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Change RequestNHS Connecting for HealthNHS Data Model and Dictionary ServiceReference:Change Request 921Version No:1.0Subject:Inclusion of page for the Department of HealthType of Change:Changes to NHS Data StandardsEffective Date:ImmediateReason for Change:To include a NHS Business Definition for the Department of Health.Background:Organisations which are referenced in the NHS Data Model and Dictionary are being included in the NHS DataModel and Dictionary.This Data Set Change Notice:zadds a new NHS Business Definition for the Department of Health;zadds links to existing references to the Department of Health in the NHS Data Model and DictionaryThis Data Set Change Notice also:zadd missing "links" to existing information where requiredzremoves all unnecessary abbreviations andzcorrects any spelling mistakesSummary of changes:Class DefinitionsOVERSEAS VISITOR STATUSChange to DescriptionREFERRAL TO TREATMENT PERIODChange to DescriptionAttribute DefinitionsBODY IRRADIATIONChange to DescriptionCANCER REFERRAL PRIORITY TYPEChange to DescriptionCANCER SPECIALIST REFERRAL DATEChange to DescriptionCANCER STATUSChange to DescriptionCRITICAL CARE LEVELChange to DescriptionCYTOLOGY SCREENING ACTION TYPEChange to DescriptionDELAY REASON COMMENTChange to DescriptionDELAY REASON REFERRAL TO FIRST SEEN (CANCER)Change to DescriptionDELAY REASON TO TREATMENT (CANCER)Change to DescriptionDEPARTMENT OF HEALTH ORGANISATION CODEChange to DescriptionFIRST CANCER DIAGNOSTIC TESTChange to DescriptionFIRST DEFINITIVE TREATMENT PLANNEDChange to DescriptionFIRST DEFINITIVE TREATMENT PROVIDEDChange to DescriptionMULTIDISCIPLINARY TEAM DISCUSSION DATEChange to DescriptionORGANISATION TYPEChange to DescriptionPLANNED CANCER TREATMENT TYPEChange to DescriptionPRIORITY TYPEChange to DescriptionREFERRAL TO TREATMENT PERIOD END DATEChange to DescriptionPage 1 of 113

REFERRAL TO TREATMENT PERIOD START DATEChange to DescriptionSAMPLE RECEIPT DATEChange to DescriptionSERVICE TYPEChange to DescriptionSOURCE OF REFERRAL FOR OUT-PATIENTSChange to DescriptionSUPRA SERVICE INDICATORChange to DescriptionTWO WEEK WAIT EXCLUSION INDICATORChange to DescriptionData ElementsDIAGNOSTIC TEST (ENDOSCOPY)Change to DescriptionDIAGNOSTIC TEST (IMAGING)Change to DescriptionDIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)Change to DescriptionFIRST SEEN BY SPECIALIST DATE (CANCER)Change to DescriptionHEALTHCARE RESOURCE GROUP CODEChange to DescriptionHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBERChange to DescriptionHRG DOMINANT GROUPING VARIABLE-PROCEDUREChange to DescriptionNHS NUMBERChange to DescriptionOVERSEAS VISITORS STATUS CLASSIFICATIONChange to DescriptionDatasetCDS V6 TYPE 010Change to TableCentral Return FormsCOVER 1Change to Guidance TextKA34 1Change to Guidance TextKC50 1Change to Guidance TextKC60 1AChange to Guidance TextKC60 1BChange to Guidance TextKC62 1Change to Guidance TextKH03A 1Change to Guidance TextKH12 2Change to Guidance TextKO41(A) 1Change to Guidance TextKO41(B) 1Change to Guidance TextKT31 1Change to Guidance TextSupporting InformationACCIDENT & EMERGENCY QUARTERLY MONITORING DATA SET (QMAE)OVERVIEWChange to Supporting InformationADMINISTRATIVE CODES & CLASSIFICATIONSChange to Supporting InformationADMITTED PATIENT FLOWS DATA SET OVERVIEWChange to Supporting InformationADMITTED PATIENT STOCKS DATA SET OVERVIEWChange to Supporting InformationBOOKINGS ADMITTED PATIENT AND OUT-PATIENT PROVIDER DATA SETOVERVIEWChange to Supporting InformationCENTRAL RETURN DATA SETS INTRODUCTIONChange to Supporting InformationCHOOSE AND BOOK UTILISATION COMMISSIONER DATA SETOVERVIEWChange to Supporting InformationCOMMISSIONING DATA SET OVERVIEWChange to Supporting InformationDEPARTMENT OF HEALTHNew Supporting InformationHES CROSS REFERENCE TABLES NAVIGATIONChange to Supporting InformationHOSPITAL EPISODE STATISTICSChange to Supporting InformationMENTAL HEALTH MINIMUM DATA SET MESSAGE SCHEMA VERSIONSChange to Supporting InformationMENTAL HEALTH MINIMUM DATA SET OVERVIEWChange to Supporting InformationMETADATA FILESChange to Supporting InformationNATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEWChange to Supporting InformationNEONATAL CRITICAL CARE MINIMUM DATA SET OVERVIEWChange to Supporting InformationNHS POSTCODE DIRECTORYChange to Supporting InformationPage 2 of 113

