Change Request
 
NHS Information Authority

Data Standards and Information Programme

Reference: Change Request 389
Version No: 1.19
Subject: Alignment with NPfIT
Type of Change: Revision of NHS data standards
Effective Date: Immediate
Reason for Change: Changes to the NHS Data Dictionary to enable legacy systems to be supported until alignment with the National Programme.

Background:

A full review of the NHS Data Dictionary has been done in order to bring existing information into line with the Meta Data Model. This is to facilitate support of legacy data standards and alignment with NPfIT. This will therefore enable both legacy data standards and new data standards to be supported during the implementation of and migration to NPfIT. There may be further pieces of work which follow this package to ensure consistency of the NHS Data Dictionary with the National Programme and other evolving data standards.

Summary of changes:
 
Class Definitions
ACCIDENT AND EMERGENCY DEPARTMENT    Change to Relationships
ACCIDENT AND EMERGENCY EPISODE    Change to Relationships
ADMINISTRATIVE CATEGORY IN EPISODE    Change to Relationships
ADMINISTRATIVE CATEGORY IN SPELL    Change to Relationships
AMBULANCE SERVICE    Change to Super Type
AMBULANCE SERVICE    Change to Relationships
AMBULANCE SERVICE VEHICLE    Change to Relationships
AMBULANCE STATION    Change to Super Type
AMBULANCE STATION    Change to Relationships
ANTI-CANCER DRUG PROGRAMME    Change to Relationships
AUDIOLOGY ATTENDANCE    Change to Relationships
CANCER CARE PLAN    Change to Relationships
CANCER CARE SPELL    Change to Relationships
CARE HOME STAY    Change to Relationships
CARE PLAN    Change to Relationships
CARE PROGRAMME APPROACH EPISODE    Change to Relationships
CARE SPELL    Change to Relationships
CARE TRUST    Deleted
CHARACTERISTIC    Change to Attributes
CHARACTERISTIC    Change to Relationships
CLINICAL DIAGNOSIS FOR PERSON    Change to Relationships
CLINICAL INTERVENTION    Change to Relationships
CLINIC ATTENDANCE NON-CONSULTANT    Change to Relationships
COMMUNITY EPISODE    Change to Relationships
CONSULTANT    Change to Attributes
CONSULTANT CLINIC GENITO-URINARY    Deleted
CONSULTANT EPISODE (ACUTE HOME-BASED)    Change to Relationships
CONSULTANT EPISODE (HOSPITAL PROVIDER)    Change to Relationships
CONSULTANT OUT-PATIENT EPISODE    Change to Relationships
DENTAL EPISODE    Change to Relationships
DENTAL STAFF MEMBER IN PROGRAMME    Change to Relationships
DISABLEMENT APPLIANCE    Change to Relationships
DISABLEMENT APPLIANCE REPAIR    Change to Relationships
DISPENSED ITEM    Change to Relationships
DOMICILIARY CONSULTATION    Change to Relationships
DRUG MISUSE EPISODE    Change to Relationships
ELECTIVE ADMISSION LIST ENTRY    Change to Relationships
EMPLOYEE    Change to Attributes
EMPLOYEE    Change to Relationships
ENDOCRINE THERAPY    Change to Relationships
FACE TO FACE CONTACT OPTICAL    Change to Relationships
FACE TO FACE CONTACT SOCIAL WORKER    Change to Relationships
FAMILY PLANNING DOMICILIARY VISIT    Change to Relationships
FINANCIAL PERIOD    Change to Relationships
GENERAL DENTAL PRACTITIONER    Change to Attributes
GENERAL DENTAL PRACTITIONER    Change to Relationships
GENERAL DENTAL PRACTITIONER PRACTICE    New Class
GENERAL MEDICAL PRACTITIONER    Change to Attributes
GENERAL MEDICAL PRACTITIONER    Change to Relationships
GENERAL MEDICAL PRACTITIONER PRACTICE    Change to Relationships
GENITO-URINARY CLINIC ATTENDANCE    Change to Description
GENITO-URINARY CLINIC BY PERIOD    Deleted
GENITO-URINARY EPISODE    Change to Description
GP PRACTICE    Change to Relationships
GROUP SESSION    Change to Relationships
HEALTH CARE PROVIDER    Change to Super Type
HEALTH CARE PROVIDER    Change to Relationships
HEALTH PROGRAMME    Change to Aliases
HEALTH PROGRAMME    Change to Relationships
HEALTH PROMOTION ACTIVITY HIV AND AIDS    Deleted
HEALTH PROMOTION OTHER ACTIVITY    Change to Attributes
HEALTH PROMOTION OTHER ACTIVITY    Change to Relationships
HEALTH PROMOTION PROGRAMME    Change to Attributes
HEALTH PROMOTION PROGRAMME    Change to Relationships
HEALTH PROMOTION PROGRAMME AIM    Deleted
HEALTH PROMOTION PROGRAMME HIV AND AIDS    Change to Relationships
HEALTHY PERSON STAY    Change to Relationships
HEIGHT    Change to Super Type
HOME ASSESSMENT VISIT    Change to Relationships
HOME DIALYSIS EPISODE    Change to Relationships
HOME HELP VISIT    Change to Relationships
HOSPITAL PROVIDER    Change to Relationships
IMAGING OR RADIODIAGNOSTIC EVENT    Change to Relationships
IMMUNISATION PROGRAMME FOR PERSON    Change to Relationships
LABOUR AND DELIVERY    Change to Relationships
LITHOTRIPSY COURSE ATTENDANCE    Change to Relationships
LITHOTRIPTER    Change to Relationships
LOCATION    Change to Relationships
MATERNITY DOMICILIARY VISIT    Change to Relationships
MIDWIFE    Change to Attributes
MIDWIFE EPISODE    Change to Relationships
NHS SERVICE AGREEMENT CHANGE    Change to Description
NHS SERVICE AGREEMENT CHANGE    Change to Relationships
NURSE    Change to Attributes
NURSE CLINIC GENITO-URINARY    Deleted
NURSE OR MIDWIFE CONTACT    Change to Relationships
NURSING EPISODE    Change to Relationships
OPERATING THEATRE SESSION    Change to Attributes
OPERATING THEATRE SESSION    Change to Relationships
OPHTHALMIC MEDICAL PRACTITIONER    Change to Attributes
OPHTHALMIC OPTICIAN    Change to Attributes
ORGANISATION    Change to Relationships
OUT-PATIENT CLINIC    Change to Relationships
OVERSEAS VISITOR STATUS    Change to Description
OVERSEAS VISITOR STATUS    Change to Relationships
PALLIATIVE CARE EPISODE    Change to Relationships
PATIENT    Change to Super Type
PATIENT    Change to Relationships
PATIENT JOURNEY    Change to Name
PATIENT JOURNEY renamed PATIENT TRANSPORT JOURNEY    Change to Description
PATIENT JOURNEY renamed PATIENT TRANSPORT JOURNEY    Change to Relationships
PATIENT ORGANISATION    New Class
PERSON    Change to Attributes
PERSON    Change to Relationships
PERSON CHARACTERISTIC    Change to Super Type
PERSON CHARACTERISTIC    Change to Relationships
PERSON IDENTIFIER    Change to Description
PERSON IDENTIFIER    Change to Attributes
PERSON IDENTIFIER    Change to Relationships
PERSON IDENTIFIER USED BY ROLE    Deleted
PERSON IN A CONTACT TRACING PROGRAMME    Change to Relationships
PERSON IN ADVICE AND SUPPORT PROGRAMME    Change to Relationships
PERSON IN A SCREENING PROGRAMME    Change to Relationships
PERSON IN A SURVEILLANCE STAGE    Change to Relationships
PERSON OBSERVATION    Change to Super Type
PERSON OBSERVATION    Change to Attributes
PERSON OBSERVATION    Change to Relationships
PERSON OBSERVATION WITHIN CARE SPELL    Deleted
PERSON PROPERTY    New Class
PERSON ROLE IN ORGANISATION    Change to Relationships
PERSON SMOKING CESSATION EPISODE    Change to Relationships
PLANNED CANCER TREATMENT    Change to Relationships
POST MORTEM    Change to Relationships
PREGNANCY EPISODE    Change to Relationships
PRIMARY CARE GROUP    Deleted
PROF ADVICE AND SUPPORT PROGRAMME    Change to Super Type
PROFESSIONAL STAFF GROUP EPISODE    Change to Relationships
PROFESSIONAL STAFF GROUP SERVICE    Change to Relationships
QUALIFICATION POSSESSED    Change to Relationships
RADIOLOGY DEPARTMENT    Change to Relationships
RADIOTHERAPY DEPARTMENT    Change to Relationships
RADIOTHERAPY MACHINE    Change to Relationships
RADIOTHERAPY TREATMENT COURSE    Change to Relationships
REFERRAL REQUEST    Change to Relationships
REGULAR ATTENDER EPISODE    Change to Relationships
REQUEST FOR DIAGNOSTIC TEST    Change to Relationships
ROAD TRAFFIC ACCIDENT TREATMENT    Change to Relationships
RTA TREATMENT BY OTHER PROVIDER    Deleted
SCREENING TEST    Change to Relationships
SERVICE POINT    Change to Relationships
SERVICE PROVIDED    Change to Name
SERVICE PROVIDED renamed SERVICE    Change to Description
SERVICE PROVIDED    Change to Relationships
SERVICE PROVIDED UNDER AGREEMENT    Change to Relationships
SERVICE PROVISION POINT    Change to Description
SERVICE PROVISION POINT    Change to Relationships
SERVICE REPORT COPY    Change to Description
SERVICE REPORTED    Change to Description
SERVICE REPORTED    Change to Relationships
SERVICE REPORT HEADER    Change to Relationships
SERVICE TO THE COMMUNITY PROGRAMME    Deleted
SHELTERED WORK ATTENDANCE    Change to Relationships
SMOKING CESSATION SERVICE    Change to Relationships
SOCIAL SERVICES STATUTORY ASSESSMENT    Change to Relationships
STRUCTURED PROGRAMME    Change to Super Type
SURVEILLANCE PROGRAMME STAGE    Change to Relationships
THEATRE SESSION CANCELLATION REASON    Deleted
TRANSPORT REQUEST    Change to Relationships
VASECTOMY PERFORMED    Change to Relationships
WARD ATTENDANCE    Change to Relationships
WARD STAY    Change to Relationships
WEIGHT    Change to Super Type
 
Attribute Definitions
CANCELLATION REASON    Change to Description
CHARACTERISTIC TYPE CODE    New Attribute
CLINICAL CLASSIFICATION CODE    Change to Description
CONSULTANT CODE    New Attribute
DDP CODE    New Attribute
EXPECTED DELAY BEFORE SERVICE UNIT    Change to Description
EXPECTED DELAY BEFORE SERVICE VALUE    Change to Description
FIRST ATTENDANCE    Change to Description
FIRST SEEN BY SPECIALIST DATE (CANCER)    Change to Description
GENERAL DENTAL PRACTITIONER CODE    New Attribute
GENERAL OPHTHALMIC COUNCIL NUMBER    New Attribute
GENERAL PRACTITIONER PPA CODE    New Attribute
GENITO-URINARY CLINIC TELEPHONE CALLS    Deleted
GMC CODE    New Attribute
HEALTH PROMOTION AIM DESCRIPTION    Deleted
HEALTH PROMOTION PROGRAMME AIM    New Attribute
HEALTH PROMOTION PROGRAMME AIM CODE    Deleted
HIV AND AIDS INDICATOR     New Attribute
LOCAL PATIENT IDENTIFIER    New Attribute
MIDWIFE COUNCIL NUMBER    New Attribute
NHS NUMBER    New Attribute
NHS NUMBER OLD    New Attribute
NHS SERVICE AGREEMENT CHANGE TYPE    Change to Description
NURSE OR MIDWIFE IDENTIFER    New Attribute
OPHTHALMIC MEDICAL PRACITIONER GMC CODE    New Attribute
OPHTHALMIC QUALIFICATION COMMITTEE CODE    New Attribute
PATIENT JOURNEY DATE    Change to Description
PATIENT JOURNEY NUMBER    Change to Description
PERSON IDENTIFIER CODE    Change to Description
PERSON IDENTIFIER TYPE    Change to Description
SELF-REFERRAL OR OPEN ACCESS    Change to Description
SERVICE OR PERSONNEL NUMBER    New Attribute
 
Data Elements
CONSULTANT CODE    Change to Description
DATE FIRST SEEN    Change to Description
ORGANISATION CODE (PROVIDER FIRST SEEN)    Change to Description
 
Central Return Forms
KA34 1    Change to Guidance Text
QF01 1    Change to Guidance Text
QM08R 1    Change to Guidance Text
 
Diagrams
AD010 CORE ADMINISTRATIVE DATA - PERSON DETAILS    Change to Diagram Contents
AD020 CORE ADMINISTRATIVE DATA - ORGANISATION DETAILS    Change to Diagram Contents
AD030 CORE ADMINISTRATIVE DATA - ADDRESS & GEOGRAPHIC AREA DETAILS    Change to Diagram Contents
CDS010 COMMISSIONING DETAILS AND SERVICE ARRANGEMENT CHANGE DETAILS - ALL CDS TYPES    Change to Diagram Contents
CDS020 PATIENT DETAILS - ALL CDS TYPES    Change to Diagram Contents
CDS030 REFERRAL DETAILS - ALL CDS TYPES    Change to Diagram Contents
CDS090 EPISODE AND ATTENDANCE DETAILS - OUT-PATIENT AND WARD ATTENDERS CDS TYPES    Change to Diagram Contents
CDS100 ATTENDANCE DETAILS - ACCIDENT AND EMERGENCY CDS TYPE    Change to Diagram Contents
CEN1ETC CEN1, CEN2, CEN4 AND CEN5 ASSISTANTS, REGISTRARS, SALARIED DOCTORS AND RETAINERS    Change to Diagram Contents
CL010 PERSON OBSERVATIONS AND CHARACTERISTICS    Change to Diagram Contents
CL020 CLINICAL INTERVENTIONS    Change to Diagram Contents
CM010 FAMILY PLANNING SERVICES    Change to Diagram Contents
CM020 COMMUNITY PROGRAMMES    Change to Diagram Contents
CM030 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR PRIMARY CARE TRUSTS    Change to Diagram Contents
CM040 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH CARE PROVIDERS    Change to Diagram Contents
CM050 CONTACT TRACING, SCREENING, HEALTH PROMOTION FOR HEALTH AUTHORITIES    Change to Diagram Contents
CM060 CONTACT TRACING, HEALTH PROMOTION FOR HEALTH CARE PROVIDERS    Change to Diagram Contents
CM070 SCREENING FOR HEALTH CARE PROVIDERS    Change to Diagram Contents
CM080 COMMUNITY - PROFESSIONAL ADVICE AND SUPPORT    Change to Diagram Contents
CM090 COMMUNITY - GENITO-URINARY CLINICS    Change to Diagram Contents
CM100 COMMUNITY - DENTAL HEALTH    Change to Diagram Contents
CM110 COMMUNITY - NURSING CARE IN THE COMMUNITY    Change to Diagram Contents
CM130 SMOKING CESSATION SERVICES    Change to Diagram Contents
CMDS010 COMMISSIONING DETAILS AND SERVICE ARRANGEMENT CHANGE DETAILS - ELECTIVE ADMISSION LIST CMDS    Change to Diagram Contents
CMDS030 GP REFERRAL LETTERS CMDS    Change to Diagram Contents
COVER IMMUNISATION    Change to Diagram Contents
CWTM NATIONAL CANCER WAITING TIMES MONITORING DATA SET    Change to Diagram Contents
GN010 SERVICE POINTS    Change to Diagram Contents
GN030 NHS SERVICE AGREEMENTS    Change to Diagram Contents
GN040 SERVICES PROVIDED BY HOSPITALS    Change to Diagram Contents
GN050 SERVICES PROVIDED FOR TREATMENT COURSES AND VISITS    Change to Diagram Contents
GN060 SERVICES PROVIDED BY NON-HOSPITAL SERVICES    Change to Diagram Contents
HA48 LIST OF OPHTHALMIC PRACTITIONERS    Change to Diagram Contents
HES01 HOSPITAL EPISODE STATISTICS: ADMINISTRATIVE PATIENT DATA    Change to Diagram Contents
HES02 HOSPITAL EPISODE STATISTICS: PATIENT DIAGNOSIS AND OPERATIVE PROCEDURES    Change to Diagram Contents
HES03 HOSPITAL EPISODE STATISTICS: PATIENT DISCHARGE AND ADDED FIELDS    Change to Diagram Contents
HES04 HOSPITAL EPISODE STATISTICS: DELIVERY DETAILS NOTIFICATION    Change to Diagram Contents
HES05 HOSPITAL EPISODE STATISTICS: DETENTION DETAILS    Change to Diagram Contents
HP010 REFERRAL REQUESTS    Change to Diagram Contents
HP020 CLINICS    Change to Diagram Contents
HP040 OUT-PATIENT ATTENDANCES    Change to Diagram Contents
HP050 ELECTIVE ADMISSION LISTS    Change to Diagram Contents
HP070 CONSULTANT EPISODES (HOSPITAL PROVIDER)    Change to Diagram Contents
HP090 ADMITTED PATIENT CONSULTANT CARE    Change to Diagram Contents
HP100 ADMITTED PATIENT NURSING CARE    Change to Diagram Contents
HP120 WARDS    Change to Diagram Contents
HP130 OVERSEAS VISITOR & RESIDENCY    Change to Diagram Contents
HP140 ADMISSION AND DISCHARGE    Change to Diagram Contents
HP150 REGISTRABLE BIRTHS    Change to Diagram Contents
HP160 ACCIDENT AND EMERGENCY ATTENDANCES    Change to Diagram Contents
HP170 HOSPITAL BEDS - PLANNING INTENT    Change to Diagram Contents
HP180 OPERATING THEATRES    Change to Diagram Contents
HP190 RADIOTHERAPY DEPARTMENTS    Change to Diagram Contents
HP200 PATHOLOGY SERVICES - DIAGNOSTIC TEST REQUESTS    Change to Diagram Contents
HP210 PATHOLOGY SERVICES    Change to Diagram Contents
HP220 PATHOLOGY SERVICE REQUESTS - GP HOSPITAL COMMUNICATIONS    Change to Diagram Contents
HP250 ISOTOPE PROCEDURES    Change to Diagram Contents
HP260 PHYSIOLOGICAL MEASUREMENT    Change to Diagram Contents
HP270 PROFESSIONAL STAFF GROUP SERVICES AND DEPARTMENTS    Change to Diagram Contents
HP300 NURSING EPISODES    Change to Diagram Contents
HP310 MIDWIFE EPISODES    Change to Diagram Contents
HP340 HOSPITAL EYE SERVICE    Change to Diagram Contents
HP350 NHS DAY CARE FACILITIES    Change to Diagram Contents
HP380 ROAD TRAFFIC ACCIDENT CHARGES    Change to Diagram Contents
HP400 CANCE CARE DRUG PROGRAMMES    Change to Diagram Contents
HP420 CANCER SITES - SKIN, BRAIN AND SARCOMA    Change to Diagram Contents
IGA 19A AND 19B OVERSEAS VISITORS    Change to Diagram Contents
KA34 AMBULANCE SERVICES    Change to Diagram Contents
KC50 IMMUNISATION PROGRAMMES - ACTIVITY    Change to Diagram Contents
KC53 ADULT SCREENING PROGRAMMES: CERVICAL SCREENING    Change to Diagram Contents
KC55 PROFESSIONAL ADVICE & SUPPORT PROGRAMMES - OTHER THAN MATERNITY    Change to Diagram Contents
KC56 PATIENT CARE IN THE COMMUNITY - DISTRICT NURSING    Change to Diagram Contents
KC57 PATIENT CARE IN THE COMMUNITY - COMMUNITY PSYCHIATRIC NURSING    Change to Diagram Contents
KC58 PATIENT CARE IN THE COMMUNITY - COMMUNITY LEARNING DISABILITY NURSING    Change to Diagram Contents
KC59 PATIENT CARE IN THE COMMUNITY - SPECIALIST CARE NURSING    Change to Diagram Contents
KC62 ADULT SCREENING PROGRAMMES: BREAST SCREENING, PROVIDER BASED    Change to Diagram Contents
KC63 ADULT SCREENING PROGRAMMES: BREAST SCREENING, RESIDENT BASED    Change to Diagram Contents
KC64A CDS: PART 1 SCREENING PROGRAMMES AND PART 2 PREVENTATIVE PROGRAMMES    Change to Diagram Contents
KC64B CDS: PART 3 PATIENT CARE AND PART 4 EPIDEMIOLOGY    Change to Diagram Contents
KC65 COLPOSCOPY CLINICS: REFERRALS, TREATMENTS AND OUTCOMES    Change to Diagram Contents
KH06R DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED    Change to Diagram Contents
KH07AR DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED    Change to Diagram Contents
KH09 CONSULTANT OUT-PATIENT ATTENDANCE ACTIVITY & ACCIDENT AND EMERGENCY SERVICES ACTIVITY    Change to Diagram Contents
KT31 SUMMARY OF FAMILY PLANNING SERVICES    Change to Diagram Contents
MDW1 MEDICAL/DENTAL CENSUS    Change to Diagram Contents
MDW2 MEDICAL/DENTAL CENSUS    Change to Diagram Contents
MH010 MENTAL HEALTH CARE SPELLS: ORGANISATION, RESPONSIBILITY AND TREATMENT    Change to Diagram Contents
MH020 MENTAL HEALTH CARE SPELL    Change to Diagram Contents
MH030 CARE PROGRAMME APPROACH EPISODE    Change to Diagram Contents
MS020 GP HOSPITAL COMMUNICATION MESSAGES - SERVICE REPORTS    Change to Diagram Contents
MS040 GP HOSPITAL COMMUNICATION MESSAGES - CYTOLOGY    Change to Diagram Contents
NCDS1 NATIONAL CANCER DATA SET PART 1    Change to Diagram Contents
NCDS3 NATIONAL CANCER DATA SET PART 3    Change to Diagram Contents
PC010 GENERAL MEDICAL PRACTITIONERS AND POSTS IN GP PRACTICES    Change to Diagram Contents
PC090 GENERAL MEDICAL PRACTITIONERS' PARTNERSHIPS AND PERSONS' REGISTRATION    Change to Diagram Contents
PC110 COMMUNITY PHARMACIES    Change to Diagram Contents
PC120 GENERAL OPHTHALMIC SERVICES    Change to Diagram Contents
PC130 EMERGENCY DENTAL SERVICES    Change to Diagram Contents
PT010 PATIENT TRANSPORT REQUESTS    Change to Diagram Contents
QF01 DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED    Change to Diagram Contents
QM08 OUT-PATIENT FIRST ATTENDANCES - PROVIDER    Change to Diagram Contents
QM08R OUT-PATIENT FIRST ATTENDANCES: RESPONSIBLE POPULATION BASED    Change to Diagram Contents
QMCW CANCER WAITING TIMES MONITORING THE TARGETS    Change to Diagram Contents
QMSCS SMOKING CESSATION SERVICES QUARTERLY MONITORING RETURN    Change to Diagram Contents
QNW QUALIFIED NURSE WORKFORCE MONITORING RETURN    Change to Diagram Contents
RTA2 ROAD TRAFFIC ACCIDENT CHARGES FOR HOSPITAL PROVIDERS    Change to Diagram Contents
 
Supporting Information
AD010    Change to Supporting Information
CL020    Change to Supporting Information
CM020    Change to Supporting Information
CM030    Change to Supporting Information
CM050    Change to Supporting Information
CM060    Change to Supporting Information
CM080    Change to Supporting Information
CM090    Change to Supporting Information
CM100    Change to Supporting Information
CM120    Change to Supporting Information
GN030    Change to Supporting Information
GN040    Change to Supporting Information
GN050    Change to Supporting Information
GN060    Change to Supporting Information
HP130    Change to Supporting Information
HP340    Change to Supporting Information
HP380    Change to Supporting Information
HP400    Change to Supporting Information
HP420    Change to Supporting Information
MH010    Change to Supporting Information
MS020    Change to Supporting Information
PT010    Change to Supporting Information

Name: Janet Powell
Date: 20 November 2003
Sponsor: Data Standards and Information Programme

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


ACCIDENT AND EMERGENCY DEPARTMENT

Change to Class: Change to Relationships

Each ACCIDENT AND EMERGENCY DEPARTMENT
must be a core service identified as one and only one SERVICE
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be related to one or more LODGED PATIENT
may be a core service identified as one SERVICE PROVIDED


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    ACCIDENT AND EMERGENCY EPISODE

    Change to Class: Change to Relationships

    Each ACCIDENT AND EMERGENCY EPISODE
    K must be related to one and only one ACCIDENT AND EMERGENCY DEPARTMENT
    K must be related to one and only one PATIENT
    must be associated as one and only one SERVICE PROVIDED
    must be associated as one and only one SERVICE
    may be related to one or more ACCIDENT AND EMERGENCY ATTENDANCE
    may be related to one or more DECISION TO ADMIT


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      ADMINISTRATIVE CATEGORY IN EPISODE

      Change to Class: Change to Relationships

      Each ADMINISTRATIVE CATEGORY IN EPISODE
      K must be related to one and only one CONSULTANT OUT-PATIENT EPISODE
      K or must be related to one and only one REGULAR ATTENDER EPISODE
      may be related to one SERVICE PROVIDED
      may be related to one SERVICE


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        ADMINISTRATIVE CATEGORY IN SPELL

        Change to Class: Change to Relationships

        Each ADMINISTRATIVE CATEGORY IN SPELL
        K must be related to one and only one HOSPITAL PROVIDER SPELL
        may be related to one SERVICE PROVIDED
        must be the provider of one and only one SERVICE


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          AMBULANCE SERVICE

          Change to Class: Change to Super Type

          A type of SERVICE POINT.

          The organisational arrangement providing PATIENT transport services.



          This class is also known by these names:
          Context Alias
          plural AMBULANCE SERVICES


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            AMBULANCE SERVICE

            Change to Class: Change to Relationships

            Each AMBULANCE SERVICE
            may be related to one SERVICE PROVIDED
            must be operationally managing one or more AMBULANCE STATION
            must be related to one or more SERVICE
            may be related to one or more TRANSPORT REQUEST


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              AMBULANCE SERVICE VEHICLE

              Change to Class: Change to Relationships

              Each AMBULANCE SERVICE VEHICLE
              must be operationally managed by one and only one SERVICE POINT
              must be operationally managed by one and only one AMBULANCE STATION
              may be related to one or more AMBULANCE MILEAGE RECORD
              may be related to one or more AMBULANCE SERVICE RECORD
              may be related to one or more AMBULANCE SERVICE VEHICLE ROAD ACCIDENT


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                AMBULANCE STATION

                Change to Class: Change to Super Type

                A type of SERVICE POINT.

