Change Request

NHS Information Authority

Data Standards and Information Programme

Reference: Change Request 322
Version No:1.26
Subject:KC60 - Sexually Transmitted Infection Statistics
Type of Change:Revision to NHS Data Standards
Effective Date:1 January 2003
Reason for Change:The KC60 Central Return form has been revised, with an effective date of the 1st January 2003.

Background:

The KC60 Central Return form was revised as of the 1st January 2003 and this necessitated changes to the contents of the NHS Data Dictionary.

The changes to KC60 were discussed and agreed with the Association for Genitourinary Medicine (AGUM) and with clinicians from GUM clinics, who are required to fill in the form.

The new data, which formed the greater part of the increase, was essential to monitor the standards in the Sexual Health and HIV Strategy.

The KC60 Central Return form and related guidance form text were not previously published in an electronic format within the NHS Data Dictionary, and this DSCN has now introduced the KC60 form, guidance text and diagram relating to that form, into the NHS Data Dictionary.

Summary of changes:
 
Class Definitions
CONSULTANT CLINIC GENITOURINARY (DELETED)   Change to Name
CONSULTANT CLINIC GENITOURINARY (DELETED) renamed CONSULTANT CLINIC GENITOURINARY   Change to Description
FINANCIAL PERIOD   Change to Relationships
GENITOURINARY CLINIC ATTENDANCE   Change to Name
GENITOURINARY CLINIC ATTENDANCE renamed GENITOURINARY CLINIC ATTENDANCE   Change to Aliases
GENITOURINARY CLINIC ATTENDANCE   Change to Relationships
GENITOURINARY CLINIC BY PERIOD (DELETED)   Change to Name
GENITOURINARY CLINIC BY PERIOD (DELETED) renamed GENITOURINARY CLINIC BY PERIOD   Change to Aliases
GENITOURINARY CLINIC BY PERIOD (DELETED)   Change to Attributes
GENITOURINARY EPISODE   Change to Name
GENITOURINARY EPISODE renamed GENITOURINARY EPISODE   Change to Aliases
GENITOURINARY EPISODE   Change to Attributes
GENITOURINARY EPISODE   Change to Relationships
NURSE CLINIC GENITOURINARY (DELETED)   Change to Name
NURSE CLINIC GENITOURINARY (DELETED) renamed NURSE CLINIC GENITOURINARY   Change to Aliases
OUT-PATIENT CLINIC   Change to Relationships
PATIENT   Change to Relationships
PATIENT REGISTRATION   New Class
SERVICE   Change to Description
SEXUAL ORIENTATION   New Class
 
Attribute Definitions
EPISODE NUMBER   Change to Description
FIRST ATTENDANCE   Change to Description
GENITOURINARY CLINIC TELEPHONE CALLS (DELETED)   Change to Name
GENITOURINARY CLINIC TELEPHONE CALLS (DELETED) renamed GENITOURINARY CLINIC TELEPHONE CALLS   Change to Description
GENITOURINARY EPISODE TYPE   Change to Name
GENITOURINARY EPISODE TYPE renamed GENITOURINARY EPISODE TYPE   Change to Aliases
REGISTRATION DATE   New Attribute
 
Central Returns
KC60   New Central Return
 
Diagrams
A(C)A1 AIDS (CONTROL) ACT 1987 STATISTICS ON REPORTED AIDS CASES AND DEATHS   Change to Diagram Contents
A(C)A2 AIDS (CONTROL) ACT 1987 STATISTICS ON FIRST REPORTS OF HIV-1 INFECTED PERSONS   Change to Diagram Contents
CM090 COMMUNITY - GENITO-URINARY CLINICS   Change to Diagram Contents
KC60 1 SEXUALLY TRANSMITTED INFECTIONS - STATISTICS   New Diagram
 
Supporting Information
CM090   Change to Supporting Information
KC60 1   New Supporting Information
KC60 2   New Supporting Information
KC60 3   New Supporting Information

Name:Michelle Cambridge
Date:27 January 2004
Sponsor:DoH

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


CONSULTANT CLINIC GENITOURINARY (DELETED)

Change to Class: Change to Name

CONSULTANT CLINIC GENITOURINARY (deleted)
CONSULTANT CLINIC GENITOURINARY


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CONSULTANT CLINIC GENITOURINARY (DELETED) renamed CONSULTANT CLINIC GENITOURINARY

Change to Class: Change to Description

A type of CONSULTANT CLINIC.

An administrative arrangement whereby CONSULTANT CLINIC SESSIONS are held specifically for Genitourinary Medicine.



This class is also known by these names:
ContextAlias
pluralCONSULTANT CLINICS GENITOURINARY


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FINANCIAL PERIOD

Change to Class: Change to Relationships

Each FINANCIAL PERIOD
may be related to one or more DENTAL STAFF MEMBER IN PERIOD
may be related to one or more DENTAL STAFF MEMBER IN PROG IN PERIOD
may be related to one or more GENITOURINARY CLINIC BY PERIOD
may be related to one or more HEALTH PROGRAMME STATEMENT


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GENITOURINARY CLINIC ATTENDANCE

Change to Class: Change to Name

GENITOURINARY CLINIC ATTENDANCE


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GENITOURINARY CLINIC ATTENDANCE renamed GENITOURINARY CLINIC ATTENDANCE

Change to Class: Change to Aliases, Change to Description, Change to Description

An attendance of a PERSON at a CONSULTANT CLINIC as part of a GENITOURINARY EPISODE. An attendance of a PATIENT at a CONSULTANT CLINIC GENITOURINARY as part of a GENITOURINARY EPISODE.



This class is also known by these names:
ContextAlias
pluralGENITOURINARY CLINIC ATTENDANCES


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GENITOURINARY CLINIC ATTENDANCE

Change to Class: Change to Relationships

Each GENITOURINARY CLINIC ATTENDANCE
Kmust be during one and only one GENITOURINARY EPISODE


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GENITOURINARY CLINIC BY PERIOD (DELETED)

Change to Class: Change to Name

GENITOURINARY CLINIC BY PERIOD (deleted)
GENITOURINARY CLINIC BY PERIOD


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GENITOURINARY CLINIC BY PERIOD (DELETED) renamed GENITOURINARY CLINIC BY PERIOD

Change to Class: Change to Aliases, Change to Description, Change to Description

A CONSULTANT CLINIC GENITOURINARY (deleted) or NURSE CLINIC GENITOURINARY (deleted) by FINANCIAL PERIOD. A CONSULTANT CLINIC GENITOURINARY or NURSE CLINIC GENITOURINARY by FINANCIAL PERIOD.



