NHS Business Definitions describe how Classes in the NHS Data Model apply to the business of health and care.

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DiSC

<span>NHS Business Definitions describe how Classes in the NHS Data Model apply to the business of health and care. The part of the data model that links the logical classes to the context of the health and care business.</span>


Digitising Social Care Data Catalogue

<p>The <a href="/#/9817/dataClass/14986">ABO_System</a> is a <a href="/#/9815/dataClass/12097">CODED_CLINICAL_ENTRY</a>.</p><p>The <a href="/#/9817/dataClass/14986">ABO_System</a> is a system of 4 basic types into which human blood may be classified according to the presence or absence of particular antigens:</p><ul><li><div>A - Blood group A has A antigens in its red blood cells and anti-B antibodies in its plasma;</div></li><li><div>B - Blood group B has B antigens and anti-A antibodies in its plasma;</div></li><li><div>O - Blood group O blood has no antigens but both anti-A and anti-B antibodies</div></li><li><div>AB - Blood group AB has both A and B antigens but no antibodies, as it would destroy itself.</div></li></ul><p>For further information on the <a href="/#/9817/dataClass/14986">ABO_System</a>, see the NHS website at: <a href="https://www.nhs.uk/conditions/blood-groups/" target="_blank">Blood groups</a>.</p>

ABO System

<p>The <a href="/#/9817/dataClass/14987">Abbreviated_Mental_Test_Score</a> is an <a href="/#/9815/dataClass/12076">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/9817/dataClass/14987">Abbreviated_Mental_Test_Score</a> (<a href="/#/9817/dataClass/14987">AMTS</a>) is used to quickly assess elderly patients for the possibility of dementia.</p><p>For further information on the <a href="/#/9817/dataClass/14987">Abbreviated_Mental_Test_Score</a>, see <a href="https://www.bgs.org.uk/sites/default/files/content/attachment/2018-07-05/abbreviated_mental_test_score.pdf" target="_blank">Abbreviated Mental Test Score</a>.</p>

Abbreviated Mental Test Score

<p>An <a href="/#/9817/dataClass/14988">Abdominal_X-Ray</a> is a <a href="/#/9817/dataClass/15150">Clinical_Investigation</a>.</p><p>An <a href="/#/9817/dataClass/14988">Abdominal_X-Ray</a> is an x-ray of the abdomen which can be used to diagnose some abdominal conditions.</p><p>For further information on x-rays, see the NHS website at: <a href="https://www.nhs.uk/conditions/x-ray/" target="_blank">X-ray</a>.</p>

Abdominal X-Ray

<p><a href="/#/9817/dataClass/14989">Ablative_Therapy</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>. </p><p><a href="/#/9817/dataClass/14989">Ablative_Therapy</a> (also called <a href="/#/9817/dataClass/14989">Ablation Therapy</a>) is the removal or destruction of a body part, <a href="/#/9815/dataClass/12227">TISSUE</a> or its function and may be performed by surgery, hormones, drugs, radiofrequency, heat, or other methods.</p><p>For further information on <a href="/#/9817/dataClass/14989">Ablative_Therapy</a>, see the <a href="https://www.cancer.gov/dictionary?CdrID=335061" target="_blank">National Cancer Institute website</a>.</p>

Ablative Therapy

<p><a href="/#/9817/dataClass/14990">Active_Monitoring</a> is an <a href="/#/9815/dataClass/12058">ACTIVITY_GROUP</a>.</p><p><a href="/#/9817/dataClass/14990">Active_Monitoring</a> will commence when a decision is made (and agreed with the <a href="/#/9815/dataClass/12163">PATIENT</a>) that it is clinically appropriate to start a period of monitoring, possibly whilst the <a href="/#/9815/dataClass/12163">PATIENT</a> receives symptomatic support, but without any specific or significant <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a> at this stage.</p><p><a href="/#/9817/dataClass/14990">Active_Monitoring</a> may be initiated by either a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a> or a <a href="/#/9815/dataClass/12163">PATIENT</a>.</p><p>The start of <a href="/#/9817/dataClass/14990">Active_Monitoring</a> will end a <a href="/#/9815/dataClass/12209">REFERRAL_TO_TREATMENT_PERIOD</a>.</p><p>During <a href="/#/9817/dataClass/14990">Active_Monitoring</a> the <a href="/#/9815/dataClass/12163">PATIENT</a> will remain under the care of a <a href="/#/9815/dataClass/12100">CONSULTANT</a> or <a href="/#/9817/dataClass/15477">NHS_Allied_Health_Professional_Service_(Referral_To_Treatment_Measurement)</a> although the <a href="/#/9815/dataClass/12131">GENERAL_PRACTITIONER</a> will be updated with the progress of their <a href="/#/9815/dataClass/12163">PATIENT</a>.</p><p>If a <a href="/#/9817/dataClass/15197">Decision_To_Treat</a> is made during <a href="/#/9817/dataClass/14990">Active_Monitoring</a>, this will end the <a href="/#/9817/dataClass/14990">Active_Monitoring</a> and will start a new <a href="/#/9815/dataClass/12209">REFERRAL_TO_TREATMENT_PERIOD</a>; see <a href="/#/9815/dataElement/11579">REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a>.</p>

Active Monitoring

<p>An <a href="/#/9817/dataClass/14991">Activity_Date_for_Age_(Contract_Monitoring)</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/9817/dataClass/14991">Activity_Date_for_Age_(Contract_Monitoring)</a> is the <a href="/#/9815/dataElement/9823">ACTIVITY_DATE</a> used to calculate the age of the <a href="/#/9815/dataClass/12163">PATIENT</a>, for the <a href="null">null</a> Data Sets.</p><p>An <a href="/#/9817/dataClass/14991">Activity_Date_for_Age_(Contract_Monitoring)</a> is specified according to the specific data set as follows:</p><table border="0"><tbody><tr><td><strong>DATA SET</strong></td><td><strong>ACTIVITY DATE</strong></td></tr><tr><td><a href="http://www.datadictionary.nhs.uk/data_dictionary/messages/supporting_data_sets/data_sets/patient_level_contract_monitoring_data_set.asp">Patient Level Contract Monitoring</a></td><td> </td></tr><tr><td>Admitted Patient Care</td><td><a href="/#/9816/dataElement/13139">END_DATE_(EPISODE)</a></td></tr><tr><td><a href="/#/9817/dataClass/15570">Out-Patient_Appointment</a></td><td><a href="/#/9816/dataElement/12345">APPOINTMENT_DATE</a></td></tr><tr><td><div><a href="/#/9817/dataClass/15241">Emergency_Care_Attendance</a></div></td><td><a href="/#/9816/dataElement/13039">EMERGENCY_CARE_ARRIVAL_DATE</a> / <a href="/#/9816/dataElement/13041">EMERGENCY_CARE_ARRIVAL_TIME</a></td></tr><tr><td><a href="http://www.datadictionary.nhs.uk/data_dictionary/messages/supporting_data_sets/data_sets/devices_patient_level_contract_monitoring_data_set.asp">Devices_Patient_Level_Contract_Monitoring_Data_Set</a></td><td><a href="/#/9816/dataElement/12689">CLINICAL_INTERVENTION_DATE_(MEDICAL_DEVICE_IMPLEMENTATION)</a></td></tr><tr><td><a href="http://www.datadictionary.nhs.uk/data_dictionary/messages/supporting_data_sets/data_sets/drugs_patient_level_contract_monitoring_data_set.asp">Drugs_Patient_Level_Contract_Monitoring_Data_Set</a></td><td><a href="/#/9816/dataElement/12688">CLINICAL_INTERVENTION_DATE_(DRUG_DISPENSED)</a></td></tr></tbody></table>

Activity Date for Age (Contract Monitoring)

<p>An <a href="/#/9817/dataClass/14992">Activity_End_Date_(Contract_Monitoring)</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/9817/dataClass/14992">Activity_End_Date_(Contract_Monitoring)</a> is the date on which a commissioned <a href="/#/9815/dataClass/12054">ACTIVITY</a> is deemed to have ended, for the purposes of <a href="null">null</a>.</p><p>The <a href="/#/9817/dataClass/14992">Activity_End_Date_(Contract_Monitoring)</a> for:</p><ul><li><div>Admitted patient care:</div><ul><li><div>Finished Consultant Episodes (FCEs) is <a href="/#/9816/dataElement/13139">END_DATE_(EPISODE)</a></div></li><li><div><a href="/#/9817/dataClass/15363">Hospital Provider Spells</a> is the <a href="/#/9816/dataElement/12971">DISCHARGE_DATE_(HOSPITAL_PROVIDER_SPELL)</a></div></li></ul></li><li><div><a href="/#/9817/dataClass/15570">Out-Patient Appointments</a> (non-admitted care and diagnostic tests) is the <a href="/#/9816/dataElement/12345">APPOINTMENT_DATE</a></div></li><li><div><a href="/#/9817/dataClass/15584">Packages of Care</a> is the <a href="/#/9816/dataElement/13132">END_DATE</a> of the <a href="/#/9815/dataClass/12054">ACTIVITY</a> within the <a href="/#/9817/dataClass/15584">Package_of_Care</a></div></li><li><div><a href="/#/9817/dataClass/15241">Emergency Care Attendances</a> is the <a href="/#/9816/dataElement/13053">EMERGENCY_CARE_DEPARTURE_DATE</a></div></li><li><div>Critical care is the <a href="/#/9816/dataElement/13132">END_DATE</a> of that particular level of critical care.</div></li></ul>

Activity End Date (Contract Monitoring)

<p>An <a href="/#/9817/dataClass/14993">Activity_Start_Date_(Contract_Monitoring)</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/9817/dataClass/14993">Activity_Start_Date_(Contract_Monitoring)</a> is the date on which a commissioned <a href="/#/9815/dataClass/12054">ACTIVITY</a> is deemed to have occurred, for the purposes of <a href="null">null</a>.</p><p>The <a href="/#/9817/dataClass/14993">Activity_Start_Date_(Contract_Monitoring)</a> for:</p><ul><li><div>Admitted patient care:</div><ul><li>Finished Consultant Episodes (FCEs) is <a href="/#/9816/dataElement/14612">START_DATE_(EPISODE)</a></li><li><a href="/#/9817/dataClass/15363">Hospital Provider Spells</a> is <a href="/#/9816/dataElement/14615">START_DATE_(HOSPITAL_PROVIDER_SPELL)</a></li></ul></li><li><a href="/#/9817/dataClass/15570">Out-Patient Appointments</a> (non-admitted care and diagnostic tests) is the <a href="/#/9816/dataElement/12345">APPOINTMENT_DATE</a></li><li><a href="/#/9817/dataClass/15584">Packages of Care</a> is the date of the <a href="/#/9815/dataClass/12054">ACTIVITY</a> within the <a href="/#/9817/dataClass/15584">Package_of_Care</a></li><li><a href="/#/9817/dataClass/15241">Emergency Care Attendances</a> is the <a href="/#/9816/dataElement/13039">EMERGENCY_CARE_ARRIVAL_DATE</a></li><li>Critical care is the <a href="/#/9816/dataElement/14603">START_DATE</a> of that particular level of critical care.</li></ul>

Activity Start Date (Contract Monitoring)

<p>An <a href="/#/9817/dataClass/14994">Acute_Oncology_Assessment</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p>An <a href="/#/9817/dataClass/14994">Acute_Oncology_Assessment</a> is an assessment of a <a href="/#/9815/dataClass/12163">PATIENT</a> with cancer.</p><p align="left" dir="ltr">For further information on <a href="/#/9817/dataClass/14994">Acute Oncology Assessments</a>, see the christie.nhs.uk website at: <a href="https://www.christie.nhs.uk/services/a-to-h/acute-oncology/" target="_blank">Acute Oncology</a>.</p>

Acute Oncology Assessment

<p>An <a href="/#/9817/dataClass/14995">Acute_Oncology_Episode</a> is an <a href="/#/9815/dataClass/12058">ACTIVITY_GROUP</a>.</p><p>An <a href="/#/9817/dataClass/14995">Acute_Oncology_Episode</a> is the period of time the <a href="/#/9815/dataClass/12163">PATIENT</a> is treated for Acute Oncology (the management of the unexpected care needs of the <a href="/#/9815/dataClass/12163">PATIENT</a> with cancer).</p><p>An <a href="/#/9817/dataClass/14995">Acute_Oncology_Episode</a> includes the <span>monitoring and treatment for cancer and related problems.</span></p><p>An <a href="/#/9817/dataClass/14995">Acute_Oncology_Episode</a> will include one <a href="/#/9817/dataClass/14994">Acute_Oncology_Assessment</a>.</p><p>For further information on <a href="/#/9817/dataClass/14995">Acute Oncology Episodes</a>, see the christie.nhs.uk website at: <a href="https://www.christie.nhs.uk/services/a-to-h/acute-oncology/" target="_blank">Acute Oncology</a>.</p>

Acute Oncology Episode

<p><a href="/#/9817/dataClass/14996">Adjunctive_Therapy</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/9817/dataClass/14996">Adjunctive_Therapy</a> is therapy given in addition to the main treatment to maximize its effectiveness.</p><p><a href="/#/9817/dataClass/14996">Adjunctive_Therapy</a> can be either:</p><ul><li><div><a href="/#/9817/dataClass/14997">Adjuvant_Therapy</a></div></li><li><div><a href="/#/9817/dataClass/15516">Neoadjuvant_Therapy</a>.</div></li></ul>

