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<p>The <a href="/#/143/dataClass/5712">18_Weeks</a> operational standard is set out in the Operating Framework for the NHS in England published by the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a>.</p><p>The 18 week referral to treatment pathway is about improving <a href="/#/141/dataClass/2446">PATIENTS</a>&rsquo; experience of the NHS - ensuring all <a href="/#/141/dataClass/2446">PATIENTS</a> receive high quality elective care without any unnecessary delay.</p><p><a href="/#/143/dataClass/5712">18_Weeks</a> applies to pathways that do or might involve <a href="/#/143/dataClass/5902">Consultant_Led_Activity</a>, setting a maximum time of 18 weeks from the point of initial referral up to the start of any treatment necessary for all <a href="/#/141/dataClass/2446">PATIENTS</a> where it is clinically appropriate and where <a href="/#/141/dataClass/2446">PATIENTS</a> want it.</p><p>For further information on NHS waiting times, see the:</p><ul><li><a href="/#/143/dataClass/6223">NHS_England</a> website at <a href="https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/rtt-guidance/" target="_blank">Consultant-led Referral to Treatment Waiting Times Rules and Guidance</a></li><li>NHS website at <a href="https://www.nhs.uk/using-the-nhs/nhs-services/hospitals/guide-to-nhs-waiting-times-in-england/" target="_blank">Guide to NHS waiting times</a>.</li></ul>

18 Weeks

<p>The <a href="/#/143/dataClass/5713">ABO_System</a> is a <a href="/#/141/dataClass/2377">CODED_CLINICAL_ENTRY</a>.</p><p>The <a href="/#/143/dataClass/5713">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="/#/143/dataClass/5713">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>An <a href="/#/143/dataClass/5714">Abdominal_X-Ray</a> is a <a href="/#/143/dataClass/5881">Clinical_Investigation</a>.</p><p>An <a href="/#/143/dataClass/5714">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="/#/143/dataClass/5715">Ablative_Therapy</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>. </p><p><a href="/#/143/dataClass/5715">Ablative_Therapy</a> (also called <a href="/#/143/dataClass/5715">Ablation Therapy</a>) is the removal or destruction of a body part, <a href="/#/141/dataClass/2513">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="/#/143/dataClass/5715">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="/#/143/dataClass/5716">Accessible Information</a> is information which is able to be read or received and understood by the individual or group for which it is intended.</p><p>The Equality Act 2010 places a duty on all service providers to take steps or make reasonable adjustments in order to avoid putting a disabled <a href="/#/141/dataClass/2455">PERSON</a> at a substantial disadvantage when compared to a <a href="/#/141/dataClass/2455">PERSON</a> who is not disabled.</p><p><a href="https://digital.nhs.uk/data-and-information/information-standards/information-standards-and-data-collections-including-extractions/publications-and-notifications/standards-and-collections/dcb1605-accessible-information" target="_blank">SCCI 1605 Accessible Information</a> requires that Health and Social Care <a href="/#/143/dataClass/6295">Organisations</a> identify and record the information and communication support needs of <a href="/#/141/dataClass/2446">PATIENTS</a> and service users (and where appropriate their carers), where these needs relate to or are caused by a <a href="/#/141/dataClass/2393">DISABILITY</a>, impairment or sensory loss. These <a href="/#/143/dataClass/6295">Organisations</a> are also required to take action to ensure that these needs are met.</p><p>The information and communication support needs cover four areas:</p><ul><li><div>communication support</div></li><li><div>requires specific contact method</div></li><li><div>requires communication professional</div></li><li><div>requires specific information format</div></li></ul><p>For further information on <a href="/#/143/dataClass/5716">Accessible Information</a>, see the <a href="/#/143/dataClass/6223">NHS_England</a> website at: <a href="https://www.england.nhs.uk/ourwork/accessibleinfo/" target="_blank">Accessible Information Standard</a>.</p>

Accessible Information

<p>An <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> is a <a href="/#/141/dataClass/2359">CARE_CONTACT</a>.</p><p>An <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> is an individual visit by one <a href="/#/141/dataClass/2446">PATIENT</a> to an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> to receive treatment from the accident and emergency service.</p><p>Note that the accident and emergency service may be provided by staff from other <a href="/#/141/dataClass/2424">MAIN_SPECIALTY</a>.</p><p>During an <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> the <a href="/#/141/dataClass/2446">PATIENT</a> may temporarily leave the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>, e.g. for an X-ray, whilst still under the responsibility of the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>.</p><p>An <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> may be as a result of a request from a <a href="/#/141/dataClass/2413">GENERAL_PRACTITIONER</a> for help with a diagnosis or treatment.</p><p>Attendances at <a href="/#/143/dataClass/6308">Out-Patient_Clinic</a> run in the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> should not be recorded as <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> but should be recorded as <a href="/#/143/dataClass/6307">Out-Patient_Attendance_Consultant</a> or <a href="/#/143/dataClass/5873">Clinic_Attendance_Non-Consultant</a> depending upon the type of <a href="/#/143/dataClass/6308">Out-Patient_Clinic</a> attended.</p><p>Any facility set up to receive and treat emergency cases is regarded as an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> for this purpose.</p><p><a href="/#/143/dataClass/5717">Accident and Emergency Attendances</a> include both first and follow-up attendances. A follow-up attendance is any subsequent <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> at the same <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> for the same incident. All attendances for the same incident will constitute an <a href="/#/143/dataClass/5724">Accident_and_Emergency_Episode</a>.</p><p>Each <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a>, which is a first attendance or an unplanned follow-up attendance, should be assigned an <a href="/#/141/dataElement/348">A_AND_E_STREAM</a>.</p><p>Any <a href="/#/141/dataClass/2446">PATIENT</a> diagnoses and interventions should be recorded using the A & E specific codes, see <a href="/#/141/dataElement/152">ACCIDENT_AND_EMERGENCY_DIAGNOSIS</a>, <a href="/#/141/dataElement/155">ACCIDENT_AND_EMERGENCY_INVESTIGATION</a> and <a href="/#/141/dataElement/156">ACCIDENT_AND_EMERGENCY_TREATMENT</a>.</p>

Accident and Emergency Attendance

<p>An <a href="/#/143/dataClass/5718">Accident_and_Emergency_Attendance_Conclusion_Date</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5718">Accident_and_Emergency_Attendance_Conclusion_Date</a> is the date:</p><ul><li><div>that a <a href="/#/141/dataClass/2446">PATIENT</a>'s <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> concludes or</div></li><li><div>when treatment in the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> is completed (whichever is the later).</div></li></ul><p>For those <a href="/#/141/dataClass/2446">PATIENTS</a> admitted into hospital, the <a href="/#/142/dataElement/2678">ACCIDENT_AND_EMERGENCY_ATTENDANCE_CONCLUSION_DATE</a> is recorded as the date when the <a href="/#/141/dataClass/2390">DECISION_TO_ADMIT</a> was made.</p>

Accident and Emergency Attendance Conclusion Date

<p>An <a href="/#/143/dataClass/5719">Accident_and_Emergency_Attendance_Conclusion_Time</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5719">Accident_and_Emergency_Attendance_Conclusion_Time</a> is the time, recorded using a 24 hour clock:</p><ul><li><div>that a <a href="/#/141/dataClass/2446">PATIENT</a>'s <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> concludes or</div></li><li><div>when treatment in an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> is completed (whichever is the later).</div></li></ul><p>For those <a href="/#/141/dataClass/2446">PATIENTS</a> admitted into hospital, the <a href="/#/142/dataElement/2692">A_and_E_ATTENDANCE_CONCLUSION_TIME</a> is recorded as the time when the <a href="/#/141/dataClass/2390">DECISION_TO_ADMIT</a> was made.</p>

Accident and Emergency Attendance Conclusion Time

<p>An <a href="/#/143/dataClass/5720">Accident_and_Emergency_Date_Seen_For_Treatment</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p><a href="/#/143/dataClass/5720">Accident_and_Emergency_Date_Seen_For_Treatment</a> is the date, that the <a href="/#/141/dataClass/2446">PATIENT</a> is seen by a clinical decision maker (someone who can define the management plan and discharge the <a href="/#/141/dataClass/2446">PATIENT</a>) to diagnose the problem and arrange or start definite treatment as necessary.</p><p>For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Accident and Emergency Date Seen For Treatment

<p>An <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> is a <a href="/#/143/dataClass/5934">Department</a>.</p><p><a href="/#/143/dataClass/5721">Accident and Emergency Departments</a> may be either major units, providing a 24 hour service seven days a week to which the great majority of emergency ambulance cases are taken, or small units commonly called casualty departments, in which services are often only available for limited hours and which may not deal with emergency ambulance cases.</p><p>A casualty department is not always part of a <a href="/#/143/dataClass/6101">Hospital_Site</a>. Additional activities may also take place such as: elective surgical work of a minor nature, observation and treatment of <a href="/#/141/dataClass/2446">PATIENTS</a> in <a href="/#/143/dataClass/6097">Hospital Beds</a> and the holding of <a href="/#/143/dataClass/6308">Out-Patient Clinics</a>.</p><p><a href="/#/143/dataClass/6097">Hospital Beds</a> either within or adjacent to a department will be counted as a <a href="/#/141/dataClass/2522">WARD</a> or part of a <a href="/#/141/dataClass/2522">WARD</a>. Work apart from the accident and emergency service should be recorded in the appropriate data system.</p><p>An accident and emergency service offers care to <a href="/#/141/dataClass/2446">PATIENTS</a> who arrive with urgent problems and who have not usually been seen previously by a <a href="/#/141/dataClass/2413">GENERAL_PRACTITIONER</a>.</p><p>In the case of serious illness or accident, the treatment provided will be vital resuscitation only before the <a href="/#/141/dataClass/2446">PATIENT</a> is admitted to hospital.</p>

Accident and Emergency Department

<p>An <a href="/#/143/dataClass/5722">Accident_and_Emergency_Departure_Date</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5722">Accident_and_Emergency_Departure_Date</a> is the date that a <a href="/#/141/dataClass/2446">PATIENT</a> leaves an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> after an <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> has concluded.</p><p>Notes:</p><ul><li><div>This date may be different from the <a href="/#/143/dataClass/5718">Accident_and_Emergency_Attendance_Conclusion_Date</a> for <a href="/#/141/dataClass/2446">PATIENTS</a> who wait for patient transport or who are <a href="/#/141/dataClass/2422">LODGED PATIENTS</a> prior to admission to a <a href="/#/141/dataClass/2522">WARD</a>.</div></li><li><div>For <a href="/#/141/dataClass/2446">PATIENTS</a> who die in an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> the <a href="/#/143/dataClass/5722">Accident_and_Emergency_Departure_Date</a> is the date the body was removed from the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>.</div></li><li><div>The <a href="/#/141/dataClass/2446">PATIENT</a> may leave the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> temporarily during an <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a>, for example, for an X-ray but they remain under the care of an Accident and Emergency <a href="/#/141/dataClass/2380">CONSULTANT</a>.</div></li></ul><p>For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Accident and Emergency Departure Date