This class is also known by these names:
ContextAlias
pluralGENITOURINARY CLINICS BY PERIODS


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GENITOURINARY CLINIC BY PERIOD (DELETED)

Change to Class: Change to Attributes

Attributes of this Class are:
GENITOURINARY CLINIC TELEPHONE CALLS (deleted)
GENITOURINARY CLINIC TELEPHONE CALLS


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GENITOURINARY EPISODE

Change to Class: Change to Name

GENITOURINARY EPISODE


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GENITOURINARY EPISODE renamed GENITOURINARY EPISODE

Change to Class: Change to Aliases, Change to Description, Change to Description, Change to Description

A period of time during which a PATIENT attends a CONSULTANT CLINIC or a NURSE CLINIC for a Genito-Urinary problem. A period of time during which a PATIENT attends a CONSULTANT CLINIC GENITOURINARY or a NURSE CLINIC GENITOURINARY. Each episode will be for one GENITOURINARY EPISODE TYPE. It is therefore possible for a PATIENT to have concurrent GENITOURINARY EPISODES. A PATIENT may also have more than one GENITOURINARY EPISODE for the same GENITOURINARY EPISODE TYPE over time. An episode is terminated either by a PATIENT being formally discharged or not being in face-to-face contact with the service for at least six months.



This class is also known by these names:
ContextAlias
pluralGENITOURINARY EPISODES


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GENITOURINARY EPISODE

Change to Class: Change to Attributes

Attributes of this Class are:
KEPISODE NUMBER
OEND DATE
GENITOURINARY EPISODE TYPE
OINFECTION PROBABLE SOURCE
   mandatory for certain sexually transmitted diseases
START DATE


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GENITOURINARY EPISODE

Change to Class: Change to Relationships

Each GENITOURINARY EPISODE
Kmust be related to one and only one OUT-PATIENT CLINIC
Kmust be related to one and only one PATIENT
may be recorded as one or more GENITOURINARY CLINIC ATTENDANCE


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NURSE CLINIC GENITOURINARY (DELETED)

Change to Class: Change to Name

NURSE CLINIC GENITOURINARY (deleted)
NURSE CLINIC GENITOURINARY


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NURSE CLINIC GENITOURINARY (DELETED) renamed NURSE CLINIC GENITOURINARY

Change to Class: Change to Aliases

A type of NURSE CLINIC.

An administrative arrangement whereby NURSE CLINIC sessions are held specifically for Genitourinary Medicine.



This class is also known by these names:
ContextAlias
pluralNURSE CLINICS GENITOURINARY


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OUT-PATIENT CLINIC

Change to Class: Change to Relationships

Each OUT-PATIENT CLINIC
Kmust be related to one and only one HEALTH CARE PROVIDER
must be provided within one and only one SERVICE
must be related to one and only one SERVICE POINT
may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
may be related to one or more GENITOURINARY CLINIC BY PERIOD (deleted)
may be related to one or more GENITOURINARY CLINIC BY PERIOD
may be related to one or more GENITOURINARY EPISODE
may be related to one or more OUT-PATIENT APPOINTMENT
may be related to one or more PATIENT REGISTRATION
may be related to one and only one SERVICE PROVIDED


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PATIENT

Change to Class: Change to Relationships

Each PATIENT
Kmust be the classification of one and only one PERSON
may be absent for one or more ABSENCE WITHOUT LEAVE
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be the subject of one or more CANCER CARE SPELL
may be subject to one or more CARE HOME STAY
may be associated with one or more CLINICAL INTERVENTION
may be related to one or more COMMUNITY EPISODE
may be the subject of one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
may be related to one or more CONSULTANT OUT-PATIENT EPISODE
may be related to one or more DECISION TO ADMIT
may be related to one or more DENTAL EPISODE
may be allocated one or more DISABLEMENT APPLIANCE
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be related to one or more EMERGENCY DENTAL ATTENDANCE
may be related to one or more FACE TO FACE CONTACT DENTAL
may be the subject of one or more FACE TO FACE CONTACT OPTICAL
may be related to one or more GENITOURINARY EPISODE
may be related to one or more HOME DIALYSIS EPISODE
may be related to one or more HOME LEAVE
may be the subject of one or more HONOS SCORE FOR PERSON
may be related to one or more HOSPITAL PROVIDER SPELL
may be granted leave for one or more LEAVE OF ABSENCE
may be related to one or more LEGAL STATUS
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
may be related to one or more MATERNITY DOMICILIARY VISIT
may be subject to one or more MENTAL HEALTH CARE SPELL
may be related to one or more MIDWIFE EPISODE
may be related to one or more NURSING EPISODE
may be in receipt of health care services under one or more OUT OF AREA TREATMENT
may be related to one or more OUT-PATIENT APPOINTMENT
may be the subject within one or more PATIENT ORGANISATION
may be registered at an OUT-PATIENT clinic for one or more PATIENT REGISTRATION
may be related to one or more PATIENT TRANSPORT JOURNEY
may be issued with one or more POWERED WHEELCHAIR
may be related to one or more PREGNANCY EPISODE
may be in receipt of one or more PRESCRIPTION
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
may be related to one or more RADIOTHERAPY TREATMENT COURSE
may be related to one or more REFERRAL FOR BIOPSY
may be related to one or more REFERRAL FOR BREAST ASSESSMENT
may be related to one or more REFERRAL FOR BREAST TREATMENT
may be related to one or more REFERRAL FOR SCREENING TEST
may be related to one or more REFERRAL REQUEST
may be related to one or more REGULAR ATTENDER EPISODE
may be related to one or more REQUEST FOR DIAGNOSTIC TEST
may be the subject of one or more ROAD TRAFFIC ACCIDENT TREATMENT
may be identified as needing one or more SECURE ACCOMMODATION REQUIREMENT
may be related to one or more SERVICE REPORT HEADER
may be have one or more TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)
may be related to one or more THEATRE CASE
may be associated with one or more TOBACCO USAGE
may be related to one or more WARD ATTENDANCE
may be issued with one or more WHEELCHAIR SERVICES VOUCHER


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PATIENT REGISTRATION

Change to Class: New Class

PATIENT REGISTRATION

The registration of a PATIENT at an OUT-PATIENT CLINIC, if required.

Use the REGISTRATION DATE to record the date of the PATIENT REGISTRATION.

Use the PATIENT's REGISTRATION DATE to determine whether a PATIENT has been newly registered at an OUT-PATIENT CLINIC.



This class is also known by these names:
ContextAlias
pluralPATIENT REGISTRATIONS

Attributes of this Class are:
KREGISTRATION DATE

Each PATIENT REGISTRATION
Kmust be related to one and only one OUT-PATIENT CLINIC
Kmust be associated with one and only one PATIENT


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SERVICE

Change to Class: Change to Description

An episode of care, treatment or other service by a HEALTH CARE PROVIDER which may be chargeable to one or more NHS SERVICE AGREEMENTS. In most cases, the service will be for the direct benefit of a PATIENT. An episode of care, treatment or other service provided by a HEALTH CARE PROVIDER which may be chargeable to one or more NHS SERVICE AGREEMENTS. In most cases, the service provided will be for the direct benefit of a PATIENT. For example a SERVICE may be one or more of the following:

a. CONSULTANT EPISODE (HOSPITAL PROVIDER)
b. CONSULTANT OUT-PATIENT EPISODE
c. HEALTHY PERSON STAY
d. ACCIDENT AND EMERGENCY EPISODE
e. RADIOTHERAPY TREATMENT COURSE
f. REQUEST FOR DIAGNOSTIC TEST
g. REGULAR ATTENDER EPISODE
h. PROFESSIONAL STAFF GROUP EPISODE
i. GENITOURINARY EPISODE
j. TRANSPORT REQUEST

A SERVICE associated with a CARE SPELL may be treatment carried out by the HEALTH CARE PROVIDER as part of a CARE SPELL for which the lead responsibility is with another HEALTH CARE PROVIDER.