Adjunctive Therapy

<p><a href="/#/9817/dataClass/14997">Adjuvant_Therapy</a> is a type of <a href="/#/9817/dataClass/14996">Adjunctive_Therapy</a>.</p><p><a href="/#/9817/dataClass/14997">Adjuvant_Therapy</a> is therapy given to the <a href="/#/9815/dataClass/12163">PATIENT</a> after the main treatment.</p>

Adjuvant Therapy

<p>The <a href="/#/9817/dataClass/14998">Administration_of_Radioactive_Substances_Advisory_Committee</a>  is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/14998">Administration_of_Radioactive_Substances_Advisory_Committee</a> (<a href="/#/9817/dataClass/14998">ARSAC</a>) is an expert committee sponsored by the <a href="/#/9817/dataClass/15208">Department_of_Health_and_Social_Care</a>. </p><p>The <a href="/#/9817/dataClass/14998">Administration_of_Radioactive_Substances_Advisory_Committee</a> advises the licensing authorities on applications from practitioners, employers and researchers who want to use radioactive substances on <a href="/#/9815/dataClass/12163">PATIENTS</a>.</p><p>For further information on the <a href="/#/9817/dataClass/14998">Administration_of_Radioactive_Substances_Advisory_Committee</a>, see the <a href="/#/9817/dataClass/14998">Administration_of_Radioactive_Substances_Advisory_Committee</a> part of the gov.uk website at: <a href="https://www.gov.uk/government/organisations/administration-of-radioactive-substances-advisory-committee/about" target="_blank">About us</a>.</p>

Administration of Radioactive Substances Advisory Committee

<p>The <a href="/#/9817/dataClass/14999">Adult_Comorbidity_Evaluation_-_27</a> is an <a href="/#/9815/dataClass/12076">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/9817/dataClass/14999">Adult_Comorbidity_Evaluation_-_27</a> (<a href="/#/9817/dataClass/14999">ACE-27</a>) is a 27-item comorbidity index for <a href="/#/9815/dataClass/12163">PATIENTS</a> with cancer.  It Identifies the important medical comorbidities and grade severity using the index.</p>

Adult Comorbidity Evaluation - 27

<p>The <a href="/#/9817/dataClass/15000">Adult_Improving_Access_to_Psychological_Therapies_Programme</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/15000">Adult_Improving_Access_to_Psychological_Therapies_Programme</a> supports the frontline NHS in implementing <a href="/#/9817/dataClass/15513">National_Institute_for_Health_and_Care_Excellence</a> (<a href="/#/9817/dataClass/15513">NICE</a>) guidelines for people suffering from depression and anxiety disorders.</p><p>For further information on the <a href="/#/9817/dataClass/15000">Adult_Improving_Access_to_Psychological_Therapies_Programme</a>, see the <a href="/#/9817/dataClass/15500">NHS_England_and_NHS Improvement</a> website at: <a href="https://www.england.nhs.uk/mental-health/adults/iapt/" target="_blank">Adult Improving Access to Psychological Therapies programme</a>.</p>

Adult Improving Access to Psychological Therapies Programme

<p>An <a href="/#/9817/dataClass/15001">Adult_Mental_Health_Care_Cluster</a> is a type of <a href="/#/9815/dataClass/12080">CARE_CLUSTER</a> for adult <a href="/#/9815/dataClass/12163">PATIENTS</a>.</p><p>An <a href="/#/9817/dataClass/15001">Adult_Mental_Health_Care_Cluster</a> is part of a currency developed to support the <a href="null">null</a> for <a href="/#/9817/dataClass/15458">Mental Health Services</a>.</p><p><a href="/#/9817/dataClass/15001">Adult Mental Health Care Clusters</a> are 21 groupings of Mental Health <a href="/#/9815/dataClass/12163">PATIENTS</a> based on their characteristics, and are a way of classifying individuals utilising <a href="/#/9817/dataClass/15458">Mental Health Services</a> that forms the basis for payment.</p><p>An <a href="/#/9817/dataClass/15001">Adult_Mental_Health_Care_Cluster</a> is assigned using a decision tree or algorithm based on the <a href="/#/9815/dataElement/11306">PERSON_SCORE</a> from the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> undertaken by a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a> for the <a href="/#/9815/dataClass/12163">PATIENT</a>.</p><p>This is done by first assigning the <a href="/#/9815/dataClass/12163">PATIENT</a> to one of three <a href="null">null</a>, to narrow down the number of possible <a href="/#/9817/dataClass/15001">Adult Mental Health Care Clusters</a> which are applicable to the <a href="/#/9815/dataClass/12163">PATIENTS</a> condition. The <a href="/#/9815/dataClass/12163">PATIENT</a> is then assigned to the most appropriate of this sub-set of <a href="/#/9817/dataClass/15001">Adult Mental Health Care Clusters</a>.</p><p>Further information relating to the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> and <a href="/#/9817/dataClass/15001">Adult Mental Health Care Clusters</a> is available from the <a href="/#/9817/dataClass/15500">NHS_England_and_NHS Improvement</a> website at: <a href="https://www.england.nhs.uk/resources/pay-syst/" target="_blank">NHS payment system</a>.</p>

Adult Mental Health Care Cluster

<p>The <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> is a type of <a href="/#/9817/dataClass/15157">Clustering_Tool</a> for adult <a href="/#/9815/dataClass/12163">PATIENTS</a> receiving Mental Health care.</p><p>The <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> is a needs assessment tool designed to rate the care needs of a <a href="/#/9815/dataClass/12163">PATIENT</a>, based upon a series of 18 rating scales.</p><p>The first 12 of these rating scales are the same as the <a href="/#/9817/dataClass/15339">Health_of_the_Nation_Outcome_Scale_(Working_Age_Adults)</a> rating scales, originally developed by the <a href="/#/9817/dataClass/15707">Royal_College_of_Psychiatrists</a>. These 12 rating scales are numbered 1 - 12 under 'Current Ratings' in the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a>.</p><p>One additional 'current' rating and a new section relating to historical ratings have also been added, to form the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a>. These items are referred to as the Summary Assessment of Characteristics (SAC) items.</p><p><strong>Part 1: Current Ratings</strong></p><p>These ratings relate to the most severe occurrence in the two weeks prior to the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> <a href="/#/9816/dataElement/12364">ASSESSMENT_TOOL_COMPLETION_DATE</a>.</p><ul><li><div>1. Overactive, aggressive, disruptive or agitated behaviour (current)</div></li><li><div>2. Non-accidental self injury (current)</div></li><li><div>3. Problem drinking or drug taking (current)</div></li><li><div>4. Cognitive problems (current)</div></li><li><div>5. Physical illness or disability problems (current)</div></li><li><div>6. Problems associated with hallucinations and delusions (current)</div></li><li><div>7. Problems with depressed mood (current)</div></li><li><div>8. Other mental and behavioural problems (current), qualified by specific disorders: and the alphabetical list of headings from the glossary:</div><ul><li><div>A. Phobic</div></li><li><div>B. Anxiety</div></li><li><div>C. Obsessive-compulsive</div></li><li><div>D. Mental strain/tension</div></li><li><div>E. Dissociative</div></li><li><div>F. Somatoform</div></li><li><div>G. Eating</div></li><li><div>H. Sleep</div></li><li><div>I. Sexual</div></li><li><div>J. Other</div></li></ul></li><li><div>9. Problems with relationships (current)</div></li><li><div>10. Problems with activities of daily living (current)</div></li><li><div>11. Problems with living conditions (current)</div></li><li><div>12. Problems with occupation and activities (current)</div></li><li><div>13. Strong unreasonable beliefs that are <u>not</u> psychotic in origin (current)</div></li></ul><p><strong>Part 2: Historical Ratings</strong></p><p>These ratings relate to problems that occur in an episodic or unpredictable way, from a more 'historical' perspective. Whilst there may not be any direct observation or report of a manifestation during the two weeks prior to the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> <a href="/#/9816/dataElement/12364">ASSESSMENT_TOOL_COMPLETION_DATE</a>, the evidence and clinical judgement would suggest that there is still a cause for concern that cannot be disregarded. In these circumstances, any event that remains relevant to the current <a href="/#/9815/dataClass/12083">CARE_PLAN</a> should be included.</p><ul><li><div>A. Agitated behaviour / expansive mood (historical)</div></li><li><div>B. Repeat self-harm (historical)</div></li><li><div>C. Safeguarding other children and vulnerable adults (historical)</div></li><li><div>D. Engagement (historical)</div></li><li><div>E. Vulnerability (historical)</div></li></ul><p>The allowed responses to each of the 18 items in the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> are:</p><ul><li><div>0 - No problem</div></li><li><div>1 - Minor problem requiring no action</div></li><li><div>2 - Mild problem but definitely present</div></li><li><div>3 - Moderately severe problem</div></li><li><div>4 - Severe to very severe problem</div></li><li><div>9 - Not known</div></li></ul><p>The <a href="/#/9815/dataElement/11306">PERSON_SCORE</a> from the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> is used to allocate the <a href="/#/9815/dataClass/12163">PATIENT</a> to the most appropriate <a href="/#/9817/dataClass/15001">Adult_Mental_Health_Care_Cluster</a>.</p><p>Further information relating to the <a href="/#/9817/dataClass/15002">Adult_Mental_Health_Clustering_Tool</a> and <a href="/#/9817/dataClass/15001">Adult Mental Health Care Clusters</a> is available from the <a href="/#/9817/dataClass/15500">NHS_England_and_NHS Improvement</a> website at: <a href="https://www.england.nhs.uk/resources/pay-syst/" target="_blank">NHS payment system</a>.</p>

Adult Mental Health Clustering Tool

<p><a href="/#/9817/dataClass/15003">Adult_Nursing</a>, as described by the <a href="/#/9817/dataClass/15543">Nursing_and_Midwifery_Council</a>, requires the care of adults, from 18 year olds to elder people, in a variety of settings for <a href="/#/9815/dataClass/12163">PATIENTS</a> with wide ranging levels of dependency.</p><p><a href="/#/9817/dataClass/15003">General Nursing</a> is another term used to describe <a href="/#/9817/dataClass/15003">Adult_Nursing</a>.</p><p>The ethos of <a href="/#/9817/dataClass/15003">Adult_Nursing</a> is <a href="/#/9815/dataClass/12163">PATIENT</a> centred and acknowledges the differing needs, values and beliefs of people from ethnically diverse communities. <a href="/#/9815/dataClass/12152">NURSES</a> engage in and develop therapeutic relationships that involve <a href="/#/9815/dataClass/12163">PATIENTS</a> and their carers in on-going decision-making that informs nursing care.</p><p>Adult nurses have skills to meet the physical, psychological, spiritual and social needs of <a href="/#/9815/dataClass/12163">PATIENTS</a>, supporting them through care pathways and working with other health and social care professionals to maximise opportunities for recovery, rehabilitation, adaptation to ongoing disease and disability, health education and health promotion.</p>

Adult Nursing

<p>A <a href="/#/9817/dataClass/15004">Allied_Health_Professional_Referral_To_Treatment_Measurement</a> is a <a href="/#/9815/dataClass/12209">REFERRAL_TO_TREATMENT_PERIOD</a>.</p><p>In 2008, the <a href="/#/9817/dataClass/15208">Department_of_Health_and_Social_Care</a> published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the <a href="/#/9815/dataClass/12217">SERVICES</a> which <a href="/#/9815/dataClass/12069">ALLIED HEALTH PROFESSIONALS</a> in <a href="/#/9817/dataClass/15477">NHS Allied Health Professional Services (Referral To Treatment Measurement)</a> provide:</p><ul><li><div>To mandate the collection of Referral To Treatment information for <a href="/#/9815/dataClass/12069">ALLIED HEALTH PROFESSIONALS</a> and support <a href="/#/9815/dataClass/12217">SERVICE</a> redesign to improve <a href="/#/9815/dataClass/12217">SERVICES</a> for <a href="/#/9815/dataClass/12163">PATIENTS</a></div></li><li><div>To promote the benefits of self-referral to Physiotherapy <a href="/#/9815/dataClass/12217">SERVICES</a></div></li><li><div>To improve the quality of <a href="/#/9815/dataClass/12217">SERVICES</a> delivered</div></li></ul><p>The <a href="/#/9817/dataClass/15208">Department_of_Health_and_Social_Care</a> introduced voluntary collection of <a href="/#/9815/dataClass/12069">ALLIED_HEALTH_PROFESSIONAL</a> <a href="/#/9815/dataClass/12209">REFERRAL_TO_TREATMENT_PERIOD</a> waiting time information from April 2010, and mandatory collection from April 2011.  The <a href="http://www.datadictionary.nhs.uk/data_dictionary/messages/clinical_data_sets/data_sets/community_services_data_set.asp">Community_Services_Data_Set</a> and the <a href="http://www.datadictionary.nhs.uk/web_site_content/navigation/commissioning_data_sets_menu.asp">Commissioning Data Sets</a> (version 6-2 onwards) include the facility to report the <a href="/#/9815/dataClass/12069">ALLIED_HEALTH_PROFESSIONAL</a> <a href="/#/9815/dataClass/12209">REFERRAL_TO_TREATMENT_PERIOD</a> waiting time data elements which are used for waiting time measurement.</p><p>The <a href="/#/9815/dataClass/12069">ALLIED HEALTH PROFESSIONALS</a> mandated to collect and flow Referral To Treatment data are:</p><ul><li><div>Art Therapists, Music Therapists and Dramatherapists (<a href="/#/9817/dataClass/15027">Arts Therapists</a>)</div></li><li><div><a href="/#/9817/dataClass/15133">Chiropodists</a>/<a href="/#/9817/dataClass/15133">Podiatrist</a>s</div></li><li><a href="/#/9817/dataClass/15213">Dietitians</a></li><li><a href="/#/9817/dataClass/15551">Occupational Therapists</a></li><li><a href="/#/9817/dataClass/15564">Orthoptists</a></li><li><a href="/#/9817/dataClass/15617">Physiotherapists</a></li><li><a href="/#/9817/dataClass/15646">Prosthetists</a> and <a href="/#/9817/dataClass/15565">Orthotists</a></li><li><a href="/#/9817/dataClass/15652">Radiographers</a> (Diagnostic and Therapeutic)</li><li><a href="/#/9817/dataClass/15766">Speech and Language Therapists</a></li></ul><p>There is no maximum waiting time target attached to an <a href="/#/9815/dataClass/12069">ALLIED_HEALTH_PROFESSIONAL</a> <a href="/#/9815/dataClass/12209">REFERRAL_TO_TREATMENT_PERIOD</a>, so no adjustments can be applied to the calculated waiting time between the <a href="/#/9815/dataElement/11579">REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and the <a href="/#/9815/dataElement/11577">REFERRAL_TO_TREATMENT_PERIOD_END_DATE</a>.  However, locally the <a href="/#/9816/dataElement/13203">EARLIEST_CLINICALLY_APPROPRIATE_DATE</a> and the <a href="/#/9816/dataElement/13204">EARLIEST_REASONABLE_OFFER_DATE</a> can be used by <a href="/#/9817/dataClass/15332">Health Care Providers</a> and their Commissioners to analyse unexpectedly long waits for <a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a>.</p><p><a href="/#/9815/dataClass/12069">ALLIED HEALTH PROFESSIONALS</a> working as part of a <a href="/#/9817/dataClass/15176">Consultant_Led_Service</a> in secondary care are excluded.</p><p>Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found on the <a href="/#/9817/dataClass/15208">Department_of_Health_and_Social_Care</a> at: <a href="http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_114871" target="_blank">Allied Health Professional (AHP) Referral to Treatment (RTT) guide</a>.</p>