<p>An <a href="/#/143/dataClass/5723">Accident_and_Emergency_Departure_Time</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5723">Accident_and_Emergency_Departure_Time</a> is the time recorded using a 24 hour clock that a <a href="/#/141/dataClass/2446">PATIENT</a> leaves an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> after an <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a> has concluded.</p>Notes:<ul><li><div>This time will be different from the <a href="/#/143/dataClass/5719">Accident_and_Emergency_Attendance_Conclusion_Time</a> for <a href="/#/141/dataClass/2446">PATIENTS</a> who wait for patient transport or who are <a href="/#/141/dataClass/2422">LODGED PATIENTS</a> prior to admission to a <a href="/#/141/dataClass/2522">WARD</a>.</div></li><li><div>For <a href="/#/141/dataClass/2446">PATIENTS</a> who die in an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> the <a href="/#/143/dataClass/5723">Accident_and_Emergency_Departure_Time</a> is the time the body was removed from the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>.</div></li><li><div>The <a href="/#/141/dataClass/2446">PATIENT</a> may leave the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> temporarily during an <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a>, for example, for an X-ray but they remain under the care of an Accident and Emergency <a href="/#/141/dataClass/2380">CONSULTANT</a>.</div></li></ul><p>For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Accident and Emergency Departure Time

<p>An <a href="/#/143/dataClass/5724">Accident_and_Emergency_Episode</a> is an <a href="/#/141/dataClass/2337">ACTIVITY_GROUP</a>.</p><p>An <a href="/#/143/dataClass/5724">Accident_and_Emergency_Episode</a> involves visits to an <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> of one <a href="/#/141/dataClass/2446">PATIENT</a> for a particular incident. The <a href="/#/141/dataClass/2446">PATIENT</a> may receive treatment during the <a href="/#/143/dataClass/5724">Accident_and_Emergency_Episode</a> from the accident and emergency service and from other <a href="/#/141/dataClass/2424">MAIN SPECIALTIES</a>.</p><p>Each <a href="/#/143/dataClass/5724">Accident_and_Emergency_Episode</a> takes place at a single <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> and consists of one or more <a href="/#/143/dataClass/5717">Accident_and_Emergency_Attendance</a>.</p><p>The <a href="/#/143/dataClass/5724">Accident_and_Emergency_Episode</a> may give rise to a <a href="/#/141/dataClass/2390">DECISION_TO_ADMIT</a>.</p>

Accident and Emergency Episode

<p>An <a href="/#/143/dataClass/5725">Accident_and_Emergency_Initial_Assessment_Date</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5725">Accident_and_Emergency_Initial_Assessment_Date</a> is the date that the <a href="/#/141/dataClass/2446">PATIENT</a> is first assessed in the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>.</p><p>An Initial Assessment would include:</p><ul><li><div>the taking of a brief <a href="/#/141/dataClass/2446">PATIENT</a> medical history</div></li><li><div>pain assessment</div></li><li><div>early warning scores (including vital signs)</div></li></ul><p>The assessment should be conducted by medical or nursing staff who have received appropriate training.</p><p>For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Accident and Emergency Initial Assessment Date

<p>An <a href="/#/143/dataClass/5726">Accident_and_Emergency_Initial_Assessment_Time</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5726">Accident_and_Emergency_Initial_Assessment_Time</a> is the time, recorded using the 24 hour clock, that the <a href="/#/141/dataClass/2446">PATIENT</a> is first assessed in the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> for first attendances and unplanned follow-up attendances.</p><p>An Initial Assessment would include:</p><ul><li><div>the taking of a brief <a href="/#/141/dataClass/2446">PATIENT</a> medical history</div></li><li><div>pain assessment</div></li><li><div>early warning scores (including vital signs)</div></li></ul><p>The assessment should be conducted by medical or nursing staff who have received appropriate training.</p><p>For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Accident and Emergency Initial Assessment Time

<p>An <a href="/#/143/dataClass/5727">Accident_and_Emergency_Time_Seen_For_Treatment</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5727">Accident_and_Emergency_Time_Seen_For_Treatment</a> is the time, recorded using the 24 hour clock, that the <a href="/#/141/dataClass/2446">PATIENT</a> is seen by a clinical decision maker (someone who can define the management plan and discharge the <a href="/#/141/dataClass/2446">PATIENT</a>) to diagnose the problem and arrange or start definite treatment as necessary.</p><p>For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Accident and Emergency Time Seen For Treatment

<p><a href="/#/143/dataClass/5728">Active_Monitoring</a> is an <a href="/#/141/dataClass/2337">ACTIVITY_GROUP</a>.</p><p><a href="/#/143/dataClass/5728">Active_Monitoring</a> will commence when a decision is made (and agreed with the <a href="/#/141/dataClass/2446">PATIENT</a>) that it is clinically appropriate to start a period of monitoring, possibly whilst the <a href="/#/141/dataClass/2446">PATIENT</a> receives symptomatic support, but without any specific or significant <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a> at this stage.</p><p><a href="/#/143/dataClass/5728">Active_Monitoring</a> may be initiated by either a <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a> or a <a href="/#/141/dataClass/2446">PATIENT</a>.</p><p>The start of <a href="/#/143/dataClass/5728">Active_Monitoring</a> will end a <a href="/#/141/dataClass/2493">REFERRAL_TO_TREATMENT_PERIOD</a>.</p><p>During <a href="/#/143/dataClass/5728">Active_Monitoring</a> the <a href="/#/141/dataClass/2446">PATIENT</a> will remain under the care of a <a href="/#/141/dataClass/2380">CONSULTANT</a> or <a href="/#/143/dataClass/6211">NHS_Allied_Health_Professional_Service_(Referral_To_Treatment_Measurement)</a> although the <a href="/#/141/dataClass/2413">GENERAL_PRACTITIONER</a> will be updated with the progress of their <a href="/#/141/dataClass/2446">PATIENT</a>.</p><p>If a <a href="/#/143/dataClass/5925">Decision_To_Treat</a> is made during <a href="/#/143/dataClass/5728">Active_Monitoring</a>, this will end the <a href="/#/143/dataClass/5728">Active_Monitoring</a> and will start a new <a href="/#/141/dataClass/2493">REFERRAL_TO_TREATMENT_PERIOD</a>; see <a href="/#/141/dataElement/1868">REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a>.</p>

Active Monitoring

<p>An <a href="/#/143/dataClass/5729">Activity_Date_for_Age_(Contract_Monitoring)</a> is the <a href="/#/141/dataElement/160">ACTIVITY_DATE</a> used to calculate the age of the <a href="/#/141/dataClass/2446">PATIENT</a>, for the <a href="/#/143/dataClass/5907">Contract_Monitoring</a> Data Sets.</p><p>An <a href="/#/143/dataClass/5729">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="/#/142/dataElement/3530">END_DATE_(EPISODE)</a></td></tr><tr><td><a href="/#/143/dataClass/6304">Out-Patient_Appointment</a></td><td><a href="/#/142/dataElement/2625">APPOINTMENT_DATE</a></td></tr><tr><td><div><a href="/#/143/dataClass/5975">Emergency_Care_Attendance</a></div></td><td><a href="/#/142/dataElement/3432">EMERGENCY_CARE_ARRIVAL_DATE</a> / <a href="/#/142/dataElement/3435">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="/#/142/dataElement/3033">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="/#/142/dataElement/3032">CLINICAL_INTERVENTION_DATE_(DRUG_ADMINISTERED)</a></td></tr></tbody></table>

Activity Date for Age (Contract Monitoring)

<p>An <a href="/#/143/dataClass/5730">Activity_End_Date_(Contract_Monitoring)</a> is the date on which a commissioned <a href="/#/141/dataClass/2333">ACTIVITY</a> is deemed to have ended, for the purposes of <a href="/#/143/dataClass/5907">Contract_Monitoring</a>.</p><p>The <a href="/#/143/dataClass/5730">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="/#/142/dataElement/3530">END_DATE_(EPISODE)</a></div></li><li><div><a href="/#/143/dataClass/6100">Hospital Provider Spells</a> is the <a href="/#/142/dataElement/3364">DISCHARGE_DATE_(HOSPITAL_PROVIDER_SPELL)</a></div></li></ul></li><li><div><a href="/#/143/dataClass/6304">Out-Patient Appointments</a> (non-admitted care and diagnostic tests) is the <a href="/#/142/dataElement/2625">APPOINTMENT_DATE</a></div></li><li><div><a href="/#/143/dataClass/6319">Packages of Care</a> is the <a href="/#/142/dataElement/3523">END_DATE</a> of the <a href="/#/141/dataClass/2333">ACTIVITY</a> within the <a href="/#/143/dataClass/6319">Package_of_Care</a></div></li><li><div><a href="/#/143/dataClass/5975">Emergency Care Attendances</a> is the <a href="/#/142/dataElement/3447">EMERGENCY_CARE_DEPARTURE_DATE</a></div></li><li><div>Critical care is the <a href="/#/142/dataElement/3523">END_DATE</a> of that particular level of critical care.</div></li></ul>

Activity End Date (Contract Monitoring)

<p>An <a href="/#/143/dataClass/5731">Activity_Start_Date_(Contract_Monitoring)</a> is the date on which a commissioned <a href="/#/141/dataClass/2333">ACTIVITY</a> is deemed to have occurred, for the purposes of <a href="/#/143/dataClass/5907">Contract_Monitoring</a>.</p><p>The <a href="/#/143/dataClass/5731">Activity_Start_Date_(Contract_Monitoring)</a> for:</p><ul><li><div>Admitted patient care:</div><ul><li>Finished Consultant Episodes (FCEs) is <a href="/#/142/dataElement/5307">START_DATE_(EPISODE)</a></li><li><a href="/#/143/dataClass/6100">Hospital Provider Spells</a> is <a href="/#/142/dataElement/5312">START_DATE_(HOSPITAL_PROVIDER_SPELL)</a></li></ul></li><li><a href="/#/143/dataClass/6304">Out-Patient Appointments</a> (non-admitted care and diagnostic tests) is the <a href="/#/142/dataElement/2625">APPOINTMENT_DATE</a></li><li><a href="/#/143/dataClass/6319">Packages of Care</a> is the date of the <a href="/#/141/dataClass/2333">ACTIVITY</a> within the <a href="/#/143/dataClass/6319">Package_of_Care</a></li><li><a href="/#/143/dataClass/5975">Emergency Care Attendances</a> is the <a href="/#/142/dataElement/3432">EMERGENCY_CARE_ARRIVAL_DATE</a></li><li>Critical care is the <a href="/#/142/dataElement/5297">START_DATE</a> of that particular level of critical care.</li></ul>