                A building under the supervision of the AMBULANCE SERVICE from which ambulances are despatched.



                This class is also known by these names:
                Context Alias
                plural AMBULANCE STATIONS


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                  AMBULANCE STATION

                  Change to Class: Change to Relationships

                  Each AMBULANCE STATION
                  must be controlled by one and only one AMBULANCE SERVICE
                  must be operationally managing one or more AMBULANCE SERVICE VEHICLE
                  may be related to one or more AMBULANCE UTILISATION SAMPLE


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                    ANTI-CANCER DRUG PROGRAMME

                    Change to Class: Change to Relationships

                    Each ANTI-CANCER DRUG PROGRAMME
                    K must be provided in one and only one CANCER CARE SPELL
                    must be the responsibility of one and only one CONSULTANT
                    must be managed by one and only one HEALTH CARE PROVIDER
                    must be part of one and only one SERVICE
                    may be comprised of one or more ANTI-CANCER DRUG REGIMEN
                    may be part of one SERVICE PROVIDED


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                      AUDIOLOGY ATTENDANCE

                      Change to Class: Change to Relationships

                      Each AUDIOLOGY ATTENDANCE
                      K must be related to one and only one SERVICE POINT
                      may be related to one SERVICE PROVIDED
                      may be related to one SERVICE


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                        CANCER CARE PLAN

                        Change to Class: Change to Relationships

                        Each CANCER CARE PLAN
                        must be a plan originated by decision to treat for by one and only one one and only one HEALTH CARE PROVIDER
                        must be a plan originated by a decision to treat for one and only one HEALTH CARE PROVIDER
                        may be the plan related to one or more CANCER CLINICAL STATUS ASSESSMENT
                        may be a plan with one or more PLANNED CANCER TREATMENT


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                          CANCER CARE SPELL

                          Change to Class: Change to Relationships

                          Each CANCER CARE SPELL
                          must be a spell for one and only one PATIENT
                          must be initiated as a result of one and only one REFERRAL REQUEST
                          may be the context for one or more ANTI-CANCER DRUG PROGRAMME
                          may be subject to one or more CANCER CLINICAL STATUS ASSESSMENT
                          may be associated for endocrine therapy with one or more CLINICAL INTERVENTION
                          may be associated for endocrine therapy with one or more ENDOCRINE THERAPY
                          may be associated with one or more PATIENT CLINICAL TRIAL STATUS
                          may be related as primary diagnosis to one PATIENT DIAGNOSIS
                          may be associated with one or more PATIENT PROCEDURE


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                            CARE HOME STAY

                            Change to Class: Change to Relationships

                            Each CARE HOME STAY
                            K must be staying at one and only one CARE HOME SITE
                            K must be the stay of one and only one PATIENT
                            may be provided as one SERVICE PROVIDED
                            must be provided as one and only one SERVICE


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                              CARE PLAN

                              Change to Class: Change to Relationships

                              Each CARE PLAN
                              K must be a plan within one and only one CARE SPELL
                              may be the context for the provision of one or more SERVICE PROVIDED
                              may be the context for the provision of one or more SERVICE


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                                CARE PROGRAMME APPROACH EPISODE

                                Change to Class: Change to Relationships

                                Each CARE PROGRAMME APPROACH EPISODE
                                must be subject to one or more CARE PROGRAMME APPROACH REVIEW
                                must be associated with one or more CPA CARE COORDINATOR ALLOCATION
                                must be for care programme approach within one and only one SERVICE PROVIDED
                                must be for care programme approach within one and only one SERVICE
                                may be associated with one or more SUPERVISED DISCHARGE EPISODE
                                may be associated with one or more SUPERVISION REGISTER EPISODE


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                                  CARE SPELL

                                  Change to Class: Change to Relationships

                                  Each CARE SPELL
                                  K must be for the care or assessment of one and only one PERSON
                                  K may be the context for one or more PERSON OBSERVATION WITHIN CARE SPELL
                                  may be the spell that includes one or more CARE PLAN
                                  may be delivered as part of one JOINT INVESTMENT PLAN
                                  may be the context for one or more PALLIATIVE CARE EPISODE
                                  may be the context for recording one or more PERSON CHARACTERISTIC
                                  may be the context for one or more PERSON OBSERVATION
                                  may be the responsibility of one or more RESPONSIBLE HEALTH CARE PROVIDER
                                  may be associated with one or more SERVICE PROVIDED
                                  may be associated with one or more SERVICE


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                                    CARE TRUST

                                    Change to Class: Deleted

                                    Deleted

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                                      CHARACTERISTIC

                                      Change to Class: Change to Attributes

                                      Attributes of this Class are:
                                      K CHARACTERISTIC CODE
                                      K CHARACTERISTIC TYPE CODE


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                                        CHARACTERISTIC

                                        Change to Class: Change to Relationships

                                        Each CHARACTERISTIC
                                        may be classifier of one or more PERSON CHARACTERISTIC


                                          top

                                          CLINICAL DIAGNOSIS FOR PERSON

                                          Change to Class: Change to Relationships

                                          Each CLINICAL DIAGNOSIS FOR PERSON
                                          must be related to one or more CLINICAL DIAGNOSIS FOR PERSON
                                          must be a complication arising from one and only one CLINICAL DIAGNOSIS FOR PERSON
                                          may be related to one CLINICAL CLASSIFICATION
                                          may be the source of a complication for one or more CLINICAL DIAGNOSIS FOR PERSON
                                          may be a complication arising from one CLINICAL DIAGNOSIS FOR PERSON
                                          may be a complication arising from one PATIENT PROCEDURE


                                            top

                                            CLINICAL INTERVENTION

                                            Change to Class: Change to Relationships

                                            Each CLINICAL INTERVENTION
                                            K must be associated with one and only one PATIENT
                                            may be endocrine therapy for one CANCER CARE SPELL
                                            must be provided within one and only one SERVICE
                                            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 SERVICE PROVIDED


                                              top

                                              CLINIC ATTENDANCE NON-CONSULTANT

                                              Change to Class: Change to Relationships

                                              Each CLINIC ATTENDANCE NON-CONSULTANT
                                              K must be related to one and only one OUT-PATIENT CLINIC
                                              must be related to one and only one SERVICE
                                              may be associated with one MATERNITY MEDICAL SERVICE
                                              may be related to one NURSE OR MIDWIFE CONTACT
                                              may be related to one OUT-PATIENT APPOINTMENT NON-CONSULTANT
                                              may be related to one SERVICE PROVIDED


                                                top

                                                COMMUNITY EPISODE

                                                Change to Class: Change to Relationships

                                                Each COMMUNITY EPISODE
                                                K must be related to one and only one PATIENT
                                                K must be related to one and only one SERVICE PROVIDED
                                                K must be related to one and only one SERVICE
                                                must be the responsibility of one and only one NURSE
                                                must be an episode within one and only one NURSING IN THE COMMUNITY PROGRAMME
                                                may be related to one or more DRUG MISUSE EPISODE
                                                may be related to one or more FACE TO FACE CONTACT COMMUNITY CARE


                                                  top

                                                  CONSULTANT

                                                  Change to Class: Change to Attributes

                                                  This class has no attributes. Attributes of this Class are:
                                                  K CONSULTANT CODE


                                                    top

                                                    CONSULTANT CLINIC GENITO-URINARY

                                                    Change to Class: Deleted

                                                    Deleted

                                                      top

                                                      CONSULTANT EPISODE (ACUTE HOME-BASED)

                                                      Change to Class: Change to Relationships

                                                      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
                                                      must be acute home-based care within one and only one SERVICE
                                                      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


                                                        top

                                                        CONSULTANT EPISODE (HOSPITAL PROVIDER)

                                                        Change to Class: Change to Relationships

                                                        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
                                                        may be associated with one or more AUGMENTED CARE PERIOD
                                                        may be classified for treatment specialty interest by 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 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 ROAD TRAFFIC ACCIDENT TREATMENT
                                                        may be related to one SERVICE PROVIDED
                                                        may be provided within one SERVICE
                                                        may be related to one or more SHARED CARE CONSULTANT


                                                          top

                                                          CONSULTANT OUT-PATIENT EPISODE

                                                          Change to Class: Change to Relationships

                                                          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
                                                          must be care or treatment provided within one and only one SERVICE
                                                          may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
                                                          may be classified for treatment specialty interest by 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 SERVICE PROVIDED
                                                          may be related to one or more SHARED CARE OUT-PATIENT CONSULTANT


                                                            top

                                                            DENTAL EPISODE

                                                            Change to Class: Change to Relationships

                                                            Each DENTAL EPISODE
                                                            K must be related to one and only one PATIENT
                                                            K must be related to one and only one SERVICE PROVIDED
                                                            K must be related to one and only one SERVICE
                                                            may be related to one or more DENTAL TREATMENT CONTACT


                                                              top

                                                              DENTAL STAFF MEMBER IN PROGRAMME

                                                              Change to Class: Change to Relationships

                                                              Each DENTAL STAFF MEMBER IN PROGRAMME
                                                              K must be related to one and only one DENTAL STAFF MEMBER
                                                              K must be related to one and only one SERVICE PROVIDED
                                                              K must be related to one and only one SERVICE
                                                              may be related to one or more DENTAL STAFF MEMBER IN PROG IN PERIOD
                                                              may be related to one or more FACE TO FACE CONTACT DENTAL


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                                                                DISABLEMENT APPLIANCE

                                                                Change to Class: Change to Relationships

                                                                Each DISABLEMENT APPLIANCE
                                                                K must be related to one and only one PATIENT
                                                                K must be allocated to one and only one PATIENT
                                                                may be related to one CONSULTANT OUT-PATIENT EPISODE
                                                                or may be related to one PROFESSIONAL STAFF GROUP EPISODE
                                                                must be supplied by one and only one DISABLEMENT APPLIANCE CONTRACTOR
                                                                may be related to one or more DISABLEMENT APPLIANCE REPAIR
                                                                may be the subject of one or more DISABLEMENT APPLIANCE REPAIR


                                                                  top

                                                                  DISABLEMENT APPLIANCE REPAIR

                                                                  Change to Class: Change to Relationships

                                                                  Each DISABLEMENT APPLIANCE REPAIR
                                                                  K must be related to one and only one DISABLEMENT APPLIANCE
                                                                  K must be for one and only one DISABLEMENT APPLIANCE
                                                                  must be performed by one and only one DISABLEMENT APPLIANCE CONTRACTOR
                                                                  must be related to one and only one PATIENT


                                                                    top

                                                                    DISPENSED ITEM

                                                                    Change to Class: Change to Relationships

                                                                    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 to one and only one PATIENT


                                                                      top

                                                                      DOMICILIARY CONSULTATION

                                                                      Change to Class: Change to Relationships

                                                                      Each DOMICILIARY CONSULTATION
                                                                      K must be related to one and only one CONSULTANT
                                                                      must be related to one and only one PATIENT
                                                                      may be related to one SERVICE PROVIDED
                                                                      must be provided within one and only one SERVICE


                                                                        top

                                                                        DRUG MISUSE EPISODE

                                                                        Change to Class: Change to Relationships

                                                                        Each DRUG MISUSE EPISODE
                                                                        K must be related to one and only one DRUG MISUSE FACILITY
                                                                        must be for one and only one DRUG MISUSER
                                                                        must be associated as one and only one SERVICE PROVIDED
                                                                        must be associated as one and only one SERVICE
                                                                        must be related to one or more SUBSTANCE MISUSED
                                                                        may be if contact by a community psychiatric nurse, within one COMMUNITY EPISODE
                                                                        may be related to one or more DRUG MISUSER PRESCRIBING PLAN


                                                                          top

                                                                          ELECTIVE ADMISSION LIST ENTRY

                                                                          Change to Class: Change to Relationships

                                                                          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
                                                                          must be provided within one and only one SERVICE
                                                                          may be shared care by one CONSULTANT
                                                                          may be classified for treatment specialty interest by 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 HOSPITAL SITE
                                                                          may be related to one or more INTENDED PATIENT PROCEDURE
                                                                          may be classified by one LOCAL SUB-SPECIALTY
                                                                          may be related to one or more OFFER OF ADMISSION
                                                                          may be related to one SERVICE PROVIDED
                                                                          may be classified for shared care by one SPECIALTY FUNCTION


                                                                            top

                                                                            EMPLOYEE

                                                                            Change to Class: Change to Attributes

                                                                            Attributes of this Class are:
                                                                            BIRTH DATE
                                                                            COUNTRY
                                                                               of birth
                                                                            JOINING ORGANISATION DATE
                                                                            O LEAVING ORGANISATION DATE
                                                                            REGISTERED DISABLED
                                                                            SERVICE OR PERSONNEL NUMBER


                                                                              top

                                                                              EMPLOYEE

                                                                              Change to Class: Change to Relationships

                                                                              Each EMPLOYEE
                                                                              may be related to one or more EMPLOYEE CONTRACT
                                                                              may be related to one or more MEDICAL AND DENTAL SPECIALTY INTEREST
                                                                              may be related to one or more QUALIFICATION POSSESSED
                                                                              may be the subject of one or more WRITTEN COMPLAINT


                                                                                top

                                                                                ENDOCRINE THERAPY

                                                                                Change to Class: Change to Relationships

                                                                                This class has no relationships. Each ENDOCRINE THERAPY
                                                                                may be endocrine therapy for one CANCER CARE SPELL


                                                                                  top

                                                                                  FACE TO FACE CONTACT OPTICAL

                                                                                  Change to Class: Change to Relationships

                                                                                  Each FACE TO FACE CONTACT OPTICAL
                                                                                  must be a contact by an ophthalmic medical practitioner who is one and only one CONSULTANT
                                                                                  or must be a contact by one and only one OPHTHALMIC MEDICAL PRACTITIONER
                                                                                  or must be a contact by one and only one OPHTHALMIC OPTICIAN
                                                                                  must be a contact with one and only one PATIENT
                                                                                  must be provided within one and only one SERVICE
                                                                                  may be related to one SERVICE POINT
                                                                                  may be related to one SERVICE PROVIDED
                                                                                  may be related to one or more SPECTACLE SUPPLY OR REPAIR FUNDED


                                                                                    top

                                                                                    FACE TO FACE CONTACT SOCIAL WORKER

                                                                                    Change to Class: Change to Relationships

                                                                                    Each FACE TO FACE CONTACT SOCIAL WORKER
                                                                                    K must be for contact within one and only one MENTAL HEALTH CARE SPELL
                                                                                    must be a contact made by one and only one MENTAL HEALTH CARE TEAM MEMBER
                                                                                    must be for contact within one and only one SERVICE PROVIDED
                                                                                    must be for contact within one and only one SERVICE
                                                                                    may be for the contact by one CPA CARE COORDINATOR ALLOCATION


                                                                                      top

                                                                                      FAMILY PLANNING DOMICILIARY VISIT

                                                                                      Change to Class: Change to Relationships

                                                                                      Each FAMILY PLANNING DOMICILIARY VISIT
                                                                                      K must be related to one and only one DOMICILIARY SERVICE
                                                                                      must be provided within one and only one SERVICE
                                                                                      may be related to one NURSE OR MIDWIFE CONTACT
                                                                                      may be related to one SERVICE PROVIDED


                                                                                        top

                                                                                        FINANCIAL PERIOD

                                                                                        Change to Class: Change to Relationships

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


                                                                                          top

                                                                                          GENERAL DENTAL PRACTITIONER

                                                                                          Change to Class: Change to Attributes

                                                                                          This class has no attributes. Attributes of this Class are:
                                                                                          K DDP CODE
                                                                                          GENERAL DENTAL PRACTITIONER CODE


                                                                                            top

                                                                                            GENERAL DENTAL PRACTITIONER

                                                                                            Change to Class: Change to Relationships

                                                                                            Each GENERAL DENTAL PRACTITIONER
                                                                                            must be an employee in one and only one GENERAL DENTAL PRACTITIONER PRACTICE
                                                                                            may be related to one or more EMERGENCY DENTAL SESSION


                                                                                              top

                                                                                              GENERAL DENTAL PRACTITIONER PRACTICE

                                                                                              Change to Class: New Class

                                                                                              GENERAL DENTAL PRACTITIONER PRACTICE

                                                                                              A type of GP PRACTICE.

                                                                                              An ORGANISATION acting as a HEALTH CARE PROVIDER and constituted for the delivery of dental services.



                                                                                              This class is also known by these names:
                                                                                              Context Alias
                                                                                              plural GENERAL DENTAL PRACTITIONER PRACTICES

                                                                                              This class has no attributes.

                                                                                              Each GENERAL DENTAL PRACTITIONER PRACTICE
                                                                                              must be the employer for one or more GENERAL DENTAL PRACTITIONER


                                                                                                top

                                                                                                GENERAL MEDICAL PRACTITIONER

                                                                                                Change to Class: Change to Attributes

                                                                                                Attributes of this Class are:
                                                                                                K GMC CODE
                                                                                                GENERAL PRACTITIONER PPA CODE
                                                                                                O GMP OBSTETRIC LIST STANDARD
                                                                                                GMP ROLE TYPE IN ORGANISATION
                                                                                                JOB SHARE INDICATOR


                                                                                                  top

                                                                                                  GENERAL MEDICAL PRACTITIONER

                                                                                                  Change to Class: Change to Relationships

                                                                                                  Each GENERAL MEDICAL PRACTITIONER
                                                                                                  may be the provider of one or more ANAESTHETIC SERVICE
                                                                                                  may be related for the main practice to one GENERAL MEDICAL PRACTITIONER PRACTICE
                                                                                                  may be the initiator of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
                                                                                                  may be the holder of one or more GMP CONTRACT
                                                                                                  may be the employer in one or more GMP EMPLOYMENT CONTRACT
                                                                                                  may be the GMP in one or more GMP IN PARTNERSHIP
                                                                                                  may be in receipt of one or more GMP PAYMENT OR REIMBURSEMENT
                                                                                                  may be related for the main practice to one GP PRACTICE
                                                                                                  may be the provider of anaesthetic services to one or more MATERNITY MEDICAL SERVICE
                                                                                                  may be the general medical practitioner in one or more PERSON GMP ASSOCIATION
                                                                                                  may be the person in one or more PERSON IN GMP PRACTICE POST
                                                                                                  may be related to one or more PREGNANCY EPISODE
                                                                                                  may be the receiver of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY


                                                                                                    top

                                                                                                    GENERAL MEDICAL PRACTITIONER PRACTICE

                                                                                                    Change to Class: Change to Relationships

                                                                                                    Each GENERAL MEDICAL PRACTITIONER PRACTICE
                                                                                                    may be related to one or more GENERAL MEDICAL PRACTITIONER
                                                                                                    may be the location for one or more GMP PRACTICE CONSULTATION
                                                                                                    may be the subject of one or more OTHER CLAIM BY GMP
                                                                                                    may be associated with one or more POST IN GMP PRACTICE
                                                                                                    may be responsible for one or more PREGNANCY EPISODE


                                                                                                      top

                                                                                                      GENITO-URINARY CLINIC ATTENDANCE

                                                                                                      Change to Class: Change to Description

                                                                                                      An attendance of a PERSON at a CONSULTANT CLINIC GENITO-URINARY as part of a GENITO-URINARY EPISODE. An attendance of a PERSON at a CONSULTANT CLINIC as part of a GENITO-URINARY EPISODE.



                                                                                                      This class is also known by these names:
                                                                                                      Context Alias
                                                                                                      plural GENITO-URINARY CLINIC ATTENDANCES


                                                                                                        top

                                                                                                        GENITO-URINARY CLINIC BY PERIOD

                                                                                                        Change to Class: Deleted

                                                                                                        Deleted

                                                                                                          top

                                                                                                          GENITO-URINARY EPISODE

                                                                                                          Change to Class: Change to Description

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



                                                                                                          This class is also known by these names:
                                                                                                          Context Alias
                                                                                                          plural GENITO-URINARY EPISODES


                                                                                                            top

                                                                                                            GP PRACTICE

                                                                                                            Change to Class: Change to Relationships

                                                                                                            Each GP PRACTICE
                                                                                                            may be related to one or more GENERAL MEDICAL PRACTITIONER
                                                                                                            may be related to one or more GP REFERRAL REQUEST
                                                                                                            may be related to one or more PREGNANCY EPISODE


                                                                                                              top

                                                                                                              GROUP SESSION

                                                                                                              Change to Class: Change to Relationships

                                                                                                              Each GROUP SESSION
                                                                                                              K must be related to one and only one SERVICE PROVIDED
                                                                                                              K must be related to one and only one SERVICE


                                                                                                                top

                                                                                                                HEALTH CARE PROVIDER

                                                                                                                Change to Class: Change to Super Type

                                                                                                                An ORGANISATION acting as a direct provider of health care services. A HEALTH CARE PROVIDER is a legal entity, or a sub-set of a legal entity, which may provide health care under NHS SERVICE AGREEMENTS; it may operate on one or more sites within and outside hospitals.

                                                                                                                This definition covers a Local Authority Social Services Department working in cooperation with an NHS HEALTH CARE PROVIDER on nationally targeted and prioritised care as delivered within CARE SPELLS. Lead responsibility for such care may be solely led by one HEALTH CARE PROVIDER or jointly shared by two or more HEALTH CARE PROVIDERS each of which must share equal responsibility.

                                                                                                                The following types of ORGANISATION may act as HEALTH CARE PROVIDERS:

                                                                                                                a. GP Practice
                                                                                                                b. NHS Trust
                                                                                                                c. Registered non-NHS Provider
                                                                                                                d. Unregistered non-NHS Provider
                                                                                                                e. Primary Care Trust
                                                                                                                f. Care Trust
                                                                                                                g. Local Authority Social Services
                                                                                                                h. Other agencies



                                                                                                                This class is also known by these names:
                                                                                                                Context Alias
                                                                                                                plural HEALTH CARE PROVIDERS


                                                                                                                  top

                                                                                                                  HEALTH CARE PROVIDER

                                                                                                                  Change to Class: Change to Relationships

                                                                                                                  Each HEALTH CARE PROVIDER
                                                                                                                  K must be a role of one and only one ORGANISATION
                                                                                                                  may be the provider of one or more ANTI-CANCER DRUG PROGRAMME
                                                                                                                  may be originator of a decision to treat one or more CANCER CARE PLAN
                                                                                                                  may be related to one or more DENTAL STAFF MEMBER
                                                                                                                  may be related to one or more DOMICILIARY SERVICE
                                                                                                                  may be related to one or more ELECTIVE ADMISSION LIST
                                                                                                                  may be acting as one or more HOSPITAL PROVIDER
                                                                                                                  may be the originating care provider of one or more MENTAL HEALTH CARE SPELL
                                                                                                                  may be the transfer target for one or more MENTAL HEALTH CARE SPELL SUSPENSION
                                                                                                                  may be related to one or more NURSE OR MIDWIFE CONTACT
                                                                                                                  may be related to one or more OPERATING THEATRE
                                                                                                                  may be related to one or more OUT-PATIENT CLINIC
                                                                                                                  may be related to one or more PATHOLOGY DEPARTMENT
                                                                                                                  may be connected with one or more PERSON ROLE IN ORGANISATION
                                                                                                                  may be provided following decision to treat of one or more PLANNED CANCER TREATMENT
                                                                                                                  may be related to one or more PLANNED SERVICE TO BE PROVIDED
                                                                                                                  may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
                                                                                                                  may be the provider in one or more PROVIDER IN SERVICE AGREEMENT
                                                                                                                  may be the provider in one or more PROVIDER OF OUT OF AREA TREATMENT
                                                                                                                  may be related to one or more RADIOLOGY DEPARTMENT
                                                                                                                  may be related to one or more RADIOTHERAPY DEPARTMENT
                                                                                                                  may be responsible for one or more RESPONSIBLE HEALTH CARE PROVIDER
                                                                                                                  may be related to one or more RIGHT OF ADMISSION
                                                                                                                  may be delivering patient treatment or services by one or more SERVICE PROVIDED
                                                                                                                  may be delivering patient treatment or services by one or more SERVICE
                                                                                                                  may be related to one or more WARD


                                                                                                                    top

                                                                                                                    HEALTH PROGRAMME

                                                                                                                    Change to Class: Change to Aliases, Change to Description

                                                                                                                    This is a programme run by a PCT collaborative with a lead PCT to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.

                                                                                                                    HEALTH PROGRAMMES are hierarchically structured to meet, at least, the mandatory accounting requirements defined by PROGRAMME HEADING CODES and other HEALTH PROGRAMMES about which data are required centrally.

                                                                                                                    Each HEALTH PROGRAMME has a sub-type of SERVICE TO THE COMMUNITY PROGRAMME or NURSING IN THE COMMUNITY PROGRAMME. Each HEALTH PROGRAMME has a sub-type of STRUCTURED PROGRAMME or NURSING IN THE COMMUNITY PROGRAMME.