Allied Health Professional Referral To Treatment Measurement

<p>The <a href="/#/9817/dataClass/15005">Allred_Score</a> is a <a href="/#/9815/dataClass/12188">PERSON_SCORE</a>.</p><p>The <a href="/#/9817/dataClass/15005">Allred_Score</a> is used for <a href="/#/9815/dataClass/12163">PATIENTS</a> with breast cancer during a <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a>.</p><p>There are two types of <a href="/#/9817/dataClass/15005">Allred_Score</a>:</p><ol><li><div>Estrogen Receptor (ER)</div></li><li><div>Progesterone Receptor (PR).</div></li></ol>

Allred Score

<p>An <a href="/#/9817/dataClass/15006">Ambulance</a> is an <a href="/#/9815/dataClass/12070">AMBULANCE_VEHICLE</a>.</p><p>An <a href="/#/9817/dataClass/15006">Ambulance</a> is a vehicle used to treat and/or transport <a href="/#/9815/dataClass/12163">PATIENTS</a>.</p><p>Types of <a href="/#/9817/dataClass/15006">Ambulance</a> are:</p><ul><li><div><a href="/#/9817/dataClass/15237">Emergency_Ambulance</a></div></li><li><div><a href="/#/9817/dataClass/15529">Non-Emergency_Ambulance</a></div></li><li><div><a href="/#/9817/dataClass/15601">Patient_Transport_Service_Ambulance</a>.</div></li></ul>

Ambulance

<p>An <a href="/#/9817/dataClass/15007">Ambulance_Call</a> is a <a href="/#/9815/dataClass/12221">SERVICE_REQUEST</a>.</p><p>An <a href="/#/9817/dataClass/15007">Ambulance_Call</a> is a call received into the <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a>.</p><p>This could be a direct 999 call or a call transferred from another <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>Every call received into the <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a> is given a unique <a href="/#/9815/dataElement/9906">AMBULANCE_CALL_IDENTIFIER</a>.</p><p>An <a href="/#/9815/dataClass/12070">AMBULANCE_VEHICLE</a> may be dispatched to provide treatment to the <a href="/#/9815/dataClass/12163">PATIENT</a> face to face, with onward transport to a hospital or other destination if required. Alternatively, the <a href="/#/9815/dataClass/12163">PATIENT</a> may be given advice via telephone or video consultation and not require an <a href="/#/9815/dataClass/12070">AMBULANCE_VEHICLE</a> response.</p><p>For further information on <a href="/#/9817/dataClass/15007">Ambulance Calls</a>, see the <a href="/#/9817/dataClass/15500">NHS_England_and_NHS Improvement</a> website at: <a href="https://www.england.nhs.uk/urgent-emergency-care/improving-ambulance-services/arp/" target="_blank">Ambulance Response Programme</a>.</p>

Ambulance Call

<p>An <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a> is a <a href="/#/9815/dataClass/12217">SERVICE</a>.</p><p>An <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a> is provided by an <a href="/#/9817/dataClass/15011">Ambulance_Service</a>.</p><p>An <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a>, also known as an <a href="/#/9817/dataClass/15008">Emergency Operations Centre (EOC)</a>, is provided by an <a href="/#/9817/dataClass/15011">Ambulance_Service</a> and is where 999 calls and calls from <a href="/#/9815/dataClass/12084">CARE PROFESSIONALS</a> are received and triaged.</p><p>A call can be a direct 999 call or a call transferred from another <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p><a href="/#/9815/dataClass/12070">AMBULANCE VEHICLES</a> are dispatched from the <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a> to respond to <a href="/#/9815/dataClass/12163">PATIENTS</a>.</p><p>For further information on the <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a> and its functions, see the <a href="/#/9817/dataClass/15030">Association_of_Ambulance_Chief_Executives</a> website at: <a href="https://aace.org.uk" target="_target">AACE</a>.</p>

Ambulance Control Room

<p>An <a href="/#/9817/dataClass/15009">Ambulance_Incident</a> is a <a href="/#/9815/dataClass/12081">CARE_CONTACT</a>.</p><p>An <a href="/#/9817/dataClass/15009">Ambulance_Incident</a> is a call to the <a href="/#/9817/dataClass/15008">Ambulance_Control_Room</a> that, following initial triage, requires a face to face response from the <a href="/#/9817/dataClass/15011">Ambulance_Service</a> or can be resolved with telephone advice and any appropriate actions agreed with the <a href="/#/9815/dataClass/12163">PATIENT</a>.</p><p>For further information on <a href="/#/9817/dataClass/15009">Ambulance Incidents</a>, see the <a href="/#/9817/dataClass/15500">NHS_England_and_NHS Improvement</a> website at: <a href="https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/" target="_blank">Ambulance Quality Indicators</a>.</p>

Ambulance Incident

<p>An <a href="/#/9817/dataClass/15010">Ambulance_Incident_Date_And_Time</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/9817/dataClass/15010">Ambulance_Incident_Date_And_Time</a> is the date and time of the <a href="/#/9817/dataClass/15009">Ambulance_Incident</a>.</p>

Ambulance Incident Date And Time

<p>An <a href="/#/9817/dataClass/15011">Ambulance_Service</a> is a <a href="/#/9815/dataClass/12217">SERVICE</a>.</p><p>An <a href="/#/9817/dataClass/15011">Ambulance_Service</a> is the <a href="/#/9817/dataClass/15507">NHS_Trust</a> or <a href="/#/9817/dataClass/15501">NHS_Foundation_Trust</a> that provides <a href="/#/9817/dataClass/15238">Emergency Ambulance Services</a> for a specific <a href="/#/9815/dataClass/12133">GEOGRAPHIC_AREA</a>.</p><p><a href="/#/9817/dataClass/15011">Ambulance Services</a> may also deliver <a href="/#/9817/dataClass/15600">Patient Transport Services</a> for scheduled journeys and the <a href="/#/9817/dataClass/15476">NHS_111_Service</a> for non-emergency health advice.</p><p>For further information of <a href="/#/9817/dataClass/15011">Ambulance Services</a>, see the <a href="/#/9817/dataClass/15030">Association_of_Ambulance_Chief_Executives</a> website at: <a href="https://aace.org.uk/uk-ambulance-service/" target="_blank">Structure of the UK Ambulance Services</a>.</p>

Ambulance Service

<p>The <a href="/#/9817/dataClass/15012">American_Joint_Committee_on_Cancer</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/15012">American_Joint_Committee_on_Cancer</a> (<a href="/#/9817/dataClass/15012">AJCC</a>) defines and publishes <a href="/#/9815/dataClass/12078">CANCER_STAGING</a> systems, such as the <a href="/#/9817/dataClass/15782">TNM_Staging_System</a>.</p><p>For further information on the <a href="/#/9817/dataClass/15012">American_Joint_Committee_on_Cancer</a>, see the <a href="https://cancerstaging.org/About/what-is-the-ajcc/Pages/whatisajcc.aspx" target="_blank">American Joint Committee on Cancer website</a>.</p>

American Joint Committee on Cancer

<p>The <a href="/#/9817/dataClass/15013">American_Society_of_Anesthesiologists</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/15013">American_Society_of_Anesthesiologists</a> (<a href="/#/9817/dataClass/15013">ASA</a>) is an educational, research and scientific association of physicians organised to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the <a href="/#/9815/dataClass/12163">PATIENT</a>.</p><p>For further information on the <a href="/#/9817/dataClass/15013">American_Society_of_Anesthesiologists</a>, see the <a href="/#/9817/dataClass/15013">American_Society_of_Anesthesiologists</a> website at: <a href="http://www.asahq.org/about-asa" target="_blank">About ASA</a>.</p>

American Society of Anesthesiologists

<p>An <a href="/#/9817/dataClass/15014">Anaesthetist</a> is a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a>.</p><p><a href="/#/9817/dataClass/15014">Anaesthetists</a> form the largest single hospital medical specialty and their skills are used in all aspects of <a href="/#/9815/dataClass/12163">PATIENT</a> care, including:</p><ul><li><div>The preoperative preparation of surgical <a href="/#/9815/dataClass/12163">PATIENTS</a></div></li><li><div>The resuscitation and stabilisation of <a href="/#/9815/dataClass/12163">PATIENTS</a> in the <a href="/#/9817/dataClass/15246">Emergency_Care_Department</a></div></li><li><div>Pain relief in <a href="/#/9817/dataClass/15410">Labour</a> and obstetric anaesthesia</div></li><li><div>Intensive care medicine</div></li><li><div>Transport of acutely ill and injured <a href="/#/9815/dataClass/12163">PATIENTS</a></div></li><li><div>Pre-hospital emergency care</div></li><li><div>Pain medicine including:</div><ul><li><div>The relief of post-operative pain</div></li><li><div>Acute pain medicine and the management of acute teams</div></li><li><div>Chronic and cancer pain management</div></li></ul></li><li><div>The provision of sedation and anaesthesia for <a href="/#/9815/dataClass/12163">PATIENTS</a> undergoing various procedures outside the operating theatre. Examples of this include different <a href="/#/9817/dataClass/15259">Endoscopies</a>, interventional radiology and dental surgery.</div></li></ul><p>For further information on <a href="/#/9817/dataClass/15014">Anaesthetists</a>, see the <a href="/#/9817/dataClass/15702">Royal_College_of_Anaesthetists</a> website at: <a href="https://www.rcoa.ac.uk/considering-career-anaesthesia/what-do-anaesthetists-do" target="_blank">What do Anaesthetists do?</a>.</p>

Anaesthetist

<p>An <a href="/#/9817/dataClass/15015">Anatomical_Site</a> is a <a href="/#/9815/dataClass/12186">PERSON_PROPERTY_QUALIFIER</a>.</p><p>An <a href="/#/9817/dataClass/15015">Anatomical_Site</a> is a structure of the human body.</p><p>The coding frame used is the <a href="http://www.datadictionary.nhs.uk/web_site_content/supporting_information/clinical_coding/opcs_classification_of_interventions_and_procedures.asp">OPCS_Classification_of_Interventions_and_Procedures</a> (<a href="http://www.datadictionary.nhs.uk/web_site_content/supporting_information/clinical_coding/opcs_classification_of_interventions_and_procedures.asp">OPCS-4</a>) 'Z' coding.</p>

Anatomical Site

<p>The <a href="/#/9817/dataClass/15016">Ann_Arbor_Staging_System</a> is a system for <a href="/#/9815/dataClass/12078">CANCER_STAGING</a>.</p><p>The <a href="/#/9817/dataClass/15016">Ann_Arbor_Staging_System</a> is the staging system for lymphomas, both in Hodgkin Lymphoma and Non-Hodgkin lymphoma (NHL).</p><p>The <a href="/#/9817/dataClass/15016">Ann_Arbor_Staging_System</a> has generally the same function as the <a href="/#/9817/dataClass/15782">TNM_Staging_System</a> in solid <a href="/#/9817/dataClass/15792">Tumours</a>.</p><p>For further information on <a href="/#/9815/dataClass/12078">CANCER STAGINGS</a>, see the <a href="https://wiki.nci.nih.gov/display/CRF2/Staging+and+Extent+of+Disease" target="_blank">National Cancer Institute website</a>.</p>

Ann Arbor Staging System

<p><a href="/#/9817/dataClass/15017">Antenatal</a> is an <a href="/#/9815/dataClass/12058">ACTIVITY_GROUP</a>.</p><p><a href="/#/9817/dataClass/15017">Antenatal</a> is the period of time from conception to before birth.</p>