This class is also known by these names:
ContextAlias
pluralSERVICES
pluralSERVICES PROVIDED


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SEXUAL ORIENTATION

Change to Class: New Class

SEXUAL ORIENTATION

A type of CHARACTERISTIC.

The SEXUAL ORIENTATION of a PATIENT.

National codes:
1 Heterosexual
2 Homosexual
3 Bi-sexual



This class is also known by these names:
ContextAlias
pluralSEXUAL ORIENTATIONS

This class has no attributes.

This class has no relationships.


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EPISODE NUMBER

Change to Attribute: Change to Description

This is used to uniquely identify episodes, and is a sequence number for each CONSULTANT EPISODE (HOSPITAL PROVIDER) in a HOSPITAL PROVIDER SPELL; or for other HEALTH CARE PROVIDER episodes, it is a sequence number for a CONSULTANT/PATIENT combination; or it is a sequence number for each GENITOURINARY EPISODE; or it is a sequence number for each COMMUNITY EPISODE in a NURSING IN THE COMMUNITY PROGRAMME.



This attribute is also known by these names:
ContextAlias
pluralEPISODE NUMBERS


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FIRST ATTENDANCE

Change to Attribute: Change to Description

This indicates whether a patient is making a first or follow-up attendance. For DAY CARE ATTENDANCES, FIRST ATTENDANCES is the first of a series, or only attendance, within one DAY CARE FUNCTIONS at DAY CARE FACILITIES of an ORGANISATION by either a PATIENT using a hospital bed or a regular day attender. A re-attendance is any subsequent attendance at a DAY CARE SESSION of the same DAY CARE FUNCTIONS and same HEALTH CARE PROVIDER by a PATIENT whose attender status has not changed since the previous attendance.

It should be noted that:

a. If a PATIENT attends a DAY CARE SESSION of the same DAY CARE FUNCTIONS at another site of the ORGANISATION, the initial attendance at the second facility is a re-attendance
b. If a PATIENT attends a DAY CARE SESSION which is not of the same DAY CARE FUNCTIONSas one previously attended within the ORGANISATION, the initial attendance at the second facility is a FIRST ATTENDANCES
c. If a PATIENT changes attender status from hospital bed to regular attender or vice-versa, the initial attendance after the change is a FIRST ATTENDANCES

For OUT-PATIENT ATTENDANCE CONSULTANT the first attendance is the start of the CONSULTANT OUT-PATIENT EPISODE and is the first attendance in a series with the same CONSULTANT following a referral.

For CLINIC ATTENDANCES NURSE a FIRST ATTENDANCE is the first in a series, or the only attendance, at a NURSE CLINIC by a PATIENT. For CLINIC ATTENDANCES MIDWIFE a FIRST ATTENDANCE is the first in a series, or the only attendance, at a MIDWIFE CLINIC by a PATIENT. For WARD ATTENDANCES a FIRST ATTENDANCE is the first in a series, or the only attendance by a PATIENT at a WARD. For GENITOURINARY CLINIC ATTENDANCES a FIRST ATTENDANCE is the first in a series, or the only attendance by a PERSON at a CONSULTANT CLINIC. For GENITOURINARY CLINIC ATTENDANCES a FIRST ATTENDANCE is the first in a series, or the only attendance by a PERSON at a CONSULTANT CLINIC GENITOURINARY.

National Codes:
1 First attendance
2 Follow-up attendance



This attribute is also known by these names:
ContextAlias
pluralFIRST ATTENDANCES


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GENITOURINARY CLINIC TELEPHONE CALLS (DELETED)

Change to Attribute: Change to Name

GENITOURINARY CLINIC TELEPHONE CALLS (deleted)
GENITOURINARY CLINIC TELEPHONE CALLS


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GENITOURINARY CLINIC TELEPHONE CALLS (DELETED) renamed GENITOURINARY CLINIC TELEPHONE CALLS

Change to Attribute: Change to Description

The number of incoming telephone calls, to out-patient clinics specialising in Genitourinary Medicine, for clinical advice or results during a FINANCIAL PERIOD.



This attribute is also known by these names:
ContextAlias
pluralGENITOURINARY CLINIC TELEPHONE CALLS


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GENITOURINARY EPISODE TYPE

Change to Attribute: Change to Name

GENITOURINARY EPISODE TYPE


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GENITOURINARY EPISODE TYPE renamed GENITOURINARY EPISODE TYPE

Change to Attribute: Change to Aliases, Change to Description

The medical condition or reason for a GENITOURINARY EPISODE.

National codes:
Diagnosis and/or treatment of infection or disease:
A1 Primary infectious syphilis
A2 Secondary infectious syphilis
A3Early latent syphilis (first 2 years)
A4, A5, A6 Other acquired syphilis
A7 Congenital syphilis, aged under 2
A8 Congenital syphilis, aged 2 and over
A9 Epidemiological treatment of suspected syphilis
B1, B2 Uncomplicated gonorrhoea
B3Gonococcal ophthalmia neonatorum
B4 Epidemiological treatment of suspected gonorrhoea
B5 Complicated gonococcal infection - including PID and epididymitis
C1 Chancroid
C2LGV
C3Donovanosis
C4A, C4CUncomplicated chlamydial infection
C4BComplicated chlamydial infection - including PID and epididymitis
C4DChlamydia ophthalmia neonatorum
C4EEpidemiological treatment of suspected chlamydia
C4HUncomplicated non-gonococcal/non-specific urethritis in males or treatment of mucopurulent cervicitis in females
C4IEpidemiological treatment of non-specific gonococcal infection
C5Complicated infection (non-chlamydial/non-gonococcal) including PID and epididymitis
C6ATrichomoniasis
C6BAnaerobic/Bacterial vaginosis/Anaerobic balanitis
C6COther vaginosis/Vaginitis/Balanitis
C7AAnogenital candidosis
C7BEpidemiological treatment of C6 & C7
C8Scabies
C9Pediculosis Pubis
C10AAnogenital herpes simplex: first attack
C10BAnogenital herpes simplex: recurrence
C11AAnogenital warts - first attack
C11BAnogenital warts - recurrence
C11CAnogenital warts - re-registered cases
C12Molluscum contagiosum
C13AViral hepatitis B (HbsAg positive) first diagnosis**
C13B**number of which from C13A which were acute viral hepatitis B
C13CViral hepatitis B: subsequent presentation
C14Viral hepatitis C: first diagnosis
D2AUrinary tract infection
D2BOther conditions requiring treatment at GUM clinic
E1ANew HIV diagnosis: asymptomatic
E2ANew HIV diagnosis: symptomatic (not AIDS)
E1B, E2BSubsequent HIV presentation (not AIDS)
E3A1AIDS: first presentation - new HIV diagnosis
E3A2AIDS: first presentation - HIV diagnosed previously
E3BAIDS: subsequent presentation
P4ACervical cytology - minor abnormality
P4BCervical cytology - major abnormality
Services provided:
S1Sexual health screen (no HIV antibody test)
S2HIV anti-body test and sexual health screen
P1AHIV anti-body test (No sexual health screen)
P1BHIV anti-body test offered and refused
P2Hepatitis B vaccination (1st dose only)
P3Contraception (excluding condom provision)
D3Other episodes not requiring treatment



This attribute is also known by these names:
ContextAlias
pluralGENITOURINARY EPISODE TYPES


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REGISTRATION DATE

Change to Attribute: New Attribute

REGISTRATION DATE

The date of a PATIENT REGISTRATION at an OUT-PATIENT CLINIC.



