NHS Information Authority

Data Standards Programme

The Specialty Function Codes have been put into two tables named Main Specialty codes and Treatment Function codes. The list of Treatment Function Codes has been updated to include sub-specialties and widened to cover the activity of other lead Care Professionals.

Main Specialty is the specialty in which the consultant is contracted or recognised. Main Specialty only refers to Medical and Dental specialties and the individual specialties can only be attributed to consultant medical and dental staff (default codes are used in the Commissioning Data Set (CDS) message to identify the work of non consultant lead professionals eg Midwife and Nurse). Main specialties have been aligned to the European Specialist Medical Qualifications Order 1995 and European Primary & Specialist Dental Qualifications Regulations 1998.

Treatment Function describes the specialised service within which the patient is treated. Treatment Function codes can be used by all Care Professionals who are responsible for patient care. The list of codes has been updated to include new treatment functions and to exclude non-treatment specialties.

These are some examples of how Main Specialty and Treatment Function are used:
Main Specialty - General Surgery; Treatment Function - Breast Surgery
Main Specialty - Nursing Episode; Treatment Function - Intermediate Care
Main Specialty - Trauma & Orthopaedics; Treatment Function - Pain Management
Main Specialty - General Medical Practice; Treatment Function - Obstetrics

Treatment Function should be used for all aggregate Central Returns. Until the aggregate return forms are updated with the new Treatment Functions Trusts will have to use the existing specialties.

There is an ongoing process for the identification and approval of new Treatment Functions.

ACCIDENT AND EMERGENCY ATTENDANCE

An individual visit by one PATIENT to an ACCIDENT AND EMERGENCY DEPARTMENT to receive treatment from the accident and emergency service.

Note that the accident and emergency service may be provided by staff from other SPECIALTIES. Note that the accident and emergency service may be provided by staff from other MAIN SPECIALTIES.

During an ACCIDENT AND EMERGENCY ATTENDANCE the PATIENT may temporarily leave the ACCIDENT AND EMERGENCY DEPARTMENT, e.g. for an X-ray, whilst still under the responsibility of the ACCIDENT AND EMERGENCY DEPARTMENT.

ACCIDENT AND EMERGENCY ATTENDANCES may be as a result of a request from a GENERAL PRACTITIONER for help with diagnosis or treatment.

Attendances at OUT-PATIENT CLINICS run in the ACCIDENT AND EMERGENCY DEPARTMENT should not be recorded as ACCIDENT AND EMERGENCY ATTENDANCES but should be recorded as OUT-PATIENT ATTENDANCE CONSULTANT or CLINIC ATTENDANCE NON-CONSULTANT depending upon the type of OUT-PATIENT CLINIC attended.

Any facility set up to receive and treat emergency cases is regarded as an ACCIDENT AND EMERGENCY DEPARTMENT for this purpose.

ACCIDENT AND EMERGENCY ATTENDANCES include both first and follow-up attendances. A follow-up attendance is any subsequent ACCIDENT AND EMERGENCY ATTENDANCE at the same ACCIDENT AND EMERGENCY DEPARTMENT for the same incident.

Each ACCIDENT AND EMERGENCY ATTENDANCE, which is a first attendance or an unplanned follow-up attendance, should be assigned an A+E STREAM.

This class is also known by these names:

Context	Alias
plural	ACCIDENT AND EMERGENCY ATTENDANCES

ACCIDENT AND EMERGENCY EPISODE

The visits to an ACCIDENT AND EMERGENCY DEPARTMENT of one PATIENT for a particular incident. The PATIENT may receive treatment during the episode from the accident and emergency service and from other SPECIALTIES. The PATIENT may receive treatment during the episode from the accident and emergency service and from other MAIN SPECIALTIES.

This class is also known by these names:

Context	Alias
plural	ACCIDENT AND EMERGENCY EPISODES

AUGMENTED CARE PERIOD

A period of time within a CONSULTANT EPISODE (HOSPITAL PROVIDER) during which a PATIENT requires close observation and intervention by additional, specially trained staff using medical equipment not routinely available on general hospital wards.

Excluded from this is care provided to neonates, which is recorded elsewhere. Also excluded from this is care provided on general wards, A&E, Radiology departments, labour wards and Special Care Baby Units.

A PATIENT may receive both Intensive and High Dependency levels of care within one AUGMENTED CARE PERIOD.

An AUGMENTED CARE PERIOD must have only one AUGMENTED CARE LOCATION; if the location changes, a new AUGMENTED CARE PERIOD begins.

If the responsibility for the PATIENT'S CONSULTANT EPISODE (HOSPITAL PROVIDER) transfers from one CONSULTANT to another while the PATIENT is receiving augmented care, the AUGMENTED CARE PERIOD ends and another one starts under the new CONSULTANT EPISODE (HOSPITAL PROVIDER).

The CONSULTANT clinically managing the PATIENT during the AUGMENTED CARE PERIOD is not necessarily the same as the CONSULTANT responsible for the CONSULTANT EPISODE (HOSPITAL PROVIDER). The SPECIALTY FUNCTION of the CONSULTANT clinically managing the PATIENT during the AUGMENTED CARE PERIOD should be recorded. The MAIN SPECIALTY of the CONSULTANT clinically managing the PATIENT during the AUGMENTED CARE PERIOD should be recorded.

In the event of multiple SPECIALTY involvement in an AUGMENTED CARE PERIOD where no SPECIALTY is identified as being responsible the SPECIALTY FUNCTION of the CONSULTANT admitting the PATIENT to the AUGMENTED CARE PERIOD is recorded. In the event of multiple specialty involvement in an AUGMENTED CARE PERIOD where no single specialty is identified as being responsible the MAIN SPECIALTY of the CONSULTANT admitting the PATIENT to the AUGMENTED CARE PERIOD is recorded.

Within an AUGMENTED CARE PERIOD, where a PATIENT is cared for by a team of specialists within an Intensive Care rota the SPECIALTY FUNCTION of the clinical director of the team is recorded. Within an AUGMENTED CARE PERIOD, where a PATIENT is cared for by a team of specialists within an Intensive Care rota the MAIN SPECIALTY of the clinical director of the team is recorded.

An AUGMENTED CARE PERIOD does not include the following:

a.	Surgical and anaesthetic intra-operative care
b.	Post-operative care within an operating department
c.	Cardiac (coronary) care
d.	Imaging procedures
e.	Endoscopy procedures

This class is also known by these names:

Context	Alias
plural	AUGMENTED CARE PERIODS

AUGMENTED CARE PERIOD

Each AUGMENTED CARE PERIOD

	must be within one and only one CONSULTANT EPISODE (HOSPITAL PROVIDER)
	must be classified for the managing CONSULTANT by one and only one SPECIALTY FUNCTION
	must be classified for the managing consultant by one and only one MAIN SPECIALTY

CARE EPISODE

CARE EPISODE

The time a patient spends in the continuous care of one or more CARE PROFESSIONALS.

The care is the responsibility of a lead CARE PROFESSIONAL. This responsibility may be equally shared by two or more JOINT LEAD CARE PROFESSIONALS. Where two or more CARE PROFESSIONALS are jointly responsible for the care of the PATIENT one must be nominated as the lead CARE PROFESSIONAL for the CARE EPISODE. Social and other care may be incorporated within the CARE EPISODE but this may not be the responsibility of the lead CARE PROFESSIONAL.

A PATIENT may not have concurrent CARE EPISODES within a HOSPITAL PROVIDER SPELL. Where the lead responsibility is transferred from one care professional to another within a HOSPITAL PROVIDER SPELL, the CARE EPISODE will end and a new one start. An intervention by a CARE PROFESSIONAL with responsibility for a particular procedure does not end the episode. The episode only ends if overall responsibility for the patient is transferred.

This class is also known by these names:

Context	Alias
plural	CARE EPISODES

Attributes of this Class are:

K		START DATE
	O	END DATE

Each CARE EPISODE

K	must be under the nominated lead responsibility for care of one and only one CARE PROFESSIONAL
K	must be the continuous care of one and only one PATIENT
	may be related to one or more DAY CARE ATTENDANCE
	may be from one and only one HOSPITAL PROVIDER SPELL
	may be under the joint care of one or more JOINT LEAD CARE PROFESSIONAL
	may be associated with one or more PATIENT DIAGNOSIS
	may be if in hospital and as a result of an RTA, part of one and only one ROAD TRAFFIC ACCIDENT TREATMENT
	may be related to one and only one SERVICE PROVIDED
	may be classified for treatment by one and only one TREATMENT FUNCTION

CLINICAL INTERVENTION

Each CLINICAL INTERVENTION

K	must be associated with one and only one PATIENT
	may be endocrine therapy for one and only one CANCER CARE SPELL
	may be endochrine therapy for one and only one CANCER CARE SPELL
	may be associated with one or more CARE PROFESSIONAL INVOLVEMENT
	may be related to one or more CLINICAL INVESTIGATION RESULT ITEM
	may be associated with one or more HEALTH CARE PROFESSIONAL INVOLVEMENT
	may be classified by one or more INTERVENTION CLASSIFICATION ASSOCIATION
	may be related to one and only one SERVICE PROVIDED

CLINICAL INVESTIGATION SERVICE PROVIDER

Each CLINICAL INVESTIGATION SERVICE PROVIDER

	must be related to one and only one CLINICAL INVESTIGATION RESULT ITEM
	or must be related to one and only one RADIOLOGY INVESTIGATION PLAN
	must be related to one and only one HEALTH CARE PROFESSIONAL
	must be related to one and only one CARE PROFESSIONAL
	or must be related to one and only one ORGANISATION

CLINIC ATTENDANCE NURSE

A type of CLINIC ATTENDANCE NON-CONSULTANT.

An attendance at a NURSE CLINIC.

Note: Local arrangements for apportioning attendances to the relevant SPECIALTY FUNCTION may be made instead of recording this for each attendance. Note: Local arrangements for apportioning attendances to the relevant TREATMENT FUNCTION may be made instead of recording this for each attendance.

This class is also known by these names:

Context	Alias
plural	CLINIC ATTENDANCES NURSE

CONSULTANT

A type of HEALTH CARE PROFESSIONAL. A type of CARE PROFESSIONAL.