Antenatal

<p>An <a href="/#/9817/dataClass/15018">Antenatal_Booking_Appointment</a> is a <a href="/#/9815/dataClass/12081">CARE_CONTACT</a>.</p><p>An <a href="/#/9817/dataClass/15018">Antenatal_Booking_Appointment</a> is the <a href="/#/9815/dataClass/12072">APPOINTMENT</a> where the woman enters the maternity care pathway, characterised by information giving and detailed history-taking to help the woman choose the most appropriate <a href="/#/9817/dataClass/15017">Antenatal</a> care pathway.</p><p>An <a href="/#/9817/dataClass/15018">Antenatal_Booking_Appointment</a> also includes measurement of <a href="/#/9817/dataClass/15346">Height</a>, <a href="/#/9817/dataClass/15817">Weight</a>, <a href="/#/9817/dataClass/15047">Blood_Pressure</a> and blood tests for determining blood group and haemoglobin level.</p><p>Blood and urine samples for screening may also be taken at <a href="/#/9817/dataClass/15018">Antenatal_Booking_Appointment</a> after the woman has been well informed and has given her consent.</p><p>The <a href="/#/9817/dataClass/15018">Antenatal_Booking_Appointment</a> follows the first contact with a health professional.</p><p>This is in accordance with the <a href="/#/9817/dataClass/15513">National_Institute_for_Health_and_Care_Excellence</a> guidance <em>'CG62 Antenatal Care'</em>.</p><p>For further information, see the <a href="/#/9817/dataClass/15513">National_Institute_for_Health_and_Care_Excellence</a> website at: <a href="https://www.nice.org.uk/guidance/CG62" target="_blank">Antenatal care for uncomplicated pregnancies</a>.</p>

Antenatal Booking Appointment

<p>An <a href="/#/9817/dataClass/15019">Antenatal_Care_Plan</a> is a <a href="/#/9815/dataClass/12083">CARE_PLAN</a>.</p><p>An <a href="/#/9817/dataClass/15019">Antenatal_Care_Plan</a> is a <a href="/#/9815/dataClass/12083">CARE_PLAN</a> developed within a <a href="/#/9817/dataClass/15440">Maternity_Episode</a> for the delivery of <a href="/#/9817/dataClass/15017">Antenatal</a> care.</p><p>An <a href="/#/9817/dataClass/15019">Antenatal_Care_Plan</a> should include details of medical history, the <a href="/#/9815/dataClass/12084">CARE PROFESSIONALS</a> to be involved and their <a href="/#/9815/dataClass/12086">CARE PROFESSIONAL ROLES</a>, information about the delivery of each <a href="/#/9815/dataClass/12081">CARE_CONTACT</a>, information on <a href="/#/9817/dataClass/15017">Antenatal</a> <a href="/#/9817/dataClass/15150">Clinical Investigations</a> and activities.</p>

Antenatal Care Plan

<p>An <a href="/#/9817/dataClass/15020">Anti-Cancer_Drug_Cycle</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p>An <a href="/#/9817/dataClass/15020">Anti-Cancer_Drug_Cycle</a> is the period of time during which anti-cancer drugs are administered to a <a href="/#/9815/dataClass/12163">PATIENT</a> in an agreed pattern.</p><p>A new <a href="/#/9817/dataClass/15020">Anti-Cancer_Drug_Cycle</a> commences when the original pattern starts again.</p>

Anti-Cancer Drug Cycle

<p>An <a href="/#/9817/dataClass/15021">Anti-Cancer_Drug_Regimen</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p>An <a href="/#/9817/dataClass/15021">Anti-Cancer_Drug_Regimen</a> is a prescribed systematic form of treatment for a course of drug(s), comprising one or more <a href="/#/9817/dataClass/15020">Anti-Cancer Drug Cycles</a>, provided to a <a href="/#/9815/dataClass/12163">PATIENT</a> suffering from cancer.</p><p>These can include:</p><ul><li><div><a href="/#/9817/dataClass/15122">Chemotherapy</a></div></li><li><div><a href="/#/9817/dataClass/15189">Cytotoxic_Chemotherapy</a></div></li><li><div><a href="/#/9817/dataClass/15358">Hormone_Therapy</a></div></li><li><div><a href="/#/9817/dataClass/15372">Immunotherapy</a></div></li><li><div><a href="/#/9817/dataClass/15776">Systemic_Anti-Cancer_Therapy</a> etc</div></li></ul>

Anti-Cancer Drug Regimen

<p><a href="/#/9817/dataClass/15022">Antiretroviral_Therapy</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/9817/dataClass/15022">Antiretroviral_Therapy</a> (<a href="/#/9817/dataClass/15022">ART</a>) is the treatment of people infected with human immunodeficiency virus (HIV) using antiretroviral drugs.</p><p>For further information on <a href="/#/9817/dataClass/15022">Antiretroviral_Therapy</a>, see the <a href="/#/9817/dataClass/15820">World_Health_Organisation</a> website at: <a href="https://www.who.int/hiv/pub/arv/chapter4.pdf" target="_blank">Clinical Guidelines: Antiretroviral Therapy</a>.</p>

Antiretroviral Therapy

<p>An <a href="/#/9817/dataClass/15023">Apgar_Score</a> is a <a href="/#/9815/dataClass/12188">PERSON_SCORE</a>.</p><p>An <a href="/#/9817/dataClass/15023">Apgar_Score</a> test is a simple and repeatable method to quickly and summarily assess the health of newborn babies immediately after birth.  The <a href="/#/9817/dataClass/15023">Apgar_Score</a> is determined by evaluating the newborn baby on five criteria (Appearance, Pulse, Grimace, Activity and Respiration) on a scale from zero to two, then summing up the values obtained.  The resulting <a href="/#/9817/dataClass/15023">Apgar_Score</a> ranges from zero to ten.</p>

Apgar Score

<p>An <a href="/#/9817/dataClass/15024">Appointment_Request</a> is a type of <a href="/#/9815/dataClass/12221">SERVICE_REQUEST</a> for an <a href="/#/9815/dataClass/12072">APPOINTMENT</a>.</p><p>Each originating request may result in one or more <a href="/#/9815/dataClass/12073">APPOINTMENT OFFERS</a>.</p><p>The originating request may be from:</p><ul><li><div>a <a href="/#/9815/dataClass/12163">PATIENT</a> self-referral <a href="/#/9815/dataClass/12208">REFERRAL_REQUEST</a></div></li><li><div>a <a href="/#/9815/dataClass/12208">REFERRAL_REQUEST</a> from one <a href="/#/9815/dataClass/12157">ORGANISATION</a> or <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a> to another <a href="/#/9815/dataClass/12157">ORGANISATION</a> or <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a></div></li><li><div>follow up to a previous <a href="/#/9815/dataClass/12072">APPOINTMENT</a> at which attendance or contact has taken place related to the same <a href="/#/9815/dataClass/12208">REFERRAL_REQUEST</a></div></li><li><div>an <a href="/#/9815/dataClass/12072">APPOINTMENT</a> at which attendance did not take place for whatever reason, requiring a new <a href="/#/9815/dataClass/12072">APPOINTMENT</a> to be made</div></li><li><div>an invitation for an <a href="/#/9815/dataClass/12072">APPOINTMENT</a> as part of a <a href="/#/9815/dataClass/12134">HEALTH_PROGRAMME</a></div></li><li><div>an <a href="/#/9815/dataClass/12054">ACTIVITY</a> which requires an <a href="/#/9815/dataClass/12072">APPOINTMENT</a> to be made for further care or treatment.</div></li></ul><p>Each <a href="/#/9817/dataClass/15024">Appointment_Request</a> should be reviewed by the receiving <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a>, <a href="/#/9815/dataClass/12157">ORGANISATION</a> or <a href="/#/9815/dataClass/12217">SERVICE</a> to decide whether an offer of an <a href="/#/9815/dataClass/12072">APPOINTMENT</a> should be made.</p><p>It is on this date it is considered that the <a href="/#/9815/dataClass/12163">PATIENT</a> has been added to the <a href="/#/9817/dataClass/15575">Out-Patient_Waiting_List</a> for the <a href="/#/9815/dataClass/12072">APPOINTMENT</a> with the expectation that it will take place.</p><p>When it is decided that an offer of an <a href="/#/9815/dataClass/12072">APPOINTMENT</a> should be made then one or more <a href="/#/9815/dataClass/12073">APPOINTMENT_OFFER</a> should be offered each of which will record a separate and different <a href="/#/9815/dataElement/9959">APPOINTMENT_DATE_OFFERED</a> and <a href="/#/9815/dataElement/9967">APPOINTMENT_TIME_OFFERED</a> to the <a href="/#/9815/dataClass/12163">PATIENT</a>.</p><p>The <a href="/#/9815/dataElement/9959">APPOINTMENT_DATE_OFFERED</a> and <a href="/#/9815/dataElement/9967">APPOINTMENT_TIME_OFFERED</a> of the <a href="/#/9815/dataClass/12073">APPOINTMENT_OFFER</a> equate to the allocated <a href="/#/9815/dataClass/12074">APPOINTMENT_SLOT</a>.</p><p>When more than one date is offered for the same <a href="/#/9817/dataClass/15024">Appointment_Request</a>, the <a href="/#/9815/dataClass/12163">PATIENT</a> can choose which date and time to accept. <a href="/#/9815/dataElement/9954">APPOINTMENT_ACCEPTED_DATE</a> records the date that the offer is accepted. When multiple dates are offered, the <a href="/#/9815/dataClass/12163">PATIENT</a> should only be allowed to select one of them.</p><p>This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.</p>

Appointment Request

<p>An <a href="/#/9817/dataClass/15025">Appraisal_Review</a> is a review of an <a href="/#/9815/dataClass/12121">EMPLOYEE_PLAN</a>.</p><p>An <a href="/#/9817/dataClass/15025">Appraisal_Review</a> or performance review of personal development of an <a href="/#/9815/dataClass/12120">EMPLOYEE</a> as agreed with their employing <a href="/#/9815/dataClass/12157">ORGANISATION</a>. This will normally be based upon the setting of, or review of an <a href="/#/9815/dataClass/12121">EMPLOYEE_PLAN</a>.</p><p>An <a href="/#/9815/dataClass/12120">EMPLOYEE</a> may have one or more written <a href="/#/9815/dataClass/12121">EMPLOYEE_PLAN</a> each of which should be reviewed at least annually, but may be reviewed more frequently.  Each review should be recorded by an <a href="/#/9817/dataClass/15025">Appraisal_Review</a>.</p>

Appraisal Review

<p>An <a href="/#/9817/dataClass/15026">Approved_Mental_Health_Professional</a> is a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a>.</p><p>An <a href="/#/9817/dataClass/15026">Approved_Mental_Health_Professional</a> is a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a> approved by Local Social Services Authorities as trained to deal with <a href="/#/9815/dataClass/12172">PERSONS</a> suffering from a mental disorder.</p><p>The <a href="/#/9817/dataClass/15026">Approved_Mental_Health_Professional</a> is responsible for co-ordinating the preliminary examination process and for providing a non-medical view when considering, with her/his colleagues, whether a <a href="/#/9815/dataClass/12163">PATIENT</a> meets the conditions for treatment under the Mental Health Act 1983 as amended by the Mental Health Act 2007. Other duties include: registering <a href="/#/9815/dataClass/12163">PATIENTS</a>, taking <a href="/#/9815/dataClass/12163">PATIENTS</a> to hospital and taking <a href="/#/9815/dataClass/12163">PATIENTS</a> who abscond or who are <a href="/#/9817/dataClass/15444">Absent Without Leave</a> into custody.</p>

Approved Mental Health Professional

<p>An <a href="/#/9817/dataClass/15027">Arts_Therapist</a> is a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a> who is registered with the <a href="/#/9817/dataClass/15337">Health_and_Care_Professions_Council</a>.</p><p><a href="/#/9817/dataClass/15027">Arts Therapists</a> include art therapists, music therapists and dramatherapists. They encourage people to express their feelings and emotions through art, such as painting and drawing, music or drama.</p>

Arts Therapist

<p>An <a href="/#/9817/dataClass/15028">Assessment_Date_For_Transplant_Suitability</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/9817/dataClass/15028">Assessment_Date_For_Transplant_Suitability</a> is the date of an attendance or contact, where the <a href="/#/9815/dataClass/12163">PATIENT</a> was assessed for the suitability for a transplant.</p>

Assessment Date For Transplant Suitability

<p>An <a href="/#/9817/dataClass/15029">Assessment_Tool_Validation_Timestamp</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a> and time zone.</p><p>The <a href="/#/9817/dataClass/15029">Assessment_Tool_Validation_Timestamp</a> is the date, time and time zone that the <a href="/#/9816/dataElement/12712">CODED_ASSESSMENT_TOOL_TYPE_(SNOMED_CT)</a> was validated by the <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a>.</p>

Assessment Tool Validation Timestamp

<p>The <a href="/#/9817/dataClass/15030">Association_of_Ambulance_Chief_Executives</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/15030">Association_of_Ambulance_Chief_Executives</a> (<a href="/#/9817/dataClass/15030">AACE</a>) works with UK <a href="/#/9817/dataClass/15011">Ambulance Services</a> to support, coordinate and implement nationally agreed policy.</p><p>For further information on the <a href="/#/9817/dataClass/15030">Association_of_Ambulance_Chief_Executives</a>, see the <a href="/#/9817/dataClass/15030">Association_of_Ambulance_Chief_Executives</a> website at: <a href="https://aace.org.uk/about-aace/" target="_target">About AACE</a>.</p>