ORGANISATIONSChange to Supporting InformationOUT-PATIENT FLOWS DATA SET OVERVIEWChange to Supporting InformationOUT-PATIENT STOCKS DATA SET OVERVIEWChange to Supporting InformationPERSON SMOKING CESSATION EPISODEChange to Supporting InformationPRIMARY CARE TRUSTChange to Supporting InformationSMOKING CESSATION SERVICEChange to Supporting InformationSPECIALIST PALLIATIVE CARE DATEChange to Supporting InformationSUMMARISED ACTIVITY FLOWS DATA SET OVERVIEWChange to Supporting InformationSUMMARISED STOCKS DATA SET OVERVIEWChange to Supporting InformationSUSPENDED PATIENTChange to Supporting InformationTHE NHS DATA MODEL & DICTIONARY ELEMENTSChange to Supporting InformationDate:4 January 2008Sponsor:Note: New text is shown with a blue background. Deleted text is crossed out. Within the Diagrams deletedclasses and relationships are red, changed items are blue and new items are green.CDS V6 TYPE 010Change to Dataset: Change to TableCDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDSThis CDS carries the data for an Accident and Emergency Attendance Episode and consists of thefollowing CDS Data Groups:INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)PATIENT PATHWAYPATIENT IDENTITYPATIENT CHARACTERISTICSGP REGISTRATIONATTENDANCE OCCURRENCE - Activity CharacteristicsATTENDANCE OCCURRENCE - Service Agreement DetailsATTENDANCE OCCURRENCE - Person Group (A And E Consultant)ATTENDANCE OCCURRENCE - Clinical Information (Diagnosis)ATTENDANCE OCCURRENCE - Clinical Information (Investigation)ATTENDANCE OCCURRENCE - Clinical Information (Treatment)HEALTHCARE RESOURCE GROUPThe markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusionof data:M Mandatory - data must be included where availableO Optional - data need not be included* Must Not Be UsedThis Commissioning Data Set carries the data for an Accident and Emergency Attendance Episode andconsists of the following Commissioning Data Set Data Groups:INTERCHANGE, MESSAGE and COMMISSIONING DATA SET TRANSACTION HEADERS and TRAILERS (definedindependently)PATIENT PATHWAYPATIENT IDENTITYPATIENT CHARACTERISTICSGENERAL PRACTITIONER REGISTRATIONPage 3 of 113