A PERSON contracted by a HEALTH CARE PROVIDER who has been appointed by a CONSULTANTS' appointment committee. He or she must be a member of a Royal College or Faculty. This includes GENERAL PRACTITIONERS in cases where a GENERAL PRACTITIONER is responsible for PATIENT care and has an arrangement with the HEALTH CARE PROVIDER. The main SPECIALTY of a GENERAL PRACTITIONER will always be General Practice. The MAIN SPECIALTY of a GENERAL PRACTITIONER will always be General Practice. For diagnostic departments, this includes a non-medical scientist of equivalent standing (to a CONSULTANT).

This class is also known by these names:

Context	Alias
plural	CONSULTANTS

CONSULTANT

Each CONSULTANT

	must be contracted as main specialty by a provider for one and only one SPECIALTY
	must be contracted as main specialty by a provider for one and only one MAIN SPECIALTY
	may be responsible for one or more ANTI-CANCER DRUG PROGRAMME
	may be related to one or more CONSULTANT CLINIC
	may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be related to one or more CONSULTANT OUT-PATIENT EPISODE
	may be contracted for one or more CONSULTANT SPECIALTY FUNCTION
	may be related to one or more DOMICILIARY CONSULTATION
	may be related to one or more ELECTIVE ADMISSION LIST ENTRY
	may be responsible for one or more FACE TO FACE CONTACT OPTICAL
	may be related to one or more ISOTOPE PROCEDURE DEPARTMENT
	may be responsible for one or more NURSING HOME STAY (CONSULTANT CARE)
	may be related to one or more OPERATING THEATRE SESSION
	may be related to one or more OPERATING THEATRE SESSION
	may be related to one or more PATHOLOGY DEPARTMENT
	may be related to one or more PATIENT PROCEDURE
	may be related to one or more PHYSIOLOGICAL MEASUREMENT DEPARTMENT
	may be related to one or more RADIOLOGY DEPARTMENT
	may be responsible for one or more RADIOTHERAPY TREATMENT COURSE
	may be related to one or more REFERRAL REQUEST
	may be related to one or more RIGHT OF ADMISSION
	may be related to one or more SHARED CARE CONSULTANT
	may be related to one or more SHARED CARE OUT-PATIENT CONSULTANT
	may be related to one or more SHARED CLINIC CONSULTANT
	may be related to one or more THEATRE CASE
	may be related to one or more WARD INTENDED BED USE

CONSULTANT CLINIC

A type of OUT-PATIENT CLINIC.

An administrative arrangement enabling PATIENTS to see a CONSULTANT, the CONSULTANT's staff and associated health professionals. The holding of a clinic provides the opportunity for consultation, investigation and treatment. PATIENTS normally attend by prior appointment. Although a CONSULTANT is in overall charge, the CONSULTANT may not be present on all occasions that the clinic is held. However, a member of the CONSULTANT's firm or locum for such a member, must always be present. An individual CONSULTANT may run more than one clinic in the same or different LOCATIONS. This also includes clinics run by GENERAL PRACTITIONERS acting as CONSULTANT (see definition of 'CONSULTANT').

Clinics not controlled by a CONSULTANT (or GENERAL PRACTITIONER) should not be included, e.g. those run by midwives (see MIDWIFE CLINIC). CONSULTANT CLINIC SESSIONS are actual occurrences of CONSULTANT CLINICS.

This class is also known by these names:

Context	Alias
plural	CONSULTANT CLINICS

CONSULTANT EPISODE (ACUTE HOME-BASED)

Each CONSULTANT EPISODE (ACUTE HOME-BASED)

K	must be classified for main specialty of responsible consultant by one and only one CONSULTANT SPECIALTY FUNCTION
K	must be an episode of care for one and only one PATIENT
	must be acute home-based care for a patient at one and only one ADDRESS ASSOCIATION
	must be acute home-based care within one and only one SERVICE PROVIDED
	may be recorded by one or more ACUTE HOME-BASED CONTACT
	may be associated with one or more PATIENT DIAGNOSIS
	may be associated with one or more PATIENT PROCEDURE

CONSULTANT EPISODE (HOSPITAL PROVIDER)

A type of CARE EPISODE

The time a PATIENT spends in the continuous care of one CONSULTANT using HOSPITAL SITE or NURSING HOME bed(s) of one HEALTH CARE PROVIDER or, in the case of shared care, in the care of two or more CONSULTANTS. Where care is provided by two or more CONSULTANTS within the same episode, one CONSULTANT will take overriding responsibility for the patient and only one CONSULTANT EPISODE (HOSPITAL PROVIDER) is recorded. Additional CONSULTANTS participating in the care of PATIENT are defined as SHARED CARE CONSULTANTS. A CONSULTANT EPISODE (HOSPITAL PROVIDER) includes those episodes for which a GMP is acting as a CONSULTANT.

A PATIENT going on HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, does not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER).

A PATIENT may not have concurrent CONSULTANT EPISODES (HOSPITAL PROVIDER) but can have CONSULTANT OUT-PATIENT EPISODES overlapping with a CONSULTANT EPISODE (HOSPITAL PROVIDER). A CONSULTANT EPISODE (HOSPITAL PROVIDER) must not overlap with a NURSING EPISODE for the same PATIENT.

Any time spent as a LODGED PATIENT before being admitted to a WARD is included in the first CONSULTANT EPISODE (HOSPITAL PROVIDER).

A CONSULTANT transfer occurs when the responsibility for a PATIENT transfers from one CONSULTANT (or GMP acting as a CONSULTANT) to another within a HOSPITAL PROVIDER SPELL. In this case one CONSULTANT EPISODE (HOSPITAL PROVIDER) will end and another one begin.

A transfer of responsibility may occur from a CONSULTANT to the PATIENT's own GMP (not acting as CONSULTANT) with the PATIENT still in a WARD or NURSING HOME to receive nursing care. In this case the CONSULTANT EPISODE (HOSPITAL PROVIDER) will end and a NURSING EPISODE will begin.

A transfer of responsibility from the PATIENT's own GMP to a CONSULTANT while the PATIENT is in a WARD or NURSING HOME for nursing care will end the NURSING EPISODE and begin a CONSULTANT EPISODE (HOSPITAL PROVIDER).

This class is also known by these names:

Context	Alias
plural	CONSULTANT EPISODES (HOSPITAL PROVIDER)

CONSULTANT EPISODE (HOSPITAL PROVIDER)

Attributes of this Class are:

K		EPISODE NUMBER
	O	END DATE
		EPISODE TYPE
	O	PSYCHIATRIC PATIENT STATUS
		START DATE

CONSULTANT EPISODE (HOSPITAL PROVIDER)

Each CONSULTANT EPISODE (HOSPITAL PROVIDER)

K	must be related to one and only one HOSPITAL PROVIDER SPELL
	must be classified for main specialty of responsible consultant by one and only one CONSULTANT SPECIALTY FUNCTION
K	must be the responsibility of one and only one CONSULTANT
	may be associated with one or more AUGMENTED CARE PERIOD
	may be classified for treatment specialty interest by one and only one CONSULTANT SPECIALTY FUNCTION
	may be related to one or more DAY CARE ATTENDANCE
	may be related to one or more LABOUR AND DELIVERY
	may be related to one and only one LOCAL SUB-SPECIALTY
	may be related to one or more PATIENT DIAGNOSIS
	may be related to one or more PATIENT PROCEDURE
	may be if in hospital and as a result of an RTA, part of one and only one ROAD TRAFFIC ACCIDENT TREATMENT
	may be related to one and only one SERVICE PROVIDED
	may be related to one or more SHARED CARE CONSULTANT

CONSULTANT OUT-PATIENT EPISODE

Each CONSULTANT OUT-PATIENT EPISODE

K	must be the responsibility of one and only one CONSULTANT
K	must be related to one and only one PATIENT
	must be classified for main specialty by one and only one CONSULTANT SPECIALTY FUNCTION
	must be related to one and only one LOCAL SUB-SPECIALTY
	may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
	may be classified for treatment specialty interest by one and only one CONSULTANT SPECIALTY FUNCTION
	may be related to one or more DISABLEMENT APPLIANCE
	may be related to one or more OUT-PATIENT APPOINTMENT CONSULTANT
	may be related to one or more OUT-PATIENT ATTENDANCE CONSULTANT
	may be care or treatment provided within one and only one SERVICE PROVIDED
	may be related to one or more SHARED CARE OUT-PATIENT CONSULTANT
	may be classified for treatment function by one and only one TREATMENT FUNCTION

CONSULTANT SPECIALTY FUNCTION

CONSULTANT SPECIALTY FUNCTION

CONSULTANT SPECIALTY FUNCTION renamed CONSULTANT SPECIALTY FUNCTION

A SPECIALTY FUNCTION which may apply for a CONSULTANT according to the main SPECIALTY or a SPECIALTY interest for the CONSULTANT. This will be the SPECIALTY under which the PATIENT is treated. This links the TREATMENT FUNCTIONS that apply to a particular CONSULTANT and provides information on the treatment interests of the CONSULTANT.

This class is also known by these names:

Context	Alias
plural	CONSULTANT SPECIALTY FUNCTIONS

CONSULTANT SPECIALTY FUNCTION

Each CONSULTANT SPECIALTY FUNCTION

K	must be contractually provided by one and only one CONSULTANT
K	must be related to one and only one SPECIALTY FUNCTION
K	must be related to one and only one TREATMENT FUNCTION
	may be the classifier for the main specialty of one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
	may be classifier for treatment specialty interest of one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be classifier for main specialty of one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be classifier for treatment specialty interest of one or more CONSULTANT OUT-PATIENT EPISODE
	may be classifier for main specialty of one or more CONSULTANT OUT-PATIENT EPISODE
	may be classifier for treatment specialty interest of one or more ELECTIVE ADMISSION LIST
	may be classifier for main specialty of one or more ELECTIVE ADMISSION LIST
	may be classifier for treatment specialty interest of one or more ELECTIVE ADMISSION LIST ENTRY
	may be the classifier for the main specialty of one or more RESPONSIBLE MEDICAL OFFICER ASSIGNMENT

DAY CARE ATTENDANCE

One attendance, or expected attendance, by a PATIENT at a particular DAY CARE SESSION. This will either be by a regular attender or by a PATIENT currently using a hospital bed (including HOME LEAVE and LEAVE OF ABSENCE for a period of 28 days or less).