Association of Ambulance Chief Executives

<p>The <a href="/#/9817/dataClass/15031">Association_of_Early_Pregnancy_Units</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The aim of the <a href="/#/9817/dataClass/15031">Association_of_Early_Pregnancy_Units</a> (<a href="/#/9817/dataClass/15031">AEPU</a>) is to provide support and resources to help <a href="/#/9815/dataClass/12163">PATIENT</a> choice and maintain standards in <a href="/#/9817/dataClass/15229">Early Pregnancy Units</a>.</p><p>For further information on the <a href="/#/9817/dataClass/15031">Association_of_Early_Pregnancy_Units</a>, see the <a href="/#/9817/dataClass/15031">Association_of_Early_Pregnancy_Units</a> website at: <a href="https://www.aepu.org.uk/" target="_target">Early Pregnancy Information Centre</a>.</p>

Association of Early Pregnancy Units

<p><a href="/#/9817/dataClass/15032">Autism</a> is a <a href="/#/9815/dataClass/12111">DISABILITY</a>.</p><p><a href="/#/9817/dataClass/15032">Autism</a> is defined as a lifelong condition that affects how a <a href="/#/9815/dataClass/12172">PERSON</a> communicates with, and relates to, other people. <a href="/#/9817/dataClass/15032">Autism</a> also affects how a <a href="/#/9815/dataClass/12172">PERSON</a> makes sense of the world around them.</p><p>The three main areas of difficulty, which all people with <a href="/#/9817/dataClass/15032">Autism</a> share, are known as the 'triad of impairments'. They are</p><ul><li><div>difficulty with social communication (e.g. problems using and understanding verbal and non-verbal language, such as gestures, facial expressions and tone of voice)</div></li><li><div>difficulty with social interaction (e.g. problems in recognising and understanding other people's feelings and managing their own feelings)</div></li><li><div>difficulty with social imagination (e.g. problems in understanding and predicting other people's intentions and behaviour and imagining situations outside their own routine)</div></li></ul><p>For further information on <a href="/#/9817/dataClass/15032">Autism</a>, see the:</p><ul><li><div>National Autistic Society website at: <a href="https://www.autism.org.uk/advice-and-guidance/what-is-autism" target="_blank">What is autism?</a></div></li><li><div>NHS website at: <a href="https://www.nhs.uk/conditions/autism/what-is-autism/" target="_blank">Autism</a>.</div></li></ul>

Autism

<p>An <a href="/#/9817/dataClass/15033">Autism_Service</a> is a <a href="/#/9815/dataClass/12217">SERVICE</a>.</p><p>An <a href="/#/9817/dataClass/15033">Autism_Service</a> provides diagnosis, treatment and <a href="null">null</a> for <a href="/#/9815/dataClass/12163">PATIENTS</a> with a diagnosis, or seeking a diagnosis, of <a href="/#/9817/dataClass/15032">Autism</a>.</p>

Autism Service

<p>A <a href="/#/9817/dataClass/15034">Baby_First_Feed</a> is a <a href="/#/9815/dataClass/12183">PERSON_PROPERTY</a>.</p><p>A <a href="/#/9817/dataClass/15034">Baby_First_Feed</a> is the first feed given to a baby.</p>

Baby First Feed

<p>The <a href="/#/9817/dataClass/15035">Barcelona_Clinic_Liver_Cancer_Staging_System</a> (<a href="/#/9817/dataClass/15035">BCLC Staging System</a>) is a system for <a href="/#/9815/dataClass/12078">CANCER_STAGING</a>.</p><p>The <a href="/#/9817/dataClass/15035">Barcelona_Clinic_Liver_Cancer_Staging_System</a> creates categories by combining performance status, <a href="/#/9817/dataClass/15792">Tumour</a> characteristics, liver function and cancer-related symptoms.</p><p>For further information on the <a href="/#/9817/dataClass/15035">Barcelona_Clinic_Liver_Cancer_Staging_System</a>, see the <a href="https://www.cancer.gov/types/liver/hp/adult-liver-treatment-pdq#link/_48" target="_blank">National Cancer Institute website</a>.</p>

Barcelona Clinic Liver Cancer Staging System

<p>The <a href="/#/9817/dataClass/15036">Bayley_Scales_of_Infant_and_Toddler_Development_(Third_Edition)</a> (<a href="/#/9817/dataClass/15036">Bayley III</a>) is a type of <a href="/#/9815/dataClass/12076">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/9817/dataClass/15036">Bayley_Scales_of_Infant_and_Toddler_Development_(Third_Edition)</a> is a standard series of measurements used primarily to assess the motor (fine and gross), language (receptive and expressive), and cognitive development of infants and toddlers, ages 0-3.  Sub-scales of the <a href="/#/9817/dataClass/15036">Bayley_Scales_of_Infant_and_Toddler_Development_(Third_Edition)</a> are:</p><ul><li><div>Cognitive Scale</div></li><li><div>Communication (Receptive Communication) Scale</div></li><li><div>Communication (Expressive Communication) Scale</div></li><li><div>Neuromotor (Fine Motor) Scale</div></li><li><div>Neuromotor (Fine Motor) Scale</div></li><li><div>Social-Emotional Scale</div></li><li><div>Adaptive Behaviour (Communication) Scale</div></li><li><div>Adaptive Behaviour (Functional Pre-Academics) Scale</div></li><li><div>Adaptive Behaviour (Self-Direction) Scale</div></li><li><div>Adaptive Behaviour (Leisure) Scale</div></li><li><div>Adaptive Behaviour (Social) Scale</div></li><li><div>Adaptive Behaviour (Community Use) Scale</div></li><li><div>Adaptive Behaviour (Home Living) Scale</div></li><li><div>Adaptive Behaviour (Health and Safety) Scale</div></li><li><div>Adaptive Behaviour (Self-Care) Scale</div></li><li><div>Adaptive Behaviour (Motor) Scale</div></li></ul><p>Each sub-scale allows the calculation of the following <a href="/#/9815/dataClass/12188">PERSON SCORES</a>:</p><ul><li><div>Total raw score</div></li><li><div>Scale score</div></li><li><div>Developmental age equivalent score</div></li><li><div>Composite score</div></li></ul>

Bayley Scales of Infant and Toddler Development (Third Edition)

<p>A <a href="/#/9817/dataClass/15037">Benign_Abnormality</a> is a <a href="/#/9815/dataClass/12090">CELL_PATHOLOGICAL_ABNORMALITY</a>.</p><p>A <a href="/#/9817/dataClass/15037">Benign_Abnormality</a> is a growth made up of normal <a href="/#/9815/dataClass/12089">CELLS</a>.</p><p>This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.</p>

Benign Abnormality

<p>The <a href="/#/9817/dataClass/15038">Binet_Classification</a> is a system for <a href="/#/9815/dataClass/12078">CANCER_STAGING</a>.</p><p>The <a href="/#/9817/dataClass/15038">Binet_Classification</a> is a staging system for <a href="/#/9815/dataClass/12163">PATIENTS</a> with Chronic Lymphocytic Leukaemia (CLL).</p><p>For further information on the <a href="/#/9817/dataClass/15038">Binet_Classification</a>, see the <a href="https://www.cancer.gov/types/leukemia/hp/cll-treatment-pdq#_21_toc" target="_blank">National Cancer Institute website</a>.</p>

Binet Classification

<p><a href="/#/9817/dataClass/15039">Biological_Therapy</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/9817/dataClass/15039">Biological_Therapy</a> is treatment to boost or restore the ability of the immune system to fight cancer, infections, and other diseases.</p><p>For further information on <a href="/#/9817/dataClass/15039">Biological_Therapy</a>, see the <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/biological-therapy" target="_blank">National Cancer Institute website</a>.</p>

Biological Therapy

<p>A <a href="/#/9817/dataClass/15040">Biomedical_Scientist</a> is a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a> who is registered with the <a href="/#/9817/dataClass/15337">Health_and_Care_Professions_Council</a>.</p><p>A <a href="/#/9817/dataClass/15040">Biomedical_Scientist</a> analyses specimens from <a href="/#/9815/dataClass/12163">PATIENTS</a> to provide data to help doctors diagnose and treat disease.</p>

Biomedical Scientist

<p>A <a href="/#/9817/dataClass/15041">Biopsy</a> is a <a href="/#/9817/dataClass/15150">Clinical_Investigation</a>.</p><p>A <a href="/#/9817/dataClass/15041">Biopsy</a> is a <a href="/#/9817/dataClass/15598">Patient_Procedure</a> that involves taking a small sample of <a href="/#/9815/dataClass/12227">TISSUE</a> for examination under a microscope.</p><p>For further information on <a href="/#/9817/dataClass/15041">Biopsies</a>, see the NHS website at: <a href="https://www.nhs.uk/conditions/biopsy/" target="_blank">Biopsy</a>.</p>

Biopsy

<p>A <a href="/#/9817/dataClass/15042">Birth_Care_Plan</a> is a <a href="/#/9815/dataClass/12083">CARE_PLAN</a>.</p><p>A <a href="/#/9817/dataClass/15042">Birth_Care_Plan</a> is a <a href="/#/9815/dataClass/12083">CARE_PLAN</a> developed within a <a href="/#/9817/dataClass/15440">Maternity_Episode</a> for the period of <a href="/#/9817/dataClass/15411">Labour_and_Delivery</a>. </p><p>A <a href="/#/9817/dataClass/15042">Birth_Care_Plan</a> should include:</p><ul><li><div>details of medical history</div></li><li><div>the <a href="/#/9815/dataClass/12084">CARE PROFESSIONALS</a> involved and their <a href="/#/9815/dataClass/12086">CARE PROFESSIONAL ROLES</a></div></li><li><div>the <a href="/#/9815/dataElement/10732">INTENDED_DELIVERY_PLACE</a></div></li><li><div>the mother's preferences for birth partner, pain relief in <a href="/#/9817/dataClass/15411">Labour_and_Delivery</a> and intended <a href="/#/9815/dataElement/10007">BREASTFEEDING_STATUS</a>.</div></li></ul>

Birth Care Plan

<p><a href="/#/9817/dataClass/15043">Birth_Head_Circumference</a> is a <a href="/#/9815/dataClass/12094">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/9817/dataClass/15043">Birth_Head_Circumference</a> is the <a href="/#/9817/dataClass/15330">Head_Circumference</a> of a baby at birth.</p>

Birth Head Circumference

<p><a href="/#/9817/dataClass/15044">Birth_Length</a> is a <a href="/#/9815/dataClass/12094">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/9817/dataClass/15044">Birth_Length</a> is the <a href="/#/9817/dataClass/15418">Length</a> of a baby at birth.</p>

Birth Length

<p><a href="/#/9817/dataClass/15045">Birth_Weight</a> is a <a href="/#/9815/dataClass/12094">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/9817/dataClass/15045">Birth_Weight</a> is the <a href="/#/9817/dataClass/15817">Weight</a> of a baby at birth.</p>

Birth Weight

<p><a href="/#/9817/dataClass/15046">Blood_Glucose_Concentration</a> is a <a href="/#/9817/dataClass/15150">Clinical_Investigation</a>.</p><p><a href="/#/9817/dataClass/15046">Blood_Glucose_Concentration</a> measures the amount of glucose (sugar) present in the blood.</p>

Blood Glucose Concentration

<p><a href="/#/9817/dataClass/15047">Blood_Pressure</a> is a <a href="/#/9815/dataClass/12094">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/9817/dataClass/15047">Blood_Pressure</a> is the pressure of the blood within the arteries and is comprised of:</p><ul><li><div><a href="/#/9817/dataClass/15781">Systolic_Blood_Pressure</a> and</div></li><li><div><a href="/#/9817/dataClass/15211">Diastolic_Blood_Pressure</a>.</div></li></ul>

Blood Pressure

<p>A <a href="/#/9817/dataClass/15048">Blood_Transfusion</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p>A <a href="/#/9817/dataClass/15048">Blood_Transfusion</a> is a procedure which is undertaken to replace blood that might be lost for example, during surgery or due to a serious injury.</p><p>A <a href="/#/9817/dataClass/15048">Blood_Transfusion</a> is also performed when the <a href="/#/9815/dataClass/12163">PATIENT</a> is unable to produce blood properly because of an illness.</p><p>For further information on <a href="/#/9817/dataClass/15048">Blood Transfusions</a>, see the NHS website at: <a href="https://www.nhs.uk/conditions/blood-transfusion/" target="_blank">Blood transfusion</a>.</p>

Blood Transfusion

<p>The <a href="/#/9817/dataClass/15049">Bloom-Richardson_Grading_System</a> is a system for <a href="/#/9815/dataClass/12078">CANCER_STAGING</a>.</p><p>The <a href="/#/9817/dataClass/15049">Bloom-Richardson_Grading_System</a> is a system for breast <a href="/#/9815/dataClass/12078">CANCER_STAGING</a> that examines the <a href="/#/9815/dataClass/12089">CELLS</a> and <a href="/#/9815/dataClass/12227">TISSUE</a> structure of the cancer to determine how aggressive and invasive the cancer is.</p>