This attribute is also known by these names:
ContextAlias
pluralREGISTRATION DATES


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KC60

Change to Central Return: New Central Return


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A(C)A1 AIDS (CONTROL) ACT 1987 STATISTICS ON REPORTED AIDS CASES AND DEATHS

Change to Diagram: Change to Diagram Contents


 A(C)A1 AIDS (Control) Act 1987 Statistics on Reported AIDS Cases and Deaths 


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A(C)A2 AIDS (CONTROL) ACT 1987 STATISTICS ON FIRST REPORTS OF HIV-1 INFECTED PERSONS

Change to Diagram: Change to Diagram Contents


 A(C)A2 AIDS (Control) Act 1987 Statistics on First Reports of Hiv-1 Infected Persons 


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CM090 COMMUNITY - GENITO-URINARY CLINICS

Change to Diagram: Change to Diagram Contents


 CM090 Community - Genito-Urinary Clinics 


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KC60 1 SEXUALLY TRANSMITTED INFECTIONS - STATISTICS

Change to Diagram: New Diagram


 KC60 1 Sexually Transmitted Infections - Statistics 


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CM090

Change to Supporting Information: Change to Supporting Information

Model View Diagram - Overview

CM090 - COMMUNITY - GENITO-URINARY CLINICS

CM090 - COMMUNITY - GENITOURINARY CLINICS

  1. This diagram shows classes relevant to genito-urinary clinics. A genito- urinary clinic is an arrangement whereby clinic sessions are held specifically for genito-urinary medicine. It is classified as an OUT-PATIENT CLINIC.

  1. This diagram shows classes relevant to genitourinary clinics. A genitourinary clinic is an arrangement whereby clinic sessions are held specifically for genitourinary medicine. It is either a CONSULTANT CLINIC GENITOURINARY or a NURSE CLINIC GENITOURINARY and is classified as a type of OUT-PATIENT CLINIC.

  1. Each genito-urinary clinic is separately identified and coded and will be managed by one SERVICE POINT in an ORGANISATION. It is possible that a SERVICE POINT may control or monitor a group of genito-urinary clinics.

  1. Each genitourinary clinic is separately identified and coded and will be managed by one SERVICE POINT in an ORGANISATION. It is possible that a SERVICE POINT may control or monitor a group of genitourinary clinics.

  1. All services provided by a genito-urinary clinic will be treated as one SERVICE and will be the responsibility of one purchaser.

  1. All services provided by a CONSULTANT CLINIC GENITOURINARY or NURSE CLINIC GENITOURINARY will be treated as one SERVICE and will be the responsibility of one purchaser.

  1. When a PATIENT is attending a genito-urinary clinic for treatment, it will be part of a GENITOURINARY EPISODE. Most PATIENTS attend genito-urinary clinics for the treatment of a disease that is sexually transmitted.

  1. When a PATIENT is attending a genitourinary clinic for treatment, it will be part of a GENITOURINARY EPISODE. Most PATIENTS attend genitourinary clinics for the treatment of a disease that is sexually transmitted.

  1. Each GENITOURINARY EPISODE may be made up of a number of GENITOURINARY CLINIC ATTENDANCES.


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KC60 1

Change to Supporting Information: New Supporting Information

KC60 Central Return Form Guidance Text

    Contextual Overview

  1. The Department of Health (DoH) requires information on services provided by Genitourinary Medicine Clinics (GUMs) and this information is collected on the DoH central return form KC60.

  1. The KC60 statistical return provides essential public health information about Sexually Transmitted Infection (STI) diagnoses and services provided by GUM clinics. The information provides key data to help monitor important standards in the Sexual Health and HIV Strategy.

  1. The Minimum Data Set to support the monitoring and implementation of the Sexual Health and HIV Strategy, is currently being developed and a staged roll-out of this enhanced surveillance programme will commence during 2003; however, the dataset is not likely to be fully implemented across all GUM clinics before January 2005. The KC60 central return form collects information to allow for the interim monitoring of HIV testing standards and goals, and to allow for the collection of more precise information about individual infections and screening.

  1. Summary information about Genitourinary Medicine Clinic services based on the KC60 return, is published by the Communicable Disease Surveillance Centre (CDSC) each year.

    Completing the KC60 Central Return Form - Guidance

    Part A - Initial contacts in the quarter - Lines: 01 - 44

  1. This section of KC60 records the INITIAL CONTACTS in the quarter for the diagnosis and/or treatment of an infection or disease, during a GENITOURINARY EPISODE.

  1. A GENITOURINARY EPISODE being a period of time during which a PATIENT attends a CONSULTANT CLINIC GENITOURINARY or a NURSE CLINIC GENITOURINARY.

  1. Each GENITOURINARY EPISODE is for one GENITOURINARY EPISODE TYPE, the type being the medical condition or reason for that GENITOURINARY EPISODE.

  1. Collection of information on a male PATIENTS SEXUAL ORIENTATION, is required information against specific conditions/episodes (within Part-A). SEXUAL ORIENTATION identifies those male PATIENTS who are homo/bisexual.

  1. The following guidance note is from DSCN 05/2003 and explains why a change of wording was required leading to the replacement of "Of which were homosexually acquired" with "Of which were homo/bisexual": DSCN 05/2003: This change has been introduced because 'Of which were homosexually acquired' was inappropriate for codes referring to epidemiological treatment, HIV testing, hepatitis B vaccination and sexual health screening. There was evidence that this field was poorly completed for these codes using the previous definition. It is recognised that the meaning of this field has been changed (as below).

  1. NB. If information is not available, please enter "Nil" in the appropriate boxes of the form.

    Part A - Services Provided - Lines: 45 - 51

  1. The 'Services provided' section is to be used to code PATIENTS receiving services or undergoing tests. For example, if a PATIENT is offered a sexual health screen he/she would be coded S1 or S2 in the 'Services provided' section (see lines 45 and 46 below). If, as a result of that screen, a chlamydial infection was found, he/she would also be coded C4A/C4C in the 'Diagnosis and/or treatment of infection or disease' section. If, following the screen, no infections were found, the PATIENT would be coded S1 or S2 and D3.

    Diagnosis and/or treatment of infection or disease

    Line 01: Primary and Secondary Infectious syphilis: A1 & A2

  1. This refers to primary and secondary infectious syphilis.

  1. Male Total* column: Record here the total number of males diagnosed/treated for A1, A2

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total Column: Record here the total number of females diagnosed/treated for A1, A2

    Line 02: Early Latent Syphilis (first 2 years): A3

  1. This refers to latent syphilis in the first two years of infection.

  1. Male Total* column: Record here the total number of males diagnosed/treated for A3

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for A3

    Line 03: Other acquired syphilis: A4, A5 & A6

  1. This refers to latent syphilis after the first two years of infection, cardiovascular syphilis, syphilis of the nervous system and all other latent syphilis. The PATIENT is only coded once in this category in the UK, i.e. the PATIENT is not given this code again unless after having been diagnosed as a case of late latent syphilis.