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility is in contact with the HEALTH CARE PROFESSIONAL who is their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility is in contact with the CARE PROFESSIONAL who is their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.

This class is also known by these names:

Context	Alias
plural	DAY CARE ATTENDANCES

DAY CARE ATTENDANCE

Each DAY CARE ATTENDANCE

K	must be related to one and only one DAY CARE SESSION
K	must be if patient using a hospital bed within one and only one CONSULTANT EPISODE (HOSPITAL PROVIDER)
K	or must be if patient using a hospital bed, within one and only one MIDWIFE EPISODE
K	or must be if patient using a hospital bed, within one and only one NURSING EPISODE
K	or must be if patient not using hospital bed within one and only one REGULAR ATTENDER EPISODE
K	must be if patient using a hospital bed within one and only one CARE EPISODE
K	or must be if patient not using a hospital bed within one and only one REGULAR ATTENDER EPISODE
	may be for treatment for one or more PATIENT PROCEDURE

DAY CARE SESSION

Each DAY CARE SESSION

K	must be related to one and only one DAY CARE FACILITY
	may be the responsibility of one and only one CARE PROFESSIONAL
	may be related to one or more DAY CARE ATTENDANCE
	may be the responsibility of one and only one HEALTH CARE PROFESSIONAL

DISPENSED ITEM

Each DISPENSED ITEM

K	must be dispensed in response to one and only one PRESCRIPTION
	must be a record of the dispensing of one and only one NHS NOTIONAL PACK SIZE
	or must be a record of the dispensing of one and only one PROPRIETARY PRODUCT IN PACK
	must be dispensed by one and only one HEALTH CARE PROFESSIONAL
	must be dispensed by one and only one CARE PROFESSIONAL
	must be dispensed to one and only one PATIENT

DRUG TREATMENT

Each DRUG TREATMENT

	must be prescribed by one and only one HEALTH CARE PROFESSIONAL
	must be prescribed by one and only one CARE PROFESSIONAL
	may be related to one or more DRUG DOSAGE AND ADMINISTRATION

ELECTIVE ADMISSION LIST

Each ELECTIVE ADMISSION LIST

K	must be related to one and only one HEALTH CARE PROVIDER
K	must be related to one and only one SPECIALTY FUNCTION
	may be classified for treatment specialty interest by one and only one CONSULTANT SPECIALTY FUNCTION
	may be classified for main specialty of responsible consultant by one and only one CONSULTANT SPECIALTY FUNCTION
K	must be classified for treatment function by one and only one TREATMENT FUNCTION
	may be the responsibility of one and only one CARE PROFESSIONAL
	may be related to one or more ELECTIVE ADMISSION LIST ENTRY
	may be classified for Consultant main specialty by one and only one MAIN SPECIALTY

ELECTIVE ADMISSION LIST ENTRY

Each ELECTIVE ADMISSION LIST ENTRY

K	must be related to one and only one ELECTIVE ADMISSION LIST
	must be the result of one and only one DECISION TO ADMIT
	must be related to one and only one PATIENT
	may be shared care by one and only one CONSULTANT
	may be classified for treatment specialty interest by one and only one CONSULTANT SPECIALTY FUNCTION
	may be related to one or more ELECTIVE ADMISSION SUSPENSION DETAIL
	may be related to one or more HOSPITAL PROVIDER SPELL
	may be intended for treatment at one and only one HOSPITAL SITE
	may be related to one or more INTENDED PATIENT PROCEDURE
	may be classified by one and only one LOCAL SUB-SPECIALTY
	may be classified for shared care by one and only one MAIN SPECIALTY
	may be related to one or more OFFER OF ADMISSION
	may be related to one and only one SERVICE PROVIDED
	may be classified for shared care by one and only one SPECIALTY FUNCTION
	may be classified for treatment function by one and only one TREATMENT FUNCTION

FACE TO FACE CONTACT OPTICAL

A face to face contact with a PATIENT for activity related to the prescribing of optical appliances including sight testing and related work, as well as similar diagnostic work carried out by CONSULTANTS with a SPECIALTY of Medical Ophthalmology, OPHTHALMIC MEDICAL PRACTITIONERS or OPHTHALMIC OPTICIANS. A face to face contact with a PATIENT for activity related to the prescribing of optical appliances including sight testing and related work, as well as similar diagnostic work carried out by CONSULTANTS with a MAIN SPECIALTY of Medical Ophthalmology, OPHTHALMIC MEDICAL PRACTITIONERS or OPHTHALMIC OPTICIANS.

This class is also known by these names:

Context	Alias
plural	FACE TO FACE CONTACTS OPTICAL

GENERAL MEDICAL PRACTITIONER REGISTRAR

A type of HEALTH CARE PROFESSIONAL. A type of CARE PROFESSIONAL.

A fully registered medical practitioner who is being trained in general practice under an arrangement approved by the Secretary of State.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

This class is also known by these names:

Context	Alias
plural	GENERAL MEDICAL PRACTITIONER REGISTRARS

GENERAL PRACTITIONER

A type of HEALTH CARE PROFESSIONAL. A type of CARE PROFESSIONAL.

A HEALTH CARE PRACTITIONER qualified for General Practice providing healthcare for a particular ORGANISATION; a GENERAL PRACTITIONER may act as either a GENERAL MEDICAL PRACTITIONER or a GENERAL DENTAL PRACTITIONER.

GENERAL PRACTITIONER may be abbreviated to GP.

This class is also known by these names:

Context	Alias
plural	GENERAL PRACTITIONERS

GMP PRACTICE CONSULTATION

A consultation by a HEALTH CARE PROFESSIONAL to a PERSON for the provision of health care within a GENERAL MEDICAL PRACTITIONER PRACTICE. A consultation by a CARE PROFESSIONAL to a PERSON for the provision of health care within a GENERAL MEDICAL PRACTITIONER PRACTICE.

The PATIENT should have a GMP PRACTICE CONSULTATION within 24 hours of REQUEST FOR APPOINTMENT DATE and REQUEST FOR APPOINTMENT TIME if requesting to see a HEALTH CARE PROFESSIONAL other than a GENERAL MEDICAL PRACTITIONER. The PATIENT should have a GMP PRACTICE CONSULTATION within 24 hours of REQUEST FOR APPOINTMENT DATE and REQUEST FOR APPOINTMENT TIME if requesting to see a CARE PROFESSIONAL other than a GENERAL MEDICAL PRACTITIONER. The PATIENT should have a GMP PRACTICE CONSULTATION to see a GENERAL MEDICAL PRACTITIONER within 48 hours of requesting an appointment.

This class is also known by these names:

Context	Alias
plural	GMP PRACTICE CONSULTATIONS

GMP PRACTICE CONSULTATION

Each GMP PRACTICE CONSULTATION

K	must be given by one and only one HEALTH CARE PROFESSIONAL
K	must be given by one and only one CARE PROFESSIONAL
K	must be a consultation for one and only one PERSON
	must be a consultation within one and only one GENERAL MEDICAL PRACTITIONER PRACTICE

HEALTH CARE PROFESSIONAL

HEALTH CARE PROFESSIONAL

CARE PROFESSIONAL

HEALTH CARE PROFESSIONAL renamed CARE PROFESSIONAL

A type of PERSON ROLE IN ORGANISATION.

A type of PERSON who is professionally qualified to practice the delivery of health care services and is contracted to or provides healthcare for a particular ORGANISATION or HEALTH CARE PROVIDER. A type of PERSON who is professionally qualified to practise the delivery of health care services and is contracted to or provides healthcare for a particular ORGANISATION or HEALTH CARE PROVIDER.

This class is also known by these names:

Context	Alias
plural	HEALTH CARE PROFESSIONALS
plural	CARE PROFESSIONALS

HEALTH CARE PROFESSIONAL

Each HEALTH CARE PROFESSIONAL Each CARE PROFESSIONAL

	may be the lead care professional for one or more CARE EPISODE
	may be the participant in one or more CARE PROFESSIONAL INVOLVEMENT
	may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
	may be responsible for one or more DAY CARE SESSION
	may be the dispenser of one or more DISPENSED ITEM
	may be the prescriber of one or more DRUG TREATMENT
	may be responsible for one or more ELECTIVE ADMISSION LIST
	may be the provider of one or more GMP PRACTICE CONSULTATION
	may be the participant in one or more HEALTH CARE PROFESSIONAL INVOLVEMENT
	may be the evaluator of one or more HONOS SCORE FOR PERSON
	may be associated with one or more ITEM OF SERVICE DELIVERY ROLE
	may be identified as one or more JOINT LEAD CARE PROFESSIONAL
	may be the person responsible for one or more PATIENT PROCEDURE
	may be the observer of one or more PERSON OBSERVATION
	may be the issuer of one or more PRESCRIPTION
	may be related to one or more RADIOLOGY INVESTIGATION PLAN
	may be the originator of one or more REFERRAL REQUEST
	may be related as requester of one or more REQUEST FOR DIAGNOSTIC TEST
	may be related as provider to one or more REQUEST FOR DIAGNOSTIC TEST
	may be the recipient of one or more SERVICE REPORT COPY
	may be the requester of one or more SERVICE REPORT HEADER
	may be recorder of one or more SERVICE REPORT HEADER

HEALTH CARE PROFESSIONAL INVOLVEMENT

HEALTH CARE PROFESSIONAL INVOLVEMENT

CARE PROFESSIONAL INVOLVEMENT

HEALTH CARE PROFESSIONAL INVOLVEMENT renamed CARE PROFESSIONAL INVOLVEMENT

The participation of a HEALTH CARE PROFESSIONAL in a CLINICAL INTERVENTION. The participation of a CARE PROFESSIONAL in a CLINICAL INTERVENTION.