                                                                                                                    This class is also known by these names:
                                                                                                                    Context Alias
                                                                                                                    plural HEALTH PROGRAMMES


                                                                                                                      top

                                                                                                                      HEALTH PROGRAMME

                                                                                                                      Change to Class: Change to Relationships

                                                                                                                      Each HEALTH PROGRAMME
                                                                                                                      K must be led by one and only one PRIMARY CARE TRUST
                                                                                                                      may be subdivided into one or more HEALTH PROGRAMME
                                                                                                                      may be a subdivision of one HEALTH PROGRAMME
                                                                                                                      may be related to one or more HEALTH PROGRAMME STATEMENT
                                                                                                                      may be related to one or more SERVICE PROVIDED
                                                                                                                      may be related to one or more SERVICE


                                                                                                                        top

                                                                                                                        HEALTH PROMOTION ACTIVITY HIV AND AIDS

                                                                                                                        Change to Class: Deleted

                                                                                                                        Deleted

                                                                                                                          top

                                                                                                                          HEALTH PROMOTION OTHER ACTIVITY

                                                                                                                          Change to Class: Change to Attributes

                                                                                                                          Attributes of this Class are:
                                                                                                                          K ACTIVITY NUMBER
                                                                                                                          K HEALTH PROMOTION STAFF GROUP
                                                                                                                          ACTIVITY DATE
                                                                                                                          HIV AND AIDS INDICATOR


                                                                                                                            top

                                                                                                                            HEALTH PROMOTION OTHER ACTIVITY

                                                                                                                            Change to Class: Change to Relationships

                                                                                                                            Each HEALTH PROMOTION OTHER ACTIVITY
                                                                                                                            K must be related to one and only one SERVICE PROVIDED
                                                                                                                            K must be related to one and only one SERVICE


                                                                                                                              top

                                                                                                                              HEALTH PROMOTION PROGRAMME

                                                                                                                              Change to Class: Change to Attributes

                                                                                                                              This class has no attributes. Attributes of this Class are:
                                                                                                                              HEALTH PROMOTION PROGRAMME AIM


                                                                                                                                top

                                                                                                                                HEALTH PROMOTION PROGRAMME

                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                Each HEALTH PROMOTION PROGRAMME
                                                                                                                                This class has no relationships.
                                                                                                                                must be related to one and only one HEALTH PROMOTION PROGRAMME AIM


                                                                                                                                  top

                                                                                                                                  HEALTH PROMOTION PROGRAMME AIM

                                                                                                                                  Change to Class: Deleted

                                                                                                                                  Deleted

                                                                                                                                    top

                                                                                                                                    HEALTH PROMOTION PROGRAMME HIV AND AIDS

                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                    Each HEALTH PROMOTION PROGRAMME HIV AND AIDS
                                                                                                                                    must be related to one and only one HEALTH PROMOTION PROGRAMME AIM
                                                                                                                                    may be related to one or more HEALTH PROMOTION TARGET POPULATION


                                                                                                                                      top

                                                                                                                                      HEALTHY PERSON STAY

                                                                                                                                      Change to Class: Change to Relationships

                                                                                                                                      Each HEALTHY PERSON STAY
                                                                                                                                      K must be related to one and only one WARD
                                                                                                                                      may be related to one SERVICE PROVIDED
                                                                                                                                      must be provider within one and only one SERVICE


                                                                                                                                        top

                                                                                                                                        HEIGHT

                                                                                                                                        Change to Class: Change to Super Type

                                                                                                                                        A type of CHARACTERISTIC.

                                                                                                                                        The height of a PERSON on a given date. The unit of measurement is metres.



                                                                                                                                        This class is also known by these names:
                                                                                                                                        Context Alias
                                                                                                                                        plural HEIGHTS


                                                                                                                                          top

                                                                                                                                          HOME ASSESSMENT VISIT

                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                          Each HOME ASSESSMENT VISIT
                                                                                                                                          K must be by (occupational therapy and physiotherapy only) one and only one PROFESSIONAL STAFF GROUP SERVICE
                                                                                                                                          may be related to one SERVICE PROVIDED
                                                                                                                                          must be the provider within one and only one SERVICE


                                                                                                                                            top

                                                                                                                                            HOME DIALYSIS EPISODE

                                                                                                                                            Change to Class: Change to Relationships

                                                                                                                                            Each HOME DIALYSIS EPISODE
                                                                                                                                            K must be related to one and only one PATIENT
                                                                                                                                            may be related to one SERVICE PROVIDED
                                                                                                                                            must be provided within one and only one SERVICE


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                                                                                                                                              HOME HELP VISIT

                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                              Each HOME HELP VISIT
                                                                                                                                              must be for home help provided within one and only one SERVICE PROVIDED
                                                                                                                                              must be for home help provided within one and only one SERVICE


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                                                                                                                                                HOSPITAL PROVIDER

                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                Each HOSPITAL PROVIDER
                                                                                                                                                K must be a role of one and only one HEALTH CARE PROVIDER
                                                                                                                                                may be provider of one or more HOSPITAL PROVIDER SPELL
                                                                                                                                                may be the provider of one or more RTA TREATMENT BY OTHER PROVIDER
                                                                                                                                                may be the supplier of one or more ROAD TRAFFIC ACCIDENT TREATMENT


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                                                                                                                                                  IMAGING OR RADIODIAGNOSTIC EVENT

                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                  Each IMAGING OR RADIODIAGNOSTIC EVENT
                                                                                                                                                  K must be processed by one and only one SERVICE POINT
                                                                                                                                                  K must be processed by one and only one RADIOLOGY DEPARTMENT
                                                                                                                                                  may be related to one or more RADIOLOGY INVESTIGATION PLAN
                                                                                                                                                  may be as a result of one REQUEST FOR RADIOLOGICAL PROCEDURE


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                                                                                                                                                    IMMUNISATION PROGRAMME FOR PERSON

                                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                                    Each IMMUNISATION PROGRAMME FOR PERSON
                                                                                                                                                    K must be related to one and only one IMMUNISATION COURSE TYPE
                                                                                                                                                    K must be related to one and only one PERSON
                                                                                                                                                    K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                    K must be related to one and only one SERVICE
                                                                                                                                                    may be related to one or more IMMUNISATION DOSE GIVEN
                                                                                                                                                    may be related to one or more TEST OF IMMUNITY


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                                                                                                                                                      LABOUR AND DELIVERY

                                                                                                                                                      Change to Class: Change to Relationships

                                                                                                                                                      Each LABOUR AND DELIVERY
                                                                                                                                                      K must be related to one and only one PREGNANCY EPISODE
                                                                                                                                                      may be for the mother within one CONSULTANT EPISODE (HOSPITAL PROVIDER)
                                                                                                                                                      or may be for the mother within one MIDWIFE EPISODE
                                                                                                                                                      must be provided within one and only one SERVICE
                                                                                                                                                      may be related to one or more ANAESTHETIC OR ANALGESIC ADMINISTERED
                                                                                                                                                      may be related to one or more PATIENT PROCEDURE
                                                                                                                                                      may be related to one or more REGISTRABLE BIRTH
                                                                                                                                                      may be related to one SERVICE PROVIDED


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                                                                                                                                                        LITHOTRIPSY COURSE ATTENDANCE

                                                                                                                                                        Change to Class: Change to Relationships

                                                                                                                                                        Each LITHOTRIPSY COURSE ATTENDANCE
                                                                                                                                                        K must be related to one and only one PATIENT
                                                                                                                                                        must be made using one and only one LITHOTRIPTER
                                                                                                                                                        or must be made using alternative equipment at one and only one SERVICE POINT
                                                                                                                                                        may be related to one SERVICE PROVIDED
                                                                                                                                                        must be provided within one and only one SERVICE


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                                                                                                                                                          LITHOTRIPTER

                                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                                          Each LITHOTRIPTER
                                                                                                                                                          K must be related to one and only one SERVICE POINT
                                                                                                                                                          K must be located at one and only one SERVICE POINT
                                                                                                                                                          may be related to one or more LITHOTRIPSY COURSE ATTENDANCE


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                                                                                                                                                            LOCATION

                                                                                                                                                            Change to Class: Change to Relationships

                                                                                                                                                            Each LOCATION
                                                                                                                                                            K must be related to one and only one ORGANISATION
                                                                                                                                                            may be related to one or more CONSULTANT CLINIC SESSION
                                                                                                                                                            may be related to one or more EMERGENCY DENTAL SESSION
                                                                                                                                                            may be related to one or more ISOTOPE PROCEDURE DEPARTMENT
                                                                                                                                                            may be related to one or more MEDICAL AND DENTAL POST BY LOCATION
                                                                                                                                                            may be related to one ORGANISATION SITE
                                                                                                                                                            may be related to one or more PHYSIOLOGICAL MEASUREMENT DEPARTMENT
                                                                                                                                                            may be related to one or more PLANNED SERVICE TO BE PROVIDED
                                                                                                                                                            may be related to one or more RADIOLOGY LOCATION
                                                                                                                                                            may be related to one or more REQUEST FOR DIAGNOSTIC TEST
                                                                                                                                                            may be related to one or more SERVICE PROVIDED
                                                                                                                                                            may be related to one or more SERVICE


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                                                                                                                                                              MATERNITY DOMICILIARY VISIT

                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                              Each MATERNITY DOMICILIARY VISIT
                                                                                                                                                              K must be related to one and only one DOMICILIARY SERVICE
                                                                                                                                                              must be related to one and only one NURSE OR MIDWIFE CONTACT
                                                                                                                                                              must be related to one and only one PATIENT
                                                                                                                                                              must be provided within one and only one SERVICE
                                                                                                                                                              may be related to one PREGNANCY EPISODE
                                                                                                                                                              may be related to one SERVICE PROVIDED


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                                                                                                                                                                MIDWIFE

                                                                                                                                                                Change to Class: Change to Attributes

                                                                                                                                                                This class has no attributes. Attributes of this Class are:
                                                                                                                                                                K NURSE OR MIDWIFE IDENTIFER
                                                                                                                                                                MIDWIFE COUNCIL NUMBER


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                                                                                                                                                                  MIDWIFE EPISODE

                                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                                  Each MIDWIFE EPISODE
                                                                                                                                                                  must be within one and only one CARE HOME STAY (MIDWIFE CARE)
                                                                                                                                                                  must be related to one and only one MIDWIFE
                                                                                                                                                                  must be provided within one and only one SERVICE
                                                                                                                                                                  may be related to one or more DAY CARE ATTENDANCE
                                                                                                                                                                  may be related to one or more LABOUR AND DELIVERY
                                                                                                                                                                  may be to one PREGNANCY EPISODE
                                                                                                                                                                  may be related to one SERVICE PROVIDED


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                                                                                                                                                                    NHS SERVICE AGREEMENT CHANGE

                                                                                                                                                                    Change to Class: Change to Description

                                                                                                                                                                    A change in a NHS SERVICE AGREEMENT applying to a SERVICE PROVIDED. A change in a NHS SERVICE AGREEMENT applying to a SERVICE. This may be because of a change of commissioner or a change of a NHS SERVICE AGREEMENT with the same commissioner.

                                                                                                                                                                    Note: Two NHS SERVICE AGREEMENT CHANGE DETAILS will be required for each NHS SERVICE AGREEMENT CHANGE. These will end one SERVICE PROVIDED UNDER AGREEMENT and start another.



                                                                                                                                                                    This class is also known by these names:
                                                                                                                                                                    Context Alias
                                                                                                                                                                    plural NHS SERVICE AGREEMENT CHANGES


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                                                                                                                                                                      NHS SERVICE AGREEMENT CHANGE

                                                                                                                                                                      Change to Class: Change to Relationships

                                                                                                                                                                      Each NHS SERVICE AGREEMENT CHANGE
                                                                                                                                                                      K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                                      K must be related to one and only one SERVICE
                                                                                                                                                                      may be described by one or more NHS SERVICE AGREEMENT CHANGE DETAIL


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                                                                                                                                                                        NURSE

                                                                                                                                                                        Change to Class: Change to Attributes

                                                                                                                                                                        This class has no attributes. Attributes of this Class are:
                                                                                                                                                                        K NURSE OR MIDWIFE IDENTIFER


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                                                                                                                                                                          NURSE CLINIC GENITO-URINARY

                                                                                                                                                                          Change to Class: Deleted

                                                                                                                                                                          Deleted

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                                                                                                                                                                            NURSE OR MIDWIFE CONTACT

                                                                                                                                                                            Change to Class: Change to Relationships

                                                                                                                                                                            Each NURSE OR MIDWIFE CONTACT
                                                                                                                                                                            K must be related to one and only one HEALTH CARE PROVIDER
                                                                                                                                                                            may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
                                                                                                                                                                            or may be related to one or more FACE TO FACE CONTACT COMMUNITY CARE
                                                                                                                                                                            or may be related to one or more FACE TO FACE CONTACT SURVEILLANCE
                                                                                                                                                                            or may be related to one or more FAMILY PLANNING DOMICILIARY VISIT
                                                                                                                                                                            or may be related to one or more MATERNITY DOMICILIARY VISIT
                                                                                                                                                                            or may be related to one or more PROFESSIONAL ADVICE AND SUPPORT CONTACT
                                                                                                                                                                            or may be related to one or more WARD ATTENDANCE
                                                                                                                                                                            must be the responsibility of one and only one MIDWIFE
                                                                                                                                                                            or must be the responsibility of one and only one NURSE
                                                                                                                                                                            may be related to one SERVICE PROVIDED
                                                                                                                                                                            must be provided within one and only one SERVICE


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                                                                                                                                                                              NURSING EPISODE

                                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                                              Each NURSING EPISODE
                                                                                                                                                                              K must be related to one and only one PATIENT
                                                                                                                                                                              must be if patient in nursing home within one and only one CARE HOME STAY (NURSING CARE)
                                                                                                                                                                              or must be if patient in hospital within one and only one HOSPITAL PROVIDER SPELL
                                                                                                                                                                              must be related to one and only one NURSE
                                                                                                                                                                              must be provided within one and only one SERVICE
                                                                                                                                                                              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 ROAD TRAFFIC ACCIDENT TREATMENT
                                                                                                                                                                              may be related to one SERVICE PROVIDED


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                                                                                                                                                                                OPERATING THEATRE SESSION

                                                                                                                                                                                Change to Class: Change to Attributes

                                                                                                                                                                                Attributes of this Class are:
                                                                                                                                                                                K SESSION DATE
                                                                                                                                                                                K SESSION IDENTIFIER
                                                                                                                                                                                CANCELLATION REASON
                                                                                                                                                                                O HELD OR CANCELLED
                                                                                                                                                                                OPERATING THEATRE SESSION TYPE
                                                                                                                                                                                SCHEDULED THEATRE SESSION START TIME


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                                                                                                                                                                                  OPERATING THEATRE SESSION

                                                                                                                                                                                  Change to Class: Change to Relationships

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


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                                                                                                                                                                                    OPHTHALMIC MEDICAL PRACTITIONER

                                                                                                                                                                                    Change to Class: Change to Attributes

                                                                                                                                                                                    Attributes of this Class are:
                                                                                                                                                                                    K OPHTHALMIC MEDICAL PRACITIONER GMC CODE
                                                                                                                                                                                    O END DATE
                                                                                                                                                                                    OPHTHALMIC QUALIFICATION COMMITTEE CODE
                                                                                                                                                                                    START DATE


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                                                                                                                                                                                      OPHTHALMIC OPTICIAN

                                                                                                                                                                                      Change to Class: Change to Attributes

                                                                                                                                                                                      Attributes of this Class are:
                                                                                                                                                                                      K GENERAL OPHTHALMIC COUNCIL NUMBER
                                                                                                                                                                                      O END DATE
                                                                                                                                                                                      START DATE


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                                                                                                                                                                                        ORGANISATION

                                                                                                                                                                                        Change to Class: Change to Relationships

                                                                                                                                                                                        Each ORGANISATION
                                                                                                                                                                                        may be located at one or more ADDRESS ASSOCIATION
                                                                                                                                                                                        may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
                                                                                                                                                                                        may be the subject of one or more COMMUNITY PHARMACY SITE APPLICATION
                                                                                                                                                                                        may be related to one or more DRUG MISUSE AGENCY
                                                                                                                                                                                        may be related to one or more EMPLOYEE CONTRACT
                                                                                                                                                                                        may be associated with one or more GEOGRAPHIC AREA ASSOCIATION
                                                                                                                                                                                        may be acting as one or more HEALTH CARE PROVIDER
                                                                                                                                                                                        may be planning or operating one or more JOINT INVESTMENT PLAN
                                                                                                                                                                                        may be jointly associated with one or more JOINT INVESTMENT PLAN ASSOCIATION
                                                                                                                                                                                        may be related to one or more LOCATION
                                                                                                                                                                                        may be related to one or more MEDICAL AND DENTAL POST
                                                                                                                                                                                        may be the commissioner within one or more NHS SERVICE AGREEMENT
                                                                                                                                                                                        may be related to one or more NON MEDICAL AND DENTAL POST
                                                                                                                                                                                        may be the allocator of one or more ORGANISATION IDENTIFIER
                                                                                                                                                                                        may be identified by one or more ORGANISATION IDENTIFIER
                                                                                                                                                                                        may be related to one or more ORGANISATION REPORTING PERIOD
                                                                                                                                                                                        may be the operator or manager of one or more ORGANISATION SITE
                                                                                                                                                                                        may be related to one or more ORGANISATION STRUCTURE
                                                                                                                                                                                        may be related from one or more ORGANISATION STRUCTURE
                                                                                                                                                                                        may be the subject within one or more PATIENT ORGANISATION
                                                                                                                                                                                        may be the allocator of one or more PERSON IDENTIFIER
                                                                                                                                                                                        may be connected with one or more PERSON ROLE IN ORGANISATION
                                                                                                                                                                                        may be the place of treatment for one or more PRIOR NOTIFICATION LIST ENTRY
                                                                                                                                                                                        may be undertaking one or more RECRUITMENT
                                                                                                                                                                                        may be the originator of one or more REFERRAL REQUEST
                                                                                                                                                                                        may be requester of one or more REQUEST FOR DIAGNOSTIC TEST
                                                                                                                                                                                        may be related as provider to one or more REQUEST FOR DIAGNOSTIC TEST
                                                                                                                                                                                        may be experiencing one or more RETENTION DIFFICULTY
                                                                                                                                                                                        may be the recipient of one or more SERVICE REPORT COPY
                                                                                                                                                                                        may be the requester of services for one or more SERVICE REPORT HEADER
                                                                                                                                                                                        may be the issuer of one or more SERVICE REPORT HEADER
                                                                                                                                                                                        may be subject to one or more SINGLE SEX ACCOMMODATION TARGET
                                                                                                                                                                                        may be contacted by one or more TELE-COMMUNICATION CONTACT STRING
                                                                                                                                                                                        may be related to one or more WRITTEN COMPLAINT


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                                                                                                                                                                                          OUT-PATIENT CLINIC

                                                                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                                                                          Each OUT-PATIENT CLINIC
                                                                                                                                                                                          K must be related to one and only one HEALTH CARE PROVIDER
                                                                                                                                                                                          must be provided within one and only one SERVICE
                                                                                                                                                                                          must be related to one and only one SERVICE POINT
                                                                                                                                                                                          may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
                                                                                                                                                                                          may be related to one or more GENITO-URINARY CLINIC BY PERIOD
                                                                                                                                                                                          may be related to one or more GENITO-URINARY EPISODE
                                                                                                                                                                                          may be related to one or more OUT-PATIENT APPOINTMENT
                                                                                                                                                                                          may be related to one SERVICE PROVIDED


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                                                                                                                                                                                            OVERSEAS VISITOR STATUS

                                                                                                                                                                                            Change to Class: Change to Description

                                                                                                                                                                                            The status of an overseas visitor for a particular SERVICE PROVIDED, where an overseas visitor is a person not ordinarily resident in the UK, with respect to charging rates. The status of an overseas visitor for a particular SERVICE, where an overseas visitor is a person not ordinarily resident in the UK, with respect to charging rates. The algorithm for determining whether the patient is exempt from charges or not is complex, but laid down in the Department of Health's Manual of Guidance for charging rates for overseas visitors. A person not exempt under the NHS Charges to Overseas Visitors Regulations will be treated as a 'charged NHS patient'; however such patients may pay hotel fees only, or pay all fees. Alternatively, the patient can opt to be treated as a private patient.

                                                                                                                                                                                            Although there is a central list of set charges, HEALTH CARE PROVIDERS can set their own charges on what they consider to be appropriate commercial basis.



                                                                                                                                                                                            This class is also known by these names:
                                                                                                                                                                                            Context Alias
                                                                                                                                                                                            plural OVERSEAS VISITOR STATUSES


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                                                                                                                                                                                              OVERSEAS VISITOR STATUS

                                                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                                                              Each OVERSEAS VISITOR STATUS
                                                                                                                                                                                              K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                                                              K must be related to one and only one SERVICE


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                                                                                                                                                                                                PALLIATIVE CARE EPISODE

                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                Each PALLIATIVE CARE EPISODE
                                                                                                                                                                                                K must be provided in one and only one CARE SPELL
                                                                                                                                                                                                may be part of one SERVICE PROVIDED
                                                                                                                                                                                                must be part of one and only one SERVICE


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                                                                                                                                                                                                  PATIENT

                                                                                                                                                                                                  Change to Class: Change to Super Type

                                                                                                                                                                                                  A type of PERSON ROLE IN ORGANISATION.

                                                                                                                                                                                                  A person with a specific disease or condition who receives treatment from a HEALTH CARE PROVIDER, or any REGISTRABLE BIRTH. It is an entry on the PATIENT master index. This may be a person, which includes neonates (babies aged 28 days or less), who use a hospital bed in order to receive clinical care/treatment or someone attending a clinic, day care facility, etc. It will also include people in the community receiving care under a specific NHS SERVICE AGREEMENT forming part of 'nursing care in the community'. This also includes PATIENTS on the ELECTIVE ADMISSION LIST who are awaiting elective admission.



                                                                                                                                                                                                  This class is also known by these names:
                                                                                                                                                                                                  Context Alias
                                                                                                                                                                                                  plural PATIENTS


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                                                                                                                                                                                                    PATIENT

                                                                                                                                                                                                    Change to Class: Change to Relationships

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


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                                                                                                                                                                                                      PATIENT JOURNEY

                                                                                                                                                                                                      Change to Class: Change to Name

                                                                                                                                                                                                      PATIENT JOURNEY
                                                                                                                                                                                                      PATIENT TRANSPORT JOURNEY


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                                                                                                                                                                                                        PATIENT JOURNEY renamed PATIENT TRANSPORT JOURNEY

                                                                                                                                                                                                        Change to Class: Change to Description

                                                                                                                                                                                                        A single trip to, or a return from, a place where a PATIENT receives medical care or treatment. If one ambulance carries six PATIENTS to an out-patient clinic and home again, this would be twelve PATIENT JOURNEYS. If one ambulance carries six PATIENTS to an out-patient clinic and home again, this would be twelve PATIENT JOURNEYS.



                                                                                                                                                                                                        This class is also known by these names:
                                                                                                                                                                                                        Context Alias
                                                                                                                                                                                                        plural PATIENT JOURNEYS
                                                                                                                                                                                                        plural PATIENT TRANSPORT JOURNEYS


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                                                                                                                                                                                                          PATIENT JOURNEY renamed PATIENT TRANSPORT JOURNEY

                                                                                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                                                                                          Each PATIENT JOURNEY Each PATIENT TRANSPORT JOURNEY
                                                                                                                                                                                                          K must be related to one and only one TRANSPORT REQUEST
                                                                                                                                                                                                          must be related to one and only one PATIENT
                                                                                                                                                                                                          may be related to one SERVICE PROVIDED
                                                                                                                                                                                                          must be provided within one and only one SERVICE


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                                                                                                                                                                                                            PATIENT ORGANISATION

                                                                                                                                                                                                            Change to Class: New Class

                                                                                                                                                                                                            PATIENT ORGANISATION

                                                                                                                                                                                                            This is the identification of a PATIENT having a relationship with a particular ORGANISATION such as a PATIENT having been registered with a Trust for SERVICES.



                                                                                                                                                                                                            This class is also known by these names:
                                                                                                                                                                                                            Context Alias
                                                                                                                                                                                                            plural PATIENT ORGANISATIONS

                                                                                                                                                                                                            Attributes of this Class are:
                                                                                                                                                                                                            K LOCAL PATIENT IDENTIFIER

                                                                                                                                                                                                            Each PATIENT ORGANISATION
                                                                                                                                                                                                            K must be related to one and only one ORGANISATION
                                                                                                                                                                                                            must be related to one and only one PATIENT


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                                                                                                                                                                                                              PERSON

                                                                                                                                                                                                              Change to Class: Change to Attributes

                                                                                                                                                                                                              Attributes of this Class are:
                                                                                                                                                                                                              K NHS NUMBER
                                                                                                                                                                                                              BIRTH DATE
                                                                                                                                                                                                              COUNTRY
                                                                                                                                                                                                              O ENLISTMENT DATE
                                                                                                                                                                                                              O LAST DISCHARGE DATE
                                                                                                                                                                                                                 applies to certain patients see attribute description
                                                                                                                                                                                                              NHS NUMBER OLD
                                                                                                                                                                                                              O OVERSEAS VISITOR UK ARRIVAL DATE


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                                                                                                                                                                                                                PERSON

                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                Each PERSON
                                                                                                                                                                                                                K must be allocated a primary identifier of one and only one PERSON IDENTIFIER
                                                                                                                                                                                                                may be located at one or more ADDRESS ASSOCIATION
                                                                                                                                                                                                                may be the subject of one or more CARE SPELL
                                                                                                                                                                                                                may be the receiver of one or more GMP PRACTICE CONSULTATION
                                                                                                                                                                                                                may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
                                                                                                                                                                                                                may be a member of one or more MENTAL HEALTH CARE TEAM MEMBER
                                                                                                                                                                                                                may be the person consenting to one or more ORGAN DONATION CONSENT
                                                                                                                                                                                                                may be associated with one or more PERSON CHARACTERISTIC
                                                                                                                                                                                                                may be classified as one PATIENT
                                                                                                                                                                                                                may be the subject of one or more PERSON DEATH DETAILS
                                                                                                                                                                                                                may be associated with one or more PERSON GMP ASSOCIATION
                                                                                                                                                                                                                may be allocated an identifier of one or more PERSON IDENTIFIER
                                                                                                                                                                                                                may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
                                                                                                                                                                                                                may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
                                                                                                                                                                                                                may be related to one or more PERSON IN A SCREENING PROGRAMME
                                                                                                                                                                                                                may be related to one or more PERSON IN A SURVEILLANCE STAGE
                                                                                                                                                                                                                may be the person in one or more PERSON IN GMP PRACTICE POST
                                                                                                                                                                                                                may be the user of one or more PERSON NAME
                                                                                                                                                                                                                may be related to one or more PERSON NATIONALITY OR RESIDENCY STATUS
                                                                                                                                                                                                                may be the subject of one or more PERSON OBSERVATION
                                                                                                                                                                                                                may be the observer of one or more PERSON OBSERVATION
                                                                                                                                                                                                                may be the owner of one or more PERSON PROPERTY
                                                                                                                                                                                                                may be related to one or more PERSON RELATIONSHIP
                                                                                                                                                                                                                may be from one or more PERSON RELATIONSHIP
                                                                                                                                                                                                                may be the holder of one or more PERSON ROLE IN ORGANISATION
                                                                                                                                                                                                                may be the instigator of one or more PERSON SMOKING CESSATION EPISODE
                                                                                                                                                                                                                may be listed on one or more PRIOR NOTIFICATION LIST ENTRY
                                                                                                                                                                                                                may be the owner of one or more QUALIFICATION POSSESSED
                                                                                                                                                                                                                may be related to one or more SCREENING TEST
                                                                                                                                                                                                                may be contacted by one or more TELE-COMMUNICATION CONTACT STRING
                                                                                                                                                                                                                may be the originator of one or more WRITTEN COMPLAINT


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                                                                                                                                                                                                                  PERSON CHARACTERISTIC

                                                                                                                                                                                                                  Change to Class: Change to Super Type

                                                                                                                                                                                                                  A record of an association between a PERSON and a CHARACTERISTIC.