Activity Start Date (Contract Monitoring)

<p><a href="/#/143/dataClass/5732">Adjunctive_Therapy</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/143/dataClass/5732">Adjunctive_Therapy</a> is therapy given in addition to the main treatment to maximize its effectiveness.</p><p><a href="/#/143/dataClass/5732">Adjunctive_Therapy</a> can be either:</p><ul><li><div><a href="/#/143/dataClass/5733">Adjuvant_Therapy</a></div></li><li><div><a href="/#/143/dataClass/6246">Neoadjuvant_Therapy</a>.</div></li></ul>

Adjunctive Therapy

<p><a href="/#/143/dataClass/5733">Adjuvant_Therapy</a> is a type of <a href="/#/143/dataClass/5732">Adjunctive_Therapy</a>.</p><p><a href="/#/143/dataClass/5733">Adjuvant_Therapy</a> is therapy given to the <a href="/#/141/dataClass/2446">PATIENT</a> after the main treatment.</p>

Adjuvant Therapy

<p>The <a href="/#/143/dataClass/5734">Adult_Comorbidity_Evaluation_-_27</a> (<a href="/#/143/dataClass/5734">ACE-27</a>) is an <a href="/#/141/dataClass/2354">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/143/dataClass/5734">Adult_Comorbidity_Evaluation_-_27</a> is a 27-item comorbidity index for <a href="/#/141/dataClass/2446">PATIENTS</a> with cancer.  It Identifies the important medical comorbidities and grade severity using the index.</p><p>For further information on the <a href="/#/143/dataClass/5734">Adult_Comorbidity_Evaluation_-_27</a>, see <a href="https://www.rtog.org/LinkClick.aspx?fileticket=xMGEfaLHRuM%3D&tabid=290" target="_blank">Adult Comorbidity Evaluation-27.</a></p>

Adult Comorbidity Evaluation - 27

<p>An <a href="/#/143/dataClass/5735">Adult_Mental_Health_Care_Cluster</a> is a type of <a href="/#/141/dataClass/2358">CARE_CLUSTER</a> for adult <a href="/#/141/dataClass/2446">PATIENTS</a>.</p><p>An <a href="/#/143/dataClass/5735">Adult_Mental_Health_Care_Cluster</a> is part of a currency developed to support the <a href="/#/143/dataClass/6245">National_Tariff_Payment_System</a> for <a href="/#/143/dataClass/6194">Mental Health Services</a>.</p><p><a href="/#/143/dataClass/5735">Adult Mental Health Care Clusters</a> are 21 groupings of Mental Health <a href="/#/141/dataClass/2446">PATIENTS</a> based on their characteristics, and are a way of classifying individuals utilising <a href="/#/143/dataClass/6194">Mental Health Services</a> that forms the basis for payment.</p><p>An <a href="/#/143/dataClass/5735">Adult_Mental_Health_Care_Cluster</a> is assigned using a decision tree or algorithm based on the <a href="/#/141/dataElement/1624">PERSON_SCORE</a> from the <a href="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> undertaken by a <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a> for the <a href="/#/141/dataClass/2446">PATIENT</a>.</p><p>This is done by first assigning the <a href="/#/141/dataClass/2446">PATIENT</a> to one of three <a href="/#/143/dataClass/6183">Mental Health Care Cluster Super Classes</a>, to narrow down the number of possible <a href="/#/143/dataClass/5735">Adult Mental Health Care Clusters</a> which are applicable to the <a href="/#/141/dataClass/2446">PATIENTS</a> condition. The <a href="/#/141/dataClass/2446">PATIENT</a> is then assigned to the most appropriate of this sub-set of <a href="/#/143/dataClass/5735">Adult Mental Health Care Clusters</a>.</p><p>Further information relating to the <a href="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> and <a href="/#/143/dataClass/5735">Adult Mental Health Care Clusters</a> is available from the gov.uk website at: <a href="https://www.gov.uk/government/collections/the-nhs-payment-system-regulating-prices-for-nhs-funded-healthcare" target="_blank">The NHS payment system: documents and guidance</a>.</p>

Adult Mental Health Care Cluster

<p>The <a href="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> is a type of <a href="/#/143/dataClass/5886">Clustering_Tool</a> for adult <a href="/#/141/dataClass/2446">PATIENTS</a> receiving Mental Health care.</p><p>The <a href="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> is a needs assessment tool designed to rate the care needs of a <a href="/#/141/dataClass/2446">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="/#/143/dataClass/6078">Health_of_the_Nation_Outcome_Scale_(Working_Age_Adults)</a> rating scales, originally developed by the <a href="/#/143/dataClass/6433">Royal_College_of_Psychiatrists</a>. These 12 rating scales are numbered 1 - 12 under 'Current Ratings' in the <a href="/#/143/dataClass/5736">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="/#/143/dataClass/5736">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="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> <a href="/#/142/dataElement/2651">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="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> <a href="/#/142/dataElement/2651">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="/#/141/dataClass/2361">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="/#/143/dataClass/5736">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="/#/141/dataElement/1624">PERSON_SCORE</a> from the <a href="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> is used to allocate the <a href="/#/141/dataClass/2446">PATIENT</a> to the most appropriate <a href="/#/143/dataClass/5735">Adult_Mental_Health_Care_Cluster</a>.</p><p>Further information relating to the <a href="/#/143/dataClass/5736">Adult_Mental_Health_Clustering_Tool</a> and <a href="/#/143/dataClass/5735">Adult Mental Health Care Clusters</a> is available from the gov.uk website at:</p><ul><li><div><a href="https://improvement.nhs.uk/resources/national-tariff-1719/#h2-tariff-documents" target="_blank">National tariff payment system 2017/18 and 2018/19</a></div></li><li><div><a href="https://www.gov.uk/government/collections/the-nhs-payment-system-regulating-prices-for-nhs-funded-healthcare" target="_blank">The NHS payment system: documents and guidance</a>.</div></li></ul>

Adult Mental Health Clustering Tool

<p><a href="/#/143/dataClass/5737">Adult_Nursing</a>, as described by the <a href="/#/143/dataClass/6275">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="/#/141/dataClass/2446">PATIENTS</a> with wide ranging levels of dependency.</p><p><a href="/#/143/dataClass/5737">General Nursing</a> is another term used to describe <a href="/#/143/dataClass/5737">Adult_Nursing</a>.</p><p>The ethos of <a href="/#/143/dataClass/5737">Adult_Nursing</a> is <a href="/#/141/dataClass/2446">PATIENT</a> centred and acknowledges the differing needs, values and beliefs of people from ethnically diverse communities. <a href="/#/141/dataClass/2434">NURSES</a> engage in and develop therapeutic relationships that involve <a href="/#/141/dataClass/2446">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="/#/141/dataClass/2446">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>The <a href="/#/143/dataClass/5738">Agoraphobia_Mobility_Inventory_Questionnaire</a> is a type of <a href="/#/141/dataClass/2354">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/143/dataClass/5738">Agoraphobia_Mobility_Inventory_Questionnaire</a> is a 27 item self-completion questionnaire.  It is recommended where the <a href="/#/141/dataElement/1787">PROVISIONAL_DIAGNOSIS</a> is Agoraphobia.</p><p><a href="/#/141/dataClass/2446">PATIENTS</a> select numbers to indicate the degree to which they would avoid particular places or situations because of discomfort or anxiety. The score provides a measure of the severity of agoraphobia.</p><p>The scoring is in the range of 1-5 item scale:</p><table width="100%"><tbody><tr><td align="center" valign="top" width="10%">1</td><td align="left" valign="top" width="90%">Never Avoid</td></tr><tr><td align="center" valign="top" width="10%">2</td><td align="left" valign="top" width="90%">Rarely Avoid</td></tr><tr><td align="center">3</td><td>Avoid About Half the Time</td></tr><tr><td align="center">4</td><td>Avoid Most of the Time</td></tr><tr><td align="center" valign="top" width="10%">5</td><td align="left" valign="top" width="90%">Always Avoid</td></tr></tbody></table><p>Each situation is rated twice to reflect the degree that the situation is avoided:</p><ol><li><div><a href="/#/143/dataClass/5739">Agoraphobia Mobility Inventory Questionnaire &apos;When Accompanied&apos;</a></div></li><li><div><a href="/#/143/dataClass/5740">Agoraphobia Mobility Inventory Questionnaire &apos;When Alone&apos;</a></div></li></ol><p><a href="/#/141/dataClass/2446">PATIENTS</a> may skip items that are irrelevant to their lifestyles; however, it is recommended that the scale be considered invalid for individuals who skip more than five items.</p><p>The <a href="/#/142/dataElement/2572">AGORAPHOBIA_MOBILITY_INVENTORY_SCORE_(WHEN_ACCOMPANIED)</a> is scored by calculating the average avoidance rating across all situations for the &lsquo;When alone&rsquo; and &lsquo;When accompanied&rsquo; scales. For the measure related to &lsquo;When alone&rsquo;, a cut-off score above an item average of 2.3 should be applied.</p>

Agoraphobia Mobility Inventory Questionnaire

<p>The <a href="/#/143/dataClass/5739">Agoraphobia Mobility Inventory Questionnaire &apos;When Accompanied&apos;</a> is part of the <a href="/#/143/dataClass/5738">Agoraphobia_Mobility_Inventory_Questionnaire</a> which is a type of <a href="/#/141/dataClass/2354">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/143/dataClass/5739">Agoraphobia Mobility Inventory Questionnaire &apos;When Accompanied&apos;</a> is a 27 item self-completion questionnaire.</p><p>The score is derived by selecting a number to indicate the degree to which the <a href="/#/141/dataClass/2446">PATIENT</a> would avoid places or situations because of discomfort or anxiety when accompanied by a trusted companion.</p>

Agoraphobia Mobility Inventory Questionnaire Accompanied

<p>The <a href="/#/143/dataClass/5740">Agoraphobia Mobility Inventory Questionnaire &apos;When Alone&apos;</a> is part of the <a href="/#/143/dataClass/5738">Agoraphobia_Mobility_Inventory_Questionnaire</a> which is a type of <a href="/#/141/dataClass/2354">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/143/dataClass/5740">Agoraphobia Mobility Inventory Questionnaire &apos;When Alone&apos;</a> is a 27 item self-completion questionnaire.</p><p>The score is derived by selecting a number to indicate the degree to which the <a href="/#/141/dataClass/2446">PATIENT</a> would avoid places or situations because of discomfort or anxiety when alone.</p>