This class is also known by these names:

Context	Alias
plural	HEALTH CARE PROFESSIONAL INVOLVEMENTS
plural	CARE PROFESSIONAL INVOLVEMENTS

HEALTH CARE PROFESSIONAL INVOLVEMENT

Each HEALTH CARE PROFESSIONAL INVOLVEMENT Each CARE PROFESSIONAL INVOLVEMENT

K	must be the involvement of one and only one CARE PROFESSIONAL
K	must be involved with one and only one CLINICAL INTERVENTION
K	must be the involvement of one and only one HEALTH CARE PROFESSIONAL

HONOS SCORE FOR PERSON

A particular HONOS SCORE for a PATIENT assessed by a HEALTH CARE PROFESSIONAL or MENTAL HEALTH CARE TEAM MEMBER. A particular HONOS SCORE for a PATIENT assessed by a CARE PROFESSIONAL or MENTAL HEALTH CARE TEAM MEMBER.

This class is also known by these names:

Context	Alias
plural	HONOS SCORES FOR PERSONS

HONOS SCORE FOR PERSON

Each HONOS SCORE FOR PERSON

K	must be for one and only one HONOS RATING
K	must be the score for one and only one PATIENT
K	must be evaluated by one and only one HEALTH CARE PROFESSIONAL
K	must be evaluated by one and only one CARE PROFESSIONAL
K	or must be evaluated by one and only one MENTAL HEALTH CARE TEAM MEMBER
	may be the score for one and only one CARE PROGRAMME APPROACH REVIEW

HOSPITAL PROVIDER SPELL

Each HOSPITAL PROVIDER SPELL

K	must be related to one and only one PATIENT
	may be related to one and only one DECISION TO ADMIT
	or may be related to one and only one ELECTIVE ADMISSION LIST ENTRY
	must be provided by one and only one HOSPITAL PROVIDER
	may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
	may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be the hospital spell for one or more CARE EPISODE
	may be related to one or more HOME LEAVE
	may be related to one or more HOSPITAL STAY
	may be related to one or more LODGED PATIENT
	may be related to one or more MIDWIFE EPISODE
	may be related to one or more NEONATAL LEVEL OF CARE PERIOD
	may be related to one or more NURSING EPISODE
	may be related to one or more NURSING HOME STAY (CONSULTANT CARE)
	may be related to one and only one PREGNANCY EPISODE
	may be related to one or more WARD STAY

INDEPENDENT HEALTH CARE REGISTRATION

A type of ORGANISATION SITE REGISTRATION.

This may be the registration of an independent hospital, an independent clinic or an independent medical agency which is not owned or managed by the NHS.

An independent hospital is an establishment the main purpose of which is to provide medical or psychiatric treatment for illness or mental disorder or palliative care; or in which any of the INDEPENDENT HEALTH CARE SERVICES are provided (whether or not other services are also provided).

It is also any establishment in which treatment or nursing (or both) is provided for persons liable to be detained under the Mental Health Act 1983.

An establishment must register as an independent hospital if it provides treatment under anaesthesia or sedation, even if this is on a day case basis. If the establishment does not provide overnight beds for any patient and does not provide treatment under general anaesthesia or sedation, then the establishment should be registered as an independent clinic.

An independent clinic is an establishment in which services are provided by medical HEALTH CARE PROFESSIONALS. An independent clinic is an establishment in which services are provided by medical CARE PROFESSIONALS.

An independent medical agency is an undertaking which is not an independent clinic which consists of or includes the provision of services by medical HEALTH CARE PROFESSIONALS. An independent medical agency is an undertaking which is not an independent clinic which consists of or includes the provision of services by medical CARE PROFESSIONALS.

References:
National Care Standards Commission registration April 2002.

This class is also known by these names:

Context	Alias
plural	INDEPENDENT HEALTH CARE REGISTRATIONS

ITEM OF SERVICE DELIVERY ROLE

The role undertaken by a HEALTH CARE PROFESSIONAL in an ITEM OF SERVICE DELIVERY. The role undertaken by a CARE PROFESSIONAL in an ITEM OF SERVICE DELIVERY.

This class is also known by these names:

Context	Alias
plural	ITEM OF SERVICE DELIVERY ROLES

ITEM OF SERVICE DELIVERY ROLE

Each ITEM OF SERVICE DELIVERY ROLE

K	must be undertaken by one and only one HEALTH CARE PROFESSIONAL
K	must be undertaken by one and only one CARE PROFESSIONAL
K	must be undertaken as part of one and only one ITEM OF SERVICE DELIVERY

JOINT LEAD CARE PROFESSIONAL

JOINT LEAD CARE PROFESSIONAL

The care professional who has equal, joint lead responsibility for the continuing care of a PATIENT during a CARE EPISODE.

This class is also known by these names:

Context	Alias
plural	JOINT LEAD CARE PROFESSIONALS

This class has no attributes.

Each JOINT LEAD CARE PROFESSIONAL

K	must be the joint lead care professional for one and only one CARE EPISODE
K	must be identified as one and only one CARE PROFESSIONAL

LOCAL SUB-SPECIALTY

A locally defined division of clinical work which may cross SPECIALTY boundaries, e.g. Coronary Care. A locally defined division of clinical work which may cross MAIN SPECIALTY boundaries, e.g. Coronary Care.

This class is also known by these names:

Context	Alias
plural	LOCAL SUB-SPECIALTIES

MEDICAL AND DENTAL POST

Each MEDICAL AND DENTAL POST

K	must be the responsibility of one and only one ORGANISATION
	must be assigned as main to one and only one MAIN SPECIALTY
	must be related to one and only one PAYSCALE
	must be assigned as main to one and only one SPECIALTY
	must be related to one and only one STAFF GROUP PLANNED
	may be related to one or more MEDICAL AND DENTAL POST APPORTIONMENT
	may be related to one or more MEDICAL AND DENTAL POST BY LOCATION
	may be related to one or more MEDICAL AND DENTAL POST BY SPECIALTY
	may be related to one or more MEDICAL AND DENTAL STAFF POSTING
	may be related to one and only one ROTATIONAL ARRANGEMENT

MEDICAL AND DENTAL POST BY SPECIALTY

The identification of each SPECIALTY where the work of a MEDICAL AND DENTAL POST involves work in more than one SPECIALTY. The identification of each MAIN SPECIALTY where the work of a MEDICAL AND DENTAL POST involves work in more than one MAIN SPECIALTY.

This class is also known by these names:

Context	Alias
plural	MEDICAL AND DENTAL POSTS BY SPECIALTY

MEDICAL AND DENTAL POST BY SPECIALTY

Each MEDICAL AND DENTAL POST BY SPECIALTY

K	must be related to one and only one MAIN SPECIALTY
K	must be related to one and only one MEDICAL AND DENTAL POST
K	must be related to one and only one SPECIALTY

MEDICAL AND DENTAL SPECIALTY INTEREST

Identifies each SPECIALTY in which a doctor has expressed interest and is recorded for the EMPLOYEE. Identifies each MAIN SPECIALTY in which a doctor has expressed interest and is recorded for the EMPLOYEE.

This class is also known by these names:

Context	Alias
plural	MEDICAL AND DENTAL SPECIALTY INTERESTS

MEDICAL AND DENTAL SPECIALTY INTEREST

Each MEDICAL AND DENTAL SPECIALTY INTEREST

K	must be related to one and only one EMPLOYEE
K	must be related to one and only one SPECIALTY
K	must be related to one and only one MAIN SPECIALTY

MHCS SPECIALTY ASSOCIATION

An association between a MENTAL HEALTH CARE SPELL and a SPECIALTY FUNCTION which for the period of time of the association reflects the main psychiatric specialty activity for the PATIENT subject to the MENTAL HEALTH CARE SPELL. An association between a MENTAL HEALTH CARE SPELL and a MAIN SPECIALTY which for the period of time of the association reflects the main psychiatric specialty activity for the PATIENT subject to the MENTAL HEALTH CARE SPELL. In cases where a PATIENT is receiving psychotherapy as well as substantial psychiatric input, the general psychiatric specialty should be used.

The main specialty may change during the course of the MENTAL HEALTH CARE SPELL. This will end the previous association and start a new one.

This class is also known by these names:

Context	Alias
plural	MHCS SPECIALTY ASSOCIATIONS

MHCS SPECIALTY ASSOCIATION

Each MHCS SPECIALTY ASSOCIATION

K	must be an association with one and only one MAIN SPECIALTY
K	must be an association with one and only one MENTAL HEALTH CARE SPELL
K	must be an association with one and only one SPECIALTY FUNCTION

MIDWIFE

A type of HEALTH CARE PROFESSIONAL. A type of CARE PROFESSIONAL.

A person whose name is included in the Nursing and Midwifery Council register for nurses, midwives and health visitors, and who is contracted as a MIDWIFE to a HEALTH CARE PROVIDER.

This class is also known by these names:

Context	Alias
plural	MIDWIVES

MIDWIFE EPISODE

A type of CARE EPISODE.

A continuous period of time a client (PATIENT) uses a bed or delivery facility as part of a HOSPITAL PROVIDER SPELL or NURSING HOME STAY (MIDWIFE CARE), under the direct care of a MIDWIFE. This may be during a PREGNANCY EPISODE for the mother but may also be for a baby following a REGISTRABLE BIRTH.

The MIDWIFE with overall responsibility for a MIDWIFE EPISODE must be identified. If the responsible MIDWIFE changes then a new MIDWIFE or CONSULTANT EPISODE (HOSPITAL PROVIDER) begins. An intervention by a healthcare professional with responsibility for a particular procedure does not end the episode. The episode would end only if overall responsibility for the patient is transferred.

Jas's Test

This class is also known by these names:

Context	Alias
plural	MIDWIFE EPISODES

MIDWIFE EPISODE

Each MIDWIFE EPISODE

K	must be related to one and only one PATIENT
	or must be within one and only one HOSPITAL PROVIDER SPELL
	or must be within one and only one NURSING HOME STAY (MIDWIFE CARE)
	must be within one and only one NURSING HOME STAY (MIDWIFE CARE)
	must be related to one and only one MIDWIFE
	may be related to one or more DAY CARE ATTENDANCE
	may be related to one or more LABOUR AND DELIVERY
	may be to one and only one PREGNANCY EPISODE
	may be related to one and only one SERVICE PROVIDED

NURSE

A type of HEALTH CARE PROFESSIONAL. A type of CARE PROFESSIONAL.