                                                                                                                                                                                                                  This class is also known by these names:
                                                                                                                                                                                                                  Context Alias
                                                                                                                                                                                                                  plural PERSON CHARACTERISTICS


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                                                                                                                                                                                                                    PERSON CHARACTERISTIC

                                                                                                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                                                                                                    Each PERSON CHARACTERISTIC
                                                                                                                                                                                                                    K must be classified by one and only one CHARACTERISTIC
                                                                                                                                                                                                                    K must be of one and only one PERSON
                                                                                                                                                                                                                    may be recorded in the context of one CARE SPELL


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                                                                                                                                                                                                                      PERSON IDENTIFIER

                                                                                                                                                                                                                      Change to Class: Change to Description

                                                                                                                                                                                                                      An identifier, other than a name used by an ORGANISATION or HEALTH CARE PROVIDER to identify a PERSON ROLE IN ORGANISATION (eg. a PAS Number).

                                                                                                                                                                                                                      An identifier, other than a name used by an ORGANISATION or HEALTH CARE PROVIDER which can be used to uniquely identify a PERSON.



                                                                                                                                                                                                                      This class is also known by these names:
                                                                                                                                                                                                                      Context Alias
                                                                                                                                                                                                                      plural PERSON IDENTIFIERS


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                                                                                                                                                                                                                        PERSON IDENTIFIER

                                                                                                                                                                                                                        Change to Class: Change to Attributes

                                                                                                                                                                                                                        Attributes of this Class are:
                                                                                                                                                                                                                        K PERSON IDENTIFIER CODE
                                                                                                                                                                                                                        PERSON IDENTIFIER TYPE
                                                                                                                                                                                                                        K PERSON IDENTIFIER TYPE
                                                                                                                                                                                                                           An unique identifier for a PERSON.


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                                                                                                                                                                                                                          PERSON IDENTIFIER

                                                                                                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                                                                                                          Each PERSON IDENTIFIER
                                                                                                                                                                                                                          K must be allocated by one and only one ORGANISATION
                                                                                                                                                                                                                          may be the primary identifier for one or more PERSON
                                                                                                                                                                                                                          must be allocated by one and only one ORGANISATION
                                                                                                                                                                                                                          must be the identifier of one and only one PERSON
                                                                                                                                                                                                                          may be the identifier for one or more PERSON IDENTIFIER USED BY ROLE


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                                                                                                                                                                                                                            PERSON IDENTIFIER USED BY ROLE

                                                                                                                                                                                                                            Change to Class: Deleted

                                                                                                                                                                                                                            Deleted

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                                                                                                                                                                                                                              PERSON IN A CONTACT TRACING PROGRAMME

                                                                                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                                                                                              Each PERSON IN A CONTACT TRACING PROGRAMME
                                                                                                                                                                                                                              K must be related to one and only one PERSON
                                                                                                                                                                                                                              K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                                                                                              K must be related to one and only one SERVICE
                                                                                                                                                                                                                              may be related to one or more CONTACT TRACING ACTIVITY


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                                                                                                                                                                                                                                PERSON IN ADVICE AND SUPPORT PROGRAMME

                                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                                Each PERSON IN ADVICE AND SUPPORT PROGRAMME
                                                                                                                                                                                                                                K must be related to one and only one PERSON
                                                                                                                                                                                                                                K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                K must be related to one and only one SERVICE
                                                                                                                                                                                                                                may be related to one or more PROFESSIONAL ADVICE AND SUPPORT CONTACT


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                                                                                                                                                                                                                                  PERSON IN A SCREENING PROGRAMME

                                                                                                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                                                                                                  Each PERSON IN A SCREENING PROGRAMME
                                                                                                                                                                                                                                  K must be related to one and only one PERSON
                                                                                                                                                                                                                                  K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                  K must be related to one and only one SERVICE
                                                                                                                                                                                                                                  may be related to one BREAST SCREENING CENTRE
                                                                                                                                                                                                                                  may be related to one or more PRIOR NOTIFICATION LIST ENTRY
                                                                                                                                                                                                                                  may be related to one or more SCREENING TEST
                                                                                                                                                                                                                                  may be related to one or more SCREENING TEST INVITATION


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                                                                                                                                                                                                                                    PERSON IN A SURVEILLANCE STAGE

                                                                                                                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                                                                                                                    Each PERSON IN A SURVEILLANCE STAGE
                                                                                                                                                                                                                                    K must be related to one and only one PERSON
                                                                                                                                                                                                                                    K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                    K must be related to one and only one SERVICE
                                                                                                                                                                                                                                    may be related to one or more EDUCATIONAL ASSESSMENT
                                                                                                                                                                                                                                    may be related to one or more FACE TO FACE CONTACT SURVEILLANCE


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                                                                                                                                                                                                                                      PERSON OBSERVATION

                                                                                                                                                                                                                                      Change to Class: Change to Super Type

                                                                                                                                                                                                                                      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. 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


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                                                                                                                                                                                                                                        PERSON OBSERVATION

                                                                                                                                                                                                                                        Change to Class: Change to Attributes

                                                                                                                                                                                                                                        Attributes of this Class are:
                                                                                                                                                                                                                                        K PERSON OBSERVATION NUMBER
                                                                                                                                                                                                                                        K START DATE
                                                                                                                                                                                                                                        O END DATE
                                                                                                                                                                                                                                        O END TIME
                                                                                                                                                                                                                                        START DATE
                                                                                                                                                                                                                                        START TIME


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                                                                                                                                                                                                                                          PERSON OBSERVATION

                                                                                                                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                                                                                                                          Each PERSON OBSERVATION
                                                                                                                                                                                                                                          K must be an observation of one and only one PERSON
                                                                                                                                                                                                                                          K must be made within one and only one CARE SPELL
                                                                                                                                                                                                                                          must be observed by one and only one HEALTH 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 SERVICE PROVIDED
                                                                                                                                                                                                                                          must be made within one and only one SERVICE


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                                                                                                                                                                                                                                            PERSON OBSERVATION WITHIN CARE SPELL

                                                                                                                                                                                                                                            Change to Class: Deleted

                                                                                                                                                                                                                                            Deleted

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                                                                                                                                                                                                                                              PERSON PROPERTY

                                                                                                                                                                                                                                              Change to Class: New Class

                                                                                                                                                                                                                                              PERSON PROPERTY

                                                                                                                                                                                                                                              This is a property of a PERSON which is either a PERSON OBSERVATION or a PERSON CHARACTERISTIC.



                                                                                                                                                                                                                                              This class is also known by these names:
                                                                                                                                                                                                                                              Context Alias
                                                                                                                                                                                                                                              plural PERSON PROPERTIES

                                                                                                                                                                                                                                              This class has no attributes.

                                                                                                                                                                                                                                              Each PERSON PROPERTY
                                                                                                                                                                                                                                              must be owned by one and only one PERSON


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                                                                                                                                                                                                                                                PERSON ROLE IN ORGANISATION

                                                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                                                Each PERSON ROLE IN ORGANISATION
                                                                                                                                                                                                                                                K must be held by one and only one PERSON
                                                                                                                                                                                                                                                K must be a role within one and only one HEALTH CARE PROVIDER
                                                                                                                                                                                                                                                K or must be a role within one and only one ORGANISATION
                                                                                                                                                                                                                                                may be related to one or more ADDRESS ASSOCIATION
                                                                                                                                                                                                                                                may be identified by one or more PERSON IDENTIFIER USED BY ROLE
                                                                                                                                                                                                                                                may be contacted by one or more TELE-COMMUNICATION CONTACT STRING


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                                                                                                                                                                                                                                                  PERSON SMOKING CESSATION EPISODE

                                                                                                                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                                                                                                                  Each PERSON SMOKING CESSATION EPISODE
                                                                                                                                                                                                                                                  K must be commenced by one and only one PERSON
                                                                                                                                                                                                                                                  K must be commenced as part of one and only one SMOKING CESSATION SERVICE
                                                                                                                                                                                                                                                  may be part of one SERVICE PROVIDED
                                                                                                                                                                                                                                                  must be part of one and only one SERVICE


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                                                                                                                                                                                                                                                    PLANNED CANCER TREATMENT

                                                                                                                                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                                                                                                                                    Each PLANNED CANCER TREATMENT
                                                                                                                                                                                                                                                    K must be a treatment within one and only one CANCER CARE PLAN
                                                                                                                                                                                                                                                    must be a decision to treat one and only one HEALTH CARE PROVIDER
                                                                                                                                                                                                                                                    may be provided by one or more SERVICE PROVIDED
                                                                                                                                                                                                                                                    may be provided by one or more SERVICE


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                                                                                                                                                                                                                                                      POST MORTEM

                                                                                                                                                                                                                                                      Change to Class: Change to Relationships

                                                                                                                                                                                                                                                      Each POST MORTEM
                                                                                                                                                                                                                                                      K must be related to one and only one PATHOLOGY DEPARTMENT
                                                                                                                                                                                                                                                      may be related to one SERVICE PROVIDED
                                                                                                                                                                                                                                                      must be provided within one and only one SERVICE


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                                                                                                                                                                                                                                                        PREGNANCY EPISODE

                                                                                                                                                                                                                                                        Change to Class: Change to Relationships

                                                                                                                                                                                                                                                        Each PREGNANCY EPISODE
                                                                                                                                                                                                                                                        K must be related to one and only one PATIENT
                                                                                                                                                                                                                                                        may be for antenatal care the responsibility of one GENERAL MEDICAL PRACTITIONER
                                                                                                                                                                                                                                                        may be for antenatal care the responsibility of GMP at one GP PRACTICE
                                                                                                                                                                                                                                                        may be for antenatal care the responsibility of GMP at one GENERAL MEDICAL PRACTITIONER PRACTICE
                                                                                                                                                                                                                                                        may be related to one or more HOSPITAL PROVIDER SPELL
                                                                                                                                                                                                                                                        may be related to one or more LABOUR AND DELIVERY
                                                                                                                                                                                                                                                        may be related to one or more MATERNITY DOMICILIARY VISIT
                                                                                                                                                                                                                                                        may be associated with one or more MATERNITY MEDICAL SERVICE
                                                                                                                                                                                                                                                        may be related to one or more MIDWIFE EPISODE


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                                                                                                                                                                                                                                                          PRIMARY CARE GROUP

                                                                                                                                                                                                                                                          Change to Class: Deleted

                                                                                                                                                                                                                                                          Deleted

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                                                                                                                                                                                                                                                            PROF ADVICE AND SUPPORT PROGRAMME

                                                                                                                                                                                                                                                            Change to Class: Change to Super Type, Change to Description

                                                                                                                                                                                                                                                            A type of SERVICE TO THE COMMUNITY PROGRAMME. A type of HEALTH PROGRAMME.

                                                                                                                                                                                                                                                            A programme to deliver professional advice and support to individual clients within a defined target population, which does not have a structured framework. A PROF ADVICE AND SUPPORT PROGRAMME comprises the activity of community health officers, health visitors, school nurses, contact tracing nurses and health education officers which cannot be attributed to a STRUCTURED PROGRAMME.

                                                                                                                                                                                                                                                            A PROF ADVICE AND SUPPORT PROGRAMME will involve primarily:

                                                                                                                                                                                                                                                            a. Educating an individual about factors affecting health,
                                                                                                                                                                                                                                                            b. Advising an individual on health problems and ways of mitigating ill health, and
                                                                                                                                                                                                                                                            c. General support to an individual.

                                                                                                                                                                                                                                                            Some programmes will be increasingly pro-active, as the use of computerised registers increases and enables 'at risk' groups to be identified more systematically. Other programmes will remain essentially 'reactive', responding to referrals from hospital, GENERAL PRACTITIONER or other source.



                                                                                                                                                                                                                                                            This class is also known by these names:
                                                                                                                                                                                                                                                            Context Alias
                                                                                                                                                                                                                                                            plural PROF ADVICE AND SUPPORT PROGRAMMES


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                                                                                                                                                                                                                                                              PROFESSIONAL STAFF GROUP EPISODE

                                                                                                                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                                                                                                                              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
                                                                                                                                                                                                                                                              must be provided within one and only one 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 SERVICE PROVIDED
                                                                                                                                                                                                                                                              may be classified from source of referral by one SPECIALTY FUNCTION


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                                                                                                                                                                                                                                                                PROFESSIONAL STAFF GROUP SERVICE

                                                                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                Each PROFESSIONAL STAFF GROUP SERVICE
                                                                                                                                                                                                                                                                K must be related to one and only one HEALTH CARE PROVIDER
                                                                                                                                                                                                                                                                must be provided within one and only one SERVICE
                                                                                                                                                                                                                                                                may be related to one or more HOME ASSESSMENT VISIT
                                                                                                                                                                                                                                                                may be related to one or more PROFESSIONAL STAFF GROUP DEPARTMENT
                                                                                                                                                                                                                                                                may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
                                                                                                                                                                                                                                                                may be related to one SERVICE PROVIDED


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                                                                                                                                                                                                                                                                  QUALIFICATION POSSESSED

                                                                                                                                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                  Each QUALIFICATION POSSESSED
                                                                                                                                                                                                                                                                  K must be related to one and only one EMPLOYEE
                                                                                                                                                                                                                                                                  K must be owned by one and only one PERSON


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                                                                                                                                                                                                                                                                    RADIOLOGY DEPARTMENT

                                                                                                                                                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                    Each RADIOLOGY DEPARTMENT
                                                                                                                                                                                                                                                                    K must be related to one and only one HEALTH CARE PROVIDER
                                                                                                                                                                                                                                                                    must be in the charge of one and only one CONSULTANT
                                                                                                                                                                                                                                                                    may be related to one or more IMAGING OR RADIODIAGNOSTIC EVENT
                                                                                                                                                                                                                                                                    may be related to one or more RADIOLOGY INVESTIGATION PLAN
                                                                                                                                                                                                                                                                    may be related to one or more RADIOLOGY INVESTIGATION RESULT ITEM
                                                                                                                                                                                                                                                                    may be related to one or more RADIOLOGY LOCATION


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                                                                                                                                                                                                                                                                      RADIOTHERAPY DEPARTMENT

                                                                                                                                                                                                                                                                      Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                      Each RADIOTHERAPY DEPARTMENT
                                                                                                                                                                                                                                                                      K must be related to one and only one HEALTH CARE PROVIDER
                                                                                                                                                                                                                                                                      must be related to one and only one SERVICE POINT
                                                                                                                                                                                                                                                                      may be related to one or more RADIOTHERAPY MACHINE
                                                                                                                                                                                                                                                                      may be the operators of one or more RADIOTHERAPY MACHINE
                                                                                                                                                                                                                                                                      may be responsible for one or more RADIOTHERAPY TREATMENT COURSE


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                                                                                                                                                                                                                                                                        RADIOTHERAPY MACHINE

                                                                                                                                                                                                                                                                        Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                        Each RADIOTHERAPY MACHINE
                                                                                                                                                                                                                                                                        K must be related to one and only one RADIOTHERAPY DEPARTMENT
                                                                                                                                                                                                                                                                        K must be operated by one and only one RADIOTHERAPY DEPARTMENT
                                                                                                                                                                                                                                                                        may be related to one or more EXPOSURE
                                                                                                                                                                                                                                                                        may be the subject of one or more MACHINE OPERATIONAL PLAN
                                                                                                                                                                                                                                                                        may be the subject of one or more MACHINE USE
                                                                                                                                                                                                                                                                        may be the subject of one or more RADIOTHERAPY MACHINE AVAILABILITY


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                                                                                                                                                                                                                                                                          RADIOTHERAPY TREATMENT COURSE

                                                                                                                                                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                          Each RADIOTHERAPY TREATMENT COURSE
                                                                                                                                                                                                                                                                          K must be related to one and only one PATIENT
                                                                                                                                                                                                                                                                          must be provided by one and only one RADIOTHERAPY DEPARTMENT
                                                                                                                                                                                                                                                                          must be part of one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                                                          must be part of one and only one SERVICE
                                                                                                                                                                                                                                                                          may be the responsibility of one CONSULTANT
                                                                                                                                                                                                                                                                          may be a set of one or more FRACTION


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                                                                                                                                                                                                                                                                            REFERRAL REQUEST

                                                                                                                                                                                                                                                                            Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                            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
                                                                                                                                                                                                                                                                            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 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 SCREENING TEST
                                                                                                                                                                                                                                                                            may be the initiator of one or more SERVICE PROVIDED
                                                                                                                                                                                                                                                                            may be the initiator of one or more SERVICE
                                                                                                                                                                                                                                                                            may be related to one SPECIALTY FUNCTION
                                                                                                                                                                                                                                                                            may be related to one or more TRANSPORT REQUIREMENT


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                                                                                                                                                                                                                                                                              REGULAR ATTENDER EPISODE

                                                                                                                                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                              Each REGULAR ATTENDER EPISODE
                                                                                                                                                                                                                                                                              K must be related to one and only one PATIENT
                                                                                                                                                                                                                                                                              must be provided as part of one and only one SERVICE
                                                                                                                                                                                                                                                                              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 SERVICE PROVIDED


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                                                                                                                                                                                                                                                                                REQUEST FOR DIAGNOSTIC TEST

                                                                                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                Each REQUEST FOR DIAGNOSTIC TEST
                                                                                                                                                                                                                                                                                K must be processed by one and only one SERVICE POINT
                                                                                                                                                                                                                                                                                may be an order to one HEALTH CARE PROFESSIONAL
                                                                                                                                                                                                                                                                                or may be an order to one ORGANISATION
                                                                                                                                                                                                                                                                                may be requested by one HEALTH CARE PROFESSIONAL
                                                                                                                                                                                                                                                                                must be provided within one and only one SERVICE
                                                                                                                                                                                                                                                                                may be except Category II requests from one LOCATION
                                                                                                                                                                                                                                                                                may be requested by one ORGANISATION
                                                                                                                                                                                                                                                                                may be related to 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 SERVICE PROVIDED
                                                                                                                                                                                                                                                                                may be initiated within one SPECIALTY FUNCTION


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                                                                                                                                                                                                                                                                                  ROAD TRAFFIC ACCIDENT TREATMENT

                                                                                                                                                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                  Each ROAD TRAFFIC ACCIDENT TREATMENT
                                                                                                                                                                                                                                                                                  K must be for one and only one PATIENT
                                                                                                                                                                                                                                                                                  must be supplied by one or more HOSPITAL PROVIDER
                                                                                                                                                                                                                                                                                  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 associated with one or more RTA TREATMENT BY OTHER PROVIDER


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                                                                                                                                                                                                                                                                                    RTA TREATMENT BY OTHER PROVIDER

                                                                                                                                                                                                                                                                                    Change to Class: Deleted

                                                                                                                                                                                                                                                                                    Deleted

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                                                                                                                                                                                                                                                                                      SCREENING TEST

                                                                                                                                                                                                                                                                                      Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                      Each SCREENING TEST
                                                                                                                                                                                                                                                                                      K must be for one and only one PERSON
                                                                                                                                                                                                                                                                                      may be related to one PERSON IN A SCREENING PROGRAMME
                                                                                                                                                                                                                                                                                      must be for one and only one PERSON
                                                                                                                                                                                                                                                                                      or must be related to one and only one PERSON IN A SCREENING PROGRAMME
                                                                                                                                                                                                                                                                                      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 REFERRAL FOR SCREENING TEST
                                                                                                                                                                                                                                                                                      may be the reason for one or more REFERRAL REQUEST
                                                                                                                                                                                                                                                                                      may be if on a cervical smear related to one or more REQUEST FOR PATHOLOGY INVESTIGATION
                                                                                                                                                                                                                                                                                      may be related to one or more SCREENING TEST INVITATION


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                                                                                                                                                                                                                                                                                        SERVICE POINT

                                                                                                                                                                                                                                                                                        Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                        Each SERVICE POINT
                                                                                                                                                                                                                                                                                        K must be related to one and only one ORGANISATION SITE
                                                                                                                                                                                                                                                                                        may be related to one or more AGENCY COST BY STAFF GROUP
                                                                                                                                                                                                                                                                                        may be related to one or more AGENCY NURSE DEPLOYMENT
                                                                                                                                                                                                                                                                                        may be operationally managing one or more AMBULANCE SERVICE VEHICLE
                                                                                                                                                                                                                                                                                        may be related to one or more AUDIOLOGY ATTENDANCE
                                                                                                                                                                                                                                                                                        may be providing one or more DAY CARE FACILITY
                                                                                                                                                                                                                                                                                        may be related to one or more DRUG MISUSE AGENCY
                                                                                                                                                                                                                                                                                        may be related to one or more FACE TO FACE CONTACT OPTICAL
                                                                                                                                                                                                                                                                                        may be related to one FUNCTIONAL GROUP
                                                                                                                                                                                                                                                                                        may be related to one or more IMAGING OR RADIODIAGNOSTIC EVENT
                                                                                                                                                                                                                                                                                        may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
                                                                                                                                                                                                                                                                                        may be related to one or more LITHOTRIPTER
                                                                                                                                                                                                                                                                                        may be the location of one or more LITHOTRIPTER
                                                                                                                                                                                                                                                                                        may be related to one or more MEDICAL AND DENTAL POST APPORTIONMENT
                                                                                                                                                                                                                                                                                        may be related to one or more NON MEDICAL AND DENTAL DEPLOYMENT
                                                                                                                                                                                                                                                                                        may be related to one or more OPERATING THEATRE
                                                                                                                                                                                                                                                                                        may be related to one or more OUT-PATIENT CLINIC
                                                                                                                                                                                                                                                                                        may be related to one or more PATHOLOGY DEPARTMENT
                                                                                                                                                                                                                                                                                        may be associated with one or more PATHOLOGY LABORATORY
                                                                                                                                                                                                                                                                                        may be related to one or more RADIOTHERAPY DEPARTMENT
                                                                                                                                                                                                                                                                                        may be related to one or more REFERRAL REQUEST
                                                                                                                                                                                                                                                                                        may be related to one or more REQUEST FOR DIAGNOSTIC TEST
                                                                                                                                                                                                                                                                                        may be subdivided into one or more SERVICE POINT
                                                                                                                                                                                                                                                                                        may be a subdivision of one SERVICE POINT
                                                                                                                                                                                                                                                                                        may be related to one or more SERVICE POINT IN PERIOD
                                                                                                                                                                                                                                                                                        may be related to one or more SERVICE POINT OPERATIONAL PLAN
                                                                                                                                                                                                                                                                                        may be the point of service for one or more SERVICE PROVISION POINT
                                                                                                                                                                                                                                                                                        may be providing one or more SHELTERED WORK FACILITY
                                                                                                                                                                                                                                                                                        may be related to one or more STAFF GROUP PLANNED
                                                                                                                                                                                                                                                                                        may be related to one or more VASECTOMY PERFORMED
                                                                                                                                                                                                                                                                                        may be related to one or more WARD


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                                                                                                                                                                                                                                                                                          SERVICE PROVIDED

                                                                                                                                                                                                                                                                                          Change to Class: Change to Name

                                                                                                                                                                                                                                                                                          SERVICE PROVIDED
                                                                                                                                                                                                                                                                                          SERVICE


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                                                                                                                                                                                                                                                                                            SERVICE PROVIDED renamed SERVICE

                                                                                                                                                                                                                                                                                            Change to Class: Change to Description

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

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

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



                                                                                                                                                                                                                                                                                            This class is also known by these names:
                                                                                                                                                                                                                                                                                            Context Alias
                                                                                                                                                                                                                                                                                            plural SERVICES PROVIDED
                                                                                                                                                                                                                                                                                            plural SERVICES


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                                                                                                                                                                                                                                                                                              SERVICE PROVIDED

                                                                                                                                                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                              Each SERVICE PROVIDED Each SERVICE
                                                                                                                                                                                                                                                                                              K must be a treatment or service provided by one and only one HEALTH CARE PROVIDER
                                                                                                                                                                                                                                                                                              may be part of one HEALTH PROGRAMME
                                                                                                                                                                                                                                                                                              or may be related to 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
                                                                                                                                                                                                                                                                                              must be related to one and only one AMBULANCE SERVICE
                                                                                                                                                                                                                                                                                              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 during one or more ADMINISTRATIVE CATEGORY IN SPELL
                                                                                                                                                                                                                                                                                              may be provided as one or more ANTI-CANCER DRUG PROGRAMME
                                                                                                                                                                                                                                                                                              may be related to one or more AUDIOLOGY ATTENDANCE
                                                                                                                                                                                                                                                                                              may be provided as one or more CARE HOME STAY
                                                                                                                                                                                                                                                                                              may be provided within one CARE PLAN
                                                                                                                                                                                                                                                                                              may be provided within one or more CARE PLAN
                                                                                                                                                                                                                                                                                              may be provided as one or more CARE PROGRAMME APPROACH EPISODE
                                                                                                                                                                                                                                                                                              may be for care responsibility part of 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 the provider of one or more CLINICAL INTERVENTION
                                                                                                                                                                                                                                                                                              may be for 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 the provider of 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 the provider of 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 the provider of one or more ELECTIVE ADMISSION LIST ENTRY
                                                                                                                                                                                                                                                                                              may be the provider of 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 the provider of 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 the provider of one or more HEALTHY PERSON STAY
                                                                                                                                                                                                                                                                                              may be the provider of one or more HOME ASSESSMENT VISIT
                                                                                                                                                                                                                                                                                              may be the provider of 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 the provider of one or more LABOUR AND DELIVERY
                                                                                                                                                                                                                                                                                              may be the provider of one or more LITHOTRIPSY COURSE ATTENDANCE
                                                                                                                                                                                                                                                                                              may be provided in one LOCATION
                                                                                                                                                                                                                                                                                              may be related to one or more MATERNITY DOMICILIARY VISIT
                                                                                                                                                                                                                                                                                              may be related to one or more MIDWIFE EPISODE
                                                                                                                                                                                                                                                                                              may be the provider of one or more MATERNITY DOMICILIARY VISIT
                                                                                                                                                                                                                                                                                              may be the provider of 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 related to one or more OUT-PATIENT CLINIC
                                                                                                                                                                                                                                                                                              may be the provider of one or more NURSE OR MIDWIFE CONTACT
                                                                                                                                                                                                                                                                                              may be the provider of one or more NURSING EPISODE
                                                                                                                                                                                                                                                                                              may be the provider of 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 the provider of one or more PATIENT TRANSPORT 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 the provider of one or more PERSON OBSERVATION
                                                                                                                                                                                                                                                                                              may be providing one or more PERSON SMOKING CESSATION EPISODE
                                                                                                                                                                                                                                                                                              may be related to 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 the provider of one or more PLANNED CANCER TREATMENT
                                                                                                                                                                                                                                                                                              may be the provider of one or more POST MORTEM
                                                                                                                                                                                                                                                                                              may be the provider of one or more PROFESSIONAL STAFF GROUP EPISODE
                                                                                                                                                                                                                                                                                              may be the provider of one or more PROFESSIONAL STAFF GROUP SERVICE
                                                                                                                                                                                                                                                                                              may be related to one or more RADIOTHERAPY TREATMENT COURSE
                                                                                                                                                                                                                                                                                              may be initiated by 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 subdivided into one or more SERVICE PROVIDED
                                                                                                                                                                                                                                                                                              may be a subdivision of one SERVICE PROVIDED
                                                                                                                                                                                                                                                                                              may be the provider of one or more REQUEST FOR DIAGNOSTIC TEST
                                                                                                                                                                                                                                                                                              may be subdivided into one or more SERVICE
                                                                                                                                                                                                                                                                                              must be a subdivision of one and only one SERVICE
                                                                                                                                                                                                                                                                                              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 SERVICE REPORT HEADER
                                                                                                                                                                                                                                                                                              may be provided as one or more SHELTERED WORK ATTENDANCE
                                                                                                                                                                                                                                                                                              may be part of 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 the provider of one VASECTOMY PERFORMED
                                                                                                                                                                                                                                                                                              may be the provider of one or more WARD ATTENDANCE
                                                                                                                                                                                                                                                                                              may be related to one or more WARD STAY


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                                                                                                                                                                                                                                                                                                SERVICE PROVIDED UNDER AGREEMENT

                                                                                                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                Each SERVICE PROVIDED UNDER AGREEMENT
                                                                                                                                                                                                                                                                                                K must be in the context of one and only one NHS SERVICE AGREEMENT
                                                                                                                                                                                                                                                                                                K must be related to one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                K must be related to one and only one SERVICE
                                                                                                                                                                                                                                                                                                may be subject to one or more NHS SERVICE AGREEMENT CHANGE DETAIL
                                                                                                                                                                                                                                                                                                may be performed in the context of one NHS SERVICE AGREEMENT LINE


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                                                                                                                                                                                                                                                                                                  SERVICE PROVISION POINT

                                                                                                                                                                                                                                                                                                  Change to Class: Change to Description

                                                                                                                                                                                                                                                                                                  The SERVICE POINT at which all or part of a SERVICE PROVIDED has been supplied. The SERVICE POINT at which all or part of a SERVICE has been supplied.