    Therefore, PATIENTS attending for routine follow up of say, latent syphilis, are not recorded in this category; and if they attend another clinic elsewhere in the country, they are not to be coded as A4, A5, A6.

  1. Male Total* column: Record here the total number of males diagnosed/treated for A4, A5, A6

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for A4, A5, A6

    Line 04: Congenital syphilis, aged under 2: A7

  1. Male Total column: Record here the total number of males diagnosed/treated for A7

  1. Female Total column: Record here the total number of females diagnosed/treated for A7

    Line 05: Congenital syphilis, aged 2 or over: A8

  1. Male Total column: Record here the total number of males diagnosed/treated for A8

  1. Female Total column: Record here the total number of females diagnosed/treated for A8

    Line 06: Epidemiological treatment of suspected syphilis: A9

  1. This should include all cases where syphilis has not been confirmed, but epidemiological treatment is prescribed because the index PATIENT (the partner) was found to be syphilis positive.

  1. Male Total* column: Record here the total number of males diagnosed/treated for A9

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for A9

    Line 07: Uncomplicated gonorrhoea: B1, B2

  1. This includes all cases of uncomplicated gonorrhoea of the lower genitourinary tract, anorectum, mouth, throat and adult conjunctivitis:

    Persistent/recurrent gonorrhoea:
    a) Treatment failures should not be given a new diagnosis
    b) PATIENTS who are thought to be re-infected should be regarded as new cases, and be investigated, treated and be diagnosed/coded accordingly.

  1. Male Total* column: Record here the total number of males diagnosed/treated for B1, B2

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for B1, B2

    Line 08: Gonococcal ophthalmia neonatorum: B3

  1. Male Total column: Record here the total number of males diagnosed/treated for B3

  1. Female Total column: Record here the total number of females diagnosed/treated for B3

    Line 09: Epidemiological treatment of suspected gonorrhoea: B4

  1. This should include all cases where gonorrhoea has not been confirmed, but where epidemiological treatment has been prescribed because the index PATIENTS (the partner) was found to be infected with gonorrhoea.

  1. Male Total* column: Record here the total number of males diagnosed/treated for B4

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for B4

    Line 10: Complicated gonococcal infection - including PID and epididymitis: B5

  1. This includes all cases of complicated gonorrhoea e.g. upper genitourinary tract complications (such as pelvic inflammatory disease and epididymitis), and systemic complications.

  1. Where a PATIENT has complications that are associated with both gonococcal and chlamydial infections, the patient should be included in B5 (line 10) and in C4B (line 13).

  1. Male Total* column: Record here the total number of males diagnosed/treated for B5

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for B5

    Line 11: Chancroid/LGV/Donovanosis: C1, C2 & C3

  1. Specific confirmation is advisable for each of these conditions.

  1. Male Total column: Record here the total number of males diagnosed/treated for C1, C2, C3

  1. Female Total column: Record here the total number of females diagnosed/treated for C1, C2, C3

    Line 12: Uncomplicated Chlamydial Infection: C4A & C4C

  1. This includes all cases of uncomplicated chlamydial infections (diagnosed by culture or antigen detection) involving the lower genitourinary tract, and adult conjunctivitis.

  1. Persistent/recurrent Chlamydia:
    a) Treatment failures should not be given a new diagnosis
    b) PATIENTS who are thought to be re-infected should be regarded as new cases, and be investigated, treated and diagnosed/coded accordingly.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C4A, C4C

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C4A, C4C

    Line 13: Complicated Chlamydial infection - including PID and epididymitis: C4B

  1. This includes all cases of complicated chlamydial infections, e.g. upper genitourinary tract complications (such as pelvic inflammatory disease and epididymitis), perihepatitis and arthritis. Diagnosis may be based on culture, antigen detection or high MIF titre.

  1. Where a PATIENT has complications that are associated with both gonococcal and chlamydial infections, the PATIENT should be included in B5 (line 10) and in C4B (line 13).

  1. Male Total* column: Record here the total number of males diagnosed/treated for C4B

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C4B

    Line 14: Chlamydia ophthalmia neonatorum: C4D

  1. Male Total* column: Record here the total number of males diagnosed/treated for C4D

  1. Female Total column: Record here the total number of females diagnosed/treated for C4D

    Line 15: Epidemiological treatment of suspected Chlamydia: C4E

  1. This should include all cases where chlamydia has not been confirmed, but where epidemiological treatment has been prescribed because the index PATIENT (the partner) was found to be chlamydia positive. If a male partner presents as a contact of C4A (line 12) and has non-specific urethritis, he should be coded as C4H only and not C4E.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C4E

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C4E

    Line 16: Uncomplicated non-gonococcal/non-specific urethritis in males or treatment of mucopurulent cervicitis in females: C4H

  1. In males, this is diagnosed in the absence of gonorrhoea and laboratory confirmed chlamydia and the presence of polymorphononuclear leucocytes at >5 per high power field. Also, if a male partner presents as a contact of C4A (line 12) and has non-specific urethritis, he should be coded as C4H only and not C4E.

    Females being treated for non-specific mucopurulent cervicitis are also to be coded C4H.

  1. Persistent/recurrent urethritis:
    a) Treatment failures should not be given a new diagnosis
    b) PATIENTS who are thought to be re-infected should be regarded as new cases, and be investigated, treated and diagnosed/coded accordingly

  1. Male Total* column: Record here the total number of males diagnosed/treated for C4H

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C4H

    Line 17: Epidemiological treatment of NSGI: C4I

  1. This diagnosis is used for either males or females; e.g. the female would be diagnosed as C4I if she tested negative for gonorrhoea and chlamydia and is treated because her partner has been diagnosed with uncomplicated or complicated non-specific infection (C4H-line 16, or C5-line 18).

  1. Similarly, the male partner is diagnosed as C4I if he tested negative for gonorrhoea and chlamydia, and is treated because the female partner has been diagnosed as C4H (line 16) or C5 (line 18).

  1. Male Total* column: Record here the total number of males diagnosed/treated for C4I

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C4I

    Line 18: Complicated infection (non-chlamydial/non-gonococcal) - including PID and epididymitis: C5

  1. This includes all cases of complicated non-specific infections requiring treatment and negative tests for gonorrhoea and chlamydia, e.g. upper genitourinary tract complications (such as pelvic inflammatory disease and epididymitis), prostatitic and arthritis.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C5

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C5

    Line 19: Trichomoniasis: C6A

  1. If associated with bacterial vaginosis, then code C6A only should be used.

  1. Male Total column: Record here the total number of males diagnosed/treated for C6A

  1. Female Total column: Record here the total number of females diagnosed/treated for C6A

    Line 20: Anaerobic/Bacterial vaginosis & Anaerobic balanitis: C6B

  1. Diagnosis of bacterial vaginosis is generally based on microscopy, pH vaginal fluid and the amine test. This diagnosis is very rarely appropriate in males and used only if the PATIENT has confirmed anaerobic balanitis. Other and non-confirmed and anaerboric balanitis, should be coded as C6C. Asymptomatic PATIENTS who do not require treatment should be coded C6B.