A person whose name is included in the Nursing and Midwifery Council register for nurses, midwives and health visitors, and who is contracted as a NURSES to a HEALTH CARE PROVIDER.

This class is also known by these names:

Context	Alias
plural	NURSES

NURSING EPISODE

A continuous period of residential nursing care for a client (PATIENT) given on site 24 hours a day, with a nominated NURSE responsible for and available to the client/patients in circumstances when the responsibility for medical care is provided by the PATIENT's own GMP. A type of CARE EPISODE.

The NURSES with overall responsibility for a NURSING EPISODE must be identified. If the responsible NURSES changes then a new NURSING EPISODE begins. A continuous period of residential nursing care for a client (PATIENT) given on site 24 hours a day as part of a HOSPITAL PROVIDER SPELL or CARE HOME STAY (NURSING CARE), under the direct care of a NURSE.

The NURSE with overall responsibility for a NURSING EPISODE must be identified. If the responsible NURSE changes then a new NURSING EPISODE or CONSULTANT EPISODE (HOSPITAL PROVIDER) begins.

During a NURSING EPISODE the PATIENT is either in a NURSING HOME or in one or more WARDS of a HOSPITAL SITE. In some circumstances a PATIENT may take HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, which does not interrupt the NURSING EPISODE.

This class is also known by these names:

Context	Alias
plural	NURSING EPISODES

NURSING EPISODE

Each NURSING EPISODE

K	must be related to one and only one PATIENT
	must be if patient in hospital within one and only one HOSPITAL PROVIDER SPELL
	or must be if patient in nursing home within one and only one NURSING HOME STAY (NURSING CARE)
	must be if patient in nursing home within one and only one CARE HOME STAY (NURSING CARE)
	must be related to one and only one NURSE
	may be related to one or more DAY CARE ATTENDANCE
	may be if in hospital and as a result of an RTA, part of one and only one ROAD TRAFFIC ACCIDENT TREATMENT
	may be related to one and only one SERVICE PROVIDED

OPERATING THEATRE INTENDED SPECIALTY

The operational planning intent for an OPERATING THEATRE in terms of the number of sessions planned by SPECIALTY FUNCTION. The operational planning intent for an OPERATING THEATRE in terms of the number of sessions planned by TREATMENT FUNCTION.

This class is also known by these names:

Context	Alias
plural	OPERATING THEATRE INTENDED SPECIALTIES

OPERATING THEATRE INTENDED SPECIALTY

Each OPERATING THEATRE INTENDED SPECIALTY

K	must be related to one and only one OPERATING THEATRE OPERATIONAL PLAN
K	must be related to one and only one SPECIALTY FUNCTION
K	must be related to one and only one TREATMENT FUNCTION

OPERATING THEATRE SESSION

A period of OPERATING THEATRE time allocated to one or more consultant firms (CONSULTANT).

A session is either scheduled or unscheduled.

A scheduled session is when the allocation of time is made to one CONSULTANT whose firm is responsible for the utilisation of this session. It does not include time made available for an operation on a particular PATIENT unless the operation is included in a scheduled session as above and performed by a member of a consultant firm of the same SPECIALTY as that allocated to the session. It does not include time made available for an operation on a particular PATIENT unless the operation is included in a scheduled session as above and performed by a member of a consultant firm of the same TREATMENT FUNCTION as that allocated to the session.

An unscheduled session is when an allocation of time is made available for one or more THEATRE CASES in any circumstances outside a scheduled session as above. THEATRE CASES in unscheduled sessions may be the responsibility of different CONSULTANTS.

An OPERATING THEATRE SESSION may under/over-run the allocated time. The allocation, i.e. consultant firm, time and/or theatre may change by agreement any time before the session starts.

An OPERATING THEATRE SESSION should be considered cancelled if the time slot allocation is not used to perform at least one operation.

This class is also known by these names:

Context	Alias
plural	OPERATING THEATRE SESSIONS

OPERATING THEATRE SESSION

Each OPERATING THEATRE SESSION

K	must be related to one and only one OPERATING THEATRE
	may be the actual responsibility of one and only one CONSULTANT
	may be planned for one or more CONSULTANT
	may be related to one and only one SPECIALTY FUNCTION
	may be related to one or more THEATRE CASE
	may be cancelled due to one and only one THEATRE SESSION CANCELLATION REASON
	may be related to one and only one TREATMENT FUNCTION

OPHTHALMIC MEDICAL PRACTITIONER

A type of HEALTH CARE PROFESSIONAL. A type of CARE PROFESSIONAL.

A person whose name is registered with the General Medical Council and the Ophthalmic Qualification Committee, and who is contracted as an OPHTHALMIC MEDICAL PRACTITIONERS to a HEALTH AUTHORITY

This class is also known by these names:

Context	Alias
plural	OPHTHALMIC MEDICAL PRACTITIONERS

OPHTHALMIC OPTICIAN

A type of HEALTH CARE PROFESSIONAL. A type of CARE PROFESSIONAL.

A person whose name is registered with the General Ophthalmic Council as an OPHTHALMIC OPTICIANS (or optometrist) and who is contracted as an OPHTHALMIC OPTICIANS to a HEALTH AUTHORITY.

This class is also known by these names:

Context	Alias
plural	OPHTHALMIC OPTICIANS

OPHTHALMOLOGY SERVICE

A type of SERVICE POINT.

A separate entity, delivering services in the SPECIALTY of ophthalmology. A separate entity, delivering services in the MAIN SPECIALTY of ophthalmology.

This class is also known by these names:

Context	Alias
plural	OPHTHALMOLOGY SERVICES

OPHTHALMOLOGY SERVICE

Each OPHTHALMOLOGY SERVICE

	must be related to one and only one SPECIALTY
	must be related to one and only one MAIN SPECIALTY

OPTICIAN SITE

A type of ORGANISATION SITE.

An OPTICIAN SITES is an ORGANISATION SITE that is a premises from which CONSULTANTS with a SPECIALTY of Medical Ophthalmology, OPHTHALMIC MEDICAL PRACTITIONERS and/or OPHTHALMIC OPTICIANS operate. An OPTICIAN SITE is an ORGANISATION SITE that is a premises from which CONSULTANTS with a MAIN SPECIALTY of Medical Ophthalmology, OPHTHALMIC MEDICAL PRACTITIONERS and/or OPHTHALMIC OPTICIANS operate.

This class is also known by these names:

Context	Alias
plural	OPTICIAN SITES

OUT-PATIENT ATTENDANCE CONSULTANT

An attendance at which a PATIENT is seen by a CONSULTANT, in respect of one referral, that is not a visit to the home of a PATIENT for which a fee is payable under paragraph 140 of the Terms and Conditions of Service. For the purposes of this definition 'CONSULTANT' includes a member of the CONSULTANT's firm or locum for such a member.

If a PATIENT is seen by a CONSULTANT at a CONSULTANT CLINIC then this will be a CLINIC ATTENDANCE CONSULTANT. An attendance may involve more than one person (e.g. a family). The number of attendances to be recorded should be the number of PATIENTS for whom the particular CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance.

A visit to the home of a PATIENT made at the instance of a hospital or specialist to review the urgency of a proposed admission to hospital, or to continue to supervise treatment initiated or prescribed at a hospital or clinic is covered by this definition.

OUT-PATIENT ATTENDANCE CONSULTANT also includes a PATIENT being seen by a CONSULTANT from a different SPECIALTY during a CONSULTANT EPISODE (HOSPITAL PROVIDER) in circumstances where there is no transfer of responsibility for the care of the PATIENT. OUT-PATIENT ATTENDANCE CONSULTANT also includes a PATIENT being seen by a CONSULTANT from a different MAIN SPECIALTY during a CONSULTANT EPISODE (HOSPITAL PROVIDER) in circumstances where there is no transfer of responsibility for the care of the PATIENT.

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the consultant they are in contact with during attendance is their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.

This class is also known by these names:

Context	Alias
plural	OUT-PATIENT ATTENDANCES CONSULTANT

PATIENT

Each PATIENT

	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 the subject of one or more CARE EPISODE
	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 related to one DISABLEMENT APPLIANCE
	may be related to one or more DISABLEMENT APPLIANCE REPAIR
	may be in receipt of one or more DISPENSED ITEM
	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 GENITO-URINARY 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 related to one or more NURSING HOME STAY (MIDWIFE CARE)
	may be related to one or more NURSING HOME STAY (NURSING CARE)
	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 related to one or more PATIENT 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 related to one or more RESIDENTIAL CARE OR GROUP HOME STAY
	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

PATIENT DIAGNOSIS

Each PATIENT DIAGNOSIS

	may be recorded for one and only one CONSULTANT EPISODE (ACUTE HOME-BASED)
	or may be related to one and only one CONSULTANT EPISODE (HOSPITAL PROVIDER)
	or may be related to one and only one OUT-PATIENT ATTENDANCE CONSULTANT
	may be the primary diagnosis of one or more CANCER CARE SPELL
	may be the presenting condition for one and only one CARE EPISODE
	may be recorded for one and only one CARE PROGRAMME APPROACH REVIEW
	may be recorded for highest one and only one NEONATAL LEVEL OF CARE PERIOD

PATIENT PROCEDURE

Each PATIENT PROCEDURE

	must be performed on a patient within one and only one CONSULTANT EPISODE (ACUTE HOME-BASED)
	or must be related to one and only one CONSULTANT EPISODE (HOSPITAL PROVIDER)
	or must be performed on a patient within one and only one DAY CARE ATTENDANCE
	or must be related to one and only one LABOUR AND DELIVERY
	or must be related to one and only one OUT-PATIENT ATTENDANCE CONSULTANT
	or must be related to one and only one WARD ATTENDANCE
	must be related to one or more PATIENT PROCEDURE CLASSIFICATION
	may be performed as treatment during one and only one CANCER CARE SPELL
	may be the responsibility as surgeon of one and only one CARE PROFESSIONAL
	may be recorded by one and only one CARE PROGRAMME APPROACH REVIEW
	may be the cause of complications recorded as one or more CLINICAL DIAGNOSIS FOR PERSON
	may be the responsibility as anaesthetist of one and only one CONSULTANT
	may be the responsibility as surgeon of one and only one HEALTH CARE PROFESSIONAL
	may be performed in response to one and only one REFERRAL FOR BREAST TREATMENT
	may be the reason for one or more REQUEST FOR PATHOLOGY INVESTIGATION
	may be during one and only one THEATRE CASE

PERSON OBSERVATION

Observations made regarding a PERSON. These observations do not include information about a treatment or intervention. The observation may be a CLINICAL DIAGNOSIS FOR PERSON. The observer may be a related PERSON or a HEALTH CARE PROFESSIONAL. The observer may be a related PERSON or a CARE PROFESSIONAL. PERSON OBSERVATIONS may be recorded during, or as a result of, a course of treatment.