Agoraphobia Mobility Inventory Questionnaire Alone

<p>The <a href="/#/143/dataClass/5741">Agoraphobia_Questionnaire</a> is a type of <a href="/#/141/dataClass/2354">ASSESSMENT_TOOL</a>.</p><p>This is the Improving Access to Psychological Therapies <a href="/#/143/dataClass/5741">Agoraphobia_Questionnaire</a>. It is calculated by the <a href="/#/141/dataClass/2446">PATIENT</a> choosing a number to indicate how much they would avoid a situation because of a fear of having a panic attack or other distressing symptoms (such as loss of bladder control, vomiting or dizziness).</p><p>The numbers are in a range of 0 to 8 and are chosen as:</p><table width="100%"><tbody><tr><td align="center" valign="top" width="10%">0</td><td align="left" valign="top" width="90%">Would not avoid it</td></tr><tr><td align="center" valign="top" width="10%">2</td><td align="left" valign="top" width="90%">Slightly avoid it</td></tr><tr><td align="center">4</td><td>Definitely avoid it</td></tr><tr><td align="center">6</td><td>Markedly avoid it</td></tr><tr><td align="center" valign="top" width="10%">8</td><td align="left" valign="top" width="90%">Always avoid it</td></tr></tbody></table><p>A score of less than 4 indicates no specific problems and a score of greater than 4 suggests further exploration by the therapist to determine the extent to which this fear interferes with the <a href="/#/141/dataClass/2446">PATIENT</a>'s daily activities.</p>

Agoraphobia Questionnaire

<p>A <a href="/#/143/dataClass/5742">Allied_Health_Professional_Referral_To_Treatment_Measurement</a> is a <a href="/#/141/dataClass/2493">REFERRAL_TO_TREATMENT_PERIOD</a>.</p><p>In 2008, the <a href="/#/143/dataClass/5938">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="/#/141/dataClass/2501">SERVICES</a> which <a href="/#/141/dataClass/2362">CARE PROFESSIONALS</a> in <a href="/#/143/dataClass/6211">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 Allied Health Professionals and support <a href="/#/141/dataClass/2501">SERVICE</a> redesign to improve <a href="/#/141/dataClass/2501">SERVICES</a> for <a href="/#/141/dataClass/2446">PATIENTS</a></div></li><li><div>To promote the benefits of self-referral to Physiotherapy <a href="/#/141/dataClass/2501">SERVICES</a></div></li><li><div>To improve the quality of <a href="/#/141/dataClass/2501">SERVICES</a> delivered</div></li></ul><p>The <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> introduced voluntary collection of Allied Health Professional <a href="/#/141/dataClass/2493">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 Allied Health Professional <a href="/#/141/dataClass/2493">REFERRAL_TO_TREATMENT_PERIOD</a> waiting time data elements which are used for waiting time measurement.</p><p>The Allied Health Professionals mandated to collect and flow Referral To Treatment data are:</p><ul><li><div>Art, Drama and Music Therapists (<a href="/#/143/dataClass/5765">Arts Therapists</a>)</div></li><li><div><a href="/#/143/dataClass/5867">Chiropodists</a>/<a href="/#/143/dataClass/5867">Podiatrist</a>s</div></li><li><a href="/#/143/dataClass/5942">Dietitians</a></li><li><a href="/#/143/dataClass/6284">Occupational Therapists</a></li><li><a href="/#/143/dataClass/6299">Orthoptists</a></li><li><a href="/#/143/dataClass/6347">Physiotherapists</a></li><li><a href="/#/143/dataClass/6378">Prosthetists</a> and <a href="/#/143/dataClass/6300">Orthotists</a></li><li><a href="/#/143/dataClass/6386">Radiographers</a> (Diagnostic and Therapeutic)</li><li><a href="/#/143/dataClass/6498">Speech and Language Therapists</a></li></ul><p>There is no maximum waiting time target attached to an Allied Health Professional <a href="/#/141/dataClass/2493">REFERRAL_TO_TREATMENT_PERIOD</a>, so no adjustments can be applied to the calculated waiting time between the <a href="/#/141/dataElement/1868">REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and the <a href="/#/141/dataElement/1867">REFERRAL_TO_TREATMENT_PERIOD_END_DATE</a>.  However, locally the <a href="/#/142/dataElement/3595">EARLIEST_CLINICALLY_APPROPRIATE_DATE</a> and the <a href="/#/142/dataElement/3596">EARLIEST_REASONABLE_OFFER_DATE</a> can be used by <a href="/#/143/dataClass/6069">Health Care Providers</a> and their Commissioners to analyse unexpectedly long waits for <a href="/#/143/dataClass/6010">First_Definitive_Treatment</a>.</p><p>Allied Health Professionals working as part of a <a href="/#/143/dataClass/5903">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="/#/143/dataClass/5938">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="/#/143/dataClass/5743">Allred_Score</a> is a <a href="/#/141/dataElement/1624">PERSON_SCORE</a>.</p><p>The <a href="/#/143/dataClass/5743">Allred_Score</a> is used for <a href="/#/141/dataClass/2446">PATIENTS</a> with breast cancer during a <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a>.</p><p>There are two types of <a href="/#/143/dataClass/5743">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="/#/143/dataClass/5745">Ambulance_Service</a> vehicle used to transport <a href="/#/141/dataClass/2446">PATIENTS</a>.</p>

Ambulance

<p>An <a href="/#/143/dataClass/5745">Ambulance_Service</a> is a <a href="/#/141/dataClass/2501">SERVICE</a>.</p><p>An <a href="/#/143/dataClass/5745">Ambulance_Service</a> is a <a href="/#/141/dataClass/2501">SERVICE</a> provided by an <a href="/#/143/dataClass/6295">Organisation</a> for the provision of <a href="/#/141/dataClass/2446">PATIENT</a> transport services.</p>

Ambulance Service

<p>The <a href="/#/143/dataClass/5746">American_Joint_Committee_on_Cancer</a> (<a href="/#/143/dataClass/5746">AJCC</a>) is an <a href="/#/143/dataClass/6295">Organisation</a>.</p><p>The <a href="/#/143/dataClass/5746">American_Joint_Committee_on_Cancer</a> defines and publishes <a href="/#/141/dataClass/2356">CANCER_STAGING</a> systems, such as the <a href="/#/143/dataClass/6514">TNM_Staging_System</a>.</p><p>For further information on the <a href="/#/143/dataClass/5746">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="/#/143/dataClass/5747">American_Society_of_Anesthesiologists</a> (<a href="/#/143/dataClass/5747">ASA</a>) is an <a href="/#/143/dataClass/6295">Organisation</a>.</p><p>The <a href="/#/143/dataClass/5747">American_Society_of_Anesthesiologists</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="/#/141/dataClass/2446">PATIENT</a>.</p><p>For further information on the <a href="/#/143/dataClass/5747">American_Society_of_Anesthesiologists</a>, see the <a href="/#/143/dataClass/5747">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="/#/143/dataClass/5748">Anaesthetist</a> is a <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a>.</p><p><a href="/#/143/dataClass/5748">Anaesthetists</a> form the largest single hospital medical specialty and their skills are used in all aspects of <a href="/#/141/dataClass/2446">PATIENT</a> care, including:</p><ul><li><div>The preoperative preparation of surgical <a href="/#/141/dataClass/2446">PATIENTS</a></div></li><li><div>The resuscitation and stabilisation of <a href="/#/141/dataClass/2446">PATIENTS</a> in the <a href="/#/143/dataClass/5979">Emergency_Care_Department</a></div></li><li><div>Pain relief in <a href="/#/143/dataClass/6149">Labour</a> and obstetric anaesthesia</div></li><li><div>Intensive care medicine</div></li><li><div>Transport of acutely ill and injured <a href="/#/141/dataClass/2446">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="/#/141/dataClass/2446">PATIENTS</a> undergoing various procedures outside the operating theatre. Examples of this include different <a href="/#/143/dataClass/5992">Endoscopies</a>, interventional radiology and dental surgery.</div></li></ul><p>For further information on <a href="/#/143/dataClass/5748">Anaesthetists</a>, see the <a href="/#/143/dataClass/6428">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="/#/143/dataClass/5749">Anatomical_Site</a> is a <a href="/#/141/dataClass/2469">PERSON_PROPERTY_QUALIFIER</a>.</p><p>An <a href="/#/143/dataClass/5749">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="/#/143/dataClass/5750">Ann_Arbor_Staging_System</a> is a system for <a href="/#/141/dataClass/2356">CANCER_STAGING</a>.</p><p>The <a href="/#/143/dataClass/5750">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="/#/143/dataClass/5750">Ann_Arbor_Staging_System</a> has generally the same function as the <a href="/#/143/dataClass/6514">TNM_Staging_System</a> in solid <a href="/#/143/dataClass/6525">Tumours</a>.</p><p>For further information on <a href="/#/141/dataClass/2356">CANCER STAGINGS</a>, see the <a href="https://wiki.nci.nih.gov/pages/viewpage.action?pageId=21104336" target="_blank">National Cancer Institute website</a>.</p>

Ann Arbor Staging System

<p><a href="/#/143/dataClass/5751">Antenatal</a> is the period of time from conception to before birth.</p>

Antenatal

<p>An <a href="/#/143/dataClass/5752">Antenatal_Booking_Appointment</a> is a <a href="/#/141/dataClass/2359">CARE_CONTACT</a>.</p><p>An <a href="/#/143/dataClass/5752">Antenatal_Booking_Appointment</a> is the <a href="/#/141/dataClass/2349">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="/#/143/dataClass/5751">Antenatal</a> care pathway.</p><p>An <a href="/#/143/dataClass/5752">Antenatal_Booking_Appointment</a> also includes measurement of <a href="/#/143/dataClass/6085">Height</a>, <a href="/#/143/dataClass/6547">Weight</a>, <a href="/#/143/dataClass/5784">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="/#/143/dataClass/5752">Antenatal_Booking_Appointment</a> after the woman has been well informed and has given her consent.</p><p>The <a href="/#/143/dataClass/5752">Antenatal_Booking_Appointment</a> follows the first contact with a health professional.</p><p>This is in accordance with the <a href="/#/143/dataClass/6242">National_Institute_for_Health_and_Care_Excellence</a> guidance <em>'CG62 Antenatal Care'</em>.</p><p>For further information, see the <a href="/#/143/dataClass/6242">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="/#/143/dataClass/5753">Antenatal_Care_Plan</a> is a <a href="/#/141/dataClass/2361">CARE_PLAN</a>.</p><p>An <a href="/#/143/dataClass/5753">Antenatal_Care_Plan</a> is a <a href="/#/141/dataClass/2361">CARE_PLAN</a> developed within a <a href="/#/143/dataClass/6177">Maternity_Episode</a> for the delivery of <a href="/#/143/dataClass/5751">Antenatal</a> care.</p><p>An <a href="/#/143/dataClass/5753">Antenatal_Care_Plan</a> should include details of medical history, the <a href="/#/141/dataClass/2362">CARE PROFESSIONALS</a> to be involved and their <a href="/#/141/dataClass/2365">CARE PROFESSIONAL ROLES</a>, information about the delivery of each <a href="/#/141/dataClass/2359">CARE_CONTACT</a>, information on <a href="/#/143/dataClass/5751">Antenatal</a> <a href="/#/143/dataClass/5881">Clinical Investigations</a> and activities.</p>