  1. Male Total column: Record here the total number of males diagnosed/treated for C6B

  1. Female Total column: Record here the total number of females diagnosed/treated for C6B

    Line 21: Other vaginosis/vaginitis/balanitis: C6C

  1. Male Total column: Record here the total number of males diagnosed/treated for C6C

  1. Female Total column: Record here the total number of females diagnosed/treated for C6C

    Line 22: Anogenital candidosis: C7A

  1. This is diagnosed only when there is microscopic or culture evidence of Candida infection. Asymptomatic PATIENTS who do not require treatment should not be coded C7A.

  1. Male Total column: Record here the total number of males diagnosed/treated for C7A

  1. Female Total column: Record here the total number of females diagnosed/treated for C7A

    Line 23: Epidemiological treatment of C6 & C7: C7B

  1. This should include all cases where C6 and C7 have not been confirmed, but where epidemiological treatment has been prescribed.

  1. Male Total column: Record here the total number of males diagnosed/treated for C6, C7, C7B

  1. Female Total column: Record here the total number of females diagnosed/treated for C6, C7, C7B

    Line 24: Scabies/pediculosis pubis: C8 & C9

  1. This includes cases treated on either a clinical or epidemiological basis.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C8 & C9

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C8 & C9

    Line 25: Anogenital herpes simplex: first attack: C10A

  1. An episode should be recorded here only if the patient has never (as far as can be ascertained) been previously diagnosed with anogenital herpes at any Genitourinary Medicine (GUM) clinic. Laboratory confirmation is essential.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C10A

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C10A

    Line 26: Anogenital herpes simplex: recurrence: C10B

  1. This should include all other episodes of anogenital herpes. If there has been previous confirmation, then clinical judgement is enough for this diagnosis.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C10B

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C10B

    Line 27: Anogenital warts: first attack: C11A

  1. An episode should be recorded here only if the PATIENT has never (as far as can be ascertained) been previously treated for anogenital warts at any GUM clinic.

  1. C11A diagnosis refers to macroscopic warts, not acetowhite patches or abnormalities revealed by acetowhite staining, nor is the cytological finding of wart virus change sufficient to use this code.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C11A

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C11A

    Line 28: Anogenital warts: recurrence: C11B

  1. This should include PATIENTS in whom warts reappeared after a wart-free interval of at least 3 months.

  1. C11B diagnosis refers to macroscopic warts, not acetowhite patches or abnormalities revealed by acetowhite staining, nor is the cytological finding of wart virus change sufficient to use this code.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C11B

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C11B

    Line 29: Anogenital warts: re-registered cases: C11C

  1. This is to be used for a PATIENT previously diagnosed as C11A or C11B in whom warts persist and treatment continues for longer than three months, or which recur within 3 months of apparent eradication. This code is not to be re-entered for the same patient more than once every 3 months.

  1. C11C diagnosis refers to macroscopic warts, not acetowhite patches or abnormalities revealed by acetowhite staining, nor is the cytological finding of wart virus change sufficient to use this code.

  1. Male Total column: Record here the total number of males diagnosed/treated for C11C

  1. Female Total column: Record here the total number of females diagnosed/treated for C11C

    Line 30: Molluscum contagiosum: C12

  1. Male Total* column: Record here the total number of males diagnosed/treated for C12

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C12

    Line 31: Viral hepatitis B (HbsAg positive): first diagnosis**: C13A

  1. C13 has been divided into 3 codes: C13A, C13B and C13C.

  1. C13A records a first diagnosis of antigen positive hepatitis B.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C13A

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C13A

    Line 32: **number of which were acute viral hepatitis B: C13B

  1. C13B is a subset of C13A, so that a PATIENT coded C13B must also be coded C13A.

  1. C13B records the number of first diagnoses of hepatitis B infections that were acute, where this is known. The definition of acute hepatitis B is newly identified HBsAg positive with anti-HBc 1gM positive (>200 iu/1) (MR) or discrete onset of jaundice or anicteric illness accompanied by deranged LFTs (AST / ALT> 2x normal range) accompanied by HBsAg and anti-HBc IgM positive.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C13B

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C13B

    Line 33: Viral hepatitis B: subsequent presentation: C13C

  1. All subsequent presentations of hepatitis B that require management, or known carriers of hepatitis B who present at a clinic for the first time, are to be coded as C13C. Subsequent attendances by carriers that are unrelated to hepatitis B management should not be coded as C13C.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C13C

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C13C

    Line 34: Viral hepatitis C: first diagnosis: C14

  1. This code was changed from recording any other viral hepatitis to first diagnosis of hepatitis C only. The definition given in these guidelines are "Hepatitis C: anti-HCV positive or HRC RNA positive". All other hepatitis diagnoses are now coded as D2B/D3.

  1. Male Total* column: Record here the total number of males diagnosed/treated for C14

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for C14

    Line 35: Urinary tract infection: D2A

  1. Male Total column: Record here the total number of males diagnosed/treated for D2A

  1. Female Total column: Record here the total number of females diagnosed/treated for D2A

    Line 36: Other conditions requiring treatment at GUM clinic: D2B

  1. Male Total column: Record here the total number of males diagnosed/treated for D2B

  1. Female Total column: Record here the total number of females diagnosed/treated for D2B

    Line 37: New HIV diagnosis: asymptomatic: E1A

  1. This is a new HIV diagnosis in a PATIENT without symptoms who is not known to have been diagnosed at any GUM clinic. It includes PATIENTS with seroconversion illness. A PATIENT can receive this code only once and it is mutually exclusive of E2A (line 38) and E3A1 (line 40).

  1. Male Total* column: Record here the total number of males diagnosed/treated for E1A

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for E1A

    Line 38: New HIV diagnosis: symptomatic (not AIDS): E2A

  1. This is a new HIV diagnosis in a PATIENT with symptoms who is not known to have been diagnosed previously at any GUM clinic. It excludes PATIENTS with seroconversion illness (see code E1A). A PATIENT can receive E2A only once and it is mutually exclusive of E1A (line 37) and E3A1 (line 40).

  1. Male Total* column: Record here the total number of males diagnosed/treated for E2A

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for E2A

    Line 39: Subsequent HIV presentation (not AIDS): E1B & E2B

  1. Codes E1B and E2B have merged to become E1B/E2B (all subsequent presentations by a PATIENT who has been diagnosed with HIV previously). It includes asymptomatic (E1B) and symptomatic (E2B) PATIENTS, but excludes those with AIDS. The PATIENT should be given this code only once, during any quarterly period.

  1. Male Total column: Record here the total number of males diagnosed/treated for E1B, E2B

  1. Female Total column: Record here the total number of females diagnosed/treated for E1B, E2B

    Line 40: AIDS: first presentation - new HIV diagnosis: E3A1

  1. An AIDS diagnosis is used for HIV infected PATIENTS with one or more AIDS indicator diseases. It is necessary to discriminate between first AIDS presentations, that are also the first HIV diagnosis and those for which HIV was diagnosed previously. Therefore, E3A is divided into E3A1 and E3A2 (line 41).

