATE.

 PATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY) is recorded for the TPRG-SEND Two Year Corrected Age Outcome Assessment when 'Yes' is recorded for any question (A-H) in the 'Neuromotor' section, or for question B in the 'Malformations' section.

 

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PREGNANCY TOTAL PREVIOUS PREGNANCIES

Change to Data Element: Changed Description

Format/Length:n2
National Codes: 
Default Codes:99 - Not known

Notes:
PREGNANCY TOTAL PREVIOUS PREGNANCIES is the number of previous pregnancies resulting in one or more REGISTRABLE BIRTHS.
  • A live birth is always registrable, no matter how short the gestation.
  • Still births and abortions are registrable only if they occur after a gestation of 24 weeks or more.
  • Stillbirths and abortions are registrable only if they occur after a gestation of 24 weeks or more.

The following values with the addition of the Default Code, can be used:

00No previous pregnancy resulting in a REGISTRABLE BIRTH
01One previous pregnancy resulting in a REGISTRABLE BIRTH
02Two previous pregnancies resulting in a REGISTRABLE BIRTH
03Three previous pregnancies resulting in a REGISTRABLE BIRTH

etc. until

29Twenty nine previous pregnancies resulting in a REGISTRABLE BIRTH
 

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

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