Antenatal Care Plan

<p>An <a href="/#/143/dataClass/5754">Anti-Cancer_Drug_Cycle</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p>An <a href="/#/143/dataClass/5754">Anti-Cancer_Drug_Cycle</a> is the period of time during which anti-cancer drugs are administered to a <a href="/#/141/dataClass/2446">PATIENT</a> in an agreed pattern.</p><p>Cycle is a long-established term used to denote the repeating pattern of many <a href="/#/143/dataClass/6511">Chemotherapy Programme</a>s / <a href="/#/143/dataClass/6512">Chemotherapy Regimen</a>s.</p><p>A new <a href="/#/143/dataClass/5754">Anti-Cancer_Drug_Cycle</a> commences when the original pattern starts again.</p>

Anti-Cancer Drug Cycle

<p>An <a href="/#/143/dataClass/5755">Anti-Cancer_Drug_Programme</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p>An <a href="/#/143/dataClass/5755">Anti-Cancer_Drug_Programme</a> is a course of anti-cancer drug treatment. This can include <a href="/#/143/dataClass/5854">Chemotherapy</a>, <a href="/#/143/dataClass/6109">Immunotherapy</a> etc.</p><p>Two or more <a href="/#/143/dataClass/5756">Anti-Cancer Drug Regimens</a> may be given sequentially as part of a planned <a href="/#/143/dataClass/5755">Anti-Cancer_Drug_Programme</a>.</p>

Anti-Cancer Drug Programme

<p>An <a href="/#/143/dataClass/5756">Anti-Cancer_Drug_Regimen</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p>An <a href="/#/143/dataClass/5756">Anti-Cancer_Drug_Regimen</a> is a prescribed systematic form of treatment for a course of drug(s), comprising one or more <a href="/#/143/dataClass/5754">Anti-Cancer Drug Cycles</a>, provided to a <a href="/#/141/dataClass/2446">PATIENT</a> suffering from cancer.</p><p>These can include:</p><ul><li><div><a href="/#/143/dataClass/5854">Chemotherapy</a></div></li><li><div><a href="/#/143/dataClass/5912">Cytotoxic_Chemotherapy</a></div></li><li><div><a href="/#/143/dataClass/6094">Hormone_Therapy</a></div></li><li><div><a href="/#/143/dataClass/6109">Immunotherapy</a> etc</div></li></ul>

Anti-Cancer Drug Regimen

<p><a href="/#/143/dataClass/5757">Antiretroviral_Therapy</a> (<a href="/#/143/dataClass/5757">ART</a>) is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/143/dataClass/5757">Antiretroviral_Therapy</a> is the treatment of people infected with human immunodeficiency virus (HIV) using antiretroviral drugs.</p><p>For further information on <a href="/#/143/dataClass/5757">Antiretroviral_Therapy</a>, see the <a href="/#/143/dataClass/6551">World_Health_Organisation</a> website at: <a href="https://www.who.int/topics/antiretroviral_therapy/en/" target="_blank">Antiretroviral Therapy</a>.</p>

Antiretroviral Therapy

<p>An <a href="/#/143/dataClass/5758">Apgar_Score</a> is a <a href="/#/141/dataClass/2471">PERSON_SCORE</a>.</p><p>An <a href="/#/143/dataClass/5758">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="/#/143/dataClass/5758">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="/#/143/dataClass/5758">Apgar_Score</a> ranges from zero to ten.</p>

Apgar Score

<p>An <a href="/#/143/dataClass/5759">Application_Identifier_(GS1)</a> (<a href="/#/143/dataClass/5759">AI</a>) is a 2,3 or 4 digit number, that indicates the meaning (or status) of the data, which immediately follows the <a href="/#/143/dataClass/5759">Application_Identifier_(GS1)</a>. It is only used with <a href="/#/143/dataClass/6024">GS1</a> data carriers, such as GS1-128 and CS1 DataMatrix bar codes.</p><p>An <a href="/#/143/dataClass/5759">Application_Identifier_(GS1)</a> identifies the type of data used for the purposes of <a href="/#/143/dataClass/5770">Automatic_Identification_and_Data_Capture</a> using <a href="/#/143/dataClass/6024">GS1</a> standards.</p><p>A set of national (2 digit) numbers are issued for use in the NHS. These are:</p><table cellpadding="1" cellspacing="1" width="100%"><tbody><tr><td align="center" valign="top" width="10%">91</td><td align="left" valign="top" width="90%">Hospital Identifiers.<br>Identifies that the data immediately following the <a href="/#/143/dataClass/5759">Application Identifier</a> relates to local hospital identifiers, typically <a href="/#/142/dataElement/4279">ORGANISATION_CODE_(CODE_OF_PROVIDER)</a>, <a href="/#/141/dataClass/2446">PATIENT</a> hospital/Patient Administration System (PAS) number and the <a href="/#/143/dataClass/6295">Organisation</a> <a href="/#/143/dataClass/6024">GS1</a> Unique Organisation Prefix.</td></tr><tr><td align="center" valign="top" width="10%">92</td><td align="left" valign="top" width="90%">Baby Details.<br>Identifies that the data immediately following the <a href="/#/143/dataClass/5759">Application Identifier</a> relates to baby details, typically <a href="/#/142/dataElement/4196">NUMBER_OF_BABIES_IDENTIFIER_(PATIENT_IDENTIFICATION)</a>, <a href="/#/142/dataElement/4686">PERSON_FAMILY_NAME_(MOTHER_OF_BABY)</a> and <a href="/#/142/dataElement/4699">PERSON_GIVEN_NAME_(MOTHER_OF_BABY)</a>. </td></tr><tr><td align="center" valign="top" width="10%">93</td><td align="left" valign="top" width="90%">Patient Descriptive Data.<br>Identifies that the data immediately following the <a href="/#/143/dataClass/5759">Application Identifier</a> relates to <a href="/#/141/dataClass/2446">PATIENT</a> descriptive data, typically <a href="/#/142/dataElement/4684">PERSON_FAMILY_NAME</a>, <a href="/#/142/dataElement/4697">PERSON_GIVEN_NAME</a>, <a href="/#/142/dataElement/3422">DATE_OF_BIRTH_(PATIENT_IDENTIFICATION)</a> and <a href="/#/142/dataElement/5496">TIME_OF_BIRTH_(PATIENT_IDENTIFICATION)</a>.</td></tr></tbody></table><br><strong>Notes:</strong><br>Codes 94-97 have been reserved for national use only, and are not to be allocated by the NHS locally. Codes 98 and 99 can be allocated by the NHS for local use.

Application Identifier (GS1)

<p>An <a href="/#/143/dataClass/5760">Appointment_Request</a> is a type of <a href="/#/141/dataClass/2505">SERVICE_REQUEST</a> for an <a href="/#/141/dataClass/2349">APPOINTMENT</a>.</p><p>Each originating request may result in one or more <a href="/#/141/dataClass/2350">APPOINTMENT OFFERS</a>.</p><p>The originating request may be from:</p><ul><li><div>a <a href="/#/141/dataClass/2446">PATIENT</a> self-referral <a href="/#/141/dataClass/2492">REFERRAL_REQUEST</a></div></li><li><div>a <a href="/#/141/dataClass/2492">REFERRAL_REQUEST</a> from one <a href="/#/143/dataClass/6295">Organisation</a> or <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a> to another <a href="/#/143/dataClass/6295">Organisation</a> or <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a></div></li><li><div>follow up to a previous <a href="/#/141/dataClass/2349">APPOINTMENT</a> at which attendance or contact has taken place related to the same <a href="/#/141/dataClass/2492">REFERRAL_REQUEST</a></div></li><li><div>an <a href="/#/141/dataClass/2349">APPOINTMENT</a> at which attendance did not take place for whatever reason, requiring a new <a href="/#/141/dataClass/2349">APPOINTMENT</a> to be made</div></li><li><div>an invitation for an <a href="/#/141/dataClass/2349">APPOINTMENT</a> as part of a <a href="/#/141/dataClass/2416">HEALTH_PROGRAMME</a></div></li><li><div>an <a href="/#/141/dataClass/2333">ACTIVITY</a> which requires an <a href="/#/141/dataClass/2349">APPOINTMENT</a> to be made for further care or treatment.</div></li></ul><p>Each <a href="/#/143/dataClass/5760">Appointment_Request</a> should be reviewed by the receiving <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a>, <a href="/#/143/dataClass/6295">Organisation</a> or <a href="/#/141/dataClass/2501">SERVICE</a> to decide whether an offer of an <a href="/#/141/dataClass/2349">APPOINTMENT</a> should be made.</p><p>It is on this date it is considered that the <a href="/#/141/dataClass/2446">PATIENT</a> has been added to the <a href="/#/143/dataClass/6309">Out-Patient_Waiting_List</a> for the <a href="/#/141/dataClass/2349">APPOINTMENT</a> with the expectation that it will take place.</p><p>When it is decided that an offer of an <a href="/#/141/dataClass/2349">APPOINTMENT</a> should be made then one or more <a href="/#/141/dataClass/2350">APPOINTMENT_OFFER</a> should be offered each of which will record a separate and different <a href="/#/141/dataElement/287">APPOINTMENT_DATE_OFFERED</a> and <a href="/#/141/dataElement/295">APPOINTMENT_TIME_OFFERED</a> to the <a href="/#/141/dataClass/2446">PATIENT</a>.</p><p>The <a href="/#/141/dataElement/287">APPOINTMENT_DATE_OFFERED</a> and <a href="/#/141/dataElement/295">APPOINTMENT_TIME_OFFERED</a> of the <a href="/#/141/dataClass/2350">APPOINTMENT_OFFER</a> equate to the allocated <a href="/#/141/dataClass/2351">APPOINTMENT_SLOT</a>.</p><p>When more than one date is offered for the same <a href="/#/143/dataClass/5760">Appointment_Request</a>, the <a href="/#/141/dataClass/2446">PATIENT</a> can choose which date and time to accept. <a href="/#/141/dataElement/284">APPOINTMENT_ACCEPTED_DATE</a> records the date that the offer is accepted. When multiple dates are offered, the <a href="/#/141/dataClass/2446">PATIENT</a> should only be allowed to select one of them.</p>

