Data on Outpatient referrals from primary care.

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Monthly return submitted by Local Health Boards.
A complete referral pathway to secondary care, including all clinical referrals received from General Practitioner, General Dental Practitioners, Community Dental Services, A&E Departments, self referrals, walk-ins or emergency patients accompanied by a GP letter, and Consultant to Consultant Referrals.

Please be aware that these columns no longer contain data from the provider:
REF_PARENT_CURR_NAME, REF_PARENT_CURR_CD, REF_ORG_CURR_NAME_WELSH_ONLY, REF_ORG_CURR_CD_WELSH_ONLY, REF_ORG_CURR_NAME, REF_ORG_CURR_CD, REF_ORG_NAME, REF_ORG_CD, PAT_REQ_GP_CLUSTER_NAME, PAT_REG_GP_CLUSTER_CD

Approx 70-80% coverage of Welsh population through GP registrations.

HDR UK

["NHS Wales’ Informatics Service (NWIS)"]

Derived Organisation Code (3 character code). Code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_DERIVED_CD

The Outpatient Referral (OPR) Data Set captures all referrals received by NHS Wales’ provider organisations for a first outpatient appointment for all consultant or nurse led clinic activity, where that meets the criteria outlined in Terms Clinic Appointment - Consultant Led (Outpatients) or Terms Clinic Appointment - Nurse Led (Outpatients) regardless of the patient’s area of residence.
The data set includes referrals from any source and is not limited to only those referrals made by a GP.

REFERRAL

Lower Layer Super Output Area (LSOA) code (9 characters) in which the patient is resident, based on the previous census.

PAT_STATS_PREV_CENSUS_LSOA_CD

Administrative Category Description.  Description indicating whether the patient is treated as an NHS, private or amenity patient etc.

ADMIN_CAT_DESC

Treatment Function Description. This is the specialty under which the patient will be or is treated. This may either be the same as the specialty function recorded as the consultant's main specialty or a different specialty function which will be the consultant's interest specialty function. Note that both the main specialty function and the interest specialty function should be based on one of the Royal College specialties.

TREAT_SPEC_DESC

PAT_ID_E

Current Provider Unit Code (3 character code). This is the organisation code of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_CD

PAT_RES_HEALTH_ORG_DERIVED_SOURCE

PAT_ID_SOURCE

Source of Referral Description. This is a classification which is used to identify the source of referral of each Outpatient Episode or Outpatient Referral.

SOURCE_OF_REF_DESC

Organisation Name. Name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_NAME

Previous Organisation Code (3 character code). Code for the Local Health Board (LHB) where the patient is resident, identified via the NHS Postcode Directory.This ensures that the Local Health Board can receive information about the care given to its residents.
Based on the previous census.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_STATS_PREV_CENSUS_HEALTH_ORG_PREV_CD

Provider Organisation Name. This is the organisation name of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_NAME

Current Country Name of health care provider.

PROV_ORG_CURR_COUNTRY_NAME

PAT_REG_ORG_COUNTRYNAME

Derived Administrative Category Description.  Description indicating whether the patient is treated as an NHS, private or amenity patient etc.

ADMIN_CAT_DERIVED_DESC

Treatment Function Code. This is the specialty under which the patient will be or is treated. This may either be the same as the specialty function recorded as the consultant's main specialty or a different specialty function which will be the consultant's interest specialty function. Note that both the main specialty function and the interest specialty function should be based on one of the Royal College specialties.

TREAT_SPEC_CD

The Clinical Referral Date (CRD) is the clinically significant date marking the start of a period of waiting either for an initial outpatient consultation or for an episode of treatment such as elective surgery. The CRD is used to order pick lists used for booking patients, and it does not change under any circumstances. It is not used to calculate performance waiting times statistics.

Note:
For outpatient data, the Clinical Referral Date (CRD) is the date that the referral of an outpatient appointment is received in the Local Health Board/Trust. All referrals should be date stamped on opening – this date stamp is the CRD. In addition, this CRD must be entered into PAS on the same day.
If the referral request takes the form of a phone call followed by a letter, record the date when the letter arrives. If there is no following letter, the date of the verbal request should be recorded.

Note:
For inpatient and day cases, the Clinical Referral Date (CRD) is the date that a decision was made by the clinician within the Local Health Board/Trust (or GP outside the Local Health Board/Trust in cases of direct access referrals) to list the patient for treatment. The CRD is used to order the waiting list selection of patients.

CLIN_REF_DT

Referring Organisation Name. The name of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

This information is essential for managing contracts which are based on patterns of referral.

REF_ORG_NAME

Encrypted Local Patient Identifier. This is the case record number. It is a unique identifier for a patient within a health care provider.

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

PAT_LOCAL_ID_E

REF_DT_KEY

Country name in which the patient is resident, based on the previous census.

PAT_STATS_PREV_CENSUS_COUNTRY_NAME

Derived Source of Referral Code. This is a classification which is used to identify the source of referral of each Outpatient Episode or Outpatient Referral.

SOURCE_OF_REF_DERIVED_CD

Derived Source of Referral Description. This is a classification which is used to identify the source of referral of each Outpatient Episode or Outpatient Referral.

SOURCE_OF_REF_DERIVED_DESC

PAT_URBAN_RURAL_CD

Current Organisation Code (3 character code). Code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_CURR_CD

Current Country Name of the refering organisation.

REF_ORG_CURR_COUNTRY_NAME

Provider Unit Code (3 character code). This is the organisation code of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CD

The ten year age band of the patient at date of patient referral.