PERSON OBSERVATIONS include CARDIAC ARREST, ACUTE MYOCARDIAL INFARCTION HISTORY ITEM and CO-MORBIDITY INDEX FOR ADULTS.

References:
The version 1.1 NHS Standard EDIFACT Messages for Pathology Requests and Reports, 2001
The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95

This class is also known by these names:

Context	Alias
plural	PERSON OBSERVATIONS

PERSON OBSERVATION

Each PERSON OBSERVATION

K	must be an observation of one and only one PERSON
	must be observed by one and only one HEALTH CARE PROFESSIONAL
	must be observed by one and only one CARE PROFESSIONAL
	or must be observed by one and only one PERSON
	may be the observation in one or more PERSON OBSERVATION WITHIN CARE SPELL
	may be related to one and only one SERVICE PROVIDED

PRESCRIPTION

Each PRESCRIPTION

	must be a request from one and only one HEALTH CARE PROFESSIONAL
	must be a request from one and only one CARE PROFESSIONAL
	must be a request to dispense to one and only one PATIENT
	may be wholly or partially satisfied by the dispensing of one or more DISPENSED ITEM
	may be a request to dispense one or more PRESCRIBED ITEM

PROFESSIONAL STAFF GROUP CONTACT

A single occasion involving contact between a PATIENT or his/her proxy and one or more members of a professional staff group discipline, including paid support staff working for a professional staff group discipline.

A proxy contact is a single occasion involving contact between a client/patient or his/her proxy, and one or more members of a professional staff group discipline or relevant staff group for community service. Contacts with proxies count as face-to-face contacts only if the contact is in lieu of the contact with the client, and the proxy is able more effectively than the client to ensure that specific professional advice devised for the client is followed. This is most likely to be the case where the client is unable to communicate effectively say for an infant, or for a person who is mentally ill or learning disabilities.

For PROFESSIONAL STAFF GROUP SERVICES, face to face contacts comprise both:

a.	Attendances lasting from the arrival to the departure of the patient
b.	Visits lasting from the arrival to the departure of professional staff group staff

One or more members of the professional staff group discipline may be in contact with one or more PATIENTS at the same time and PATIENTS may be seen in association with staff from other disciplines. Contacts should be recorded as follows:

a.	If one or more staff of the same discipline are in contact with one patient at the same time, this should be recorded as one face to face contact
b.	If staff see a patient with staff of other disciplines, this should be recorded as one face to face contact for each discipline involved
c.	If one or more staff of one discipline are in contact with a group of patients at the same time, each patient should be recorded as one face to face contact
d.	If staff from different disciplines are in contact with a group of patients at the same time, each patient should be recorded as one face to face contact for each discipline involved

For physiotherapy, it may not be practical to collect data about all face-to-face contacts; however as a minimum, INITIAL CONTACTS and FIRST CONTACTS IN FINANCIAL YEARS should be recorded.

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the member of the professional staff group discipline in contact is also their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.

Note: When face-to-face contacts are used for attributing professional staff group costs to SPECIALTIES , it will be necessary to distinguish between those contacts by PATIENTS using a hospital bed, attenders at CONSULTANT CLINICS and attenders at DAY CARE FACILITIES . Note: When face-to-face contacts are used for attributing professional staff group costs to MAIN SPECIALTIES , it will be necessary to distinguish between those contacts by PATIENTS using a hospital bed, attenders at CONSULTANT CLINICS and attenders at DAY CARE FACILITIES .

This class is also known by these names:

Context	Alias
plural	PROFESSIONAL STAFF GROUP CONTACTS

PROFESSIONAL STAFF GROUP EPISODE

Each PROFESSIONAL STAFF GROUP EPISODE

K	must be related to one and only one PATIENT
K	must be related to one and only one PROFESSIONAL STAFF GROUP SERVICE
	may be related to one or more DISABLEMENT APPLIANCE
	may be related to one or more PROFESSIONAL STAFF GROUP CONTACT
	may be related to one and only one SERVICE PROVIDED
	may be classified from source of referral by one and only one SPECIALTY FUNCTION
	may be classified from source of referral by one and only one TREATMENT FUNCTION

RADIOLOGY DEPARTMENT

A unit which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing in the SPECIALTY of radiology which deals with requests for radiological or isotope procedures. A unit which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing in the MAIN SPECIALTY of radiology which deals with requests for radiological or isotope procedures.

This class is also known by these names:

Context	Alias
plural	RADIOLOGY DEPARTMENTS

RADIOLOGY INVESTIGATION PLAN

Each RADIOLOGY INVESTIGATION PLAN

K	must be plan for one and only one IMAGING OR RADIODIAGNOSTIC EVENT
	must be planned by one and only one HEALTH CARE PROFESSIONAL
	must be planned by one and only one CARE PROFESSIONAL
	or must be planned by one and only one RADIOLOGY DEPARTMENT
	may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER

REFERRAL REQUEST

Each REFERRAL REQUEST

K	must be related to one and only one PATIENT
	must be a referral to one and only one CONSULTANT
	or must be a referral to one and only one SERVICE POINT
	must be made by one and only one HEALTH CARE PROFESSIONAL
	must be made by one and only one CARE PROFESSIONAL
	or must be made by one and only one ORGANISATION
	may be the initiator of one or more CANCER CARE SPELL
	may be associated with one or more CANCER CARE SPELL DELAY
	may be related to one and only one LOCAL SUB-SPECIALTY
	may be associated with one or more OUT-PATIENT REFERRAL STATUS
	may be related to one or more PLANNED SERVICE TO BE PROVIDED
	may be a referral with subsequently one or more REFERRAL REQUEST
	may be subsequent to an original one REFERRAL REQUEST
	may be a request for colposcopy from one and only one SCREENING TEST
	may be the initiator of one or more SERVICE PROVIDED
	may be related to one and only one SPECIALTY FUNCTION
	may be related to one or more TRANSPORT REQUIREMENT
	may be related to one and only one TREATMENT FUNCTION

REGULAR ATTENDER EPISODE

Each REGULAR ATTENDER EPISODE

K	must be related to one and only one PATIENT
	may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
	may be related to one or more DAY CARE ATTENDANCE
	may be provided as part of one and only one SERVICE PROVIDED

REQUEST FOR DIAGNOSTIC TEST

A request for a single diagnostic investigation or procedure for an individual PATIENT or any human or, for pathology, non-human source.

Each REQUEST FOR DIAGNOSTIC TEST may have a sub-type of REQUEST FOR ISOTOPE PROCEDURE, REQUEST FOR PHYSIOLOGICAL MEASUREMENT, REQUEST FOR PATHOLOGY INVESTIGATION or REQUEST FOR RADIOLOGICAL PROCEDURE.

When a REQUEST FOR DIAGNOSTIC TEST is used to apportion costs to SPECIALTY, distinction should be made between those for PATIENTS using a hospital bed, out-patients and attendees at DAY CARE FACILITIES . When a REQUEST FOR DIAGNOSTIC TEST is used to apportion costs to MAIN SPECIALTY, distinction should be made between those for PATIENTS using a hospital bed, out-patients and attendees at DAY CARE FACILITIES .

This class is also known by these names:

Context	Alias
plural	REQUESTS FOR DIAGNOSTIC TEST

REQUEST FOR DIAGNOSTIC TEST

Each REQUEST FOR DIAGNOSTIC TEST

K	must be processed by one and only one SERVICE POINT
	may be an order to one and only one HEALTH CARE PROFESSIONAL
	may be an order to one and only one CARE PROFESSIONAL
	or may be an order to one and only one ORGANISATION
	may be requested by one and only one HEALTH CARE PROFESSIONAL
	may be requested by one and only one CARE PROFESSIONAL
	or may be requested by one and only one ORGANISATION
	may be except Category II requests from one and only one LOCATION
	may be related to one and only one PATIENT
	may be a request with subsequently one or more REQUEST FOR DIAGNOSTIC TEST
	may be subsequent to an original one REQUEST FOR DIAGNOSTIC TEST
	may be related to one and only one SERVICE PROVIDED
	may be initiated within one and only one SPECIALTY FUNCTION
	may be initiated within one and only one TREATMENT FUNCTION

RESPONSIBLE MEDICAL OFFICER ASSIGNMENT

An assignment of a CONSULTANT within a particular SPECIALTY FUNCTION to a MENTAL HEALTH CARE SPELL. An assignment of a CONSULTANT within a particular MAIN SPECIALTY to a MENTAL HEALTH CARE SPELL.

There will be only one CONSULTANT assigned to a PATIENT at any one time. These assignments may change during the course of a MENTAL HEALTH CARE SPELL, though not necessarily at the time of a CARE PROGRAMME APPROACH REVIEW.