  1. E3A1 is a first presentation of AIDS, where HIV has not been diagnosed previously. The PATIENT (as far as can be ascertained) should not have been given an HIV or AIDS diagnosis at any clinic in the United Kingdom. This patient cannot be coded E1 or E2 ever again (E3A1 is mutually exclusive of E3A2).

  1. Male Total* column: Record here the total number of males diagnosed/treated for E3A1

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for E3A1

    Line 41: AIDS: first presentation - HIV diagnosed previously: E3A2

  1. E3A2 is a first presentation of AIDS where HIV has been diagnosed previously. The PATIENT (as far as can be ascertained) should not have been given an AIDS diagnoses at any clinic in the United Kingdom. This PATIENT cannot be coded E1 or E2 ever again. E3A2 is mutually exclusive of E3A1 (line 40).

  1. Male Total* column: Record here the total number of males diagnosed/treated for E3A2

  1. *of which homo/bisexual column: Record here the number of males from the male total column who are homo/bisexual

  1. Female Total column: Record here the total number of females diagnosed/treated for E3A2

    Line 42: AIDS: subsequent presentation: E3B

  1. The PATIENT who has had an AIDS diagnosis at any time in the past, should be given this code only once during any quarterly period and cannot be coded E1, E2 or E3A ever again.

  1. Male Total* column: Record here the total number of males diagnosed/treated for E3B

  1. Female Total column: Record here the total number of females diagnosed/treated for E3B

    Line 43: Cervical cytology: minor abnormality: P4A

  1. This includes inflammatory smears, warts virus infection only, borderline changes and mild dyskaryosis.

  1. Female Total column: Record here the total number of females diagnosed/treated for P4A

    Line 44: Cervical cytology: major abnormality: P4B

  1. This includes moderate or severe dyskaryosis, or worse.

  1. Female Total column: Record here the total number of females diagnosed/treated for P4B

    Services Provided

    Line 45: Sexual health screen (no HIV antibody test): S1

  1. S1 should only be used where a full sexual health screen is given (i.e. including gonorrhoea and chlamydia testing) and should not be used to record tests for recurrent candidosis/ bacterial vaginosis, etc. It will be used to count all PATIENTS who are given a sexual health screen excluding an HIV test. This may be because the PATIENT refuses or is not offered an HIV test. However, if the PATIENT is known to be HIV antibody positive, he/she can be coded S1 and one of E1B/E2B/E3A2/E3B - lines 39, 41, 42.

  1. S1 is mutually exclusive of S2 (line 46) and P1A (line 47).

  1. Male Total* column: Record here the total number of males seen by the Service Provided: S1

  1. *of which homo/bisexual column: Record here the number of males seen by the Service Provided: S1; who are homo/bisexual

  1. Female Total column: Record here the total number of females seen by the Service Provided: S1

    Line 46: HIV antibody test and sexual health screen: S2

  1. This code will be used to count all PATIENTS who are given a sexual health screen including an HIV test. It should only be used where a full sexual health screen is given (i.e. including gonorrhoea and chlamydia testing) and should not be used to record tests for recurrent candidosis/ bacterial vaginosis, etc. If the patient tests positive for HIV antibody, then they would be coded S2, E1A (line 37).

  1. S2 is mutually exclusive of S1 (line 45), P1A (line 47) and P1B (line 48).

  1. Male Total* column: Record here the total number of males seen by the Service Provided: S2

  1. *of which homo/bisexual column: Record here the number of males seen by the Service Provided: S2; who are homo/bisexual

  1. Female Total column: Record here the total number of females seen by the Service Provided: S2

    Line 47: HIV antibody test (no sexual health screen): P1A

  1. This code is re-defined to mean all HIV antibody testing done, regardless of whether counselling was given in PATIENTS who refuse or who are not offered a general sexual health screen. This code is mutually exclusive of S1 (line 45), S2 (line 46) and P1B (line 48).

  1. Male Total* column: Record here the total number of males seen by the Service Provided: P1A

  1. *of which homo/bisexual column: Record here the number of males seen by the Service Provided: P1A; who are homo/bisexual

  1. Female Total column: Record here the total number of females seen by the Service Provided: P1A

    Line 48: HIV antibody test offered and refused: P1B

  1. This code is redefined to mean all PATIENTS who are offered an HIV test, regardless of whether counselling was given, and who refuse the test. This code is mutually exclusive of S2 (line 46) and P1A (line 47).

  1. Male Total* column: Record here the total number of males seen by the Service Provided: P1B

  1. *of which homo/bisexual column: Record here the number of males seen by the Service Provided: P1B; who are homo/bisexual

  1. Female Total: Record here the total number of females seen by the Service Provided: P1B

    Line 49: Hepatitis B vaccination (1st dose only): P2

  1. Only the 1st dose of any new Hepatitis B vaccination course should be included. This would include those PATIENTS who have been vaccinated some time in the past, but who are now receiving the first dose of a new course of vaccination. Subsequent doses and boosters should be coded as D2B.

  1. Male Total* column: Record here the total number of males seen by the Service Provided: P2

  1. *of which homo/bisexual column: Record here the number of males seen by the Service Provided: P2; who are homo/bisexual

  1. Female Total column: Record here the total number of females seen by the Service Provided: P2

    Line 50: Contraception (excluding condom provision): P3

  1. This code will be used to record contraception (females only), including prescribing and family planning advice, and excluding condom provision. Condom provision should not be included on form KC60.

  1. Female Total: Record here the total number of females seen by the Service Provided: P3

    Line 51: Other Episodes:D3

  1. D3 is used to code any new PATIENT episode where no treatment is given, whether or not a sexual health screen and/or an HIV test are/is performed. D3 can therefore be used to record an episode where a PATIENT tests negative for all tests done, or where testing the PATIENT is not indicated and otherwise no treatment is given. This code may also be used to record any other contact with a patient for clinical purposes, but which does not result in treatment. PATIENTS who do not attend appointments should not be coded D3, unless the PATIENT has been triaged and a set of new notes has been generated. D3 can be used only once per PATIENT episode.

  1. Male Total* column: Record here the total number of males seen by the Service Provided: D3

  1. Female Total: Record here the total number of females seen by the Service Provided: D3

    Total Row: For all Conditions:

  1. Male Total: Total for All Conditions: Record here the total initial contacts in the quarter for males, for all conditions

  1. Of which homo/bisexual: Total for All Conditions: Record here the total males from the male total, who are homo/bisexual, for initial contacts in the quarter, for all conditions

  1. Female Total: Total for All Conditions: Record here the total initial contacts in the quarter for females, for all conditions


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KC60 2

Change to Supporting Information: New Supporting Information

KC60 Central Return Form Guidance Text

    Completing the KC60 Central Return Form - Guidance

    Part B - Initial Contacts in the Quarter - By Age Range - For selected Codes and Conditions

  1. Record in Part B of the KC60 Central Return form, INITIAL CONTACTS in the quarter.

  1. An INITIAL CONTACT is an indication of whether a face to face contact is the first occasion on which a PATIENT is seen at a genitourinary clinic; that contact takes place during a GENITOURINARY EPISODE.