Bloom-Richardson Grading System

<p><a href="/#/9817/dataClass/15050">Body_Mass_Index</a> is a <a href="/#/9815/dataClass/12094">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/9817/dataClass/15050">Body_Mass_Index</a> (<a href="/#/9817/dataClass/15050">BMI</a>) is a measure of body fat based on <a href="/#/9817/dataClass/15346">Height</a> and <a href="/#/9817/dataClass/15817">Weight</a>.</p><p>For further information on <a href="/#/9817/dataClass/15050">Body_Mass_Index</a>, see the NHS website at: <a href="https://www.nhs.uk/live-well/healthy-weight/" target="_blank">Healthy weight</a>.</p>

Body Mass Index

<p><a href="/#/9817/dataClass/15051">Bone_Age</a> is a <a href="/#/9815/dataClass/12094">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/9817/dataClass/15051">Bone_Age</a> is the radiological bone age, following an assessment by a radiologist viewing X-rays of the <a href="/#/9815/dataClass/12163">PATIENT</a>'s hand and wrist.</p>

Bone Age

<p><a href="/#/9817/dataClass/15052">Brachytherapy</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/9817/dataClass/15052">Brachytherapy</a> is a type of <a href="/#/9817/dataClass/15656">Radiotherapy</a> in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into or near a <a href="/#/9817/dataClass/15792">Tumour</a>, cavity or <a href="/#/9815/dataClass/12180">PERSON_ORGAN</a>.</p><p>For further information on <a href="/#/9817/dataClass/15052">Brachytherapy</a>, see the <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/brachytherapy" target="_blank">National Cancer Institute website</a>.</p>

Brachytherapy

<p>A <a href="/#/9817/dataClass/15053">Breast_Assessment</a> is a <a href="/#/9817/dataClass/15150">Clinical_Investigation</a>.</p><p>Where <a href="/#/9817/dataClass/15480">Breast Screening</a> has identified a potential abnormality, women are recalled for a <a href="/#/9817/dataClass/15053">Breast_Assessment</a>.  A <a href="/#/9817/dataClass/15053">Breast_Assessment</a> may include a clinical examination, further imaging and non-operative <a href="/#/9817/dataClass/15041">Biopsy</a>. </p>

Breast Assessment

<p>A <a href="/#/9817/dataClass/15054">Breast_Cancer_Care_Spell</a> is a <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a>, which is an <a href="/#/9815/dataClass/12058">ACTIVITY_GROUP</a>.</p><p>A <a href="/#/9817/dataClass/15054">Breast_Cancer_Care_Spell</a> is a continuous period of care, including assessment for care, for a <a href="/#/9815/dataClass/12163">PATIENT</a> who has been diagnosed as suffering from breast cancer.</p><p>A <a href="/#/9817/dataClass/15054">Breast_Cancer_Care_Spell</a> may be the result of a specific referral for breast assessment.</p>

Breast Cancer Care Spell

<p>A <a href="/#/9817/dataClass/15055">Breast_Screening_Episode</a> is an <a href="/#/9815/dataClass/12058">ACTIVITY_GROUP</a>.</p><p>A <a href="/#/9817/dataClass/15055">Breast_Screening_Episode</a> is the period during which a set of <a href="/#/9817/dataClass/15480">Breast Screening</a> activities for an eligible woman takes place. It should start and end within six months, and include all information relating to invitations and attendance for <a href="/#/9817/dataClass/15480">Breast Screening</a>.</p><p>A <a href="/#/9817/dataClass/15055">Breast_Screening_Episode</a> may be:</p><ul><li><div>a <a href="/#/9817/dataClass/15352">High_Risk_Breast_Screening_Episode</a></div></li><li><div>an <a href="/#/9817/dataClass/15556">Open_Breast_Screening_Episode</a></div></li></ul>

Breast Screening Episode

<p>A <a href="/#/9817/dataClass/15056">Breast_Screening_Unit</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a> in England.</p><p><a href="/#/9817/dataClass/15056">Breast Screening Units</a> are responsible for the delivery of <a href="/#/9817/dataClass/15480">NHS Breast Screening Programmes</a> locally to a defined population.</p><p>For further details, see the NHS website at: <a href="https://www.nhs.uk/Service-Search/Breast-screening-services/LocationSearch/325" target="_target">Find Breast screening services</a>.</p>

Breast Screening Unit

<p>A <a href="/#/9817/dataClass/15057">Breast_Triple_Diagnostic_Assessment</a> is a <a href="/#/9815/dataClass/12093">CLINICAL_INTERVENTION</a>.</p><p>A <a href="/#/9817/dataClass/15057">Breast_Triple_Diagnostic_Assessment</a> is used in the diagnosis of breast cancer.</p><p>A <a href="/#/9817/dataClass/15057">Breast_Triple_Diagnostic_Assessment</a> involves:</p><ul><li><div>A breast examination</div></li><li><div>Breast imaging (for example, a <a href="/#/9817/dataClass/15438">Mammogram</a> and/or an <a href="/#/9817/dataClass/15797">Ultrasound_Scan</a>) and</div></li><li><div><a href="/#/9815/dataClass/12227">TISSUE</a> sampling (for example, a core <a href="/#/9817/dataClass/15041">Biopsy</a> or Fine Needle Aspiration (FNA)).</div></li></ul><p>For further information on <a href="/#/9817/dataClass/15057">Breast Triple Diagnostic Assessments</a>, see the breastcancercare.org.uk website at: <a href="https://www.breastcancercare.org.uk/information-support/have-i-got-breast-cancer/what-expect-breast-clinic-appointment" target="_blank">What will happen at the breast clinic?</a>.</p>

Breast Triple Diagnostic Assessment

<p><a href="/#/9817/dataClass/15058">Breslow_Thickness</a> is a <a href="/#/9815/dataClass/12094">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/9817/dataClass/15058">Breslow_Thickness</a> (also known as <a href="/#/9817/dataClass/15058">Breslow Depth</a>) is a measure of how deeply a melanoma <a href="/#/9817/dataClass/15792">Tumour</a> has grown into the skin.</p><p>The <a href="/#/9817/dataClass/15792">Tumour</a> thickness (depth) is usually measured from the top of the <a href="/#/9817/dataClass/15792">Tumour</a> to the deepest <a href="/#/9817/dataClass/15792">Tumour</a> <a href="/#/9815/dataClass/12089">CELLS</a>. If the <a href="/#/9817/dataClass/15792">Tumour</a> is ulcerated (the skin is broken), it is measured from the base of the ulcer to the deepest <a href="/#/9817/dataClass/15792">Tumour</a> <a href="/#/9815/dataClass/12089">CELLS</a>.</p><p><a href="/#/9817/dataClass/15058">Breslow_Thickness</a> is used to help determine the stage of cancer. Thicker <a href="/#/9817/dataClass/15792">Tumours</a> are linked with lower survival rates.</p><p>For further information on <a href="/#/9817/dataClass/15058">Breslow_Thickness</a>, see the <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/breslow-thickness" target="_blank">National Cancer Institute website</a>.</p>

Breslow Thickness

<p>The <a href="/#/9817/dataClass/15059">British_Association_for_Paediatric_Nephrology</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The aims of the <a href="/#/9817/dataClass/15059">British_Association_for_Paediatric_Nephrology</a> are to set and to improve the standard of medical care of children with renal disease. This is facilitated through continuing professional development of paediatricians with responsibility for children with renal disease, collaborative research and audit and to formulate and express opinions on policy concerning the care of children with renal disease.</p><p>For further information on the <a href="/#/9817/dataClass/15059">British_Association_for_Paediatric_Nephrology</a> see the <a href="/#/9817/dataClass/15685">Renal_Association</a> website at: <a href="https://renal.org/about-us/who-we-are/british-association-paediatric-nephrology" target="_blank">British Association for Paediatric Nephrology</a>.</p>This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

British Association for Paediatric Nephrology

<p>The <a href="/#/9817/dataClass/15060">British_HIV_Association</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/15060">British_HIV_Association</a> (<a href="/#/9817/dataClass/15060">BHIVA</a>):</p><ul><li><div>is the leading UK association representing professionals in Human Immunodeficiency Virus (HIV) care</div></li><li><div>is committed to providing excellent care for people living with and affected by HIV</div></li><li><div>is a national advisory body on all aspects of HIV care</div></li><li><div>provides a national platform for HIV care issues.</div></li></ul><p>For further information on the <a href="/#/9817/dataClass/15060">British_HIV_Association</a>, see the <a href="/#/9817/dataClass/15060">British_HIV_Association</a> website at: <a href="https://www.bhiva.org/AboutBHIVA" target="_blank">About BHIVA.</a></p>

British HIV Association

<p>The <a href="/#/9817/dataClass/15061">British_Psychological_Society</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/15061">British_Psychological_Society</a> is the learned society and professional representative body for Psychologists in the United Kingdom. It is a registered charity in the United Kingdom and is charged with overseeing psychology and psychologists. It has responsibility for the development, promotion and application of pure and applied psychology for the public good.</p><p>The <a href="/#/9817/dataClass/15061">British_Psychological_Society</a> recognises the following as the main types of psychologists:</p><ul><li><div><a href="/#/9817/dataClass/15152">Clinical_Psychologist</a></div></li><li><div><a href="/#/9817/dataClass/15180">Counselling_Psychologist</a></div></li><li><div><a href="/#/9817/dataClass/15232">Educational_Psychologist</a></div></li><li><div><a href="/#/9817/dataClass/15289">Forensic_Psychologist</a></div></li><li><div><a href="/#/9817/dataClass/15334">Health_Psychologist</a></div></li><li><div><a href="/#/9817/dataClass/15522">Neuropsychologist</a></div></li><li><div><a href="/#/9817/dataClass/15550">Occupational_Psychologist</a></div></li><li><div><a href="/#/9817/dataClass/15767">Sport_and_Exercise_Psychologist</a></div></li><li><div><a href="/#/9817/dataClass/15785">Teacher_and_Researcher_in_Psychology</a></div></li><li><div><a href="/#/9817/dataClass/15629">Practitioner_Psychologist</a></div></li></ul><p>For further information on the <a href="/#/9817/dataClass/15061">British_Psychological_Society</a>, see the <a href="/#/9817/dataClass/15061">British_Psychological_Society</a> website at: <a href="https://www.bps.org.uk/" target="_blank">The British Psychological Society</a>.</p><p><em>Note: Eight of the above areas of psychology are also regulated by the <a href="/#/9817/dataClass/15337">Health_and_Care_Professions_Council</a>. It is necessary to be registered with the <a href="/#/9817/dataClass/15337">Health_and_Care_Professions_Council</a> to practise in the UK under any of these titles: <a href="/#/9817/dataClass/15152">Clinical_Psychologist</a>, <a href="/#/9817/dataClass/15180">Counselling_Psychologist</a>, <a href="/#/9817/dataClass/15232">Educational_Psychologist</a>, <a href="/#/9817/dataClass/15289">Forensic_Psychologist</a>, <a href="/#/9817/dataClass/15334">Health_Psychologist</a>, <a href="/#/9817/dataClass/15550">Occupational_Psychologist</a>, <a href="/#/9817/dataClass/15767">Sport_and_Exercise_Psychologist</a> and <a href="/#/9817/dataClass/15629">Practitioner_Psychologist</a>.</em></p>

British Psychological Society

<p>The <a href="/#/9817/dataClass/15062">British_Transplantation_Society</a> is an <a href="/#/9815/dataClass/12157">ORGANISATION</a>.</p><p>The <a href="/#/9817/dataClass/15062">British_Transplantation_Society</a> is the national professional voice of transplantation, representing all the disciplines of the transplantation community and developing scientific, clinical and ethical practice for the benefit of <a href="/#/9815/dataClass/12163">PATIENTS</a>.</p><p>The society advances the study of the biological and clinical problems of <a href="/#/9815/dataClass/12227">TISSUE</a> and organ transplantation and to facilitate contact between <a href="/#/9815/dataClass/12172">PERSONS</a> interested in transplantation.</p><p>For further information on the <a href="/#/9817/dataClass/15062">British_Transplantation_Society</a>, see the <a href="/#/9817/dataClass/15062">British_Transplantation_Society</a> website at: <a href="https://bts.org.uk/about-bts/" target="_blank">About the BTS</a>.</p>

British Transplantation Society

<p>A <a href="/#/9817/dataClass/15063">Bronchoscopy</a> is a <a href="/#/9817/dataClass/15150">Clinical_Investigation</a>.</p><p>A <a href="/#/9817/dataClass/15063">Bronchoscopy</a> is a procedure that allows a <a href="/#/9815/dataClass/12084">CARE_PROFESSIONAL</a> to take <a href="/#/9815/dataClass/12089">CELLS</a> from the inside of the lungs.</p><p>For further information on <a href="/#/9817/dataClass/15063">Bronchoscopies</a>, see the NHS website at: <a href="https://www.nhs.uk/conditions/lung-cancer/diagnosis/" target="_blank">Bronchoscopy and biopsy</a>.</p>