                                                                                                                                                                                                                                                                                                  This class is also known by these names:
                                                                                                                                                                                                                                                                                                  Context Alias
                                                                                                                                                                                                                                                                                                  plural SERVICE PROVISION POINTS


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                                                                                                                                                                                                                                                                                                    SERVICE PROVISION POINT

                                                                                                                                                                                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                    Each SERVICE PROVISION POINT
                                                                                                                                                                                                                                                                                                    K must be the provision of one and only one SERVICE
                                                                                                                                                                                                                                                                                                    K must be provided at one and only one SERVICE POINT
                                                                                                                                                                                                                                                                                                    K must be the provision of one and only one SERVICE PROVIDED


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                                                                                                                                                                                                                                                                                                      SERVICE REPORT COPY

                                                                                                                                                                                                                                                                                                      Change to Class: Change to Description

                                                                                                                                                                                                                                                                                                      A copy of a service report sent to or to be sent to a party other than the provider or the requester of the SERVICE PROVIDED or the PLANNED SERVICE TO BE PROVIDED. A copy of a service report sent to or to be sent to a party other than the provider or the requester of the SERVICE or the PLANNED SERVICE TO BE PROVIDED.

                                                                                                                                                                                                                                                                                                      References:
                                                                                                                                                                                                                                                                                                      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 SERVICE REPORT COPIES


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                                                                                                                                                                                                                                                                                                        SERVICE REPORTED

                                                                                                                                                                                                                                                                                                        Change to Class: Change to Description

                                                                                                                                                                                                                                                                                                        A SERVICE PROVIDED or a PLANNED SERVICE TO BE PROVIDED reported on a SERVICE REPORT HEADER. A SERVICE or a PLANNED SERVICE TO BE PROVIDED reported on a SERVICE REPORT HEADER.

                                                                                                                                                                                                                                                                                                        References:
                                                                                                                                                                                                                                                                                                        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 SERVICES REPORTEDS


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                                                                                                                                                                                                                                                                                                          SERVICE REPORTED

                                                                                                                                                                                                                                                                                                          Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                          Each SERVICE REPORTED
                                                                                                                                                                                                                                                                                                          K must be related to one and only one SERVICE REPORT HEADER
                                                                                                                                                                                                                                                                                                          K must be issued to one and only one PLANNED SERVICE TO BE PROVIDED
                                                                                                                                                                                                                                                                                                          K or must be issued to one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                          K or must be issued to one and only one SERVICE


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                                                                                                                                                                                                                                                                                                            SERVICE REPORT HEADER

                                                                                                                                                                                                                                                                                                            Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                            Each SERVICE REPORT HEADER
                                                                                                                                                                                                                                                                                                            must be issued by one and only one HEALTH CARE PROFESSIONAL
                                                                                                                                                                                                                                                                                                            or must be issued by one and only one ORGANISATION
                                                                                                                                                                                                                                                                                                            must be requested by one and only one HEALTH CARE PROFESSIONAL
                                                                                                                                                                                                                                                                                                            or must be requested by one and only one ORGANISATION
                                                                                                                                                                                                                                                                                                            may be related to 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
                                                                                                                                                                                                                                                                                                            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


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                                                                                                                                                                                                                                                                                                              SERVICE TO THE COMMUNITY PROGRAMME

                                                                                                                                                                                                                                                                                                              Change to Class: Deleted

                                                                                                                                                                                                                                                                                                              Deleted

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                                                                                                                                                                                                                                                                                                                SHELTERED WORK ATTENDANCE

                                                                                                                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                Each SHELTERED WORK ATTENDANCE
                                                                                                                                                                                                                                                                                                                K must be for attendance at one and only one SHELTERED WORK SESSION
                                                                                                                                                                                                                                                                                                                must be an attendance within one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                                must be an attendance within one and only one SERVICE


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                                                                                                                                                                                                                                                                                                                  SMOKING CESSATION SERVICE

                                                                                                                                                                                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                  Each SMOKING CESSATION SERVICE
                                                                                                                                                                                                                                                                                                                  K must be coordinated as lead PCT by one and only one PRIMARY CARE TRUST
                                                                                                                                                                                                                                                                                                                  may be supporting one or more PERSON SMOKING CESSATION EPISODE
                                                                                                                                                                                                                                                                                                                  may be providing one or more SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                                  may be providing one or more SERVICE


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                                                                                                                                                                                                                                                                                                                    SOCIAL SERVICES STATUTORY ASSESSMENT

                                                                                                                                                                                                                                                                                                                    Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                    Each SOCIAL SERVICES STATUTORY ASSESSMENT
                                                                                                                                                                                                                                                                                                                    K must be an assessment provided within one and only one SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                                    K must be an assessment provided within one and only one SERVICE


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                                                                                                                                                                                                                                                                                                                      STRUCTURED PROGRAMME

                                                                                                                                                                                                                                                                                                                      Change to Class: Change to Super Type, Change to Description

                                                                                                                                                                                                                                                                                                                      A type of SERVICE TO THE COMMUNITY PROGRAMME. A type of HEALTH PROGRAMME.

                                                                                                                                                                                                                                                                                                                      A programme to deliver services within a 'structured framework' to a defined target population in order to prevent or identify a specific disease or condition, or in order to assess the health of, or support and advise, a particular group of the population. Any community staff group may contribute to a STRUCTURED PROGRAMMES. Each STRUCTURED PROGRAMMES has a sub-type of:

                                                                                                                                                                                                                                                                                                                      a. IMMUNISATION PROGRAMME or
                                                                                                                                                                                                                                                                                                                      b. CONTACT TRACING PROGRAMME or
                                                                                                                                                                                                                                                                                                                      c. SCREENING PROGRAMME or
                                                                                                                                                                                                                                                                                                                      d. SURVEILLANCE PROGRAMME or
                                                                                                                                                                                                                                                                                                                      e. ORAL HEALTH PROGRAMME or
                                                                                                                                                                                                                                                                                                                      f. HEALTH PROMOTION PROGRAMME



                                                                                                                                                                                                                                                                                                                      This class is also known by these names:
                                                                                                                                                                                                                                                                                                                      Context Alias
                                                                                                                                                                                                                                                                                                                      plural STRUCTURED PROGRAMMES


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                                                                                                                                                                                                                                                                                                                        SURVEILLANCE PROGRAMME STAGE

                                                                                                                                                                                                                                                                                                                        Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                        Each SURVEILLANCE PROGRAMME STAGE
                                                                                                                                                                                                                                                                                                                        K must be related to one and only one SURVEILLANCE PROGRAMME
                                                                                                                                                                                                                                                                                                                        must be related to one and only one SURVEILLANCE AGE GROUP
                                                                                                                                                                                                                                                                                                                        may be related to one or more SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                                        may be related to one or more SERVICE
                                                                                                                                                                                                                                                                                                                        may be related to one or more SURVEILLANCE TARGET POPULATION


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                                                                                                                                                                                                                                                                                                                          THEATRE SESSION CANCELLATION REASON

                                                                                                                                                                                                                                                                                                                          Change to Class: Deleted

                                                                                                                                                                                                                                                                                                                          Deleted

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                                                                                                                                                                                                                                                                                                                            TRANSPORT REQUEST

                                                                                                                                                                                                                                                                                                                            Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                            Each TRANSPORT REQUEST
                                                                                                                                                                                                                                                                                                                            K must be related to one and only one AMBULANCE SERVICE
                                                                                                                                                                                                                                                                                                                            may be related to one or more PATIENT JOURNEY
                                                                                                                                                                                                                                                                                                                            may be related to one or more PATIENT TRANSPORT JOURNEY
                                                                                                                                                                                                                                                                                                                            may be related to one TRANSPORT REQUIREMENT


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                                                                                                                                                                                                                                                                                                                              VASECTOMY PERFORMED

                                                                                                                                                                                                                                                                                                                              Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                              Each VASECTOMY PERFORMED
                                                                                                                                                                                                                                                                                                                              K must be related to one and only one SERVICE POINT
                                                                                                                                                                                                                                                                                                                              may be related to one SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                                              must be provided within one and only one SERVICE


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                                                                                                                                                                                                                                                                                                                                WARD ATTENDANCE

                                                                                                                                                                                                                                                                                                                                Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                                Each WARD ATTENDANCE
                                                                                                                                                                                                                                                                                                                                K must be related to one and only one WARD
                                                                                                                                                                                                                                                                                                                                must be related to one and only one NURSE OR MIDWIFE CONTACT
                                                                                                                                                                                                                                                                                                                                must be related to one and only one PATIENT
                                                                                                                                                                                                                                                                                                                                must be provided within one and only one SERVICE
                                                                                                                                                                                                                                                                                                                                may be related to one or more PATIENT PROCEDURE
                                                                                                                                                                                                                                                                                                                                may be related to one SERVICE PROVIDED


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                                                                                                                                                                                                                                                                                                                                  WARD STAY

                                                                                                                                                                                                                                                                                                                                  Change to Class: Change to Relationships

                                                                                                                                                                                                                                                                                                                                  Each WARD STAY
                                                                                                                                                                                                                                                                                                                                  K must be related to one and only one HOSPITAL PROVIDER SPELL
                                                                                                                                                                                                                                                                                                                                  K must be related to one and only one WARD
                                                                                                                                                                                                                                                                                                                                  must be related to a named one and only one MIDWIFE
                                                                                                                                                                                                                                                                                                                                  or must be related to a named one and only one NURSE
                                                                                                                                                                                                                                                                                                                                  may be related to one SERVICE PROVIDED
                                                                                                                                                                                                                                                                                                                                  must be related to one and only one SERVICE


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                                                                                                                                                                                                                                                                                                                                    WEIGHT

                                                                                                                                                                                                                                                                                                                                    Change to Class: Change to Super Type

                                                                                                                                                                                                                                                                                                                                    A type of CHARACTERISTIC.

                                                                                                                                                                                                                                                                                                                                    Identifies the weight of a person on a given date. The unit of measurement is Kilograms.



                                                                                                                                                                                                                                                                                                                                    This class is also known by these names:
                                                                                                                                                                                                                                                                                                                                    Context Alias
                                                                                                                                                                                                                                                                                                                                    plural WEIGHTS


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                                                                                                                                                                                                                                                                                                                                      CANCELLATION REASON

                                                                                                                                                                                                                                                                                                                                      Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                      A locally defined classification of THEATRE SESSION CANCELLATION REASON. A locally defined classification of why an OPERATING THEATRE SESSION was cancelled.



                                                                                                                                                                                                                                                                                                                                      This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                      Context Alias
                                                                                                                                                                                                                                                                                                                                      plural CANCELLATION REASONS


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                                                                                                                                                                                                                                                                                                                                        CHARACTERISTIC TYPE CODE

                                                                                                                                                                                                                                                                                                                                        Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                        CHARACTERISTIC TYPE CODE

                                                                                                                                                                                                                                                                                                                                        A code which classifies the type of CHARACTERISTIC to be associated with the PERSON CHARACTERISTIC.

                                                                                                                                                                                                                                                                                                                                        Examples:

                                                                                                                                                                                                                                                                                                                                        a. Sex

                                                                                                                                                                                                                                                                                                                                        b. Marital Status

                                                                                                                                                                                                                                                                                                                                        c. Ethnic Category

                                                                                                                                                                                                                                                                                                                                        d. Ethnic Group

                                                                                                                                                                                                                                                                                                                                        e. Smoker

                                                                                                                                                                                                                                                                                                                                        f. Sexual Orientation



                                                                                                                                                                                                                                                                                                                                        This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                        Context Alias
                                                                                                                                                                                                                                                                                                                                        plural CHARACTERISTIC TYPE CODES


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                                                                                                                                                                                                                                                                                                                                          CLINICAL CLASSIFICATION CODE

                                                                                                                                                                                                                                                                                                                                          Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                          A unique identifier for a CLINICAL CLASSIFICATION, for example this could be an OPCS-4 code or a Read code.

                                                                                                                                                                                                                                                                                                                                          The codes for both OPCS-4 and Read are maintained by the NHS Information Authority.

                                                                                                                                                                                                                                                                                                                                          This could also be a DIAGNOSIS.

                                                                                                                                                                                                                                                                                                                                          See Clinical Coding for International Classification of Diseases (ICD-10) and Read Coded Clinical Terms.

                                                                                                                                                                                                                                                                                                                                          See Clinical Coding.

                                                                                                                                                                                                                                                                                                                                          Diagnoses should be classified where possible using ICD-10 or other classification codes approved centrally for mapping to ICD-10 codes. Clinical Terms (The Read Codes) can be used in addition to ICD-10 codes for Patient Diagnosis. However Clinical Terms (The Read Codes) are not accepted for the purposes of central HES data, where ICD-10 is mandatory.

                                                                                                                                                                                                                                                                                                                                          ICD-10 diagnostic codes are at least four characters in length. The first character is always alphabetic. Where an undivided three character code is used, the fourth character must be filled with 'X'.

                                                                                                                                                                                                                                                                                                                                          Fifth characters should be used in accordance with the guidance in Introduction. Where they are not used the character must be filled with a '-'. The sixth character of the code is used to designate an asterisk or dagger indicator in ICD-10; it may be an 'A' or 'D'.



                                                                                                                                                                                                                                                                                                                                          This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                          Context Alias
                                                                                                                                                                                                                                                                                                                                          plural CLINICAL CLASSIFICATION CODES


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                                                                                                                                                                                                                                                                                                                                            CONSULTANT CODE

                                                                                                                                                                                                                                                                                                                                            Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                            CONSULTANT CODE

                                                                                                                                                                                                                                                                                                                                            A code uniquely identifying a CONSULTANT.

                                                                                                                                                                                                                                                                                                                                            This is the General Medical Council code for the CONSULTANT, which is the unique identifier for the consultant. For GPs working as Consultants, the GP's GMC code should be used, see data item note for GMP (CODE OF REGISTERED OR REFERRING GMP).

                                                                                                                                                                                                                                                                                                                                            The GMC code is an eight character alphanumeric code based on the GMC registration number; the first character will be the letter `C'; characters 2 to 7 will be the doctor's GMC number, see PRACTITIONER CODES.

                                                                                                                                                                                                                                                                                                                                            If a dental consultant is not registered with the GMC, the Dentists' Practice Board number has to be used prefixed with D.

                                                                                                                                                                                                                                                                                                                                            For NHS patients treated overseas, the commissioner of the overseas treatment is responsible for ensuring that the overseas doctor is provided with a GMC code. In the case of overseas doctors the default code C9999998 should only be used where no GMC code has been assigned.

                                                                                                                                                                                                                                                                                                                                            All MIDWIFE EPISODES are identified in the Admitted Patient Care CDS and HES by a pseudo main consultant specialty code, 560, see Specialty Function Codes. A default code is used in the CONSULTANT CODE field to show that a MIDWIFE is the responsible professional. Note that the midwife's own code is not used.

                                                                                                                                                                                                                                                                                                                                            All NURSING EPISODES are identified in the Admitted Patient CDS and HES by a pseudo main consultant specialty code, 950, see Speciality Function Codes. A default code is used in the CONSULTANT CODES field to show that a NURSE is the responsible professional. Note that the nurse's own Nursing and Midwifery Council code is not used.



                                                                                                                                                                                                                                                                                                                                            This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                            Context Alias
                                                                                                                                                                                                                                                                                                                                            plural CONSULTANT CODES


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                                                                                                                                                                                                                                                                                                                                              DDP CODE

                                                                                                                                                                                                                                                                                                                                              Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                              DDP CODE

                                                                                                                                                                                                                                                                                                                                              A DDP Code for a GENERAL DENTAL PRACTITIONER.



                                                                                                                                                                                                                                                                                                                                              This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                              Context Alias
                                                                                                                                                                                                                                                                                                                                              plural DDP CODES


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                                                                                                                                                                                                                                                                                                                                                EXPECTED DELAY BEFORE SERVICE UNIT

                                                                                                                                                                                                                                                                                                                                                Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                The unit of the expected delay before a SERVICE PROVIDED can be provided. The unit of the expected delay before a SERVICE can be provided. For example, weeks.

                                                                                                                                                                                                                                                                                                                                                References:
                                                                                                                                                                                                                                                                                                                                                The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95



                                                                                                                                                                                                                                                                                                                                                This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                Context Alias
                                                                                                                                                                                                                                                                                                                                                plural EXPECTED DELAY BEFORE SERVICE UNITS


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                                                                                                                                                                                                                                                                                                                                                  EXPECTED DELAY BEFORE SERVICE VALUE

                                                                                                                                                                                                                                                                                                                                                  Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                  The numerical value of the expected delay before a SERVICE PROVIDED can be provided. The numerical value of the expected delay before a SERVICE can be provided. For example 5 (where the EXPECTED DELAY BEFORE SERVICE UNIT is weeks).

                                                                                                                                                                                                                                                                                                                                                  References:
                                                                                                                                                                                                                                                                                                                                                  The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95



                                                                                                                                                                                                                                                                                                                                                  This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                  Context Alias
                                                                                                                                                                                                                                                                                                                                                  plural EXPECTED DELAY BEFORE SERVICE VALUES


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                                                                                                                                                                                                                                                                                                                                                    FIRST ATTENDANCE

                                                                                                                                                                                                                                                                                                                                                    Change to Attribute: Change to Description

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

                                                                                                                                                                                                                                                                                                                                                    It should be noted that:

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

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

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

                                                                                                                                                                                                                                                                                                                                                    National Codes:
                                                                                                                                                                                                                                                                                                                                                    1 First attendance
                                                                                                                                                                                                                                                                                                                                                    2 Follow-up attendance



                                                                                                                                                                                                                                                                                                                                                    This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                    Context Alias
                                                                                                                                                                                                                                                                                                                                                    plural FIRST ATTENDANCES


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                                                                                                                                                                                                                                                                                                                                                      FIRST SEEN BY SPECIALIST DATE (CANCER)

                                                                                                                                                                                                                                                                                                                                                      Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                      This is the date that the patient is first seen by the appropriate specialist for cancer care within a CANCER CARE SPELL. This is the person or persons who are most able to progress the diagnosis of the primary tumour. The date will be one of the following, whichever is the earlier SERVICE PROVIDED related to the CANCER CARE SPELL where the PATIENT saw an appropriate specialist for cancer care: The date will be one of the following, whichever is the earlier SERVICE related to the CANCER CARE SPELL where the PATIENT saw an appropriate specialist for cancer care:


                                                                                                                                                                                                                                                                                                                                                      - first out-patient appointment with appropriate cancer specialist; this is the FIRST ATTENDANCE of the OUT-PATIENT ATTENDANCE CONSULTANT.
                                                                                                                                                                                                                                                                                                                                                      - first diagnostic procedure if this precedes the first out-patient appointment; this is the first CLINICAL INTERVENTION DATE of the IMAGING OR RADIODIAGNOSTIC EVENT or the CLINICAL INTERVENTION.
                                                                                                                                                                                                                                                                                                                                                      - first seen as an emergency; this is the START DATE of the HOSPITAL PROVIDER SPELL or the ARRIVAL DATE of the ACCIDENT AND EMERGENCY ATTENDANCE.
                                                                                                                                                                                                                                                                                                                                                      - first seen following recall by screening unit; this is the SCREENING TEST DATE of the SCREENING TEST.

                                                                                                                                                                                                                                                                                                                                                      References: The NHS National Cancer Waiting Times, DH, DSCN 22/2002.



                                                                                                                                                                                                                                                                                                                                                      This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                      Context Alias
                                                                                                                                                                                                                                                                                                                                                      plural FIRST SEEN BY SPECIALIST DATES (CANCER)


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                                                                                                                                                                                                                                                                                                                                                        GENERAL DENTAL PRACTITIONER CODE

                                                                                                                                                                                                                                                                                                                                                        Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                        GENERAL DENTAL PRACTITIONER CODE

                                                                                                                                                                                                                                                                                                                                                        A unique code identifying a GENERAL DENTAL PRACTITIONER.



                                                                                                                                                                                                                                                                                                                                                        This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                        Context Alias
                                                                                                                                                                                                                                                                                                                                                        plural GENERAL DENTAL PRACTITIONER CODES


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                                                                                                                                                                                                                                                                                                                                                          GENERAL OPHTHALMIC COUNCIL NUMBER

                                                                                                                                                                                                                                                                                                                                                          Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                          GENERAL OPHTHALMIC COUNCIL NUMBER

                                                                                                                                                                                                                                                                                                                                                          A unique identifier for an OPHTHALMIC OPTICIAN.



                                                                                                                                                                                                                                                                                                                                                          This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                          Context Alias
                                                                                                                                                                                                                                                                                                                                                          plural GENERAL OPHTHALMIC COUNCIL NUMBERS


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                                                                                                                                                                                                                                                                                                                                                            GENERAL PRACTITIONER PPA CODE

                                                                                                                                                                                                                                                                                                                                                            Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                            GENERAL PRACTITIONER PPA CODE

                                                                                                                                                                                                                                                                                                                                                            This is the PPA code to identify a GENERAL PRACTITIONER.



                                                                                                                                                                                                                                                                                                                                                            This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                            Context Alias
                                                                                                                                                                                                                                                                                                                                                            plural GENERAL PRACTITIONER PPA CODES


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                                                                                                                                                                                                                                                                                                                                                              GENITO-URINARY CLINIC TELEPHONE CALLS

                                                                                                                                                                                                                                                                                                                                                              Change to Attribute: Deleted

                                                                                                                                                                                                                                                                                                                                                              Deleted

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                                                                                                                                                                                                                                                                                                                                                                GMC CODE

                                                                                                                                                                                                                                                                                                                                                                Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                GMC CODE

                                                                                                                                                                                                                                                                                                                                                                A code uniquely identifying a General Medical Practitioner.

                                                                                                                                                                                                                                                                                                                                                                For GPs working as consultants, the GP's General Medical Council code should be used.



                                                                                                                                                                                                                                                                                                                                                                This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                Context Alias
                                                                                                                                                                                                                                                                                                                                                                plural GMC CODES


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                                                                                                                                                                                                                                                                                                                                                                  HEALTH PROMOTION AIM DESCRIPTION

                                                                                                                                                                                                                                                                                                                                                                  Change to Attribute: Deleted

                                                                                                                                                                                                                                                                                                                                                                  Deleted

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                                                                                                                                                                                                                                                                                                                                                                    HEALTH PROMOTION PROGRAMME AIM

                                                                                                                                                                                                                                                                                                                                                                    Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                    HEALTH PROMOTION PROGRAMME AIM

                                                                                                                                                                                                                                                                                                                                                                    A classification of a target for a HEALTH PROMOTION PROGRAMME, which may be a particular function, condition, aspect of behaviour or group of people.

                                                                                                                                                                                                                                                                                                                                                                    Examples:

                                                                                                                                                                                                                                                                                                                                                                    a. Anti-smoking
                                                                                                                                                                                                                                                                                                                                                                    b. Diet
                                                                                                                                                                                                                                                                                                                                                                    c. Anti-drugs
                                                                                                                                                                                                                                                                                                                                                                    d. Exercise
                                                                                                                                                                                                                                                                                                                                                                    e. Accident prevention
                                                                                                                                                                                                                                                                                                                                                                    f. Parentcraft
                                                                                                                                                                                                                                                                                                                                                                    g. Contraception
                                                                                                                                                                                                                                                                                                                                                                    h. Anti-alcohol
                                                                                                                                                                                                                                                                                                                                                                    i. Sexual behaviour (e.g. with respect to AIDS and STD)

                                                                                                                                                                                                                                                                                                                                                                    Note: This list is an example only and may be adjusted to meet local requirements.



                                                                                                                                                                                                                                                                                                                                                                    This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                    Context Alias
                                                                                                                                                                                                                                                                                                                                                                    plural HEALTH PROMOTION PROGRAMME AIMS


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                                                                                                                                                                                                                                                                                                                                                                      HEALTH PROMOTION PROGRAMME AIM CODE

                                                                                                                                                                                                                                                                                                                                                                      Change to Attribute: Deleted

                                                                                                                                                                                                                                                                                                                                                                      Deleted

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                                                                                                                                                                                                                                                                                                                                                                        HIV AND AIDS INDICATOR

                                                                                                                                                                                                                                                                                                                                                                        Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                        HIV AND AIDS INDICATOR

                                                                                                                                                                                                                                                                                                                                                                        Identifies if this HEALTH PROMOTION OTHER ACTIVITY concerns HIV and AIDS.