Appointment Request

<p>An <a href="/#/143/dataClass/5761">Appraisal_Review</a> is a review of an <a href="/#/141/dataClass/2403">EMPLOYEE_PLAN</a>.</p><p>An <a href="/#/143/dataClass/5761">Appraisal_Review</a> or performance review of personal development of an <a href="/#/141/dataClass/2402">EMPLOYEE</a> as agreed with their employing <a href="/#/143/dataClass/6295">Organisation</a>.  This will normally be based upon the setting of, or review of an <a href="/#/141/dataClass/2403">EMPLOYEE_PLAN</a>.</p><p>An <a href="/#/141/dataClass/2402">EMPLOYEE</a> may have one or more written <a href="/#/141/dataClass/2403">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="/#/143/dataClass/5761">Appraisal_Review</a>.</p>

Appraisal Review

An <a href="/#/143/dataClass/5762">Approved_Mental_Health_Professional</a> is a <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a> approved by Local Social Services Authorities as trained to deal with <a href="/#/141/dataClass/2455">PERSONS</a> suffering from a mental disorder.<p>The <a href="/#/143/dataClass/5762">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="/#/141/dataClass/2446">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="/#/141/dataClass/2446">PATIENTS</a>, taking <a href="/#/141/dataClass/2446">PATIENTS</a> to hospital and taking <a href="/#/141/dataClass/2446">PATIENTS</a> who abscond or who are <a href="/#/143/dataClass/6181">Absent Without Leave</a> into custody.</p>

Approved Mental Health Professional

<p>An <a href="/#/143/dataClass/5763">Arrival_Date_At_Accident_and_Emergency_Department</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5763">Arrival_Date_At_Accident_and_Emergency_Department</a> is the date the <a href="/#/141/dataClass/2446">PATIENT</a>:</p><ul><li><div>self presented at the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> or</div></li><li><div>arrived in an <a href="/#/143/dataClass/5744">Ambulance</a> at the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>.</div></li></ul><p>For the Accident and Emergency Clinical Quality Indicators, for <a href="/#/141/dataClass/2446">PATIENTS</a> arriving by <a href="/#/143/dataClass/5972">Emergency_Ambulance</a>, the <a href="/#/143/dataClass/5764">Arrival_Time_At_Accident_and_Emergency_Department</a> is when handover occurs, or 15 minutes after the <a href="/#/143/dataClass/5972">Emergency_Ambulance</a> arrives at the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>, whichever is the sooner.</p><p>Further guidance is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Arrival Date At Accident and Emergency Department

<p>An <a href="/#/143/dataClass/5764">Arrival_Time_At_Accident_and_Emergency_Department</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5764">Arrival_Time_At_Accident_and_Emergency_Department</a> is the time the <a href="/#/141/dataClass/2446">PATIENT</a>:</p><ul><li><div>self presented at the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a> or</div></li><li><div>arrived in an <a href="/#/143/dataClass/5744">Ambulance</a> at the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>.</div></li></ul><p>The time should be recorded using the 24 hour clock.</p><p>For the Accident and Emergency Clinical Quality Indicators, for <a href="/#/141/dataClass/2446">PATIENTS</a> arriving by <a href="/#/143/dataClass/5972">Emergency_Ambulance</a>, the <a href="/#/143/dataClass/5764">Arrival_Time_At_Accident_and_Emergency_Department</a> is when handover occurs, or 15 minutes after the <a href="/#/143/dataClass/5972">Emergency_Ambulance</a> arrives at the <a href="/#/143/dataClass/5721">Accident_and_Emergency_Department</a>, whichever is the sooner.</p><p>Further guidance is available on the <a href="/#/143/dataClass/5938">Department_of_Health_and_Social_Care</a> National Archives at: <a href="https://webarchive.nationalarchives.gov.uk/20130105030902/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122868" target="_blank">A&E clinical quality indicators: Implementation guidance and data definitions</a>.</p>

Arrival Time At Accident and Emergency Department

<p>An <a href="/#/143/dataClass/5765">Arts_Therapist</a> is a <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a> who is registered with the <a href="/#/143/dataClass/6076">Health_and_Care_Professions_Council</a>.</p><p><a href="/#/143/dataClass/5765">Arts Therapists</a> include art therapists, music therapists and drama therapists. 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="/#/143/dataClass/5766">Assessment_Date_For_Transplant_Suitability</a> is an <a href="/#/141/dataClass/2334">ACTIVITY_DATE_TIME</a>.</p><p>An <a href="/#/143/dataClass/5766">Assessment_Date_For_Transplant_Suitability</a> is the date of an attendance or contact, where the <a href="/#/141/dataClass/2446">PATIENT</a> was assessed for the suitability for a transplant.</p>

Assessment Date For Transplant Suitability

<a href="/#/143/dataClass/5767">Assistive_Technology</a> is a term for assistive, adaptive and rehabilitative devices for disabled people that support life and everyday functioning.

Assistive Technology

<p>The <a href="/#/143/dataClass/5768">Association_of_Early_Pregnancy_Units</a> (<a href="/#/143/dataClass/5768">AEPU</a>) is an <a href="/#/143/dataClass/6295">Organisation</a>.</p><p>The aim of the <a href="/#/143/dataClass/5768">Association_of_Early_Pregnancy_Units</a> is to provide support and resources to help <a href="/#/141/dataClass/2446">PATIENT</a> choice and maintain standards in <a href="/#/143/dataClass/5961">Early Pregnancy Units</a>.</p><p>For further information on the <a href="/#/143/dataClass/5768">Association_of_Early_Pregnancy_Units</a>, see the <a href="/#/143/dataClass/5768">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="/#/143/dataClass/5769">Autistic_Spectrum_Disorder</a> is a <a href="/#/141/dataClass/2393">DISABILITY</a>.</p><p><a href="/#/143/dataClass/5769">Autistic_Spectrum_Disorder</a> is defined as a lifelong condition that affects how a <a href="/#/141/dataClass/2455">PERSON</a> communicates with, and relates to, other people. <a href="/#/143/dataClass/5769">Autistic_Spectrum_Disorder</a> also affects how a <a href="/#/141/dataClass/2455">PERSON</a> makes sense of the world around them.</p><p>The three main areas of difficulty, which all people with <a href="/#/143/dataClass/5769">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="/#/143/dataClass/5769">Autistic_Spectrum_Disorder</a>, see the:</p><ul><li><div>National Autistic Society website at: <a href="http://www.autism.org.uk/about-autism/autism-and-asperger-syndrome-an-introduction/what-is-autism.aspx" target="_blank">What is autism?</a></div></li><li><div>NHS website at: <a href="https://www.nhs.uk/conditions/autism/" target="_blank">Autism spectrum disorder (ASD)</a>.</div></li></ul>

Autistic Spectrum Disorder

<a href="/#/143/dataClass/5770">Automatic_Identification_and_Data_Capture</a> (<a href="/#/143/dataClass/5770">AIDC</a>) is the use of machine readable codes, e.g. bar codes to uniquely identify, quickly and accurately, an item or a process.

Automatic Identification and Data Capture

<p>A <a href="/#/143/dataClass/5771">Baby_First_Feed</a> is a <a href="/#/141/dataClass/2466">PERSON_PROPERTY</a>.</p><p>A <a href="/#/143/dataClass/5771">Baby_First_Feed</a> is the first feed given to a baby.</p>

Baby First Feed

<p>The <a href="/#/143/dataClass/5772">Barcelona_Clinic_Liver_Cancer_Staging_System</a> (<a href="/#/143/dataClass/5772">BCLC Staging System</a>) is a system for <a href="/#/141/dataClass/2356">CANCER_STAGING</a>.</p><p>The <a href="/#/143/dataClass/5772">Barcelona_Clinic_Liver_Cancer_Staging_System</a> creates categories by combining performance status, <a href="/#/143/dataClass/6525">Tumour</a> characteristics, liver function and cancer-related symptoms.</p><p>For further information on the <a href="/#/143/dataClass/5772">Barcelona_Clinic_Liver_Cancer_Staging_System</a>, see the <a href="https://www.cancer.gov/cancertopics/pdq/treatment/adult-primary-liver/HealthProfessional/page3#Section_61" target="_blank">National Cancer Institute website</a>.</p>

Barcelona Clinic Liver Cancer Staging System

<p>The <a href="/#/143/dataClass/5773">Bayley_Scales_of_Infant_and_Toddler_Development_(Third_Edition)</a> (<a href="/#/143/dataClass/5773">Bayley III</a>) is a type of <a href="/#/141/dataClass/2354">ASSESSMENT_TOOL</a>.</p><p>The <a href="/#/143/dataClass/5773">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="/#/143/dataClass/5773">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="/#/141/dataClass/2471">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 subtype of <a href="/#/141/dataClass/2370">CELL_PATHOLOGICAL_ABNORMALITY</a>.</p><p>A growth made up of normal <a href="/#/141/dataClass/2369">CELLS</a>.</p>

Benign Abnormality

<p>The <a href="/#/143/dataClass/5775">Binet_Classification</a> is a system for <a href="/#/141/dataClass/2356">CANCER_STAGING</a>.</p><p>The <a href="/#/143/dataClass/5775">Binet_Classification</a> is a staging system for <a href="/#/141/dataClass/2446">PATIENTS</a> with Chronic Lymphocytic Leukaemia (CLL).</p><p>For further information on the <a href="/#/143/dataClass/5775">Binet_Classification</a>, see the <a href="https://www.cancer.gov/cancertopics/pdq/treatment/CLL/HealthProfessional/page2" target="_blank">National Cancer Institute website</a>.</p>

Binet Classification

<p><a href="/#/143/dataClass/5776">Biological_Therapy</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/143/dataClass/5776">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="/#/143/dataClass/5776">Biological_Therapy</a>, see the <a href="https://www.cancer.gov/dictionary?CdrID=45617" target="_blank">National Cancer Institute website</a>.</p>

Biological Therapy

<p>A <a href="/#/143/dataClass/5777">Biomedical_Scientist</a> is a <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a> who is registered with the <a href="/#/143/dataClass/6076">Health_and_Care_Professions_Council</a>.</p><p>A <a href="/#/143/dataClass/5777">Biomedical_Scientist</a> analyses specimens from <a href="/#/141/dataClass/2446">PATIENTS</a> to provide data to help doctors diagnose and treat disease.</p>