Bronchoscopy

<p>A <a href="/#/9817/dataClass/15064">CDS_Type</a> forms part of an <a href="/#/9815/dataClass/12119">ELECTRONIC_HEALTH_RECORD_EXTRACT</a>.</p><p><a href="/#/9817/dataClass/15064">CDS_Type</a> is a code to identify the specific type of <a href="http://www.datadictionary.nhs.uk/web_site_content/cds_supporting_information/commissioning_data_sets_introduction.asp">Commissioning Data Set</a> (<a href="http://www.datadictionary.nhs.uk/web_site_content/cds_supporting_information/commissioning_data_sets_introduction.asp">null</a>).</p><p>Note:</p><ul><li><div><a href="/#/9817/dataClass/15064">CDS_Type</a> 010 <em>'Accident and Emergency Attendance'</em> was retired from 1 November 2020 and is no longer accepted for submission to the <a href="null">null</a>.</div></li><li><div>Commissioning Data Set version 6-3 does not require submission of the following CDS Types:</div><ul><li><div>Detained and/or Long Term Psychiatric Census</div></li><li><div>Any Elective Admission List <a href="/#/9817/dataClass/15064">CDS_Type</a></div></li><li><div>Future Outpatient</div></li></ul></li></ul><blockquote><p>The <a href="/#/9817/dataClass/15064">CDS Types</a> are:</p></blockquote><table cellpadding="1" cellspacing="1" width="100%"><tbody><tr><td align="center" valign="top" width="10%"><font color="gray">010</font></td><td align="left" valign="top" width="90%"><font color="gray">Accident and Emergency Attendance (Retired 1 November 2020)</font></td></tr><tr><td align="center" valign="top" width="10%">011</td><td align="left" valign="top" width="90%">Emergency Care Attendance</td></tr><tr><td align="center" valign="top" width="10%">020</td><td align="left" valign="top" width="90%">Outpatient<br>May also be used to submit a <a href="http://www.datadictionary.nhs.uk/web_site_content/cds_supporting_information/referral_to_treatment_clock_stop_administrative_event.asp">Referral_To_Treatment_Clock_Stop_Administrative_Event</a></td></tr><tr><td align="center" valign="top" width="10%">021</td><td align="left" valign="top" width="90%">Future Outpatient</td></tr><tr><td align="center" valign="top" width="10%">030</td><td align="left" valign="top" width="90%">Elective Admission List End of Period Census (Standard)</td></tr><tr><td align="center" valign="top" width="10%">040</td><td align="left" valign="top" width="90%">Elective Admission List End of Period Census (Old)</td></tr><tr><td align="center" valign="top" width="10%">050</td><td align="left" valign="top" width="90%">Elective Admission List End of Period Census (New)</td></tr><tr><td align="center" valign="top" width="10%">060</td><td align="left" valign="top" width="90%">Elective Admission List Event During Period (Add)</td></tr><tr><td align="center" valign="top" width="10%">070</td><td align="left" valign="top" width="90%">Elective Admission List Event During Period (Remove)</td></tr><tr><td align="center" valign="top" width="10%">080</td><td align="left" valign="top" width="90%">Elective Admission List Event During Period (Offer)</td></tr><tr><td align="center" valign="top" width="10%">090</td><td align="left" valign="top" width="90%">Elective Admission List Event During Period (Available/Unavailable)</td></tr><tr><td align="center" valign="top" width="10%">100</td><td align="left" valign="top" width="90%">Elective Admission List Event During Period (Old Service Agreement)</td></tr><tr><td align="center" valign="top" width="10%">110</td><td align="left" valign="top" width="90%">Elective Admission List Event During Period (New Service Agreement)</td></tr><tr><td align="center" valign="top" width="10%">120</td><td align="left" valign="top" width="90%">Finished Birth Episode</td></tr><tr><td align="center" valign="top" width="10%">130</td><td align="left" valign="top" width="90%">Finished General Episode</td></tr><tr><td align="center" valign="top" width="10%">140</td><td align="left" valign="top" width="90%">Finished Delivery Episode</td></tr><tr><td align="center" valign="top" width="10%">150</td><td align="left" valign="top" width="90%">Other Birth</td></tr><tr><td align="center" valign="top" width="10%">160</td><td align="left" valign="top" width="90%">Other Delivery</td></tr><tr><td align="center" valign="top" width="10%">170</td><td align="left" valign="top" width="90%">Detained and/or Long-Term Psychiatric Census</td></tr><tr><td align="center" valign="top" width="10%">180</td><td align="left" valign="top" width="90%">Unfinished Birth Episode</td></tr><tr><td align="center" valign="top" width="10%">190</td><td align="left" valign="top" width="90%">Unfinished General Episode</td></tr><tr><td align="center" valign="top" width="10%">200</td><td align="left" valign="top" width="90%">Unfinished Delivery Episode</td></tr></tbody></table>

CDS Type

<p>A <a href="/#/9817/dataClass/15065">CT_Scan</a> is a <a href="/#/9817/dataClass/15150">Clinical_Investigation</a>.</p><p>A <a href="/#/9817/dataClass/15065">CT_Scan</a> (<a href="/#/9817/dataClass/15065">Computerised Tomography Scan</a>) uses X-rays and a computer to create detailed images of the inside of the body.</p><p>A <a href="/#/9817/dataClass/15065">CT_Scan</a> can be used to diagnose or monitor many different health conditions, including cancer and bone disease. It is often used to provide views of the body before another procedure takes place, such as a <a href="/#/9817/dataClass/15041">Biopsy</a> or <a href="/#/9817/dataClass/15656">Radiotherapy</a> treatment.</p><p>For further information on <a href="/#/9817/dataClass/15065">CT Scans</a>, see the NHS website at: <a href="https://www.nhs.uk/conditions/ct-scan/" target="_blank">CT scan</a>.</p>

CT Scan

<p>A <a href="/#/9817/dataClass/15066">Cancer_Care_Plan</a> is a <a href="/#/9815/dataClass/12083">CARE_PLAN</a>.</p><p>A <a href="/#/9817/dataClass/15066">Cancer_Care_Plan</a> is a <a href="/#/9815/dataClass/12083">CARE_PLAN</a> developed within a <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a>.</p><p>There should be at least one <a href="/#/9817/dataClass/15619">Planned_Cancer_Treatment</a> recorded within a <a href="/#/9817/dataClass/15066">Cancer_Care_Plan</a>.</p>

Cancer Care Plan

<p>A <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a> is an <a href="/#/9815/dataClass/12058">ACTIVITY_GROUP</a>.</p><p>A <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a> is the period of time during which a <a href="/#/9815/dataClass/12163">PATIENT</a> who has been diagnosed as suffering from a single site <a href="/#/9817/dataClass/15634">Primary_Cancer</a> or, in the case of particular skin cancers, one or more <a href="/#/9817/dataClass/15419">Lesions</a> may receive care.</p><p>The <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a>:</p><ul><li><div>starts on the date of the <a href="/#/9815/dataClass/12208">REFERRAL_REQUEST</a> from any source to a specialist team</div></li><li><div>ends when the <a href="/#/9815/dataClass/12163">PATIENT</a> dies.</div></li></ul><p>A recurrence of the original <a href="/#/9817/dataClass/15634">Primary_Cancer</a> at a secondary site is part of the same <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a>.</p><p>If a <a href="/#/9815/dataClass/12163">PATIENT</a> has another <a href="/#/9817/dataClass/15634">Primary_Cancer</a> this will be a new <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a>.</p><p>The <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a> may only involve diagnostic procedures leading to a diagnosis, for example in cases where the <a href="/#/9815/dataClass/12163">PATIENT</a> refuses treatment, or it may include treatment and follow-up.</p>

Cancer Care Spell

<p>A <a href="/#/9817/dataClass/15068">Cancer_Care_Spell_Delay</a> is a <a href="/#/9815/dataClass/12207">REFERRAL_DELAY</a>.</p><p>A <a href="/#/9817/dataClass/15068">Cancer_Care_Spell_Delay</a> is a delay experienced during a <a href="/#/9817/dataClass/15067">Cancer_Care_Spell</a>.</p><p>The <a href="/#/9817/dataClass/15068">Cancer Care Spell Delays</a> for cancer waiting time service standards, as specified in the <a href="http://www.datadictionary.nhs.uk/data_dictionary/messages/clinical_data_sets/data_sets/national_cancer_waiting_times_monitoring_data_set.asp">National_Cancer_Waiting_Times_Monitoring_Data_Set</a> requirements are the delay between:</p><ul><li><div><a href="/#/9816/dataElement/12874">CANCER_REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/9816/dataElement/13019">DATE_FIRST_SEEN</a>, where <a href="/#/9815/dataElement/11444">PRIORITY_TYPE</a> is National Code '<em>Two Week Wait'</em></div><a href="/#/9816/dataElement/12874">CANCER_REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/9815/dataElement/11444">PRIORITY_TYPE</a> is National Code '<em>Two Week Wait'</em> and <a href="/#/9815/dataElement/10359">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'<a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a> for a new <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</em> or <em>'First treatment for metastatic disease following an unknown <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</em></li><li><div><a href="/#/9816/dataElement/12874">CANCER_REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/9815/dataElement/11444">PRIORITY_TYPE</a> is National Code <em>'Urgent'</em> and <a href="/#/9815/dataElement/11773">SOURCE_OF_REFERRAL_FOR_OUT-PATIENTS</a> is National Code <em>'Referral from a National <a href="/#/9817/dataClass/15727">Screening_Programme</a>'</em> and <a href="/#/9815/dataElement/10359">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'</em><em><a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a></em><em> for a new</em> <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</div><a href="/#/9816/dataElement/12885">CANCER_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/9815/dataElement/10359">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'</em><em><a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a></em><em> for a new <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</em> or <em>'First treatment for metastatic disease following an unknown <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</em></li><li><div><a href="/#/9817/dataClass/15179">Consultant_Upgrade_Date</a> and <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/9815/dataElement/10359">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'<a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a> for a new <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</em> or <em>'First treatment for metastatic disease following an unknown <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</em></div><a href="/#/9816/dataElement/12885">CANCER_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/9815/dataElement/10359">CANCER_TREATMENT_EVENT_TYPE</a> is NOT National Code <em>'<a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a> for a new <a href="/#/9817/dataClass/15634">Primary_Cancer</a>'</em> OR <em>'First treatment for metastatic disease following an unknown <a href="/#/9817/dataClass/15634">Primary_Cancer</a></em>'</li></ul>

Cancer Care Spell Delay

<p>A <a href="/#/9817/dataClass/15069">Cancer_Clinical_Status_Assessment</a> is a <a href="/#/9815/dataClass/12081">CARE_CONTACT</a>.</p><p>A <a href="/#/9817/dataClass/15069">Cancer_Clinical_Status_Assessment</a> is the assessment of a <a href="/#/9815/dataClass/12163">PATIENT</a>'s clinical condition.</p><p>A <a href="/#/9817/dataClass/15069">Cancer_Clinical_Status_Assessment</a> may take place at a review point within the <a href="/#/9815/dataClass/12163">PATIENT</a>'s <a href="/#/9817/dataClass/15066">Cancer_Care_Plan</a> or may be required if the <a href="/#/9815/dataClass/12163">PATIENT</a>'s condition changes during treatment, for example if the <a href="/#/9815/dataClass/12163">PATIENT</a> reports toxicity as a result of treatment.</p>

Cancer Clinical Status Assessment

<p>A <a href="/#/9817/dataClass/15070">Cancer_End_of_Treatment_Summary_Plan</a> is a <a href="/#/9815/dataClass/12083">CARE_PLAN</a>.</p><p>A <a href="/#/9817/dataClass/15070">Cancer_End_of_Treatment_Summary_Plan</a> (<a href="/#/9817/dataClass/15070">EOTS</a>) is a document produced by secondary cancer <a href="/#/9815/dataClass/12084">CARE PROFESSIONALS</a> at the end of treatment and sent to the <a href="/#/9815/dataClass/12163">PATIENT</a>&rsquo;s <a href="/#/9815/dataClass/12131">GENERAL_PRACTITIONER</a>.</p><p>A <a href="/#/9817/dataClass/15070">Cancer_End_of_Treatment_Summary_Plan</a> provides important information for <a href="/#/9815/dataClass/12131">GENERAL PRACTITIONERS</a>, including possible treatment toxicities, information about side effects and/or consequences of treatment, signs and symptoms of a <a href="/#/9817/dataClass/15075">Cancer_Recurrence</a> and any actions for the <a href="/#/9815/dataClass/12131">GENERAL_PRACTITIONER</a>.</p><p>For further information on <a href="/#/9817/dataClass/15070">Cancer End of Treatment Summary Plans</a>, see the <a href="/#/9817/dataClass/15513">National_Institute_for_Health_and_Care_Excellence</a> website at:  <a href="https://www.nice.org.uk/guidance/qs150/chapter/Quality-statement-4-End-of-treatment-summary-plan" target="_blank">Quality statement 4: End-of-treatment summary plan</a>.</p>

Cancer End of Treatment Summary Plan

<p>A <a href="/#/9817/dataClass/15071">Cancer_Faster_Diagnosis_Pathway</a> is a <a href="/#/9817/dataClass/15072">Cancer_Pathway</a>.</p><p>A <a href="/#/9817/dataClass/15071">Cancer_Faster_Diagnosis_Pathway</a> is the first part of a <a href="/#/9817/dataClass/15072">Cancer_Pathway</a>.</p><p>A <a href="/#/9817/dataClass/15071">Cancer_Faster_Diagnosis_Pathway</a> describes:</p><ul><li><div>the period of time from an initial <a href="/#/9815/dataElement/11575">REFERRAL_REQUEST_RECEIVED_DATE</a> for suspected cancer to having cancer either diagnosed or ruled out or</div></li><li><div>reaching a <a href="/#/9817/dataClass/15197">Decision_To_Treat</a>, whichever comes first.</div></li></ul><p>During this time, the <a href="/#/9815/dataClass/12163">PATIENT</a> may be recorded as having multiple <a href="/#/9817/dataClass/15570">Out-Patient Appointments</a>, <a href="/#/9817/dataClass/15369">Imaging or Radiodiagnostic Events</a> and inter-provider transfers.</p>