This class is also known by these names:

Context	Alias
plural	RESPONSIBLE MEDICAL OFFICER ASSIGNMENTS

RESPONSIBLE MEDICAL OFFICER ASSIGNMENT

Each RESPONSIBLE MEDICAL OFFICER ASSIGNMENT

K	must be an assignment of one and only one CONSULTANT SPECIALTY FUNCTION
K	must be an assignment of one and only one MAIN SPECIALTY
K	must be an assignment within one and only one MENTAL HEALTH CARE SPELL

RIGHT OF ADMISSION

Each RIGHT OF ADMISSION

K	must be related to one and only one HEALTH CARE PROVIDER
	may be an admission right for one and only one ORGANISATION SITE
	or may be an admission right for one and only one SPECIALTY FUNCTION
	or may be an admission right for one and only one TREATMENT FUNCTION
	or may be an admission right for one and only one WARD
	must be the right of one and only one CONSULTANT
	or must be the right of one and only one MIDWIFE
	or must be the right of one and only one NURSE
	may be related to one or more DECISION TO ADMIT

ROAD TRAFFIC ACCIDENT TREATMENT

Each ROAD TRAFFIC ACCIDENT TREATMENT

K	must be for one and only one PATIENT
	may be if patient admitted to hospital, made up of one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be if patient admitted to hospital, made up of one or more NURSING EPISODE
	may be if patient admitted to hospital, made up of one or more CARE EPISODE
	may be associated with one or more RTA TREATMENT BY OTHER PROVIDER

ROTATIONAL ARRANGEMENT

A training scheme to give junior doctors a range of experience in different SPECIALTIES . Doctors appointed to rotational arrangements will move from time to time between different blocks of work each of which will be in a particular SPECIALTY. A training scheme to give junior doctors a range of experience in different MAIN SPECIALTIES . Doctors appointed to rotational arrangements will move from time to time between different blocks of work each of which will be in a particular MAIN SPECIALTY.

This class is also known by these names:

Context	Alias
plural	ROTATIONAL ARRANGEMENTS

SERVICE PROVIDED

Each SERVICE PROVIDED

K	must be a treatment or service provided by one and only one HEALTH CARE PROVIDER
	may be part of one and only one HEALTH PROGRAMME
	or may be related to one and only one SURVEILLANCE PROGRAMME STAGE
	may be related to one or more GROUP SESSION
	or may be related to one or more HEALTH PROMOTION OTHER ACTIVITY
	or may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
	or may be related to one or more PERSON IN A SCREENING PROGRAMME
	may be related to one or more ACCIDENT AND EMERGENCY DEPARTMENT
	may be related to one or more ACCIDENT AND EMERGENCY EPISODE
	may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
	may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
	may be related to one or more AMBULANCE SERVICE
	may be provided as one or more ANTI-CANCER DRUG PROGRAMME
	may be related to one or more AUDIOLOGY ATTENDANCE
	may be related to one or more CARE EPISODE
	may be provided within one and only one CARE PLAN
	may be provided as one or more CARE PROGRAMME APPROACH EPISODE
	may be for care responsibility part of one and only one CARE SPELL
	may be related to one or more CLINICAL INTERVENTION
	may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
	may be related to one or more COMMUNITY EPISODE
	may be provided as one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
	may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be provided as one or more CONSULTANT OUT-PATIENT EPISODE
	may be related to one or more DENTAL EPISODE
	may be related to one or more DENTAL STAFF MEMBER IN PROGRAMME
	may be related to one or more DOMICILIARY CONSULTATION
	may be related to one or more DRUG MISUSE EPISODE
	may be related to one or more ELECTIVE ADMISSION LIST ENTRY
	may be related to one or more FACE TO FACE CONTACT OPTICAL
	may be provided as one or more FACE TO FACE CONTACT SOCIAL WORKER
	may be related to one or more FAMILY PLANNING DOMICILIARY VISIT
	may be related to one or more HEALTH PROMOTION ACTIVITY HIV AND AIDS
	may be related to one or more HEALTHY PERSON STAY
	may be related to one or more HOME ASSESSMENT VISIT
	may be related to one or more HOME DIALYSIS EPISODE
	may be provided as one or more HOME HELP VISIT
	may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
	may be related to one or more LABOUR AND DELIVERY
	may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
	may be provided in one and only one LOCATION
	may be related to one or more MATERNITY DOMICILIARY VISIT
	may be related to one or more MIDWIFE EPISODE
	may be related to one or more NHS SERVICE AGREEMENT CHANGE
	may be related to one or more NURSE OR MIDWIFE CONTACT
	may be related to one or more NURSING EPISODE
	may be provided as one or more NURSING HOME STAY (CONSULTANT CARE)
	may be related to one or more NURSING HOME STAY (NURSING CARE)
	may be related to one or more OUT-PATIENT CLINIC
	may be related to one or more OVERSEAS VISITOR STATUS
	may be provided as one or more PALLIATIVE CARE EPISODE
	may be related to one or more PATIENT JOURNEY
	may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
	may be related to one or more PERSON IN A SURVEILLANCE STAGE
	may be related to one or more PERSON OBSERVATION
	may be providing one or more PERSON SMOKING CESSATION EPISODE
	may be related to one and only one PLANNED CANCER TREATMENT
	may be related to one or more POST MORTEM
	may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
	may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
	may be related to one or more RADIOTHERAPY TREATMENT COURSE
	may be initiated by one and only one REFERRAL REQUEST
	may be provided as one or more REGULAR ATTENDER EPISODE
	may be related to one or more REQUEST FOR DIAGNOSTIC TEST
	may be provided as one or more RESIDENTIAL CARE OR GROUP HOME STAY
	may be subdivided into one or more SERVICE PROVIDED
	may be a subdivision of one SERVICE PROVIDED
	may be related to one or more SERVICE PROVIDED UNDER AGREEMENT
	may be provided at one or more SERVICE PROVISION POINT
	may be related to one or more SERVICE REPORTED
	may be reported by one and only one SERVICE REPORT HEADER
	may be provided as one or more SHELTERED WORK ATTENDANCE
	may be part of one and only one SMOKING CESSATION SERVICE
	may be provided as one or more SOCIAL SERVICES STATUTORY ASSESSMENT
	may be related to one or more VASECTOMY PERFORMED
	may be related to one or more WARD ATTENDANCE
	may be related to one or more WARD STAY

SERVICE REPORT COPY

Each SERVICE REPORT COPY

K	must be related to one and only one SERVICE REPORT HEADER
	must be issued to one and only one HEALTH CARE PROFESSIONAL
	must be issued to one and only one CARE PROFESSIONAL
	or must be issued to one and only one ORGANISATION

SERVICE REPORT HEADER

Each SERVICE REPORT HEADER

	must be issued by one and only one HEALTH CARE PROFESSIONAL
	must be issued by one and only one CARE PROFESSIONAL
	or must be issued by one and only one ORGANISATION
	must be requested by one and only one HEALTH CARE PROFESSIONAL
	must be requested by one and only one CARE PROFESSIONAL
	or must be requested by one and only one ORGANISATION
	may be related to one and only one PATIENT
	may be related to one or more PLANNED SERVICE TO BE PROVIDED
	may be related to one or more SERVICE PROVIDED
	may be related to one or more SERVICE REPORT COPY
	may be composed of one or more SERVICE REPORTED
	may be referenced by one or more SERVICE REPORT HEADER
	may be a reference to one SERVICE REPORT HEADER

SHARED CARE CONSULTANT

Each SHARED CARE CONSULTANT

K	must be a role of one and only one CONSULTANT
K	must be equally sharing in the care during one and only one CONSULTANT EPISODE (HOSPITAL PROVIDER)
	must be related to one and only one SPECIALTY FUNCTION
	must be related to one and only one MAIN SPECIALTY

SHARED CLINIC CONSULTANT

This is a CONSULTANT conducting an out-patient clinic jointly with another. If CONSULTANTS from two or more SPECIALTIES run a clinic jointly, the combination of their main SPECIALTIES should be used to classify the clinic. If CONSULTANTS from two or more MAIN SPECIALTIES run a clinic jointly, the clinic is classified by an appropriate TREATMENT FUNCTION or LOCAL SUB-SPECIALTY. For central returns and HES the activity should be recorded under the TREATMENT FUNCTION CODE which best describes the activity. A PATIENT attending such a clinic would see two or more CONSULTANTS at the same time. This specifically excludes CONSULTANTS acting only in an advisory capacity.

This class is also known by these names:

Context	Alias
plural	SHARED CLINIC CONSULTANTS

SIGHT TEST

A type of FACE TO FACE CONTACT OPTICAL.

A sight test carried out by a CONSULTANT with a SPECIALTY of General Ophthalmology, OPHTHALMIC MEDICAL PRACTITIONER or an OPHTHALMIC OPTICIAN. A sight test carried out by a CONSULTANT with a MAIN SPECIALTY of General Ophthalmology, OPHTHALMIC MEDICAL PRACTITIONER or an OPHTHALMIC OPTICIAN.

This class is also known by these names:

Context	Alias
plural	SIGHT TESTS

SPECIALTY

SPECIALTY

MAIN SPECIALTY

SPECIALTY renamed MAIN SPECIALTY

SPECIALTIES are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology) group of diseases (oncology) or combinations of these factors. Only SPECIALTY titles recognised by the Royal Colleges and Faculties should be used. Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology) group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the European Specialist Medical Qualifications Order 1995 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each CONSULTANT should be assigned a main SPECIALTY by the ORGANISATION to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work the main SPECIALTY should be general medicine or general surgery. Each CONSULTANT should be assigned a MAIN SPECIALTY by the ORGANISATION to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The main SPECIALTY is specific to a HEALTH CARE PROVIDER. If, for example, a CONSULTANT physician working in two HEALTH CARE PROVIDERS has a generalist component to the work in one and not the other, general medicine is only assigned as the main SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the main SPECIALTY. The MAIN SPECIALTY is specific to a HEALTH CARE PROVIDER. If, for example, a CONSULTANT physician working in two HEALTH CARE PROVIDERS has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.

The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.

The main SPECIALTY only should be used for the purpose of producing aggregated activity and SPECIALTY costing statistics and for Workforce statistics where links with activity and finance are required. The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with activity and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.

This will be used to indicate the skill level of medical and dental employees.