  1. See the first page of the KC60 guidance form text: kc60 1 for the definition of GENITOURINARY EPISODE.

  1. NB. If information is not available, please enter "Nil" in the appropriate boxes of the form.

    Code and Condition: A1, A2 - Primary and secondary infectious syphilis

    Column: Sex: Row: M - Male

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Males diagnosed/treated for A1, A2

  1. Total Column: Record the total number of Males diagnosed/treated for all age ranges, diagnosed/treated for code A1, A2

    Column: Sex: Row: F - Female

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Females diagnosed/treated for A1, A2

  1. Total Column: Record the total number of Females for all age ranges, diagnosed/treated for code A1, A2

    Code and Condition: B1, B2 - Uncomplicated Gonorrhoea

    Column: Sex: Row: M - Male

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Males diagnosed/treated for B1, B2

  1. Total Column: Record the total number of Males for all age ranges, diagnosed/treated for code B1, B2

    Column: Sex: Row: F - Female

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Females diagnosed/treated for B1, B2

  1. Total Column: Record the total number of Females for all age ranges, diagnosed/treated for code B1, B2

    Code and Condition: B1, B2 - Uncomplicated Gonorrhoea - homosexually acquired

  1. The following guidance note is from DSCN 05/2003 and explains why a change of wording was required leading to the replacement of "Of which were homosexually acquired" with "Of which were homo/bisexual": DSCN 05/2003: This change has been introduced because 'Of which were homosexually acquired' was inappropriate for codes referring to epidemiological treatment, HIV testing, hepatitis B vaccination and sexual health screening. There was evidence that this field was poorly completed for these codes using the previous definition. It is recognised that the meaning of this field has been changed (as below).

    Column: Sex: Row: M - Male

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Males diagnosed/treated for B1, B2

  1. Total Column: Record the total number of Males for all age ranges, diagnosed/treated for code B1, B2

    Column: Sex: Row: F - Female

    Code and Condition: C4A, C4C - Uncomplicated Chlamydial infection

    Column: Sex: Row: M - Male

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Males diagnosed/treated for C4A, C4C

  1. Total Column: Record the total number of Males for all age ranges, diagnosed/treated for code C4A, C4C

    Column: Sex: Row: F - Female

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Females diagnosed/treated for C4A, C4C

  1. Total Column: Record the total number of Females for all age ranges, diagnosed/treated for code C4A, C4C

    Code and Condition: C10A - Anogenital herpes simplex - first attack

    Column: Sex: Row: M - Male

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Males diagnosed/treated for C10A

  1. Total Column: Record the total number of Males for all age ranges, diagnosed/treated for code C10A

    Column: Sex: Row: F - Female

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Females diagnosed/treated for C10A

  1. Total Column: Record the total number of Females for all age ranges, diagnosed/treated for code C10A

    Code and Condition: C11A - Anogenital warts - first attack

    Column: Sex: Row: M - Male

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Males diagnosed/treated for C11A

  1. Total Column: Record the total number of Males for all age ranges, diagnosed/treated for code C11A

    Column: Sex: Row: F - Female

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Females diagnosed/treated for C11A

  1. Record the total number of Females for all age ranges, diagnosed/treated for code C11A

    Code and Condition: P1A, S2 - all HIV antibody tests

    Column: Sex: Row: M - Male

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Males diagnosed/treated for P1A, S2

  1. Total Column: Record the total number of Males for all age ranges, diagnosed/treated for code P1A, S2

    Column: Sex: Row: F - Female

  1. Columns: Under 15, 15, 16-19, 20-24, 25-34, 35-44, 45-64, 65 & over: Record for each column the number of Females diagnosed/treated for P1A, S2

  1. Total Column: Record the total number of Females for all age ranges, diagnosed/treated for code P1A, S2


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KC60 3

Change to Supporting Information: New Supporting Information

    Completing the KC60 Central Return Form - Guidance

    Part C - Total attendances in the quarter (first and subsequent)

  1. FIRST ATTENDANCES and subsequent attendances in the quarter:

  1. Attendances are stratified by SEX and male SEXUAL ORIENTATION.

  1. SEXUAL ORIENTATION identifies where male PATIENT are homo/bisexual and part-c requires that this information be collected.

  1. The following guidance note is from DSCN 05/2003 and explains why a change of wording was required leading to the replacement of "Of which were homosexually acquired" with "Of which were homo/bisexual": DSCN 05/2003: This change has been introduced because 'Of which were homosexually acquired' was inappropriate for codes referring to epidemiological treatment, HIV testing, hepatitis B vaccination and sexual health screening. There was evidence that this field was poorly completed for these codes using the previous definition. It is recognised that the meaning of this field has been changed (as below).

  1. Information is required on the number of FIRST ATTENDANCES for each condition/episode in the quarter.

  1. Information is also required on the number of FIRST ATTENDANCES in the quarter, which were new PATIENT REGISTRATIONS, i.e. PATIENTS who were newly registered at the genitourinary clinic, as opposed to a new episode for a previously registered PATIENT.

    NB. If information is not available, please enter "Nil" in the appropriate boxes of the form.

    Total attendances in the quarter - Male Total Row

  1. Male Total Row: FIRST ATTENDANCES Column: Record here the total FIRST ATTENDANCES in the quarter for male PATIENTS

  1. Male Total Row: Of which new patients Column: Record here the number of FIRST ATTENDANCES in the quarter for male PATIENTS, who were new PATIENT REGISTRATIONS in that quarter.

  1. Male Total Row: Subsequent attendances Column: Record here the number of subsequent attendances in the quarter for male PATIENTS

    Total attendances in the quarter - Of which homo/bisexual Row

  1. The indicator for SEXUAL ORIENTATION identifies that male PATIENTS are homo/bisexual.

  1. Of which homo/bisexual Row: FIRST ATTENDANCES Column: Record here the total FIRST ATTENDANCES in the quarter for males PATIENT, who are homo/bisexual.

  1. Of which homo/bisexual Row: Of which new patients Column: Record here the number of FIRST ATTENDANCES in the quarter for homo/bisexual male PATIENTS, who were new PATIENT REGISTRATIONS in that quarter

  1. Of which homo/bisexual Row: Subsequent attendances Column: Record here the number of subsequent attendances in the quarter for male PATIENTS, who are homo/bisexual

    Total attendances in the quarter - Female Total Row

  1. Female Total Row: FIRST ATTENDANCES Column: Record here the total FIRST ATTENDANCES in the quarter for female PATIENTS

  1. Female Total Row: Of which new patients Column: Record here the number of FIRST ATTENDANCES in the quarter for female PATIENTS, who were new PATIENT REGISTRATIONS in that quarter

  1. Female Total Row: Subsequent attendances Column: Record here the number of subsequent attendances in the quarter for female PATIENTS

    Incoming telephone calls for clinical advice or results

  1. FIRST ATTENDANCES Column: Include here the total number of incoming telephone calls for clinical advice or results


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