ATTENDANCE OCCURRENCE - Activity CharacteristicsATTENDANCE OCCURRENCE - Service Agreement DetailsATTENDANCE OCCURRENCE - Person Group (A And E Consultant)ATTENDANCE OCCURRENCE - Clinical Information (Diagnosis)ATTENDANCE OCCURRENCE - Clinical Information (Investigation)ATTENDANCE OCCURRENCE - Clinical Information (Treatment)HEALTHCARE RESOURCE GROUPThe markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusionof data:M Mandatory - data must be included where availableO Optional - data need not be included* Must Not Be UsedCDS V6 TYPE 010- THE ACCIDENT AND EMERGENCY ATTENDANCE CDSCDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDSCDS DATA GROUP: PATIENT PATHWAY:To carry the details of the Patient Pathway.One optional occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: PATIENT PATHWAY:To carry the details of the Patient Pathway.One optional occurrence of this Group is permitted.OptCDS Data ElementOUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)OPATIENT PATHWAY IDENTIFIEROORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)OREFERRAL TO TREATMENT STATUSOREFERRAL TO TREATMENT PERIOD START DATEOREFERRAL TO TREATMENT PERIOD END DATE*LEAD CARE ACTIVITY INDICATOR (not defined or approved by the Information StandardsBoard)CDS DATA GROUP: PATIENT IDENTITY:To carry the identity of the Patient.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: PATIENT IDENTITY:To carry the identity of the Patient.One occurrence of this Group is permitted.OptCDS Data ElementOptCommissioning Data Set Data ElementMLOCAL PATIENT IDENTIFIERMORGANISATION CODE (LOCAL PATIENT IDENTIFIER)ONHS NUMBERMNHS NUMBER STATUS INDICATOROPATIENT NAMEOPATIENT USUAL ADDRESSMPOSTCODE OF USUAL ADDRESSMORGANISATION CODE (PCT OF RESIDENCE)Note:For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OFUSUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients withsensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must beremoved from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER,ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUALADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSONPage 4 of 113

BIRTH DATE (in Patient Characteristics data group below).CDS DATA GROUP: PATIENT CHARACTERISTICS:To carry the characteristics of the Patient.One occurrence of this Group is permitted.Note:For reasons of confidentiality, the PATIENT's preferred name and address (not including POSTCODEOF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients withsensitive conditions (as defined in DSCN 41/98/P26), all PATIENT identifiable information must beremoved from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER,ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUALADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) andPERSON BIRTH DATE (in PATIENT Characteristics data group below).COMMISSIONING DATA SET DATA GROUP: PATIENT CHARACTERISTICS:To carry the characteristics of the Patient.One occurrence of this Group is permitted.OptCDS Data ElementOptCommissioning Data Set Data ElementMPERSON BIRTH DATEMPERSON GENDER CURRENTOCARER SUPPORT INDICATORCDS DATA GROUP: GP REGISTRATION:To carry the details of the Patient's Registered GMP.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: GP REGISTRATION:To carry the details of the Patient's Registered General Medical Practioner.One occurrence of this Group is permitted.MGMP (CODE OF REGISTERED OR REFERRING GMP)OCODE OF GP PRACTICE (REGISTERED GMP)CDS DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics:To carry the details of the Accident and Emergency attendance.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics:To carry the details of the Accident and Emergency attendance.MA E ATTENDANCE NUMBERMA E ARRIVAL MODEMA E ATTENDANCE CATEGORYMA E ATTENDANCE DISPOSALMA E INCIDENT LOCATION TYPEMA E PATIENT GROUPMSOURCE OF REFERRAL FOR A EMA E DEPARTMENT TYPEMARRIVAL DATEThis is the mandatory date used to derive the mandatory CDS ACTIVITY DATEMARRIVAL TIMEMAGE AT CDS ACTIVITY DATEMA E INITIAL ASSESSMENT TIME(first and unplanned follow-up attendances only)MA E TIME SEEN FOR TREATMENTMA E ATTENDANCE CONCLUSION TIMEMA E DEPARTURE TIMECDS DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details:To carry the details of the Service Agreement for the Accident and Emergency Attendance.One occurrence of this Data Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details:Page 5 of 113