Biomedical Scientist

<p>A <a href="/#/143/dataClass/5778">Biopsy</a> is a <a href="/#/143/dataClass/5881">Clinical_Investigation</a>.</p><p>A <a href="/#/143/dataClass/5778">Biopsy</a> is a medical procedure that involves taking a small sample of <a href="/#/141/dataClass/2513">TISSUE</a> for examination under a microscope.</p><p>For further information on <a href="/#/143/dataClass/5778">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="/#/143/dataClass/5779">Birth_Care_Plan</a> is a <a href="/#/141/dataClass/2361">CARE_PLAN</a>.</p><p>A <a href="/#/143/dataClass/5779">Birth_Care_Plan</a> is a <a href="/#/141/dataClass/2361">CARE_PLAN</a> developed within a <a href="/#/143/dataClass/6177">Maternity_Episode</a> for the period of <a href="/#/143/dataClass/6150">Labour_and_Delivery</a>. </p><p>A <a href="/#/143/dataClass/5779">Birth_Care_Plan</a> should include:</p><ul><li><div>details of medical history</div></li><li><div>the <a href="/#/141/dataClass/2362">CARE PROFESSIONALS</a> involved and their <a href="/#/141/dataClass/2365">CARE PROFESSIONAL ROLES</a></div></li><li><div>the <a href="/#/141/dataElement/1080">INTENDED_DELIVERY_PLACE</a></div></li><li><div>the mother's preferences for birth partner, pain relief in <a href="/#/143/dataClass/6150">Labour_and_Delivery</a> and intended <a href="/#/141/dataElement/350">BREASTFEEDING_STATUS</a>.</div></li></ul>

Birth Care Plan

<p><a href="/#/143/dataClass/5780">Birth_Head_Circumference</a> is a <a href="/#/141/dataClass/2374">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/143/dataClass/5780">Birth_Head_Circumference</a> is the <a href="/#/143/dataClass/6066">Head_Circumference</a> of a baby at birth.</p>

Birth Head Circumference

<p><a href="/#/143/dataClass/5781">Birth_Length</a> is a <a href="/#/141/dataClass/2374">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/143/dataClass/5781">Birth_Length</a> is the <a href="/#/143/dataClass/6156">Length</a> of a baby at birth.</p>

Birth Length

<p><a href="/#/143/dataClass/5782">Birth_Weight</a> is a <a href="/#/141/dataClass/2374">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/143/dataClass/5782">Birth_Weight</a> is the <a href="/#/143/dataClass/6547">Weight</a> of a baby at birth.</p>

Birth Weight

<p><a href="/#/143/dataClass/5783">Blood_Glucose_Concentration</a> is a <a href="/#/143/dataClass/5881">Clinical_Investigation</a>.</p><p><a href="/#/143/dataClass/5783">Blood_Glucose_Concentration</a> measures the amount of glucose (sugar) present in the blood.</p>

Blood Glucose Concentration

<p><a href="/#/143/dataClass/5784">Blood_Pressure</a> is a <a href="/#/141/dataClass/2374">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/143/dataClass/5784">Blood_Pressure</a> is the pressure of the blood within the arteries and is comprised of:</p><ul><li><div><a href="/#/143/dataClass/6513">Systolic_Blood_Pressure</a> and</div></li><li><div><a href="/#/143/dataClass/5940">Diastolic_Blood_Pressure</a>.</div></li></ul>

Blood Pressure

<p>A <a href="/#/143/dataClass/5785">Blood_Transfusion</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p>A <a href="/#/143/dataClass/5785">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="/#/143/dataClass/5785">Blood_Transfusion</a> is also performed when the <a href="/#/141/dataClass/2446">PATIENT</a> is unable to produce blood properly because of an illness.</p><p>For further information on <a href="/#/143/dataClass/5785">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="/#/143/dataClass/5786">Bloom-Richardson_Grading_System</a> is a system for <a href="/#/141/dataClass/2356">CANCER_STAGING</a>.</p><p>The <a href="/#/143/dataClass/5786">Bloom-Richardson_Grading_System</a> is a system for breast <a href="/#/141/dataClass/2356">CANCER_STAGING</a> that examines the <a href="/#/141/dataClass/2369">CELLS</a> and <a href="/#/141/dataClass/2513">TISSUE</a> structure of the cancer to determine how aggressive and invasive the cancer is.</p>

Bloom-Richardson Grading System

<p><a href="/#/143/dataClass/5787">Body_Mass_Index</a> (<a href="/#/143/dataClass/5787">BMI</a>) is a <a href="/#/141/dataClass/2374">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/143/dataClass/5787">Body_Mass_Index</a> is a measure of body fat based on <a href="/#/143/dataClass/6085">Height</a> and <a href="/#/143/dataClass/6547">Weight</a>.</p><p>For further information on <a href="/#/143/dataClass/5787">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="/#/143/dataClass/5788">Bone_Age</a> is a <a href="/#/141/dataClass/2374">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/143/dataClass/5788">Bone_Age</a> is the radiological bone age, following an assessment by a radiologist viewing X-rays of the <a href="/#/141/dataClass/2446">PATIENT</a>'s hand and wrist.</p>

Bone Age

<p><a href="/#/143/dataClass/5789">Brachytherapy</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p><a href="/#/143/dataClass/5789">Brachytherapy</a> is a type of radiation therapy in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into or near a <a href="/#/143/dataClass/6525">Tumour</a>.</p><p>For further information on <a href="/#/143/dataClass/5789">Brachytherapy</a>, see the <a href="https://www.cancer.gov/dictionary?CdrID=45151" target="_blank">National Cancer Institute website</a>.</p>

Brachytherapy

<p>A <a href="/#/143/dataClass/5790">Brachytherapy_Treatment_Course</a> is a <a href="/#/141/dataClass/2373">CLINICAL_INTERVENTION</a>.</p><p>A <a href="/#/143/dataClass/5790">Brachytherapy_Treatment_Course</a> is a prescribed course of <a href="/#/143/dataClass/5789">Brachytherapy</a> treatment for a <a href="/#/141/dataClass/2446">PATIENT</a>.</p>

Brachytherapy Treatment Course

<p>A <a href="/#/143/dataClass/5791">Breast_Assessment</a> is a <a href="/#/143/dataClass/5881">Clinical_Investigation</a>.</p><p>Where <a href="/#/143/dataClass/6213">Breast Screening</a> has identified a potential abnormality, women are recalled for a <a href="/#/143/dataClass/5791">Breast_Assessment</a>.  A <a href="/#/143/dataClass/5791">Breast_Assessment</a> may include a clinical examination, further imaging and non-operative <a href="/#/143/dataClass/5778">Biopsy</a>. </p>

Breast Assessment

<p>A <a href="/#/143/dataClass/5792">Breast_Cancer_Care_Spell</a> is a <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a>, which is an <a href="/#/141/dataClass/2337">ACTIVITY_GROUP</a>.</p><p>A <a href="/#/143/dataClass/5792">Breast_Cancer_Care_Spell</a> is a continuous period of care, including assessment for care, for a <a href="/#/141/dataClass/2446">PATIENT</a> who has been diagnosed as suffering from breast cancer.</p><p>A <a href="/#/143/dataClass/5792">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="/#/143/dataClass/5793">Breast_Screening_Episode</a> is an <a href="/#/141/dataClass/2337">ACTIVITY_GROUP</a>.</p><p>A <a href="/#/143/dataClass/5793">Breast_Screening_Episode</a> is the period during which a set of <a href="/#/143/dataClass/6213">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="/#/143/dataClass/6213">Breast Screening</a>.</p><p>A <a href="/#/143/dataClass/5793">Breast_Screening_Episode</a> may be:</p><ul><li><div>a <a href="/#/143/dataClass/6089">High_Risk_Breast_Screening_Episode</a></div></li><li><div>an <a href="/#/143/dataClass/6288">Open_Breast_Screening_Episode</a></div></li></ul>

Breast Screening Episode

<p>A <a href="/#/143/dataClass/5794">Breast_Screening_Unit</a> is an <a href="/#/143/dataClass/6295">Organisation</a> in England.</p><p><a href="/#/143/dataClass/5794">Breast Screening Units</a> are responsible for the delivery of <a href="/#/143/dataClass/6213">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 href="/#/143/dataClass/5795">Breslow_Thickness</a> is a <a href="/#/141/dataClass/2374">CLINICAL_INVESTIGATION_RESULT_ITEM</a>.</p><p><a href="/#/143/dataClass/5795">Breslow_Thickness</a> (also known as <a href="/#/143/dataClass/5795">Breslow Depth</a>) is a measure of how deeply a melanoma <a href="/#/143/dataClass/6525">Tumour</a> has grown into the skin.</p><p>The <a href="/#/143/dataClass/6525">Tumour</a> thickness (depth) is usually measured from the top of the <a href="/#/143/dataClass/6525">Tumour</a> to the deepest <a href="/#/143/dataClass/6525">Tumour</a> <a href="/#/141/dataClass/2369">CELLS</a>. If the <a href="/#/143/dataClass/6525">Tumour</a> is ulcerated (the skin is broken), it is measured from the base of the ulcer to the deepest <a href="/#/143/dataClass/6525">Tumour</a> <a href="/#/141/dataClass/2369">CELLS</a>.</p><p><a href="/#/143/dataClass/5795">Breslow_Thickness</a> is used to help determine the stage of cancer. Thicker <a href="/#/143/dataClass/6525">Tumours</a> are linked with lower survival rates.</p><p>For further information on <a href="/#/143/dataClass/5795">Breslow_Thickness</a>, see the <a href="https://www.cancer.gov/dictionary?CdrID=681119" target="_blank">National Cancer Institute website</a>.</p>

Breslow Thickness

<p>The <a href="/#/143/dataClass/5796">British_Association_for_Paediatric_Nephrology</a> is an <a href="/#/143/dataClass/6295">Organisation</a>.</p><p>The aims of the <a href="/#/143/dataClass/5796">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="/#/143/dataClass/5796">British_Association_for_Paediatric_Nephrology</a> see the <a href="https://renal.org/bapn/" target="_blank">British Association for Paediatric Nephrology website.</a></p>

British Association for Paediatric Nephrology

<p>The <a href="/#/143/dataClass/5797">British_HIV_Association</a> (<a href="/#/143/dataClass/5797">BHIVA</a>) is an <a href="/#/143/dataClass/6295">Organisation</a>.</p><p>The <a href="/#/143/dataClass/5797">British_HIV_Association</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="/#/143/dataClass/5797">British_HIV_Association</a>, see the <a href="/#/143/dataClass/5797">British_HIV_Association</a> website at: <a href="http://www.bhiva.org/AboutBHIVA.aspx" target="_blank">About BHIVA.</a></p>