                                                                                                                                                                                                                                                                                                                                                                        This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                        Context Alias
                                                                                                                                                                                                                                                                                                                                                                        plural HIV AND AIDS INDICATORS


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                                                                                                                                                                                                                                                                                                                                                                          LOCAL PATIENT IDENTIFIER

                                                                                                                                                                                                                                                                                                                                                                          Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                          LOCAL PATIENT IDENTIFIER

                                                                                                                                                                                                                                                                                                                                                                          This is a number used to identify a PATIENT uniquely within a HEALTH CARE PROVIDER. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system.

                                                                                                                                                                                                                                                                                                                                                                          Where care for NHS patients is sub-commissioned in the independent sector or overseas, the NHS commissioner PAS Number should be used. If no NHS PAS Number has been assigned the independent sector or overseas PAS Number should be used.



                                                                                                                                                                                                                                                                                                                                                                          This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                          Context Alias
                                                                                                                                                                                                                                                                                                                                                                          plural LOCAL PATIENT IDENTIFIERS


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                                                                                                                                                                                                                                                                                                                                                                            MIDWIFE COUNCIL NUMBER

                                                                                                                                                                                                                                                                                                                                                                            Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                            MIDWIFE COUNCIL NUMBER

                                                                                                                                                                                                                                                                                                                                                                            A unique identifier for a MIDWIFE assigned by the Midwife Council.



                                                                                                                                                                                                                                                                                                                                                                            This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                            Context Alias
                                                                                                                                                                                                                                                                                                                                                                            plural MIDWIFE COUNCIL NUMBERS


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                                                                                                                                                                                                                                                                                                                                                                              NHS NUMBER

                                                                                                                                                                                                                                                                                                                                                                              Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                              NHS NUMBER

                                                                                                                                                                                                                                                                                                                                                                              A unique identifier allocated by the NHS to a PERSON which will not vary by any Organisation of which a PERSON is a PATIENT.

                                                                                                                                                                                                                                                                                                                                                                              It is mandatory to record the NHS NUMBER for each PATIENT. The exception to this rule is A&E care. The NHS NUMBER, the primary identifier of a PERSON, is a unique identifier for the PATIENT.

                                                                                                                                                                                                                                                                                                                                                                              The NHS NUMBERS is 10 numeric digits in length. The tenth digit is a check digit used to confirm its validity. The check digit is validated using the Modulus 11 algorithm and the use of this algorithm is mandatory. There are 5 steps in the validation of the check digit:

                                                                                                                                                                                                                                                                                                                                                                              Step 1 Multiply each of the first nine digits by a weighting factor as follows:

                                                                                                                                                                                                                                                                                                                                                                              Digit Position
                                                                                                                                                                                                                                                                                                                                                                              (starting from the left) Factor
                                                                                                                                                                                                                                                                                                                                                                              1 10
                                                                                                                                                                                                                                                                                                                                                                              2 9
                                                                                                                                                                                                                                                                                                                                                                              3 8
                                                                                                                                                                                                                                                                                                                                                                              4 7
                                                                                                                                                                                                                                                                                                                                                                              5 6
                                                                                                                                                                                                                                                                                                                                                                              5 6
                                                                                                                                                                                                                                                                                                                                                                              4 7
                                                                                                                                                                                                                                                                                                                                                                              3 8
                                                                                                                                                                                                                                                                                                                                                                              2 9

                                                                                                                                                                                                                                                                                                                                                                              Step 2 Add the results of each multiplication together.

                                                                                                                                                                                                                                                                                                                                                                              Step 3 Divide the total by 11 and establish the remainder.

                                                                                                                                                                                                                                                                                                                                                                              Step 4 Subtract the remainder from 11 to give the check digit.

                                                                                                                                                                                                                                                                                                                                                                              If the result is 11 then a check digit of 0 is used. If the result is 10 then the NHS NUMBERS is invalid and not used.

                                                                                                                                                                                                                                                                                                                                                                              Step 5 Check the remainder matches the check digit. If it does not, the NHS NUMBERS is invalid.

                                                                                                                                                                                                                                                                                                                                                                              References:
                                                                                                                                                                                                                                                                                                                                                                              NHS Strategic Tracing Service: http://www.nhsia.nhs.uk/nsts/pages/faq.asp



                                                                                                                                                                                                                                                                                                                                                                              This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                              Context Alias
                                                                                                                                                                                                                                                                                                                                                                              plural NHS NUMBERS


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                                                                                                                                                                                                                                                                                                                                                                                NHS NUMBER OLD

                                                                                                                                                                                                                                                                                                                                                                                Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                                NHS NUMBER OLD

                                                                                                                                                                                                                                                                                                                                                                                The old version of the NHS Number.



                                                                                                                                                                                                                                                                                                                                                                                This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                Context Alias
                                                                                                                                                                                                                                                                                                                                                                                plural NHS NUMBERS OLD


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                                                                                                                                                                                                                                                                                                                                                                                  NHS SERVICE AGREEMENT CHANGE TYPE

                                                                                                                                                                                                                                                                                                                                                                                  Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                  A classification of a NHS SERVICE AGREEMENT CHANGE to record the reason for a change in the NHS SERVICE AGREEMENT to apply to a SERVICE PROVIDED. A classification of a NHS SERVICE AGREEMENT CHANGE to record the reason for a change in the NHS SERVICE AGREEMENT to apply to a SERVICE.

                                                                                                                                                                                                                                                                                                                                                                                  National Codes:
                                                                                                                                                                                                                                                                                                                                                                                  01 New Commissioner
                                                                                                                                                                                                                                                                                                                                                                                  02 Change of NHS SERVICE AGREEMENT - same Commissioner



                                                                                                                                                                                                                                                                                                                                                                                  This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                  Context Alias
                                                                                                                                                                                                                                                                                                                                                                                  plural NHS SERVICE AGREEMENT CHANGE TYPES


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                                                                                                                                                                                                                                                                                                                                                                                    NURSE OR MIDWIFE IDENTIFER

                                                                                                                                                                                                                                                                                                                                                                                    Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                                    NURSE OR MIDWIFE IDENTIFER

                                                                                                                                                                                                                                                                                                                                                                                    A unique identifier for a Nurse or MIDWIFE allocated by the Nursing and Midwifery Council.



                                                                                                                                                                                                                                                                                                                                                                                    This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                    Context Alias
                                                                                                                                                                                                                                                                                                                                                                                    plural NURSE OR MIDWIFE IDENTIFER


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                                                                                                                                                                                                                                                                                                                                                                                      OPHTHALMIC MEDICAL PRACITIONER GMC CODE

                                                                                                                                                                                                                                                                                                                                                                                      Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                                      OPHTHALMIC MEDICAL PRACITIONER GMC CODE

                                                                                                                                                                                                                                                                                                                                                                                      A unique identifier for a OPHTHALMIC MEDICAL PRACTITIONER allocated by the General Medical Council.



                                                                                                                                                                                                                                                                                                                                                                                      This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                      Context Alias
                                                                                                                                                                                                                                                                                                                                                                                      plural OPHTHALMIC MEDICAL PRACITIONER GMC CODES


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                                                                                                                                                                                                                                                                                                                                                                                        OPHTHALMIC QUALIFICATION COMMITTEE CODE

                                                                                                                                                                                                                                                                                                                                                                                        Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                                        OPHTHALMIC QUALIFICATION COMMITTEE CODE

                                                                                                                                                                                                                                                                                                                                                                                        A unique identifier for an OPHTHALMIC MEDICAL PRACTITIONER allocated by the Ophthalmic Qualification Committee.



                                                                                                                                                                                                                                                                                                                                                                                        This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                        Context Alias
                                                                                                                                                                                                                                                                                                                                                                                        plural OPHTHALMIC QUALIFICATION COMMITTEE CODES


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                                                                                                                                                                                                                                                                                                                                                                                          PATIENT JOURNEY DATE

                                                                                                                                                                                                                                                                                                                                                                                          Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                          The date of a PATIENT JOURNEY. The date of a PATIENT TRANSPORT JOURNEY.



                                                                                                                                                                                                                                                                                                                                                                                          This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                          Context Alias
                                                                                                                                                                                                                                                                                                                                                                                          plural PATIENT JOURNEY DATES


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                                                                                                                                                                                                                                                                                                                                                                                            PATIENT JOURNEY NUMBER

                                                                                                                                                                                                                                                                                                                                                                                            Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                            An identifier for each PATIENT JOURNEY. An identifier for each PATIENT TRANSPORT JOURNEY.



                                                                                                                                                                                                                                                                                                                                                                                            This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                            Context Alias
                                                                                                                                                                                                                                                                                                                                                                                            plural PATIENT JOURNEY NUMBERS


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                                                                                                                                                                                                                                                                                                                                                                                              PERSON IDENTIFIER CODE

                                                                                                                                                                                                                                                                                                                                                                                              Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                              The sequence of numbers and/or letters which comprise a PERSON IDENTIFIER CODE.

                                                                                                                                                                                                                                                                                                                                                                                              Note: The field length is a maximum. The types of PERSON IDENTIFIER determine the code length, eg. Code for General Practitioner will always be 8 characters. The types of PERSON IDENTIFIER determine the code length.



                                                                                                                                                                                                                                                                                                                                                                                              This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                              Context Alias
                                                                                                                                                                                                                                                                                                                                                                                              plural PERSON IDENTIFIER CODES


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                                                                                                                                                                                                                                                                                                                                                                                                PERSON IDENTIFIER TYPE

                                                                                                                                                                                                                                                                                                                                                                                                Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                                The classification of a PERSON IDENTIFIER.

                                                                                                                                                                                                                                                                                                                                                                                                Classification:
                                                                                                                                                                                                                                                                                                                                                                                                a. Old NHS Number
                                                                                                                                                                                                                                                                                                                                                                                                b. NHS Number
                                                                                                                                                                                                                                                                                                                                                                                                c. Local Patient Identifier ('PAS' Number)
                                                                                                                                                                                                                                                                                                                                                                                                d. Code of General Practitioner - PPA Code
                                                                                                                                                                                                                                                                                                                                                                                                e. Code of General Practitioner - GMC Code
                                                                                                                                                                                                                                                                                                                                                                                                f. Personal Identifier (Employee)
                                                                                                                                                                                                                                                                                                                                                                                                g. Consultant Code - GMC
                                                                                                                                                                                                                                                                                                                                                                                                h. Code of General Practitioner - Organisation Codes Service
                                                                                                                                                                                                                                                                                                                                                                                                i. Nurse/Midwife Identifier - NMC
                                                                                                                                                                                                                                                                                                                                                                                                j. General Dental Practitioner Code
                                                                                                                                                                                                                                                                                                                                                                                                k. Code of Ophthalmic Medical Practitioner - GMC Code
                                                                                                                                                                                                                                                                                                                                                                                                l. Code of Ophthalmic Medical Practitioner - Ophthalmic Qualification Committee (OQC) number
                                                                                                                                                                                                                                                                                                                                                                                                m. Code of Ophthalmic Optician - General Ophthalmic Council(GOC) number
                                                                                                                                                                                                                                                                                                                                                                                                n. Service or Personnel number
                                                                                                                                                                                                                                                                                                                                                                                                o. Social Services Client Identifier
                                                                                                                                                                                                                                                                                                                                                                                                p. National Insurance Number



                                                                                                                                                                                                                                                                                                                                                                                                This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                                Context Alias
                                                                                                                                                                                                                                                                                                                                                                                                plural PERSON IDENTIFIER TYPES


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                                                                                                                                                                                                                                                                                                                                                                                                  SELF-REFERRAL OR OPEN ACCESS

                                                                                                                                                                                                                                                                                                                                                                                                  Change to Attribute: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                                  An indicator of whether or not a SERVICE PROVIDED is open access or operates on a self-referral basis. . An indicator of whether or not a SERVICE is open access or operates on a self-referral basis.

                                                                                                                                                                                                                                                                                                                                                                                                  Classification:
                                                                                                                                                                                                                                                                                                                                                                                                  a. Yes
                                                                                                                                                                                                                                                                                                                                                                                                  b. No



                                                                                                                                                                                                                                                                                                                                                                                                  This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                                  Context Alias
                                                                                                                                                                                                                                                                                                                                                                                                  plural SELF-REFERRAL OR OPEN ACCESS


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                                                                                                                                                                                                                                                                                                                                                                                                    SERVICE OR PERSONNEL NUMBER

                                                                                                                                                                                                                                                                                                                                                                                                    Change to Attribute: New Attribute

                                                                                                                                                                                                                                                                                                                                                                                                    SERVICE OR PERSONNEL NUMBER

                                                                                                                                                                                                                                                                                                                                                                                                    A unique identifier for an EMPLOYEE.



                                                                                                                                                                                                                                                                                                                                                                                                    This attribute is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                                    Context Alias
                                                                                                                                                                                                                                                                                                                                                                                                    plural SERVICE OR PERSONNEL NUMBERS


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                                                                                                                                                                                                                                                                                                                                                                                                      CONSULTANT CODE

                                                                                                                                                                                                                                                                                                                                                                                                      Change to Data Element: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                                      Format/length: an8
                                                                                                                                                                                                                                                                                                                                                                                                      HES item: CONSULT
                                                                                                                                                                                                                                                                                                                                                                                                      National Codes:
                                                                                                                                                                                                                                                                                                                                                                                                      Default Codes: C9999998 - Consultant code not known
                                                                                                                                                                                                                                                                                                                                                                                                        D9999998 - Dentist code not known
                                                                                                                                                                                                                                                                                                                                                                                                        M9999998 - Not applicable - Midwife
                                                                                                                                                                                                                                                                                                                                                                                                        N9999998 - Not applicable - Nurse

                                                                                                                                                                                                                                                                                                                                                                                                      Notes:
                                                                                                                                                                                                                                                                                                                                                                                                      This is the GMC code for the CONSULTANT, which is the unique identifier for the consultant as a PERSON, i.e. the PERSON IDENTIFIER TYPE classification 'Consultant Code - GMC'. For GPs working as Consultants, the GP's GMC code should be used, see data item note for GMP (CODE OF REGISTERED OR REFERRING GMP).

                                                                                                                                                                                                                                                                                                                                                                                                      The GMC code is an eight character alphanumeric code based on the GMC registration number; the first character will be the letter `C'; characters 2 to 7 will be the doctor's GMC number, see PRACTITIONER CODES.

                                                                                                                                                                                                                                                                                                                                                                                                      If a dental consultant is not registered with the GMC, the Dentists' Practice Board number has to be used prefixed with D.

                                                                                                                                                                                                                                                                                                                                                                                                      For NHS patients treated overseas, the commissioner of the overseas treatment is responsible for ensuring that the overseas doctor is provided with a GMC code. In the case of overseas doctors the default code C9999998 should only be used where no GMC code has been assigned.

                                                                                                                                                                                                                                                                                                                                                                                                      All MIDWIFE EPISODES are identified in the Admitted Patient Care CDS and HES by a pseudo main consultant specialty code, 560, see Specialty Function Codes. A default code is used in the CONSULTANT CODE field to show that a MIDWIFE is the responsible professional. Note that the midwife's own code is not used.

                                                                                                                                                                                                                                                                                                                                                                                                      All NURSING EPISODES are identified in the Admitted Patient CDS and HES by a pseudo main consultant specialty code, 950, see Speciality Function Codes. A default code is used in the CONSULTANT CODES field to show that a NURSE is the responsible professional. Note that the nurse's own Nursing and Midwifery Council code is not used.



                                                                                                                                                                                                                                                                                                                                                                                                      This data element is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                                      Context Alias
                                                                                                                                                                                                                                                                                                                                                                                                      plural CONSULTANT CODES


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                                                                                                                                                                                                                                                                                                                                                                                                        DATE FIRST SEEN

                                                                                                                                                                                                                                                                                                                                                                                                        Change to Data Element: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                                        Format/length: n8 - ccyymmdd
                                                                                                                                                                                                                                                                                                                                                                                                        HES item:  
                                                                                                                                                                                                                                                                                                                                                                                                        National Codes:
                                                                                                                                                                                                                                                                                                                                                                                                        Default Codes:  

                                                                                                                                                                                                                                                                                                                                                                                                        Notes: This is the date that the PATIENT is first seen in the Trust that receives the first referral. This data item is mandatory for patients referred urgently by their GP for suspected cancer but can also be applied to other patients. The date will be one of the following, whichever is the earliest SERVICE PROVIDED relating to the REFERRAL REQUEST: The date will be one of the following, whichever is the earliest SERVICE relating to the REFERRAL REQUEST:

                                                                                                                                                                                                                                                                                                                                                                                                        - first out-patient appointment; this is the FIRST ATTENDANCE of the OUT-PATIENT ATTENDANCE CONSULTANT
                                                                                                                                                                                                                                                                                                                                                                                                        - first diagnostic procedure if this precedes the first out-patient appointment; this is the first CLINICAL INTERVENTION DATE of the IMAGING OR RADIODIAGNOSTIC EVENT or the CLINICAL INTERVENTION
                                                                                                                                                                                                                                                                                                                                                                                                        - first seen as an emergency; this is the START DATE of the HOSPITAL PROVIDER SPELL or the ARRIVAL DATE of the ACCIDENT AND EMERGENCY ATTENDANCE
                                                                                                                                                                                                                                                                                                                                                                                                        - first seen following recall by screening unit; this is the SCREENING TEST DATE of the SCREENING TEST.

                                                                                                                                                                                                                                                                                                                                                                                                        DATE FIRST SEEN may not be the same as FIRST SEEN BY SPECIALIST DATE (CANCER) which records the first time the PATIENT sees an appropriate specialist in cancer care.



                                                                                                                                                                                                                                                                                                                                                                                                        This data element is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                                        Context Alias
                                                                                                                                                                                                                                                                                                                                                                                                        plural DATES FIRST SEEN


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                                                                                                                                                                                                                                                                                                                                                                                                          ORGANISATION CODE (PROVIDER FIRST SEEN)

                                                                                                                                                                                                                                                                                                                                                                                                          Change to Data Element: Change to Description

                                                                                                                                                                                                                                                                                                                                                                                                          Format/length: an5
                                                                                                                                                                                                                                                                                                                                                                                                          HES item:  
                                                                                                                                                                                                                                                                                                                                                                                                          National codes
                                                                                                                                                                                                                                                                                                                                                                                                          Default codes  

                                                                                                                                                                                                                                                                                                                                                                                                          Notes:
                                                                                                                                                                                                                                                                                                                                                                                                          This is the ORGANISATION CODE of the ORGANISATION acting as a HEALTH CARE PROVIDER where the PATIENT is first seen. That is the HEALTH CARE PROVIDER at the first OUT-PATIENT ATTENDANCE CONSULTANT, IMAGING OR RADIODIAGNOSTIC EVENT, CLINICAL INTERVENTION, HOSPITAL PROVIDER SPELL, ACCIDENT AND EMERGENCY ATTENDANCE or SCREENING TEST whichever is the earlier SERVICE PROVIDED related to the initial REFERRAL REQUEST. That is the HEALTH CARE PROVIDER at the first OUT-PATIENT ATTENDANCE CONSULTANT, IMAGING OR RADIODIAGNOSTIC EVENT, CLINICAL INTERVENTION, HOSPITAL PROVIDER SPELL, ACCIDENT AND EMERGENCY ATTENDANCE or SCREENING TEST whichever is the earlier SERVICE related to the initial REFERRAL REQUEST.

                                                                                                                                                                                                                                                                                                                                                                                                          This may be the same HEALTH CARE PROVIDER as for ORGANISATION CODE (PROVIDER FIRST CANCER SPECIALIST) if the PATIENT was first seen by the appropriate specialist for cancer.

                                                                                                                                                                                                                                                                                                                                                                                                          The code may be derived automatically by NHS IT systems.

                                                                                                                                                                                                                                                                                                                                                                                                          See NHS Administrative Codes, NHS Organisation Codes for a description of ORGANISATION CODE.



                                                                                                                                                                                                                                                                                                                                                                                                          This data element is also known by these names:
                                                                                                                                                                                                                                                                                                                                                                                                          Context Alias
                                                                                                                                                                                                                                                                                                                                                                                                          plural ORGANISATION CODES (PROVIDER FIRST SEEN)


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                                                                                                                                                                                                                                                                                                                                                                                                            KA34 1

                                                                                                                                                                                                                                                                                                                                                                                                            Change to Central Return Form: Change to Guidance Text

                                                                                                                                                                                                                                                                                                                                                                                                            Central Return Form Guidance

                                                                                                                                                                                                                                                                                                                                                                                                            KA34 - Ambulance Services

                                                                                                                                                                                                                                                                                                                                                                                                              Contextual Overview

                                                                                                                                                                                                                                                                                                                                                                                                            1. The Department and Regional Offices require summary details from NHS HEALTH CARE PROVIDERS on ambulance activity. The return provides performance management measures of response time; these are also required by trusts for ambulance service internal monitoring and for defining service agreements.

                                                                                                                                                                                                                                                                                                                                                                                                            1. The information monitors new: Your guide to the NHS targets and the standards introduced following a review of ambulance performance standards in 1996-97. The new standards require that, by 2001, all ambulance services will be expected to reach 75% of immediately life-threatening calls within 8 minutes, with further progress thereafter.

                                                                                                                                                                                                                                                                                                                                                                                                            1. Information based on the return is published annually in the Department of Health Statistical Bulletin 'Ambulance services; England'.

                                                                                                                                                                                                                                                                                                                                                                                                              Completing Return KA34 - Ambulance Services

                                                                                                                                                                                                                                                                                                                                                                                                            1. The central return KA34 is completed by NHS HEALTH CARE PROVIDERS - Trusts providing an AMBULANCE SERVICE.

                                                                                                                                                                                                                                                                                                                                                                                                            1. The return KA34 relates to activity taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within one month of the end of the year to which it relates.

                                                                                                                                                                                                                                                                                                                                                                                                            1. The return requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Ambulance Trust - the NHS HEALTH CARE PROVIDER of the AMBULANCE SERVICE.

                                                                                                                                                                                                                                                                                                                                                                                                            1. The return requires information on:

                                                                                                                                                                                                                                                                                                                                                                                                              a. Emergency Calls (Categories A, B&C):

                                                                                                                                                                                                                                                                                                                                                                                                              i. Total number of emergency calls received in the year;
                                                                                                                                                                                                                                                                                                                                                                                                              ii. The number of calls that resulted in an emergency response arriving at the scene of the incident;
                                                                                                                                                                                                                                                                                                                                                                                                              iii. The number of calls that resulted in an emergency response arriving at the scene of the incident within 8 minutes;
                                                                                                                                                                                                                                                                                                                                                                                                              iv. The number of calls where following the arrival of an emergency response no ambulance is required;
                                                                                                                                                                                                                                                                                                                                                                                                              v. The number of calls that resulted in an ambulance able to transport a patient arriving at the scene of the incident;
                                                                                                                                                                                                                                                                                                                                                                                                              vi. The number of calls that resulted in an ambulance able to transport a patient arriving at the scene of the incident within specified urban or rural target response times.

                                                                                                                                                                                                                                                                                                                                                                                                              b. Patient Journeys: Emergency (Categories A, B&C):

                                                                                                                                                                                                                                                                                                                                                                                                              i. Total number of emergency PATIENT JOURNEYS.
                                                                                                                                                                                                                                                                                                                                                                                                              i. Total number of emergency PATIENT TRANSPORT JOURNEYS.

                                                                                                                                                                                                                                                                                                                                                                                                              c. Patient Journeys: Urgent:

                                                                                                                                                                                                                                                                                                                                                                                                              i. Total number of urgent patient journeys
                                                                                                                                                                                                                                                                                                                                                                                                              ii. Arrival time in relation to requested arrival time: number not more than 15 minutes late

                                                                                                                                                                                                                                                                                                                                                                                                              d. Patient Journeys: Non-Urgent:

                                                                                                                                                                                                                                                                                                                                                                                                              i. Total number of special or planned journeys


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                                                                                                                                                                                                                                                                                                                                                                                                              QF01 1

                                                                                                                                                                                                                                                                                                                                                                                                              Change to Central Return Form: Change to Guidance Text

                                                                                                                                                                                                                                                                                                                                                                                                              Central Return Form Guidance

                                                                                                                                                                                                                                                                                                                                                                                                              QF01 - Demand For Elective Admission:Position at the End of the Quarter (Responsible Population Based)

                                                                                                                                                                                                                                                                                                                                                                                                                Contextual Overview

                                                                                                                                                                                                                                                                                                                                                                                                              1. The Department requires performance management measures of waiting times, by HQ and Regional Offices.

                                                                                                                                                                                                                                                                                                                                                                                                              1. The information is used for monitoring HEALTH AUTHORITIES. The resulting statistics on waiting times are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LIST to be managed more effectively.

                                                                                                                                                                                                                                                                                                                                                                                                              1. Information on the return is also used in Public Expenditure Survey (PES) negotiations and supports, risk analysis, the production of in-patient and out-patient modelling and Departmental accountability.

                                                                                                                                                                                                                                                                                                                                                                                                              1. Information based on the return is published in the statistics press notice and in the quarterly book, Hospital Waiting List Statistics (Responsible Population Based).

                                                                                                                                                                                                                                                                                                                                                                                                                Completing Return QF01 - Demand For Elective Admission:Position at the End of the Quarter

                                                                                                                                                                                                                                                                                                                                                                                                              1. The return QF01 is submitted by HEALTH AUTHORITIES and is based on the population for which the Health Authority is responsible. This includes all patients registered with GPs who form part of PRIMARY CARE GROUP and HEALTH AUTHORITIES for which the Health Authority is responsible including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trust's line of accountability, as usual. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the `main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

                                                                                                                                                                                                                                                                                                                                                                                                              1. The return QF01 is submitted by HEALTH AUTHORITIES and is based on the population for which the Health Authority is responsible. This includes all patients registered with GPs who form part of Primary Care Groups and HEALTH AUTHORITIES for which the Health Authority is responsible including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trust's line of accountability, as usual. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the `main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

                                                                                                                                                                                                                                                                                                                                                                                                              1. QF01 requires counts only of those PATIENTS on ELECTIVE ADMISSION LIST who have been classified as waiting list admissions and booked admissions. Planned admissions and suspended patients are excluded.

                                                                                                                                                                                                                                                                                                                                                                                                                Waiting list admissions and booked admissions are identified by those PATIENTS on ELECTIVE ADMISSION LIST with ELECTIVE ADMISSION LIST ENTRY where the ELECTIVE ADMISSION TYPE classification is Waiting list admission or Booked admission.

                                                                                                                                                                                                                                                                                                                                                                                                                Planned admissions are identified by those PATIENTS on ELECTIVE ADMISSION LIST with ELECTIVE ADMISSION LIST ENTRY where the ELECTIVE ADMISSION TYPE classification is Planned admission.