Cancer Faster Diagnosis Pathway

<p>A <a href="/#/9817/dataClass/15072">Cancer_Pathway</a> is a <a href="/#/9815/dataClass/12168">PATIENT_PATHWAY</a>.</p><p>A <a href="/#/9817/dataClass/15072">Cancer_Pathway</a> is the <a href="/#/9815/dataClass/12163">PATIENT</a>&rsquo;s journey from the initial suspicion of cancer through <a href="/#/9817/dataClass/15150">Clinical Investigations</a>, <a href="/#/9815/dataClass/12166">PATIENT_DIAGNOSIS</a> and treatment.</p><p>This could be by:</p><ul><li><div>Initial referral to a hospital specialist by the <a href="/#/9815/dataClass/12163">PATIENT</a>'s <a href="/#/9815/dataClass/12131">GENERAL_PRACTITIONER</a></div></li><li><div>Assessment in an <a href="/#/9817/dataClass/15246">Emergency_Care_Department</a></div></li><li><div>Assessment when the <a href="/#/9815/dataClass/12163">PATIENT</a> is already in the hospital system with an acute illness or an earlier <a href="/#/9815/dataClass/12166">PATIENT_DIAGNOSIS</a></div></li><li><div>Identification through one of the <a href="/#/9817/dataClass/15727">Screening Programmes</a>.</div></li></ul><p>For the following data sets, types of <a href="/#/9817/dataClass/15072">Cancer_Pathway</a> include:</p><ul><li><div><a href="http://www.datadictionary.nhs.uk/data_dictionary/messages/clinical_data_sets/overviews/cancer_outcomes_and_services_data_set_overviews/cancer_outcomes_and_services_data_set_introduction.asp">Cancer Outcomes and Services Data Set</a>:</div><ul><li><div><a href="/#/9817/dataClass/15635">Primary_Cancer_Pathway</a></div></li><li><div><a href="/#/9817/dataClass/15535">Non_Primary_Cancer_Pathway</a>.<br></div></li></ul></li><li><div><a href="http://www.datadictionary.nhs.uk/data_dictionary/messages/clinical_data_sets/data_sets/national_cancer_waiting_times_monitoring_data_set.asp">National_Cancer_Waiting_Times_Monitoring_Data_Set</a>:</div><ul><li><div><a href="/#/9817/dataClass/15071">Cancer_Faster_Diagnosis_Pathway</a>.</div></li></ul></li></ul>

Cancer Pathway

<p>A <a href="/#/9817/dataClass/15073">Cancer_Progression</a> is a <a href="/#/9815/dataClass/12143">MALIGNANT_ABNORMALITY</a>.</p><p><a href="/#/9817/dataClass/15073">Cancer_Progression</a> is when cancer spreads (increases growth speed) or becomes worse.</p><p>For further information on <a href="/#/9817/dataClass/15073">Cancer_Progression</a>, see the <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/progression" target="_blank">National Cancer Institute website</a>.</p>

Cancer Progression

<p>A <a href="/#/9817/dataClass/15074">Cancer_Progression_Agreed_Date_(Primary_Cancer_Pathway)</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a>.</p><p>A <a href="/#/9817/dataClass/15074">Cancer_Progression_Agreed_Date_(Primary_Cancer_Pathway)</a> is the date that the <a href="/#/9817/dataClass/15073">Cancer_Progression</a> was agreed by the <a href="/#/9815/dataClass/12087">CARE_PROFESSIONAL_TEAM</a> during a <a href="/#/9817/dataClass/15635">Primary_Cancer_Pathway</a>.</p>

Cancer Progression Agreed Date (Primary Cancer Pathway)

<p>A <a href="/#/9817/dataClass/15075">Cancer_Recurrence</a> is a <a href="/#/9815/dataClass/12143">MALIGNANT_ABNORMALITY</a>.</p><p><a href="/#/9817/dataClass/15075">Cancer_Recurrence</a> is when cancer returns after treatment.</p><p>For further information on <a href="/#/9817/dataClass/15075">Cancer_Recurrence</a>, see the <a href="https://www.cancer.gov/types/recurrent-cancer" target="_blank">National Cancer Institute website</a>.</p>

Cancer Recurrence

<p>A <a href="/#/9817/dataClass/15076">Cancer_Referral_To_Treatment_Period</a> is a <a href="/#/9815/dataClass/12209">REFERRAL_TO_TREATMENT_PERIOD</a>.</p><p>The service standard for referral to treatment for cancer is that the <a href="/#/9815/dataClass/12163">PATIENT</a> must receive <a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a> within 62 days (or 31 days for Acute Leukaemia, testicular, and children's cancers), rather than within <a href="null">null</a>.</p><p>A <a href="/#/9815/dataClass/12163">PATIENT</a> will have a <a href="/#/9817/dataClass/15076">Cancer_Referral_To_Treatment_Period</a> in the following circumstances:</p><ul><li><div>The <a href="/#/9815/dataClass/12163">PATIENT</a> was referred to secondary care with suspected cancer by a <a href="/#/9815/dataClass/12130">GENERAL_MEDICAL_PRACTITIONER</a> or <a href="/#/9815/dataClass/12129">GENERAL_DENTAL_PRACTITIONER</a>, where the <a href="/#/9815/dataElement/11444">PRIORITY_TYPE</a> is National Code <em>'Two Week Wait'</em></div></li><li><div>The <a href="/#/9815/dataClass/12163">PATIENT</a> was referred to secondary care and cancer was not initially suspected, but was subsequently diagnosed, and the <a href="/#/9815/dataClass/12163">PATIENT</a> was referred on to an appropriate specialist</div></li></ul><p>A <a href="/#/9817/dataClass/15076">Cancer_Referral_To_Treatment_Period</a> is the period of time between <a href="/#/9816/dataElement/12874">CANCER_REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and either the:</p><ul><li><div><a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>, where a <a href="/#/9815/dataClass/12163">PATIENT</a> diagnosed with a cancer condition receives <a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a></div></li><li><div><a href="/#/9816/dataElement/12865">CANCER_FASTER_DIAGNOSIS_PATHWAY_END_DATE</a> where a <a href="/#/9815/dataClass/12163">PATIENT</a> referred with suspected cancer by a <a href="/#/9815/dataClass/12130">GENERAL_MEDICAL_PRACTITIONER</a> or <a href="/#/9815/dataClass/12129">GENERAL_DENTAL_PRACTITIONER</a> has cancer ruled out</div></li><li><div>Date the <a href="/#/9815/dataClass/12163">PATIENT</a> declines <a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a>, or</div></li><li><div>Date that <a href="/#/9817/dataClass/14990">Active_Monitoring</a> (as a <a href="/#/9817/dataClass/15278">First_Definitive_Treatment</a>) starts.</div></li></ul><p>A <a href="/#/9817/dataClass/15076">Cancer_Referral_To_Treatment_Period</a> does NOT complete automatically if the <a href="/#/9815/dataClass/12163">PATIENT</a> does not attend the first <a href="/#/9815/dataClass/12072">APPOINTMENT</a> during the <a href="/#/9817/dataClass/15076">Cancer_Referral_To_Treatment_Period</a>. <a href="/#/9816/dataElement/14968">WAITING_TIME_ADJUSTMENT_(FIRST_SEEN)</a> is used to align waiting times monitoring with the service standard for <a href="null">null</a>.</p>

Cancer Referral To Treatment Period

<p>A <a href="/#/9817/dataClass/15077">Cancer_Service</a> is a <a href="/#/9815/dataClass/12217">SERVICE</a>.</p><p>A <a href="/#/9817/dataClass/15077">Cancer_Service</a> specialises in the treatment of cancer and <a href="/#/9817/dataClass/15792">Tumours</a>.</p>

Cancer Service

<p>A <a href="/#/9817/dataClass/15078">Cancer_Site_Specific_Staging</a> is a <a href="/#/9815/dataClass/12078">CANCER_STAGING</a>.</p><p>A <a href="/#/9817/dataClass/15078">Cancer_Site_Specific_Staging</a> is a classification of the stage of a cancer using a site specific coding frame, for example <a href="/#/9817/dataClass/15819">Wilms_Tumour_Stage</a> for a <a href="/#/9817/dataClass/15131">Children_Teenagers_and_Young_Adults_Cancer_Care_Spell</a>.</p>

Cancer Site Specific Staging

<p>A <a href="/#/9817/dataClass/15079">Cancer_Transformation</a> is a <a href="/#/9815/dataClass/12143">MALIGNANT_ABNORMALITY</a>.</p><p><a href="/#/9817/dataClass/15079">Cancer_Transformation</a> is the process by which <a href="/#/9815/dataClass/12089">CELLS</a> acquire the properties of cancer.</p><p>This may occur as a primary process in normal <a href="/#/9815/dataClass/12227">TISSUE</a>, or secondarily as malignant degeneration of a previously existing benign <a href="/#/9817/dataClass/15792">Tumour</a>.</p><p>For further information on <a href="/#/9817/dataClass/15079">Cancer_Transformation</a>, see the <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms?CdrID=46628" target="_blank">National Cancer Institute website</a>.</p>

Cancer Transformation

<p>A <a href="/#/9817/dataClass/15080">Cancer_Transformation_Agreed_Date_(Primary_Cancer_Pathway)</a> is an <a href="/#/9815/dataClass/12055">ACTIVITY_DATE_TIME</a>.</p><p>A <a href="/#/9817/dataClass/15080">Cancer_Transformation_Agreed_Date_(Primary_Cancer_Pathway)</a> is the date that the <a href="/#/9817/dataClass/15079">Cancer_Transformation</a> was agreed by the <a href="/#/9815/dataClass/12087">CARE_PROFESSIONAL_TEAM</a> during a <a href="/#/9817/dataClass/15635">Primary_Cancer_Pathway</a>.</p>

Cancer Transformation Agreed Date (Primary Cancer Pathway)

<p>A <a href="/#/9817/dataClass/15081">Cancer_Treatment_Period</a> is an <a href="/#/9815/dataClass/12058">ACTIVITY_GROUP</a>.</p><p>A <a href="/#/9817/dataClass/15081">Cancer_Treatment_Period</a> is:</p><ul><li><div>initiated when a <a href="/#/9817/dataClass/15197">Decision_To_Treat</a> for a cancer condition is made and</div></li><li><div>ends when the <a href="/#/9815/dataClass/12163">PATIENT</a> receives the <a href="/#/9817/dataClass/15619">Planned_Cancer_Treatment</a> specified in the <a href="/#/9817/dataClass/15066">Cancer_Care_Plan</a> covering the <a href="/#/9815/dataClass/12163">PATIENTS</a> condition. This is the same as <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>.</div></li></ul><p>The full list of <a href="http://www.datadictionary.nhs.uk/web_site_content/supporting_information/clinical_coding/international_classification_of_diseases_(icd).asp">International_Classification_of_Diseases_(ICD)</a> diagnosis codes is available on the <a href="/#/9817/dataClass/15499">NHS_Digital</a> website at: <a href="https://digital.nhs.uk/cancer-waiting-times" target="_blank">Cancer Waiting Times</a>.</p><p>If the <a href="/#/9815/dataClass/12163">PATIENT</a> receives several different types of treatment within the same <a href="/#/9817/dataClass/15066">Cancer_Care_Plan</a> (e.g. surgery, followed by <a href="/#/9817/dataClass/15122">Chemotherapy</a>, followed by <a href="/#/9817/dataClass/15656">Radiotherapy</a>), then each stage has its own <a href="/#/9817/dataClass/15081">Cancer_Treatment_Period</a> of 31 days between <a href="/#/9815/dataElement/10373">DECISION_TO_TREAT_DATE</a> (or <a href="/#/9816/dataElement/13203">EARLIEST_CLINICALLY_APPROPRIATE_DATE</a>) and <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a>.</p><p><a href="/#/9816/dataElement/12850">CANCER_CARE_SETTING_(TREATMENT)</a> is used to derive whether a waiting time adjustment between <a href="/#/9816/dataElement/12885">CANCER_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/9816/dataElement/14832">TREATMENT_START_DATE_(CANCER)</a> may be recorded in <a href="/#/9816/dataElement/14969">WAITING_TIME_ADJUSTMENT_(TREATMENT)</a>.</p>

Cancer Treatment Period

<p>A <a href="/#/9817/dataClass/15082">Cardiopulmonary_Exercise_Test</a> is a <a href="/#/9817/dataClass/15150">Clinical_Investigation</a>.</p><p>A <a href="/#/9817/dataClass/15082">Cardiopulmonary_Exercise_Test</a> (<a href="/#/9817/dataClass/15082">CPET</a>) is a non-invasive method used to assess the performance of the heart and lungs at rest and during exercise.</p><p>A <a href="/#/9817/dataClass/15082">Cardiopulmonary_Exercise_Test</a> is for:</p><ul><li><div>Incremental Shuttle Walk Test (ISWT) or</div></li><li><div>Oxygen Consumption (VO2).</div></li></ul>

Cardiopulmonary Exercise Test

<p>A <a href="/#/9817/dataClass/15083">Care_Cluster_Assignment_Period</a> is a <a href="/#/9815/dataClass/12184">PERSON_PROPERTY_ASSIGNMENT_PERIOD</a>.</p><p>A <a href="/#/9817/dataClass/15083">Care_Cluster_Assignment_Period</a> is the period of time that a <a href="/#/9815/dataClass/12163">PATIENT</a> is assigned to a <a href="/#/9815/dataClass/12080">CARE_CLUSTER</a>.</p>

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