To carry the details of the Service Agreement for the Accident and Emergency Attendance.One occurrence of this Data Group is permitted.MCOMMISSIONING SERIAL NUMBERONHS SERVICE AGREEMENT LINE NUMBEROPROVIDER REFERENCE NUMBEROCOMMISSIONER REFERENCE NUMBERMORGANISATION CODE (CODE OF PROVIDER)MORGANISATION CODE (CODE OF COMMISSIONER)CDS DATA GROUP: ATTENDANCE OCCURRENCE - Person Group (A E Consultant):To carry the details of the responsible Clinician.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Person Group (A EConsultant):To carry the details of the responsible Clinician.One occurrence of this Group is permitted.MA E STAFF MEMBER CODECDS DATA GROUP: ATTENDANCE OCCURRENCE -Clinical Diagnosis Details - ICD:To carry the details of the Diagnosis Code Scheme and the Diagnoses.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE -Clinical Diagnosis Details ICD:To carry the details of the Diagnosis Code Scheme and the Diagnoses.One occurrence of this Group is permitted.ODIAGNOSIS SCHEME IN USEOPRIMARY DIAGNOSIS (ICD)OSECONDARY DIAGNOSIS (ICD)Multiple Secondary Diagnoses may be recorded.CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - READ:To carry the details of the Diagnosis Code Scheme and the Diagnoses.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details READ:To carry the details of the Diagnosis Code Scheme and the Diagnoses.One occurrence of this Group is permitted.ODIAGNOSIS SCHEME IN USEOPRIMARY DIAGNOSIS (READ)OSECONDARY DIAGNOSIS (READ)Multiple Secondary Diagnoses may be recorded.CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - A E Coded:To carry the details of the Diagnosis Code Scheme and the Diagnoses.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details A E Coded:To carry the details of the Diagnosis Code Scheme and the Diagnoses.One occurrence of this Group is permitted.MDIAGNOSIS SCHEME IN USEMACCIDENT AND EMERGENCY DIAGNOSIS - FIRSTMACCIDENT AND EMERGENCY DIAGNOSIS - SECONDMultiple Secondary Diagnoses may be recorded.CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Investigation Details - A E:To carry the details of the Investigation Code Scheme and the Investigations undertaken.Multiple occurrences of this Group are permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical InvestigationDetails - A E:To carry the details of the Investigation Code Scheme and the Investigations undertaken.Page 6 of 113

Multiple occurrences of this Group are permitted.MINVESTIGATION SCHEME IN USEMACCIDENT AND EMERGENCY INVESTIGATION - FIRSTMACCIDENT AND EMERGENCY INVESTIGATION - SECONDMultiple Secondary Investigations may be recorded.CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (OPCS):To carry the details of the OPCS coded Clinical Activities and Treatments undertaken.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity /Treatment Group (OPCS):To carry the details of the OPCS coded Clinical Activities and Treatments undertaken.One occurrence of this Group is permitted.OPROCEDURE SCHEME IN USEOOPRIMARY PROCEDURE (OPCS)PROCEDURE DATE (of Primary Procedure)OO(Multiple occurrences of this sub-group may be recorded)PROCEDURE (OPCS)PROCEDURE DATE (of Secondary Procedure)CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (READ):To carry the details of the READ coded Clinical Activities and Treatments undertaken.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity /Treatment Group (READ):To carry the details of the READ coded Clinical Activities and Treatments undertaken.One occurrence of this Group is permitted.OPROCEDURE SCHEME IN USEOOPRIMARY PROCEDURE (READ)PROCEDURE DATE (of Primary Procedure)OO(Multiple occurrences of this sub-group may be recorded)PROCEDURE (READ)PROCEDURE DATE (of Secondary Procedure)CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (A E):To carry the details of the A E coded Clinical Activities and Treatments undertaken.One occurrence of this Group is permitted.COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity /Treatment Group (A E):To carry the details of the A E coded Clinical Activities and Treatments undertaken.One occurrence of this Group is permitted.MPROCEDURE SCHEME IN USEMMACCIDENT AND EMERGENCY TREATMENT - FIRSTPROCEDURE DATE (of First Treatment)MM(Multiple occurrences of this sub-group may be recorded)ACCIDENT AND EMERGENCY TREATMENT - SECONDPROCEDURE DATE (of Subsequent Treatments)CDS DATA GROUP: CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:To carry the details of the Healthcare Resource Group.COMMISSIONING DATA SET DATA GROUP: HEALTHCARE RESOURCE GROUP - ActivityCharacteristics:To carry the details of the Healthcare Resource Group.MHEALTHCARE RESOURCE GROUP CODEMHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBERCDS DATA GROUP: Healthcare Resource Group Activity - Clinical Activity Group:To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will notapply when no operation was carried out. In this case, the segment referring to HRG DominantGrouping Variable - Procedure should be omitted.COMMISSIONING DATA SET DATA GROUP: Healthcare Resource Group Activity - Clinical ActivityGroup:Page 7 of 113