                                                                                                                                                                                                                                                                                                                                                                                                                Suspended patients are identified by those PATIENTS who have an ELECTIVE ADMISSION LIST ENTRY for which there is a current active ELECTIVE ADMISSION SUSPENSION DETAIL i.e. there is no END DATE which indicates that the period of suspension is still in force. During this period of suspension a PATIENTS on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval.

                                                                                                                                                                                                                                                                                                                                                                                                              1. The Health Authority return indicates the experience of PATIENTS for whom the Health Authority is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

                                                                                                                                                                                                                                                                                                                                                                                                              1. The return excludes:

                                                                                                                                                                                                                                                                                                                                                                                                                - Private patients
                                                                                                                                                                                                                                                                                                                                                                                                                - Patients from overseas.

                                                                                                                                                                                                                                                                                                                                                                                                              1. HA based returns should count a PATIENT once, whether or not the PATIENT is on the waiting lists of two or more NHS Trusts for the same condition.

                                                                                                                                                                                                                                                                                                                                                                                                              1. The return relates to the position at the end of a three month period, the first quarter starting on 1 April, and the last quarter ending on 31 March. All four quarterly returns require data at SPECIALTY FUNCTION CODE level. Returns must be submitted by the fifteenth working day after the end of the quarter.


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                                                                                                                                                                                                                                                                                                                                                                                                                QM08R 1

                                                                                                                                                                                                                                                                                                                                                                                                                Change to Central Return Form: Change to Guidance Text

                                                                                                                                                                                                                                                                                                                                                                                                                Central Return Form Guidance

                                                                                                                                                                                                                                                                                                                                                                                                                QM08R - Out-patient First Attendances: Responsible Population Based

                                                                                                                                                                                                                                                                                                                                                                                                                  Contextual Overview

                                                                                                                                                                                                                                                                                                                                                                                                                1. The Department and STRATEGIC HEALTH AUTHORITIES require an aggregate return from PRIMARY CARE TRUSTS (as commissioners) covering their responsible population's experience with consultant out-patient services, split between the various SPECIALTY FUNCTION CODES. The return provides performance management measures of waiting times against standards of the NHS Plan.

                                                                                                                                                                                                                                                                                                                                                                                                                  Completing the Return QM08R - Out-patient First Attendances: Responsible Population Based

                                                                                                                                                                                                                                                                                                                                                                                                                1. The central return QM08R is completed quarterly by PRIMARY CARE TRUSTS (as commissioners) and is based on the population for which the PRIMARY CARE TRUST is responsible. This includes all patients registered with GPs who form part of PRIMARY CARE GROUP and PRIMARY CARE TRUST for which the PRIMARY CARE TRUST is responsible, including those who are not resident within the PRIMARY CARE TRUST's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. PATIENTS treated under out of area treatments (OATs) are exceptions who should be counted by the `main commissioner'. This is normally the PCT with the highest value of Service Agreements with the NHS Trust. Private patients are excluded from this return; however, PATIENTS waiting for treatment at private facilities under an agreement with a PCT should be counted in QM08R.

                                                                                                                                                                                                                                                                                                                                                                                                                1. The central return QM08R is completed quarterly by PRIMARY CARE TRUSTS (as commissioners) and is based on the population for which the PRIMARY CARE TRUST is responsible. This includes all patients registered with GPs who form part of a Primary Care Group and PRIMARY CARE TRUST for which the PRIMARY CARE TRUST is responsible, including those who are not resident within the PRIMARY CARE TRUST's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. PATIENTS treated under out of area treatments (OATs) are exceptions who should be counted by the `main commissioner'. This is normally the PCT with the highest value of Service Agreements with the NHS Trust. Private patients are excluded from this return; however, PATIENTS waiting for treatment at private facilities under an agreement with a PCT should be counted in QM08R.

                                                                                                                                                                                                                                                                                                                                                                                                                1. QM08R requires information on:

                                                                                                                                                                                                                                                                                                                                                                                                                  • the total number of written GP REFERRAL REQUESTS (with the WRITTEN REFERRAL REQUEST INDICATOR set to Yes) for a CONSULTANT OUT-PATIENT EPISODE in the quarter;
                                                                                                                                                                                                                                                                                                                                                                                                                  • the total number of other REFERRAL REQUESTS (written or verbal) for a CONSULTANT OUT-PATIENT EPISODE in the quarter.
                                                                                                                                                                                                                                                                                                                                                                                                                  • for GP written referrals only: the length of time PATIENTS seen in the quarter had to wait from receipt of a GP REFERRAL REQUEST to the date of the first OUT-PATIENT ATTENDANCE CONSULTANT, banded in weeks;
                                                                                                                                                                                                                                                                                                                                                                                                                  • for GP written referrals only: the number of patients at the end of the quarter, who have yet to be seen for a first OUT-PATIENT APPOINTMENT CONSULTANT and have been waiting in excess of 13 weeks to less than 17 weeks, 17 to less than 21 weeks, 21 to less than 26 weeks and 26 weeks and over following receipt of the GP REFERRAL REQUEST.

                                                                                                                                                                                                                                                                                                                                                                                                                1. The return also requires information on the number of PATIENTS seen for a first OUT-PATIENT APPOINTMENTS during the quarter who had a booked appointment date.

                                                                                                                                                                                                                                                                                                                                                                                                                1. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data collected at SPECIALTY FUNCTION level. Returns must be submitted by 25 working day after the end of the quarter.


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                                                                                                                                                                                                                                                                                                                                                                                                                  AD010 CORE ADMINISTRATIVE DATA - PERSON DETAILS

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                                                                                                                                                                                                                                                                                                                                                                                                                   AD010 Core Administrative Data - Person Details 


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                                                                                                                                                                                                                                                                                                                                                                                                                    AD020 CORE ADMINISTRATIVE DATA - ORGANISATION DETAILS

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                                                                                                                                                                                                                                                                                                                                                                                                                     AD020 Core Administrative Data - Organisation Details 


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                                                                                                                                                                                                                                                                                                                                                                                                                      AD030 CORE ADMINISTRATIVE DATA - ADDRESS & GEOGRAPHIC AREA DETAILS

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                                                                                                                                                                                                                                                                                                                                                                                                                       AD030 Core Administrative Data - Address & Geographic Area Details 


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                                                                                                                                                                                                                                                                                                                                                                                                                        CDS010 COMMISSIONING DETAILS AND SERVICE ARRANGEMENT CHANGE DETAILS - ALL CDS TYPES

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                                                                                                                                                                                                                                                                                                                                                                                                                         CDS010 Commissioning Details and Service Arrangement Change Details - all CDS Types 


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                                                                                                                                                                                                                                                                                                                                                                                                                          CDS020 PATIENT DETAILS - ALL CDS TYPES

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                                                                                                                                                                                                                                                                                                                                                                                                                           CDS020 Patient Details - all CDS Types 


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                                                                                                                                                                                                                                                                                                                                                                                                                            CDS030 REFERRAL DETAILS - ALL CDS TYPES

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                                                                                                                                                                                                                                                                                                                                                                                                                             CDS030 Referral Details - all CDS Types 


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                                                                                                                                                                                                                                                                                                                                                                                                                              CDS090 EPISODE AND ATTENDANCE DETAILS - OUT-PATIENT AND WARD ATTENDERS CDS TYPES

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                                                                                                                                                                                                                                                                                                                                                                                                                               CDS090 Episode and Attendance Details - Out-Patient and Ward Attenders CDS Types 


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                                                                                                                                                                                                                                                                                                                                                                                                                                CDS100 ATTENDANCE DETAILS - ACCIDENT AND EMERGENCY CDS TYPE

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                                                                                                                                                                                                                                                                                                                                                                                                                                 CDS100 Attendance Details - Accident and Emergency CDS Type 


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                                                                                                                                                                                                                                                                                                                                                                                                                                  CEN1ETC CEN1, CEN2, CEN4 AND CEN5 ASSISTANTS, REGISTRARS, SALARIED DOCTORS AND RETAINERS

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                                                                                                                                                                                                                                                                                                                                                                                                                                   CEN1ETC CEN1, CEN2, CEN4 and CEN5 Assistants, Registrars, Salaried Doctors and Retainers 


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                                                                                                                                                                                                                                                                                                                                                                                                                                    CL010 PERSON OBSERVATIONS AND CHARACTERISTICS

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                                                                                                                                                                                                                                                                                                                                                                                                                                     CL010 Person Observations and Characteristics 


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                                                                                                                                                                                                                                                                                                                                                                                                                                      CL020 CLINICAL INTERVENTIONS

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                                                                                                                                                                                                                                                                                                                                                                                                                                       CL020 Clinical Interventions 


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                                                                                                                                                                                                                                                                                                                                                                                                                                        CM010 FAMILY PLANNING SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                         CM010 Family Planning Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                          CM020 COMMUNITY PROGRAMMES

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                                                                                                                                                                                                                                                                                                                                                                                                                                           CM020 Community Programmes 


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                                                                                                                                                                                                                                                                                                                                                                                                                                            CM030 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR PRIMARY CARE TRUSTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                             CM030 Community - Child Health and Immunisation for Primary Care Trusts 


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                                                                                                                                                                                                                                                                                                                                                                                                                                              CM040 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH CARE PROVIDERS

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                                                                                                                                                                                                                                                                                                                                                                                                                                               CM040 Community - Child Health and Immunisation for Health Care Providers 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                CM050 CONTACT TRACING, SCREENING, HEALTH PROMOTION FOR HEALTH AUTHORITIES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                 CM050 Contact Tracing, Screening, Health Promotion for Health Authorities 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                  CM060 CONTACT TRACING, HEALTH PROMOTION FOR HEALTH CARE PROVIDERS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                   CM060 Contact Tracing, Health Promotion for Health Care Providers 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                    CM070 SCREENING FOR HEALTH CARE PROVIDERS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                     CM070 Screening for Health Care Providers 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                      CM080 COMMUNITY - PROFESSIONAL ADVICE AND SUPPORT

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                                                                                                                                                                                                                                                                                                                                                                                                                                                       CM080 Community - Professional Advice and Support 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                        CM090 COMMUNITY - GENITO-URINARY CLINICS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                         CM090 Community - Genito-Urinary Clinics 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                          CM100 COMMUNITY - DENTAL HEALTH

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                                                                                                                                                                                                                                                                                                                                                                                                                                                           CM100 Community - Dental Health 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                            CM110 COMMUNITY - NURSING CARE IN THE COMMUNITY

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                                                                                                                                                                                                                                                                                                                                                                                                                                                             CM110 Community - Nursing Care in the Community 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                              CM130 SMOKING CESSATION SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                               CM130 Smoking Cessation Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                CMDS010 COMMISSIONING DETAILS AND SERVICE ARRANGEMENT CHANGE DETAILS - ELECTIVE ADMISSION LIST CMDS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                 CMDS010 Commissioning Details and Service Arrangement Change Details - Elective Admission List CMDS 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                  CMDS030 GP REFERRAL LETTERS CMDS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                   CMDS030 GP Referral Letters CMDS 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                    COVER IMMUNISATION

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                     COVER Immunisation 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                      CWTM NATIONAL CANCER WAITING TIMES MONITORING DATA SET

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                       CWTM National Cancer Waiting Times Monitoring Data Set 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                        GN010 SERVICE POINTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                         GN010 Service Points 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                          GN030 NHS SERVICE AGREEMENTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                           GN030 NHS Service Agreements 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                            GN040 SERVICES PROVIDED BY HOSPITALS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                             GN040 Services Provided by Hospitals 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                              GN050 SERVICES PROVIDED FOR TREATMENT COURSES AND VISITS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                               GN050 Services Provided for Treatment Courses and Visits 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                GN060 SERVICES PROVIDED BY NON-HOSPITAL SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 GN060 Services Provided by Non-Hospital Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  HA48 LIST OF OPHTHALMIC PRACTITIONERS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   HA48 List of Ophthalmic Practitioners 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    HES01 HOSPITAL EPISODE STATISTICS: ADMINISTRATIVE PATIENT DATA

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     HES01 Hospital Episode Statistics: Administrative Patient Data 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      HES02 HOSPITAL EPISODE STATISTICS: PATIENT DIAGNOSIS AND OPERATIVE PROCEDURES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       HES02 Hospital Episode Statistics: Patient Diagnosis and Operative Procedures 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        HES03 HOSPITAL EPISODE STATISTICS: PATIENT DISCHARGE AND ADDED FIELDS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         HES03 Hospital Episode Statistics: Patient Discharge and Added Fields 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          HES04 HOSPITAL EPISODE STATISTICS: DELIVERY DETAILS NOTIFICATION

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           HES04 Hospital Episode Statistics: Delivery Details Notification 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            HES05 HOSPITAL EPISODE STATISTICS: DETENTION DETAILS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             HES05 Hospital Episode Statistics: Detention Details 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              HP010 REFERRAL REQUESTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               HP010 Referral Requests 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                HP020 CLINICS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 HP020 Clinics 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  HP040 OUT-PATIENT ATTENDANCES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   HP040 Out-Patient Attendances 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    HP050 ELECTIVE ADMISSION LISTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     HP050 Elective Admission Lists 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      HP070 CONSULTANT EPISODES (HOSPITAL PROVIDER)

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       HP070 Consultant Episodes (Hospital Provider) 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        HP090 ADMITTED PATIENT CONSULTANT CARE

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         HP090 Admitted Patient Consultant Care 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          HP100 ADMITTED PATIENT NURSING CARE

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           HP100 Admitted Patient Nursing Care 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            HP120 WARDS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             HP120 Wards 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              HP130 OVERSEAS VISITOR & RESIDENCY

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               HP130 Overseas Visitor & Residency 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                HP140 ADMISSION AND DISCHARGE

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 HP140 Admission and Discharge 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  HP150 REGISTRABLE BIRTHS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   HP150 Registrable Births 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    HP160 ACCIDENT AND EMERGENCY ATTENDANCES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     HP160 Accident and Emergency Attendances 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      HP170 HOSPITAL BEDS - PLANNING INTENT

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       HP170 Hospital Beds - Planning Intent 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        HP180 OPERATING THEATRES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         HP180 Operating Theatres 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          HP190 RADIOTHERAPY DEPARTMENTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           HP190 Radiotherapy Departments 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            HP200 PATHOLOGY SERVICES - DIAGNOSTIC TEST REQUESTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             HP200 Pathology Services - Diagnostic Test Requests 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              HP210 PATHOLOGY SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               HP210 Pathology Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                HP220 PATHOLOGY SERVICE REQUESTS - GP HOSPITAL COMMUNICATIONS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 HP220 Pathology Service Requests - GP Hospital Communications 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  HP250 ISOTOPE PROCEDURES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   HP250 Isotope Procedures 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    HP260 PHYSIOLOGICAL MEASUREMENT

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     HP260 Physiological Measurement 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      HP270 PROFESSIONAL STAFF GROUP SERVICES AND DEPARTMENTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       HP270 Professional Staff Group Services and Departments 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        HP300 NURSING EPISODES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         HP300 Nursing Episodes 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          HP310 MIDWIFE EPISODES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           HP310 Midwife Episodes 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            HP340 HOSPITAL EYE SERVICE

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             HP340 Hospital Eye Service 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              HP350 NHS DAY CARE FACILITIES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               HP350 NHS Day Care Facilities 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                HP380 ROAD TRAFFIC ACCIDENT CHARGES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 HP380 Road Traffic Accident Charges 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  HP400 CANCE CARE DRUG PROGRAMMES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   HP400 Cance Care Drug Programmes 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    HP420 CANCER SITES - SKIN, BRAIN AND SARCOMA

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     HP420 Cancer Sites - Skin, Brain and Sarcoma 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      IGA 19A AND 19B OVERSEAS VISITORS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       IGA 19A and 19B Overseas Visitors 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        KA34 AMBULANCE SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         KA34 Ambulance Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          KC50 IMMUNISATION PROGRAMMES - ACTIVITY

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           KC50 Immunisation Programmes - Activity 


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            top

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            KC53 ADULT SCREENING PROGRAMMES: CERVICAL SCREENING

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             KC53 Adult Screening Programmes: Cervical Screening 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              KC55 PROFESSIONAL ADVICE & SUPPORT PROGRAMMES - OTHER THAN MATERNITY

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               KC55 Professional Advice & Support Programmes - Other than Maternity 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                KC56 PATIENT CARE IN THE COMMUNITY - DISTRICT NURSING

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 KC56 Patient Care in the Community - District Nursing 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  KC57 PATIENT CARE IN THE COMMUNITY - COMMUNITY PSYCHIATRIC NURSING

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   KC57 Patient Care in the Community - Community Psychiatric Nursing 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    KC58 PATIENT CARE IN THE COMMUNITY - COMMUNITY LEARNING DISABILITY NURSING

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     KC58 Patient Care in the Community - Community Learning Disability Nursing 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      KC59 PATIENT CARE IN THE COMMUNITY - SPECIALIST CARE NURSING

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       KC59 Patient Care in the Community - Specialist Care Nursing 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        KC62 ADULT SCREENING PROGRAMMES: BREAST SCREENING, PROVIDER BASED

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         KC62 Adult Screening Programmes: Breast Screening, Provider Based 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          KC63 ADULT SCREENING PROGRAMMES: BREAST SCREENING, RESIDENT BASED

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           KC63 Adult Screening Programmes: Breast Screening, Resident Based 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            KC64A CDS: PART 1 SCREENING PROGRAMMES AND PART 2 PREVENTATIVE PROGRAMMES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             KC64A CDS: Part 1 Screening Programmes and Part 2 Preventative Programmes 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              KC64B CDS: PART 3 PATIENT CARE AND PART 4 EPIDEMIOLOGY

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               KC64B CDS: Part 3 Patient Care and Part 4 Epidemiology 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                KC65 COLPOSCOPY CLINICS: REFERRALS, TREATMENTS AND OUTCOMES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 KC65 Colposcopy Clinics: Referrals, Treatments and Outcomes 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  KH06R DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   KH06R Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    KH07AR DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     KH07AR Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      KH09 CONSULTANT OUT-PATIENT ATTENDANCE ACTIVITY & ACCIDENT AND EMERGENCY SERVICES ACTIVITY

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       KH09 Consultant Out-Patient Attendance Activity & Accident and Emergency Services Activity 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        KT31 SUMMARY OF FAMILY PLANNING SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         KT31 Summary of Family Planning Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          MDW1 MEDICAL/DENTAL CENSUS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           MDW1 Medical/Dental Census 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            MDW2 MEDICAL/DENTAL CENSUS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             MDW2 Medical/Dental Census 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              MH010 MENTAL HEALTH CARE SPELLS: ORGANISATION, RESPONSIBILITY AND TREATMENT

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               MH010 Mental Health Care Spells: Organisation, Responsibility and Treatment 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                MH020 MENTAL HEALTH CARE SPELL

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 MH020 Mental Health Care Spell 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  MH030 CARE PROGRAMME APPROACH EPISODE

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   MH030 Care Programme Approach Episode 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    MS020 GP HOSPITAL COMMUNICATION MESSAGES - SERVICE REPORTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     MS020 GP Hospital Communication Messages - Service Reports 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      MS040 GP HOSPITAL COMMUNICATION MESSAGES - CYTOLOGY

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       MS040 GP Hospital Communication Messages - Cytology 


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        top

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        NCDS1 NATIONAL CANCER DATA SET PART 1

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         NCDS1 National Cancer Data Set Part 1 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          NCDS3 NATIONAL CANCER DATA SET PART 3

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           NCDS3 National Cancer Data Set Part 3 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            PC010 GENERAL MEDICAL PRACTITIONERS AND POSTS IN GP PRACTICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             PC010 General Medical Practitioners and Posts in GP Practices 


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              top

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              PC090 GENERAL MEDICAL PRACTITIONERS' PARTNERSHIPS AND PERSONS' REGISTRATION

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               PC090 General Medical Practitioners' Partnerships and Persons' Registration 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                PC110 COMMUNITY PHARMACIES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 PC110 Community Pharmacies 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  PC120 GENERAL OPHTHALMIC SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   PC120 General Ophthalmic Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    PC130 EMERGENCY DENTAL SERVICES

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     PC130 Emergency Dental Services 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      PT010 PATIENT TRANSPORT REQUESTS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       PT010 Patient Transport Requests 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        QF01 DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         QF01 Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          QM08 OUT-PATIENT FIRST ATTENDANCES - PROVIDER

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           QM08 Out-Patient First Attendances - Provider 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            QM08R OUT-PATIENT FIRST ATTENDANCES: RESPONSIBLE POPULATION BASED

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             QM08R Out-Patient First Attendances: Responsible Population Based 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              QMCW CANCER WAITING TIMES MONITORING THE TARGETS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               QMCW Cancer Waiting Times Monitoring The Targets 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                QMSCS SMOKING CESSATION SERVICES QUARTERLY MONITORING RETURN

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 QMSCS Smoking Cessation Services Quarterly Monitoring Return 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  QNW QUALIFIED NURSE WORKFORCE MONITORING RETURN

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   QNW Qualified Nurse Workforce Monitoring Return 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    RTA2 ROAD TRAFFIC ACCIDENT CHARGES FOR HOSPITAL PROVIDERS

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     RTA2 Road Traffic Accident Charges for Hospital Providers 


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      AD010

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Model View Diagram - Overview

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      AD010 - Core Administrative Data - Person Details

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. This diagram shows the classes concerned with the administrative data recorded for PERSONS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Each PERSON must have one PERSON IDENTIFIER which is their primary identifier.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A person may act in a different number of PERSON ROLES IN ORGANISATIONS each of which is identified by a PERSON IDENTIFIER by an ORGANISATION or HEALTH CARE PROVIDER. The particular PERSON IDENTIFIER for PERSON ROLE IN ORGANISATION is given by PERSON IDENTIFIER USED BY ROLE.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        A PERSON may be a PATIENT in a number of different ORGANISATIONS and each of these instances is a PERSON ROLE IN ORGANISATION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A person may act in a different number of PERSON ROLES IN ORGANISATIONS each of which is identified by a PERSON IDENTIFIER by an ORGANISATION or HEALTH CARE PROVIDER. A PERSON may be a PATIENT in a number of different ORGANISATIONS and each of these instances is a PATIENT ORGANISATION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A PERSON has their PERSON NAME recorded in a structured or unstructured format. PERSON NAME UNSTRUCTURED has a person name type of "Whole Name". PERSON NAME STRUCTURED allows resequencing of the PERSON NAME by breaking the name by person name word type into Title, Family Name, Forename and Suffix. In addition PERSON NAME STRUCTURED allows person name types of "Preferred Name" and "Birth Name".

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A PERSON may have many PERSON CHARACTERISTICS. Examples of these CHARACTERISTICS relating to administrative data are SEX, ETHNIC CATEGORY, ETHNIC GROUP and MARITAL STATUS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A PERSON may be contacted using many TELE-COMMUNICATION CONTACT STRINGS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A PERSON may have many ADDRESS ASSOCIATIONS e.g. Main Permanent Residence or Correspondence address. Each ADDRESS ASSOCIATION is linked to a known ADDRESS. An ADDRESS is stored only once and may be associated with many PERSONS or ORGANISATIONS.(See AD020).

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Each ADDRESS may be defined as being in many GEOGRAPHIC AREAS and may have a corresponding ADDRESS IN GEOGRAPHIC AREA entry. In addition each ADDRESS must fall within one Postcode area. (see AD030).

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A PERSON may be subject to REGISTRATION with a GENERAL MEDICAL PRACTITIONER. A GENERAL MEDICAL PRACTITIONER is in turn a GENERAL PRACTITIONER, who is a HEALTH CARE PROFESSIONAL, a PERSON ROLE IN ORGANISATION.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        CL020

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        CL020 - Clinical Interventions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. This diagram shows the classes concerned with CLINICAL INTERVENTIONS associated with a PATIENT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. CLINICAL INTERVENTIONS include treatments, investigations and any procedures performed on the PATIENT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. PATIENT PROCEDURES must be classified by the appropriate CLINICAL CLASSIFICATION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. HEALTH CARE PROFESSIONAL INVOLVEMENT shows the HEALTH CARE PROFESSIONAL who had involvement in the intervention.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. HEALTH CARE PROFESSIONAL INVOLVEMENT shows the number of HEALTH CARE PROFESSIONALS who had involvement in the intervention.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CM020

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          CM020 - COMMUNITY PROGRAMMES

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. This diagram identifies the recognised types of HEALTH PROGRAMME. Each HEALTH PROGRAMME will have an allocation of resources to provide a level of service to meet planned objectives (HEALTH PROGRAMME STATEMENT) during a FINANCIAL PERIOD.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The approach taken in the diagrams concerned with the planning and delivery of HEALTH PROGRAMMES is to separate PRIMARY CARE TRUST information needs from HEALTH CARE PROVIDER information needs. PRIMARY CARE TRUSTS will continue to run HEALTH PROGRAMMES to meet specific health targets in the local population and clearly need to continue to hold relevant information to achieve this. They may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an HEALTH PROGRAMME and providers will need to collect relevant information to be able to deliver these SERVICES PROVIDED.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The approach taken in the diagrams concerned with the planning and delivery of HEALTH PROGRAMMES is to separate PRIMARY CARE TRUST information needs from HEALTH CARE PROVIDER information needs. PRIMARY CARE TRUSTS will continue to run HEALTH PROGRAMMES to meet specific health targets in the local population and clearly need to continue to hold relevant information to achieve this. They may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an HEALTH PROGRAMME and providers will need to collect relevant information to be able to deliver these SERVICES.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The range and number of HEALTH PROGRAMMES are determined by each PRIMARY CARE TRUST, but each will be in one of two distinct groups of services; namely, SERVICE TO THE COMMUNITY PROGRAMMES and NURSING IN THE COMMUNITY PROGRAMMES. The latter is described in diagram CM050.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The range and number of HEALTH PROGRAMMES are determined by each PRIMARY CARE TRUST, but each will be in one of two distinct groups of services; namely, STRUCTURED PROGRAMMES and NURSING IN THE COMMUNITY PROGRAMMES. The latter is described in diagram CM050.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. SERVICE TO THE COMMUNITY PROGRAMMESS are either STRUCTURED PROGRAMMES (those delivered within a structured framework) or PROF ADVICE AND SUPPORT PROGRAMMES, described in diagram CM080.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. STRUCTURED PROGRAMMES (those delivered within a structured framework) and PROF ADVICE AND SUPPORT PROGRAMMES are described in diagram CM080.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The six types of STRUCTURED PROGRAMMESS are also described in more detail in other models, namely:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            - IMMUNISATION PROGRAMMES, diagram CM030 and CM040

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            - CONTACT TRACING PROGRAMMES, diagram CM050

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            - SCREENING PROGRAMMES, diagram CM050

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            - SURVEILLANCE PROGRAMMES, diagram CM030 and CM040

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            - HEALTH PROMOTION PROGRAMMES, diagram CM050

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            - ORAL HEALTH PROGRAMMES, diagram CM100


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CM030

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            CM030 - COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR PRIMARY CARE TRUSTS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. This diagram illustrates a PRIMARY CARE TRUSTS information requirements for two types of HEALTH PROGRAMME, immunisation and screening.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. An IMMUNISATION PROGRAMME is aimed at a specific group of individuals, often within a pre-defined age band, to maintain an adequate level of immunity against a particular disease.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. For SURVEILLANCE PROGRAMMES, the broad objective is to monitor health and development. This involves an assessment of a selected group of the population by means of practical and uniform observations and measurements which can be applied rapidly.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Once a group is selected for surveillance, the type of assessment performed is often related to the age of the SURVEILLANCE AGE GROUP. There may be one or more SURVEILLANCE PROGRAMME STAGES in a SURVEILLANCE PROGRAMME. Each SURVEILLANCE PROGRAMME STAGE relates to a specific age band, SURVEILLANCE AGE GROUP, and to one or more HEALTH CARE PROVIDERS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Because SURVEILLANCE PROGRAMME STAGES cannot be precisely defined to meet the needs of every PRIMARY CARE TRUST, each PRIMARY CARE TRUST will define its SURVEILLANCE PROGRAMMES and such SURVEILLANCE PROGRAMME STAGES that are necessary to monitor the health of its targeted resident population.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. PRIMARY CARE TRUSTS may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an IMMUNISATION PROGRAMME or a SURVEILLANCE PROGRAMME STAGE and providers will need to collect relevant information to be able to deliver these SERVICES PROVIDED (see CM040).