This class is also known by these names:

Context	Alias
plural	SPECIALTIES
plural	MAIN SPECIALTIES

SPECIALTY

Attributes of this Class are:

K		SPECIALTY CODE
K		MAIN SPECIALTY CODE
		MEDICAL AND DENTAL POST SPECIALTY GROUP

SPECIALTY renamed MAIN SPECIALTY

Each SPECIALTY Each MAIN SPECIALTY

	may be the main specialty of the consultant clinically managing one or more AUGMENTED CARE PERIOD
	may be related to one or more CONSULTANT
	may be classifier for main specialty of one or more ELECTIVE ADMISSION LIST
	may be related for shared care to one or more ELECTIVE ADMISSION LIST ENTRY
	may be related to one or more MEDICAL AND DENTAL POST
	may be related to one or more MEDICAL AND DENTAL POST BY SPECIALTY
	may be related to one or more MEDICAL AND DENTAL SPECIALTY INTEREST
	may be for an association with one or more MHCS SPECIALTY ASSOCIATION
	may be related to one or more OPHTHALMOLOGY SERVICE
	may be the classifier for the main specialty of one or more RESPONSIBLE MEDICAL OFFICER ASSIGNMENT
	may be related to one or more SHARED CARE CONSULTANT

SPECIALTY FUNCTION

SPECIALTY FUNCTION

TREATMENT FUNCTION

SPECIALTY FUNCTION renamed TREATMENT FUNCTION

A division of clinical work to a lower level than that designated by Royal Colleges and Faculties. A division of clinical work based on MAIN SPECIALTY but incorporating approved sub-specialties and treatment interests used by lead CARE PROFESSIONALS including CONSULTANTS.

This class is also known by these names:

Context	Alias
plural	SPECIALTY FUNCTIONS
plural	TREATMENT FUNCTIONS

SPECIALTY FUNCTION

Attributes of this Class are:

K		SPECIALTY FUNCTION CODE
K		TREATMENT FUNCTION CODE

SPECIALTY FUNCTION

Each SPECIALTY FUNCTION Each TREATMENT FUNCTION

	may be the main specialty of the consultant clinically managing one or more AUGMENTED CARE PERIOD
	may be the classifier for treatment in one or more CARE EPISODE
	may be classifier for treatment function of one or more CONSULTANT OUT-PATIENT EPISODE
	may be related to one or more CONSULTANT SPECIALTY FUNCTION
	may be related to one or more ELECTIVE ADMISSION LIST
	may be related for shared care to one or more ELECTIVE ADMISSION LIST ENTRY
	may be for an association with one or more MHCS SPECIALTY ASSOCIATION
	may be classifier for treatment function of one or more ELECTIVE ADMISSION LIST
	may be classifier for treatment function of one or more ELECTIVE ADMISSION LIST ENTRY
	may be related to one or more OPERATING THEATRE INTENDED SPECIALTY
	may be related to one or more OPERATING THEATRE SESSION
	may be a classification of one or more PROFESSIONAL STAFF GROUP EPISODE
	may be related to one or more REFERRAL REQUEST
	may be related to one or more REQUEST FOR DIAGNOSTIC TEST
	may be related to one or more RIGHT OF ADMISSION
	may be related to one or more SHARED CARE CONSULTANT
	may be related to one or more THEATRE CASE
	may be related to one or more WARD INTENDED BED USE

THEATRE CASE

Each THEATRE CASE

K	must be related to one and only one OPERATING THEATRE SESSION
	must be related to one and only one PATIENT
	may be for emergency and unscheduled sessions the responsibility of one and only one CONSULTANT
	may be related to one or more PATIENT PROCEDURE
	may be related to one and only one SPECIALTY FUNCTION
	may be related to one and only one TREATMENT FUNCTION

WARD INTENDED BED USE

The intended use of the ward bed stock by SPECIALTY FUNCTION. The intended use of the ward bed stock by TREATMENT FUNCTION.

This class is also known by these names:

Context	Alias
plural	WARD INTENDED BED USES

WARD INTENDED BED USE

Each WARD INTENDED BED USE

K	must be commonly used by one and only one SPECIALTY FUNCTION
K	must be commonly used by one and only one TREATMENT FUNCTION
K	must be related to one and only one WARD OPERATIONAL PLAN
	may be commonly used by one and only one CONSULTANT

WARD OPERATIONAL PLAN

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

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

A bed includes any device that may be used to permit a PATIENT to lie down when the need to do so is as a consequence of the PATIENT's condition rather than the need for active intervention such as examination, diagnostic investigation, manipulation/treatment, or transport. Cots should be included in statistics about beds where appropriate.

It should be noted that:

a.	A couch or trolley should be considered as a bed provided it is used regularly to permit a PATIENT to lie down rather than for merely examination or transport. An example of such an arrangement is a day surgery ward furnished with trolleys
b.	A PATIENT may need to use a bed, couch or trolley whilst attending for a specific short procedure taking an hour or less, such as an endoscopy. If such devices are being used only because of the active intervention and not because of the PATIENT'S condition, they should NOT be counted as beds for statistical purposes
c.	A PATIENT needing a lengthy procedure such as renal dialysis may use a bed or other means of support such as a couch or special chair. Whatever the device used it should be counted as a bed if used regularly for this purpose
d.	Some procedures require narcosis. If this necessitates the PATIENT to lie down, the bed, couch or trolley can be counted as a hospital bed if used regularly for this purpose
e.	A device specifically and solely for the purpose of delivery should not be counted as a bed if another device is normally reserved for antenatal and postnatal care. Details of the facilities available for delivery in a maternity ward should be included in a ward inventory

This class is also known by these names:

Context	Alias
plural	WARD OPERATIONAL PLANS

CLAIMING GMP RELATIONSHIP

The relationship between a claiming GENERAL MEDICAL PRACTITIONER and the HEALTH CARE PROFESSIONAL who delivered the item of service or treatment. The relationship between a claiming GENERAL MEDICAL PRACTITIONER and the CARE PROFESSIONAL who delivered the item of service or treatment.

Classification:

a.	Same GMP
b.	Partner of claiming GMP
c.	Member of the same Group Practice other than the Partner of the claiming GMP
d.	Assistant employed by the GMP, Practice or Group Practice
e.	Associate Doctor
f.	Deputy or Locum employed by the GMP, Practice or Group Practice
g.	Trainee GMP employed by the GMP, Practice or Group Practice
h.	GMP in a non-commercial rota of not more than 10 GMPs
i.	GMP in a non-commercial rota of more than 10 GMPs
j.	Commercial deputising service
k.	Other

This attribute is also known by these names:

Context	Alias
plural	CLAIMING GMP RELATIONSHIPS

DEPARTMENT TYPE

This is used to record the type of ISOTOPE PROCEDURE DEPARTMENT, based on the SPECIALTY of the head of department, or the type of PHYSIOLOGICAL MEASUREMENT DEPARTMENT. This is used to record the type of ISOTOPE PROCEDURE DEPARTMENT, based on the MAIN SPECIALTY of the head of department, or the type of PHYSIOLOGICAL MEASUREMENT DEPARTMENT.

Classification:

a.	ISOTOPE PROCEDURE DEPARTMENT
	i.	nuclear medicine
	ii.	medical physics
	iii.	other
b.	PHYSIOLOGICAL MEASUREMENT DEPARTMENT
	i.	electrocardiography
	ii.	electroencephalography
	iii.	respiratory function

This attribute is also known by these names:

Context	Alias
plural	DEPARTMENT TYPES

ELECTIVE ADMISSION LIST NUMBER

An identifier to make an ELECTIVE ADMISSION LIST unique within SPECIALTY FUNCTION. An identifier to make an ELECTIVE ADMISSION LIST unique within TREATMENT FUNCTION.

This attribute is also known by these names:

Context	Alias
plural	ELECTIVE ADMISSION LIST NUMBERS

GYNAECOLOGICAL ONCOLOGY ACCREDITATION

An indicator of accreditation in Gynaecological Oncology for the HEALTH CARE PROFESSIONAL. An indicator of accreditation in Gynaecological Oncology for the CARE PROFESSIONAL.

National codes:

Y	Yes
N	No

References:
National Cancer Data Set Version 1.3_ISB October 2002

This attribute is also known by these names:

Context	Alias
plural	GYNAECOLOGICAL_ONCOLOGY_ACCREDITATIONS

HONOS SCORE DATE

The date on which a HEALTH CARE PROFESSIONAL evaluated a person for a particular rating of a HONOS SCORE. The date on which a CARE PROFESSIONAL evaluated a person for a particular rating of a HONOS SCORE.

This attribute is also known by these names:

Context	Alias
plural	HONOS SCORE DATES

MEDICAL AND DENTAL POST SPECIALTY GROUP

A grouping of SPECIALTIES used to classify MEDICAL AND DENTAL POSTS. A grouping of MAIN SPECIALTIES used to classify MEDICAL AND DENTAL POSTS.

Classification:

a.	Medicine
b.	Surgery
c.	Obstetrics and Gynaecology
d.	Pathology
e.	Anaesthetics
f.	Paediatrics
g.	Accident and Emergency
h.	Radiology
i.	Psychiatry
j.	Dentistry

This attribute is also known by these names:

Context	Alias
plural	MEDICAL AND DENTAL POST SPECIALTY GROUPS

PRESCRIPTION DATE

The date on which the PRESCRIPTION was signed by the HEALTH CARE PROFESSIONAL. The date on which the PRESCRIPTION was signed by the CARE PROFESSIONAL.

This attribute is also known by these names:

Context	Alias
plural	PRESCRIPTION DATES

REQUEST FOR APPOINTMENT DATE

The date on which a PATIENT requested an appointment to see a HEALTH CARE PROFESSIONAL. The date on which a PATIENT requested an appointment to see a CARE PROFESSIONAL.

This attribute is also known by these names:

Context	Alias
plural	REQUESTS FOR APPOINTMENT DATE

REQUEST FOR APPOINTMENT TIME

The time, recorded using the 24 hour clock, when a PATIENT requested to see a HEALTH CARE PROFESSIONAL. The time, recorded using the 24 hour clock, when a PATIENT requested to see a CARE PROFESSIONAL.

This attribute is also known by these names:

Context	Alias
plural	REQUESTS FOR APPOINTMENT TIME