To carry the details of the Healthcare Resource Group Dominant Grouping Variable - Procedure.Note that this will not apply when no operation was carried out. In this case, the segment referringto Healthcare Resource Group Dominant Grouping Variable - Procedure should be omitted.OPROCEDURE SCHEME IN USEOHRG DOMINANT GROUPING VARIABLE-PROCEDURENote:In addition, Accident and Emergency reference costs are mandated and collected via a directdata flow between Providers and the Department of Health.In addition, Accident and Emergencyreference costs are mandated and collected via a direct data flow between Providers and theDepartment of Health.Page 8 of 113

COVER 1Change to Central Return Form: Change to Guidance TextCOVER - Request Parameters for Hepatitis B Vaccination dataContextual Overview1.The Department of Health requires annual information on childhood immunisations to supportperformance indicators and benchmark indicators.1.The Department of Health requires annual information on childhood immunisations to supportperformance indicators and benchmark indicators.2.The performance indicators and benchmark indicators will be published routinely on the Department ofHealth Website - Statistics.3.Information provided by COVER together with supplementary data collected on KC50 is publishedannually in the Health and Social Care Information Centre statistical bulletin: NHS ImmunisationStatistics, England.Completing the return COVER - Request Parameters for COVER data4.The return is required from Primary Care Trusts for children in their responsible population, i.e.- all children registered with a GENERAL PRACTITIONER whose practice forms part of the Primary CareTrust, regardless of where the child is resident, plus- any children not registered with a GENERAL PRACTITIONER, who are resident within the Primary CareTrust's statutory geographical boundary.Children resident within the Primary Care Trust geographical area, who are registered with a GENERALPRACTITIONER belonging to another Primary Care Trust, should be returned by that GENERALPRACTITIONER's Primary Care Trust.5.The return is required to be submitted quarterly to the Health Protection Agency Centre for Infections,who then forward annual data to the Department of Health.6.The information necessary for COVER may be submitted as a computer output page containing therelevant data, which should be returned within two months of the end of the quarter to which it relates.7.The COVER data provides the immunisation status of three cohorts of children, aged 12 months, 24months, and 5 years.Request 1: 12 MONTH COHORT1. The total number of children for whom the Primary Care Trust is responsibleon dd/mm/yyyy reaching their 1st birthday during the evaluation quarter.8.This is the total number of children in the 12 month cohort, i.e. the number of children within the PrimaryCare Trust's responsible population at the REPORTING PERIOD END DATE who reached the age of oneduring the REPORTING PERIOD.2. Total number included in line 1 completing a primary cou

Page 1 of 113. REFERRAL TO TREATMENT PERIOD START DATE Change to Description SAMPLE RECEIPT DATE Change to Description SERVICE TYPE Change to Description SOURCE OF REFERRAL FOR OUT-PATIENTS Change to Description SUPRA SERVICE INDICATOR Change to Description TWO WEEK WAIT EXCLUSION INDICATOR Change to Description .

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