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. PRIMARY CARE TRUSTS may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an IMMUNISATION PROGRAMME or a SURVEILLANCE PROGRAMME STAGE and providers will need to collect relevant information to be able to deliver these SERVICES (see CM040).


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              CM050

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              CM050 - CONTACT TRACING, SCREENING, HEALTH PROMOTION FOR HEALTH AUTHORITIES

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. This diagram describes a HEALTH AUTHORITYs information requirements for four HEALTH PROGRAMME types: CONTACT TRACING PROGRAMMES, SCREENING PROGRAMMES, HEALTH PROMOTION PROGRAMME HIV AND AIDS and HEALTH PROMOTION PROGRAMMES.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. A CONTACT TRACING PROGRAMME is initiated to identify and trace people known or suspected to have been in contact with a specific communicable disease , for example meningococcal meningitis.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. SCREENING PROGRAMMES, such as those for cancer of the cervix, are directed towards the detection of a specific disease or condition . For cervical cytology and breast cancer SCREENING PROGRAMMES, there will be a SCREENING POPULATION indicating coverage for women by age group.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. HEALTH PROMOTION PROGRAMMES are run to promote health care and prevent illness and disease. Each HEALTH PROMOTION PROGRAMME and each HEALTH PROMOTION PROGRAMME HIV AND AIDS has specific HEALTH PROMOTION PROGRAMME AIM. This includes providing general preventative or advisory services to groups or specific services to clients with identified needs or conditions.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. HEALTH PROMOTION PROGRAMMES are run to promote health care and prevent illness and disease. Each HEALTH PROMOTION PROGRAMME and each HEALTH PROMOTION PROGRAMME HIV AND AIDS has specific HEALTH PROMOTION PROGRAMME AIM. This includes providing general preventative or advisory services to groups or specific services to clients with identified needs or conditions.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. HEALTH PROMOTION PROGRAMME HIV AND AIDS may have a number of HEALTH PROMOTION TARGET POPULATION.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                CM060

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                CM060 - CONTACT TRACING, HEALTH PROMOTION FOR HEALTH CARE PROVIDERS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. This diagram illustrates a HEALTH CARE PROVIDERs information requirements for two HEALTH PROGRAMME types: CONTACT TRACING PROGRAMMES and HEALTH PROMOTION PROGRAMMES.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A SERVICE PROVIDED by a HEALTH CARE PROVIDER to fulfill the needs of a CONTACT TRACING PROGRAMME will be to register people who are known or suspected to have been in contact with a specific communicable disease. Once a PERSON IN A CONTACT TRACING PROGRAMME is known, a number of CONTACT TRACING ACTIVITIES may be required.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A SERVICE by a HEALTH CARE PROVIDER to fulfill the needs of a CONTACT TRACING PROGRAMME will be to register people who are known or suspected to have been in contact with a specific communicable disease. Once a PERSON IN A CONTACT TRACING PROGRAMME is known, a number of CONTACT TRACING ACTIVITIES may be required.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  CM080

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  CM080 - COMMUNITY - PROFESSIONAL ADVICE AND SUPPORT

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. This diagram shows classes relevant to PROF ADVICE AND SUPPORT PROGRAMMES. A PROF ADVICE AND SUPPORT PROGRAMME is aimed at delivering professional advice and support to a defined target population and is therefore a type of SERVICE TO THE COMMUNITY PROGRAMME.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. This diagram shows classes relevant to PROF ADVICE AND SUPPORT PROGRAMMES. A PROF ADVICE AND SUPPORT PROGRAMME is aimed at delivering professional advice and support to a defined target population and is therefore a type of HEALTH PROGRAMME.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. The activities involved in PROF ADVICE AND SUPPORT PROGRAMMES are those which fall outside STRUCTURED PROGRAMMES. Thus any PERSON who receives individual advice or support outside of a STRUCTURED PROGRAMME will be admitted to a PROF ADVICE AND SUPPORT PROGRAMME as a PERSON IN ADVICE AND SUPPORT PROGRAMME.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. A contact between a PATIENT and a member of the community health staff which involves professional advice or support is a PROFESSIONAL ADVICE AND SUPPORT CONTACT.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    CM090

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    CM090 - COMMUNITY - GENITO-URINARY CLINICS

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

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

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

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

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

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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. Each GENITO-URINARY EPISODE may be made up of a number of GENITO-URINARY CLINIC ATTENDANCES.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      CM100

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      CM100 - COMMUNITY - DENTAL HEALTH

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. This diagram shows classes relevant to community dental health; running ORAL HEALTH PROGRAMMES and providing DENTAL TREATMENT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. An ORAL HEALTH PROGRAMME is a type of STRUCTURED PROGRAMME providing either screening or health promotion/prevention services. Each programme will have one or more DENTAL STAFF MEMBERS IN PROGRAMMES.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Each FACE TO FACE CONTACT DENTAL involves a meeting of one PATIENT from the ORAL HEALTH AGE GROUPS and (at least) one DENTAL STAFF MEMBER IN PROGRAMME.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A further community dentistry SERVICE PROVIDED by HEALTH CARE PROVIDERS is DENTAL TREATMENT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A further community dentistry SERVICE by HEALTH CARE PROVIDERS is DENTAL TREATMENT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Several DENTAL TREATMENTS may be given at each DENTAL TREATMENT CONTACT and each contact will be between one PATIENT and one DENTAL STAFF MEMBER responsible for the treatment. More than one contact could take place during one visit by a PATIENT to a dental surgery, if DENTAL TREATMENT is given by more than one DENTAL STAFF MEMBER and each are in different dental staff groups.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Each contact will belong to one DENTAL EPISODE. It will finish either because a course of treatment is completed or following three months when the PATIENT has failed to make contact.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. The hours spent by DENTAL STAFF MEMBERS as part of ORAL HEALTH PROGRAMMES are recorded by DENTAL STAFF MEMBER IN PROG IN PERIOD and time spent on general treatments are recorded by DENTAL STAFF MEMBER IN PERIOD.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        CM120

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        CM120 - DRUG MISUSE

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. This diagram shows classes relevant to the provision of care to DRUG MISUSERS. This diagram is not only relevant to services provided by the NHS; but to every DRUG MISUSE AGENCY within a PRIMARY CARE TRUSTS boundaries that offers a service to DRUG MISUSERS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Each DRUG MISUSE AGENCY may offer more than one DRUG MISUSE FACILITY to DRUG MISUSERS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. A DRUG MISUSER using services provided by a DRUG MISUSE AGENCY could have concurrent DRUG MISUSE EPISODES with the agency if he/she uses more than one DRUG MISUSE FACILITY. Each DRUG MISUSE EPISODE ends when a user has not returned to a DRUG MISUSE FACILITY for six months.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. A DRUG MISUSER may have one or more DRUG MISUSER LIVING WITH to indicate whether they are living alone or living with others who may also be DRUG MISUSERS. A DRUG MISUSER may also have one or more DRUG MISUSER DEPENDENT CHILDREN, who may or may not be known to be living with them.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. During the DRUG MISUSE EPISODE a DRUG MISUSER PRESCRIBING PLANS may be drawn up for up to three PRESCRIBED DMD DRUGS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Each known SUBSTANCE MISUSED during the DRUG MISUSE EPISODE should be recorded. The SUBSTANCE MISUSED ROUTE classifies the means by which the SUBSTANCE MISUSED is taken by the DRUG MISUSER.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. A DRUG MISUSE EPISODE is not shown as a SERVICE PROVIDED, even though services are being provided to a PATIENT, sometimes by a HEALTH CARE PROVIDER. This is because the services provided by a HEALTH CARE PROVIDER during a DRUG MISUSE EPISODE will always be recorded as a SERVICE PROVIDED elsewhere; for example as a COMMUNITY EPISODE, a HOSPITAL PROVIDER SPELL or a CONSULTANT OUT-PATIENT EPISODE.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. A DRUG MISUSE EPISODE is not shown as a SERVICE, even though services are being provided to a PATIENT, sometimes by a HEALTH CARE PROVIDER. This is because the services provided by a HEALTH CARE PROVIDER during a DRUG MISUSE EPISODE will always be recorded as a SERVICE elsewhere; for example as a COMMUNITY EPISODE, a HOSPITAL PROVIDER SPELL or a CONSULTANT OUT-PATIENT EPISODE.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          GN030

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          GN030 - NHS SERVICE AGREEMENTS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. This diagram illustrates NHS commissioning agreements, including OUT OF AREA TREATMENTS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. A NHS SERVICE AGREEMENT is a formal agreement between a commissioning ORGANISATION and one or more HEALTH CARE PROVIDERS for the provision of patient care services.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. In circumstances when care or treatment is provided to a PATIENT where there is no NHS SERVICE AGREEMENT between the HEALTH CARE PROVIDER and the ORGANISATION responsible for commissioning the PATIENT's care or treatment, it will be covered by an OUT OF AREA TREATMENT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Normally each SERVICE PROVIDED will relate to only one NHS SERVICE AGREEMENT but there will be occasions where, for instance, a SERVICE PROVIDED comprising a HOSPITAL PROVIDER SPELL (see GN040), will relate to more than one NHS SERVICE AGREEMENT. In this case, there would be more than one SERVICE PROVIDED UNDER AGREEMENT for the HOSPITAL PROVIDER SPELL.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Normally each SERVICE will relate to only one NHS SERVICE AGREEMENT but there will be occasions where, for instance, a SERVICE comprising a HOSPITAL PROVIDER SPELL (see GN040), will relate to more than one NHS SERVICE AGREEMENT. In this case, there would be more than one SERVICE PROVIDED UNDER AGREEMENT for the HOSPITAL PROVIDER SPELL.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. NHS SERVICE AGREEMENT CHANGE and NHS SERVICE AGREEMENT CHANGE DETAIL are used when there is a change from an existing NHS SERVICE AGREEMENT to a different NHS SERVICE AGREEMENT for an ELECTIVE ADMISSION LIST ENTRY.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. A SERVICE PROVIDED UNDER AGREEMENT may be related to one or more NHS SERVICE AGREEMENT LINES. NHS SERVICE AGREEMENT LINES are non-mandatory data within the CMDS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. A SERVICE PROVIDED may be provided at a number of SERVICE PROVISION POINTS each one being a particular SERVICE POINT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. A SERVICE may be provided at a number of SERVICE PROVISION POINTS each one being a particular SERVICE POINT.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            GN040

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            GN040 - SERVICES PROVIDED BY HOSPITALS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. This diagram, GN050 and GN060 illustrates SERVICES PROVIDED by hospitals and non-hospital services. This diagram shows the main SERVICES PROVIDED by Hospitals.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. This diagram, GN050 and GN060 illustrates SERVICES by hospitals and non-hospital services. This diagram shows the main SERVICES by Hospitals.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. A SERVICE PROVIDED will comprise one or more services or activities, grouped together in order to relate to NHS SERVICE AGREEMENTS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. A SERVICE will comprise one or more services or activities, grouped together in order to relate to NHS SERVICE AGREEMENTS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Many of the classes shown, such as CONSULTANT EPISODE (HOSPITAL PROVIDER), PATIENT PROCEDURE, CONSULTANT OUT-PATIENT EPISODE are examples of hospital services and are therefore linked to SERVICE PROVIDED. Each of the hospital services optionally linked to SERVICE PROVIDED may (but need not) be identified separately for contracting purposes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Many of the classes shown, such as CONSULTANT EPISODE (HOSPITAL PROVIDER), PATIENT PROCEDURE, CONSULTANT OUT-PATIENT EPISODE are examples of hospital services and are therefore linked to SERVICE. Each of the hospital services optionally linked to SERVICE may (but need not) be identified separately for contracting purposes.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              GN050

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              GN050 - SERVICES PROVIDED FOR TREATMENT COURSES AND VISITS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. This diagram, GN040 and GN060 illustrates SERVICES PROVIDED by hospitals and non-hospital services. This diagram just shows hospitals treatment courses and visits.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. This diagram, GN040 and GN060 illustrates SERVICES by hospitals and non-hospital services. This diagram just shows hospitals treatment courses and visits.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. A SERVICE PROVIDED will comprise one or more services or activities, grouped together in order to relate to NHS SERVICE AGREEMENTS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. A SERVICE will comprise one or more services or activities, grouped together in order to relate to NHS SERVICE AGREEMENTS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Many of the classes shown, such as CONSULTANT EPISODE (HOSPITAL PROVIDER), PATIENT PROCEDURE, CONSULTANT OUT-PATIENT EPISODE are examples of hospital services and are therefore linked to SERVICE PROVIDED. Each of the hospital services optionally linked to SERVICE PROVIDED may (but need not) be identified separately for contracting purposes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Many of the classes shown, such as CONSULTANT EPISODE (HOSPITAL PROVIDER), PATIENT PROCEDURE, CONSULTANT OUT-PATIENT EPISODE are examples of hospital services and are therefore linked to SERVICE. Each of the hospital services optionally linked to SERVICE may (but need not) be identified separately for contracting purposes.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                GN060

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                GN060 - SERVICES PROVIDED BY NON-HOSPITAL SERVICES

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. This diagram, GN030, GN040 and GN050 illustrate commissioning arrangements (NHS SERVICE AGREEMENTS) including those for OUT OF AREA TREATMENTS. This diagram shows how activities and services not normally associated with hospitals relate to SERVICES PROVIDED.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. This diagram, GN030, GN040 and GN050 illustrate commissioning arrangements (NHS SERVICE AGREEMENTS) including those for OUT OF AREA TREATMENTS. This diagram shows how activities and services not normally associated with hospitals relate to SERVICES.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A SERVICE PROVIDED will comprise one or more services or activities, grouped together in order to relate to NHS SERVICE AGREEMENTS. Normally each SERVICE PROVIDED will relate to only one NHS SERVICE AGREEMENT but there will be occasions where, for instance, SERVICES PROVIDED by a FAMILY PLANNING CLINIC will relate to more than one NHS SERVICE AGREEMENT. In this case, there would be more than one SERVICE PROVIDED UNDER AGREEMENT for the FAMILY PLANNING CLINICS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A SERVICE will comprise one or more services or activities, grouped together in order to relate to NHS SERVICE AGREEMENTS. Normally each SERVICE will relate to only one NHS SERVICE AGREEMENT but there will be occasions where, for instance, SERVICES by a FAMILY PLANNING CLINIC will relate to more than one NHS SERVICE AGREEMENT. In this case, there would be more than one SERVICE PROVIDED UNDER AGREEMENT for the FAMILY PLANNING CLINICS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Some of the classes shown, such as FAMILY PLANNING CLINICS, COMMUNITY EPISODE and AMBULANCE SERVICE are examples of community and other NHS services and activities and are therefore linked to SERVICE PROVIDED. Other classes, such as IMMUNISATION PROGRAMME FOR PERSON, are the subjects of NHS services and should also be linked to SERVICE PROVIDED. Services optionally linked to SERVICE PROVIDED may (but need not) be identified separately for contracting purposes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Some of the classes shown, such as FAMILY PLANNING CLINICS, COMMUNITY EPISODE and AMBULANCE SERVICE are examples of community and other NHS services and activities and are therefore linked to SERVICE. Other classes, such as IMMUNISATION PROGRAMME FOR PERSON, are the subjects of NHS services and should also be linked to SERVICE. Services optionally linked to SERVICE may (but need not) be identified separately for contracting purposes.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Community services being provided within a HEALTH PROGRAMME or a SURVEILLANCE PROGRAMME STAGE, may be from more than one HEALTH CARE PROVIDER. Each SERVICE PROVIDED as part of a programme will be from one HEALTH CARE PROVIDER.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Community services being provided within a HEALTH PROGRAMME or a SURVEILLANCE PROGRAMME STAGE, may be from more than one HEALTH CARE PROVIDER. Each SERVICE as part of a programme will be from one HEALTH CARE PROVIDER.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  HP130

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  HP130 - OVERSEAS VISITOR & RESIDENCY

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. HP070- HP140 show the classes relevant to PATIENTS using a hospital bed. Additional information relevant to maternity PATIENTS is contained in HP150. HP130 is particularly concerned with overseas visitors and nationality status.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. PATIENTS from abroad will have a PERSON NATIONALITY OR RESIDENCY STATUS.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. The OVERSEAS VISITOR STATUS for a particular SERVICE PROVIDED, where an overseas visitor is a person not ordinarily resident in the UK, with respect to charging rates is also recorded.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. The OVERSEAS VISITOR STATUS for a particular SERVICE, where an overseas visitor is a person not ordinarily resident in the UK, with respect to charging rates is also recorded.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    HP340

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    HP340 - HOSPITAL EYE SERVICE

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. This diagram shows classes relevant to the Hospital Eye Service. An OPHTHALMOLOGY SERVICE is a type of SERVICE POINT.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. An OPHTHALMOLOGY SERVICE is related to a particular SPECIALTY.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. A SERVICE POINT may provide FACE TO FACE CONTACTS OPTICAL as SERVICES PROVIDED by a HEALTH CARE PROVIDER which is an ORGANISATION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. A SERVICE POINT may provide FACE TO FACE CONTACTS OPTICAL as SERVICES by a HEALTH CARE PROVIDER which is an ORGANISATION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. A FACE TO FACE CONTACT OPTICAL is carried out by either a CONSULTANT, OPHTHALMIC OPTICIAN, or an OPHTHALMIC MEDICAL PRACTITIONER and relates to a PERSON. The contact may involve a SIGHT TEST.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      HP380

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      HP380 - ROAD TRAFFIC ACCIDENT CHARGES

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. This diagram shows ROAD TRAFFIC ACCIDENT TREATMENTS received by a PATIENT from an NHS HOSPITAL PROVIDER. The need for treatment being due to a road traffic accident.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Where a PATIENT has received treatment for the same road traffic accident from another NHS hospital, these will be recorded as RTA TREATMENT BY OTHER PROVIDER.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. This diagram shows ROAD TRAFFIC ACCIDENT TREATMENTS received by a PATIENT from an NHS HOSPITAL PROVIDER. The need for treatment being due to a road traffic accident.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        HP400

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        HP400 - Cancer Care Drug Programmes

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. This diagram shows the class types relevant to chemotherapy interventions in the treatment of cancer.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. An ANTI-CANCER DRUG PROGRAMME is planned under the responsibility of a CONSULTANT during a CANCER CARE SPELL and may be comprised of a number of ANTI-CANCER DRUG REGIMENS which run sequentially.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. An ANTI-CANCER DRUG REGIMEN may contain a number of ANTI-CANCER DRUG CYCLES.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. The actual administration to a PERSON of one or more anti-cancer DRUG DOSAGES AND ADMINISTRATIONS is an ANTI-CANCER DRUG FRACTION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. An ANTI-CANCER DRUG PROGRAMME may be a SERVICE PROVIDED and must be provided by a HEALTH CARE PROVIDER.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. An ANTI-CANCER DRUG PROGRAMME may be a SERVICE and must be provided by a HEALTH CARE PROVIDER.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          HP420

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          HP420 - Cancer Care - Skin and Sarcoma site specific data

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. This diagram shows the class types relevant to site specfic data in the treatment of cancer for skin and sarcoma.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. This diagram shows the class types relevant to site specific data in the treatment of cancer for skin and sarcoma.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. A CANCER CARE SPELL may be a SKIN CANCER CARE SPELL or SARCOMA CARE SPELL depending on the type of cancer being treated.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. SARCOMA CARE SPELL is related to a particular BODY SITE.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The SKIN CANCER CARE SPELL is related to a DERMATOLOGIST BODY SITE and may have a number of SKIN CANCER LESIONS diagnosed which are found at other DERMATOLOGIST BODY SITES. Each SKIN CANCER CARE SPELL may have a number of different SKIN LYMPHOMA MORPHOLOGIES.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Each CANCER CARE SPELL may have a primary PATIENT DIAGNOSIS and a number of PERSON OBSERVATIONS WITHIN CARE SPELLS, one of which will be the SARCOMA CONDITION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Each CANCER CARE SPELL may have a primary PATIENT DIAGNOSIS and a number of PERSON OBSERVATIONS, one of which will be the SARCOMA CONDITION.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            MH010

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            MH010 - MENTAL HEALTH CARE SPELLS: ORGANISATION, RESPONSIBILITY AND TREATMENT

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. A CARE SPELL brings together all activity provided to a PATIENT for a particular illness or condition. There will be one or more RESPONSIBLE HEALTH CARE PROVIDERS taking overall responsibility for the PATIENT's care or treatment during a CARE SPELL. The RESPONSIBLE HEALTH CARE PROVIDER may be different from the ORGANISATION or ORGANISATIONS actually providing the care or treatment.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. The care or assessment within a MENTAL HEALTH CARE SPELL is provided by a MENTAL HEALTH CARE TEAM, which may be multidisciplinary and involve both NHS and non-NHS agencies, for example Social Services of a Local Authority. A MENTAL HEALTH CARE TEAM is part of a FUNCTIONAL GROUP within an ORGANISATION.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. The MENTAL HEALTH CARE SPELL forms part of a HEALTH CARE PROVIDER's SERVICE PROVIDED.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. The MENTAL HEALTH CARE SPELL forms part of a HEALTH CARE PROVIDER's SERVICE.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Within a MENTAL HEALTH CARE SPELL, if a PATIENT is transferred temporarily to another HEALTH CARE PROVIDER, with the main responsibility for provision of mental health care also being transferred, a MENTAL HEALTH CARE SPELL SUSPENSION is initiated.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              MS020

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              MS020 - GP Hospital Communication Messages - Service Reports

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. This diagram shows the classes concerned with the carriage of Clinical Information or planned services associated with GP-Hospital communication messages.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. As result of either a request for PLANNED SERVICE TO BE PROVIDED or the act of providing a SERVICE PROVIDED a SERVICE REPORTED is created. SERVICE REPORTED are grouped by SERVICE REPORT HEADERS for despatch purposes. A SERVICE REPORT HEADER may refer to a PATHOLOGY LAB SERVICE REPORT HEADER or a RADIOLOGY SERVICE REPORT HEADER.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. As result of either a request for PLANNED SERVICE TO BE PROVIDED or the act of providing a SERVICE a SERVICE REPORTED is created. SERVICE REPORTED are grouped by SERVICE REPORT HEADERS for despatch purposes. A SERVICE REPORT HEADER may refer to a PATHOLOGY LAB SERVICE REPORT HEADER or a RADIOLOGY SERVICE REPORT HEADER.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. SERVICE REPORT HEADERS are requested by and issued by HEALTH CARE PROFESSIONALS or ORGANISATIONS. SERVICE REPORT HEADERS may be copied as SERVICE REPORT COPIES to either HEALTH CARE PROFESSIONALS or ORGANISATIONS.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                PT010

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                PT010 - PATIENT TRANSPORT REQUESTS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. This diagram shows the classes relevant to patient transport requests.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. An AMBULANCE SERVICE may be a SERVICE PROVIDED, in which case all TRANSPORT REQUESTS made to a HEALTH CARE PROVIDER are funded by a single commissioner. Alternatively, PATIENT JOURNEYS provided may be funded by the commissioner responsible for the individual PATIENT, as part of their overall health care.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. An AMBULANCE SERVICE may be a SERVICE, in which case all TRANSPORT REQUESTS made to a HEALTH CARE PROVIDER are funded by a single commissioner. Alternatively, PATIENT TRANSPORT JOURNEYS provided may be funded by the commissioner responsible for the individual PATIENT, as part of their overall health care.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A PATIENT JOURNEY is the transportation of one PATIENT between destinations. Each PATIENT JOURNEY is initiated by a single TRANSPORT REQUEST (to an AMBULANCE SERVICE) which is either an EMERGENCY TRANSPORT REQUEST, an URGENT TRANSPORT REQUEST, a SPECIAL TRANSPORT REQUEST or a PLANNED TRANSPORT REQUEST.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A PATIENT TRANSPORT JOURNEY is the transportation of one PATIENT between destinations. Each PATIENT TRANSPORT JOURNEY is initiated by a single TRANSPORT REQUEST (to an AMBULANCE SERVICE) which is either an EMERGENCY TRANSPORT REQUEST, an URGENT TRANSPORT REQUEST, a SPECIAL TRANSPORT REQUEST or a PLANNED TRANSPORT REQUEST.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. PICK-UP TIME PROMISED and ACTUAL PICK-UP TIME, used to calculate waiting times, need only be recorded for PATIENT JOURNEYS on a sampling basis to be determined locally.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. PICK-UP TIME PROMISED and ACTUAL PICK-UP TIME, used to calculate waiting times, need only be recorded for PATIENT TRANSPORT JOURNEYS on a sampling basis to be determined locally.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A TRANSPORT REQUEST may be made as part of a TRANSPORT REQUIREMENT. A TRANSPORT REQUIREMENT is raised either by a REFERRAL REQUEST or because of a PLANNED SERVICE TO BE PROVIDED. TRANSPORT REQUIREMENTS are part of GP-Hospital communications and are described in MS030.


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