British HIV Association

<p>The <a href="/#/143/dataClass/5798">British_Psychological_Society</a> is an <a href="/#/143/dataClass/6295">Organisation</a>. </p><p>The <a href="/#/143/dataClass/5798">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="/#/143/dataClass/5798">British_Psychological_Society</a> recognises the following as the main types of psychologists:</p><ul><li><div><a href="/#/143/dataClass/5882">Clinical_Psychologist</a></div></li><li><div><a href="/#/143/dataClass/5908">Counselling_Psychologist</a></div></li><li><div><a href="/#/143/dataClass/5964">Educational_Psychologist</a></div></li><li><div><a href="/#/143/dataClass/6020">Forensic_Psychologist</a></div></li><li><div><a href="/#/143/dataClass/6073">Health_Psychologist</a></div></li><li><div><a href="/#/143/dataClass/6254">Neuropsychologist</a></div></li><li><div><a href="/#/143/dataClass/6283">Occupational Psychologist</a></div></li><li><div><a href="/#/143/dataClass/6499">Sport_and_Exercise_Psychologist</a></div></li><li><div><a href="/#/143/dataClass/6517">Teacher_and_Researcher_in_Psychology</a></div></li><li><div><a href="/#/143/dataClass/6361">Practitioner_Psychologist</a></div></li></ul><p>For further information on the <a href="/#/143/dataClass/5798">British_Psychological_Society</a>, see the <a href="/#/143/dataClass/5798">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="/#/143/dataClass/6076">Health_and_Care_Professions_Council</a>. It is necessary to be registered with the <a href="/#/143/dataClass/6076">Health_and_Care_Professions_Council</a> to practise in the UK under any of these titles: <a href="/#/143/dataClass/5882">Clinical_Psychologist</a>, <a href="/#/143/dataClass/5908">Counselling_Psychologist</a>, <a href="/#/143/dataClass/5964">Educational_Psychologist</a>, <a href="/#/143/dataClass/6020">Forensic_Psychologist</a>, <a href="/#/143/dataClass/6073">Health_Psychologist</a>, <a href="/#/143/dataClass/6283">Occupational Psychologist</a>, <a href="/#/143/dataClass/6499">Sport_and_Exercise_Psychologist</a> and <a href="/#/143/dataClass/6361">Practitioner_Psychologist</a>.</em></p>

British Psychological Society

<p>The <a href="/#/143/dataClass/5799">British_Renal_Society</a> is an <a href="/#/143/dataClass/6295">Organisation</a>.</p><p>The <a href="/#/143/dataClass/5799">British_Renal_Society</a> promotes formal dialogue between the many professional groups that support professionals involved in the care of <a href="/#/141/dataClass/2446">PATIENTS</a> with kidney disease.</p><p>Its core aims are:</p><ul><li><div>The promotion of effective <a href="/#/141/dataClass/2446">PATIENT</a>-centred multi-professional care to improve the quality of life for people with kidney failure, and their families and carers</div></li><li><div>The advancement of education in the area of renal disease and replacement therapy</div></li><li><div>The funding and support of multi-professional research in to kidney disease and its management</div></li></ul><p>For further information on the <a href="/#/143/dataClass/5799">British_Renal_Society</a>, see the <a href="/#/143/dataClass/5799">British_Renal_Society</a> website at: <a href="http://britishrenal.org/aboutus/" target="_blank">About the BRS</a>.</p>

British Renal Society

<p>The <a href="/#/143/dataClass/5800">British_Transplantation_Society</a> is an <a href="/#/143/dataClass/6295">Organisation</a>.</p><p>The <a href="/#/143/dataClass/5800">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="/#/141/dataClass/2446">PATIENTS</a>.</p><p>The society advances the study of the biological and clinical problems of <a href="/#/141/dataClass/2513">TISSUE</a> and organ transplantation and to facilitate contact between <a href="/#/141/dataClass/2455">PERSONS</a> interested in transplantation.</p><p>For further information on the <a href="/#/143/dataClass/5800">British_Transplantation_Society</a>, see the <a href="/#/143/dataClass/5800">British_Transplantation_Society</a> website at: <a href="http://www.bts.org.uk/about-the-bts/" target="_blank">About the BTS</a>.</p>

British Transplantation Society

<p>A <a href="/#/143/dataClass/5801">Bronchoscopy</a> is a <a href="/#/143/dataClass/5881">Clinical_Investigation</a>.</p><p>A <a href="/#/143/dataClass/5801">Bronchoscopy</a> is a procedure that allows a <a href="/#/141/dataClass/2362">CARE_PROFESSIONAL</a> to take <a href="/#/141/dataClass/2369">CELLS</a> from the inside of the lungs.</p><p>For further information on <a href="/#/143/dataClass/5801">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 href="/#/143/dataClass/5802">CDS_Type</a> is a code to identify the specific type of Commissioning Data Set (CDS).</p><p>The <a href="/#/143/dataClass/5802">CDS Types</a> are:</p><table cellpadding="1" cellspacing="1" width="100%"><tbody><tr><td align="center" valign="top" width="10%">010</td><td align="left" valign="top" width="90%">Accident and Emergency Attendance</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><em>(Known in the Schema as Care Activity)</em> <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<br><em>(Known in the Schema as Future Care Activity)</em></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="/#/143/dataClass/5803">CT_Scan</a> (<a href="/#/143/dataClass/5803">Computerised Tomography Scan</a>) is a <a href="/#/143/dataClass/5881">Clinical_Investigation</a>.</p><p>A <a href="/#/143/dataClass/5803">CT_Scan</a> uses X-rays and a computer to create detailed images of the inside of the body.</p><p>A <a href="/#/143/dataClass/5803">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="/#/143/dataClass/5778">Biopsy</a> or <a href="/#/143/dataClass/6390">Radiotherapy</a> treatment.</p><p>For further information on <a href="/#/143/dataClass/5803">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="/#/143/dataClass/5804">Cancer_Care_Plan</a> is a <a href="/#/141/dataClass/2361">CARE_PLAN</a>.</p><p>A <a href="/#/143/dataClass/5804">Cancer_Care_Plan</a> is a <a href="/#/141/dataClass/2361">CARE_PLAN</a> developed within a <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a>.</p><p>There should be at least one <a href="/#/143/dataClass/6349">Planned_Cancer_Treatment</a> recorded within a <a href="/#/143/dataClass/5804">Cancer_Care_Plan</a>.</p>

Cancer Care Plan

<p>A <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a> is an <a href="/#/141/dataClass/2337">ACTIVITY_GROUP</a>.</p><p>A <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a> is the period of time during which a <a href="/#/141/dataClass/2446">PATIENT</a> who has been diagnosed as suffering from a single site <a href="/#/143/dataClass/6367">Primary_Cancer</a> or, in the case of particular skin cancers, one or more <a href="/#/143/dataClass/6157">Lesions</a> may receive care.</p><p>The <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a>:</p><ul><li><div>starts on the date of the <a href="/#/141/dataClass/2492">REFERRAL_REQUEST</a> from any source to a specialist team</div></li><li><div>ends when the <a href="/#/141/dataClass/2446">PATIENT</a> dies.</div></li></ul><p>A recurrence of the original <a href="/#/143/dataClass/6367">Primary_Cancer</a> at a secondary site is part of the same <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a>.</p><p>If a <a href="/#/141/dataClass/2446">PATIENT</a> has another <a href="/#/143/dataClass/6367">Primary_Cancer</a> this will be a new <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a>.</p><p>The <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a> may only involve diagnostic procedures leading to a diagnosis, for example in cases where the <a href="/#/141/dataClass/2446">PATIENT</a> refuses treatment, or it may include treatment and follow-up.</p>

Cancer Care Spell

<p>A <a href="/#/143/dataClass/5806">Cancer_Care_Spell_Delay</a> is a <a href="/#/141/dataClass/2491">REFERRAL_DELAY</a>.</p><p>A <a href="/#/143/dataClass/5806">Cancer_Care_Spell_Delay</a> is a delay experienced during a <a href="/#/143/dataClass/5805">Cancer_Care_Spell</a>.</p><p>The <a href="/#/143/dataClass/5806">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="/#/142/dataElement/3224">CANCER_REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/142/dataElement/3418">DATE_FIRST_SEEN</a>, where <a href="/#/141/dataElement/1762">PRIORITY_TYPE</a> is National Code '<em>Two Week Wait'</em></div><a href="/#/142/dataElement/3224">CANCER_REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/142/dataElement/5538">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/141/dataElement/1762">PRIORITY_TYPE</a> is National Code '<em>Two Week Wait'</em> and <a href="/#/141/dataElement/699">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'<a href="/#/143/dataClass/6010">First_Definitive_Treatment</a> for a new <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</em> or <em>'First treatment for metastatic disease following an unknown <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</em></li><li><div><a href="/#/142/dataElement/3224">CANCER_REFERRAL_TO_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/142/dataElement/5538">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/141/dataElement/1762">PRIORITY_TYPE</a> is National Code <em>'Urgent'</em> and <a href="/#/141/dataElement/2071">SOURCE_OF_REFERRAL_FOR_OUT-PATIENTS</a> is National Code <em>'Referral from a National <a href="/#/143/dataClass/6456">Screening_Programme</a>'</em> and <a href="/#/141/dataElement/699">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'</em><em><a href="/#/143/dataClass/6010">First_Definitive_Treatment</a></em><em> for a new</em> <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</div><a href="/#/142/dataElement/3232">CANCER_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/142/dataElement/5538">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/141/dataElement/699">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'</em><em><a href="/#/143/dataClass/6010">First_Definitive_Treatment</a></em><em> for a new <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</em> or <em>'First treatment for metastatic disease following an unknown <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</em></li><li><div><a href="/#/143/dataClass/5906">Consultant_Upgrade_Date</a> and <a href="/#/142/dataElement/5538">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/141/dataElement/699">CANCER_TREATMENT_EVENT_TYPE</a> is National Code <em>'<a href="/#/143/dataClass/6010">First_Definitive_Treatment</a> for a new <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</em> or <em>'First treatment for metastatic disease following an unknown <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</em></div><a href="/#/142/dataElement/3232">CANCER_TREATMENT_PERIOD_START_DATE</a> and <a href="/#/142/dataElement/5538">TREATMENT_START_DATE_(CANCER)</a>, where <a href="/#/141/dataElement/699">CANCER_TREATMENT_EVENT_TYPE</a> is NOT National Code <em>'<a href="/#/143/dataClass/6010">First_Definitive_Treatment</a> for a new <a href="/#/143/dataClass/6367">Primary_Cancer</a>'</em> OR <em>'First treatment for metastatic disease following an unknown <a href="/#/143/dataClass/6367">Primary_Cancer</a></em>'</li></ul>

Cancer Care Spell Delay

<p>A <a href="/#/143/dataClass/5807">Cancer_Clinical_Status_Assessment</a> is a <a href="/#/141/dataClass/2359">CARE_CONTACT</a>.</p><p>A <a href="/#/143/dataClass/5807">Cancer_Clinical_Status_Assessment</a> is the assessment of a <a href="/#/141/dataClass/2446">PATIENT</a>'s clinical condition.</p><p>A <a href="/#/143/dataClass/5807">Cancer_Clinical_Status_Assessment</a> may take place at a review point within the <a href="/#/141/dataClass/2446">PATIENT</a>'s <a href="/#/143/dataClass/5804">Cancer_Care_Plan</a> or may be required if the <a href="/#/141/dataClass/2446">PATIENT</a>'s condition changes during treatment, for example if the <a href="/#/141/dataClass/2446">PATIENT</a> reports toxicity as a result of treatment.</p>