PAT_REF_AGE_TEN_YEAR_BANDS

PAT_REG_GP_GEO_HEALTH_ORG_NAME

Local Authority code (9 characters) in which the patient is resident. Based on the current census.

PAT_STATS_CURR_CENSUS_LA_CD

PAT_REG_GP_CLUSTER_NAME

This is the code (6 characters) of the patient's registered General Practitioner (GP) Practice. This allows the practice to be notified about treatment received by the patient. The registered GP Practice may or may not be the same as the referring GP Practice.

PAT_REG_GP_ORG_CD

Treatment Function Categroy. The category of the treatment function code.

TREAT_SPEC_CAT

Country name in which the patient is resident, based on the current census.

PAT_STATS_CURR_CENSUS_COUNTRY_NAME

PAT_REG_ORG_NAME

PAT_REG_GP_GEO_HEALTH_ORG_PREVIOUS_CD

The age in years of patient at date of patient referral.

PAT_REF_AGE_YEARS

Derived code indication the sex of the person, employee or patient.

PAT_SEX_DERIVED_CD

Derived Organisation Name. Name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory.  This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_DERIVED_NAME

Source of Referral Code. This is a classification which is used to identify the source of referral of each Outpatient Episode or Outpatient Referral.

SOURCE_OF_REF_CD

Date when the data made available i.e. date of loading

AVAIL_FROM_DT

Current Referring Site Code (5 character code), for referring organisations in Wales only. The code of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

This information is essential for managing contracts which are based on patterns of referral.

REF_ORG_CURR_CD_WELSH_ONLY

PAT_REG_GP_UA_NAME

Pseudonymised Referrer Staff Code. This is the nationally recognized code of the person making the referral. This may be a General Medical Practitioner (GMP), General Dental Practitioner (GDP), Consultant or Independent Nurse.

REF_STAFF_PSEUDO

Derived Service Type Requested Code. The terms of reference for the referral request.

SERVICE_TYPE_REQST_DERIVED_CD

Organisation Code (9 characters). Code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.
Based on the current census.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_STATS_CURR_CENSUS_HEALTH_ORG_CD

Country code (9 character) in which the patient is resident, based on the current census.

PAT_STATS_CURR_CENSUS_COUNTRY_CD

PAT_SEX_CD

The Anonymised Linking Field, which has been Encrypted for its use within the database, is derived from the persons NHS number by double encryption (first encryption occurs in NWIS and the second in SAIL). If the NHS number is not supplied in the data extract then matching methods are applied.

ALF_E

Current Referring Organisation Name. The name of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

This information is essential for managing contracts which are based on patterns of referral.

REF_ORG_CURR_NAME

Derived Consultant Main Speciality Code. A unique code identifying each Main Specialty designated by Royal Colleges.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors.Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each consultant should be assigned a Main Specialty by the organisation to which the consultant is contracted. For physicians and surgeons with a generalist component to their work, the Main Specialty should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The Main Specialty is specific to a Health Care Provider. If, for example, a consultant physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the Main Specialty in the former case. Consultants in general medicine or general surgery may also have specialist interests and these should be recorded as well as the Main Specialty.

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

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

The Main Specialty code for general practitioners is General Medical Practice or General Dental Practice.

Joint Consultant Clinic activity should be recorded against the Main Specialty code of the consultant managing the clinic.

CON_SPEC_DERIVED_CD

Consultant Speciality Category. The category of the consultant's main speciality.

CON_SPEC_CAT

The ten year age band of the patient at date of clinical referral.

PAT_CLIN_REF_AGE_TEN_YEAR_BANDS

Referring Site Code (5 character code). The code of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

This information is essential for managing contracts which are based on patterns of referral.

REF_ORG_CD

Description of the sex of the person, employee or patient.

PAT_SEX_DESC

Previous Organisation Code (3 character code). Code for the Local Health Board (LHB) where the patient is resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_PREV_CD

COUNT_EFF_GP_REF_RATE_NUMERATOR

Current Provider Organisation Name. This is the organisation name of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_NAME

Current Organisation Name. Name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_CURR_NAME

Current Provider Unit Code (3 character code), for health care providers in Wales only. This is the organisation code of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_CD_WELSH_ONLY

The five year age band of the patient at date of patient referral.

PAT_REF_AGE_FIVE_YEAR_BANDS

Derived country where the patient is resident.

PAT_RES_HEALTH_ORG_DERIVED_COUNTRY

The total number of days between the patient referral date and the clinical referral date.

DUR_REF_CLIN_REF_DAYS

PAT_REG_ORG_CD

Derived Treatment Function Code. This is the specialty under which the patient will be or is treated. This may either be the same as the specialty function recorded as the consultant's main specialty or a different specialty function which will be the consultant's interest specialty function. Note that both the main specialty function and the interest specialty function should be based on one of the Royal College specialties.

TREAT_SPEC_DERIVED_CD

The age in years of patient at date of clinical referral.

PAT_CLIN_REF_AGE_YEARS

PAT_REG_GP_LOCALITY

Organisation Code (3 character code). Code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_CD

Previous Organisation Code (3 characters). Code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.
Based on the current census.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_STATS_CURR_CENSUS_HEALTH_ORG_PREV_CD

Organisation Name. Name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory.  This ensures that the Local Health Board can receive information about the care given to its residents.
Based on the current census.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_STATS_CURR_CENSUS_HEALTH_ORG_NAME

Local Authority code (9 characters) in which the patient is resident. Based on the previous census.

PAT_STATS_PREV_CENSUS_LA_CD

REF_PARENT_CURR_CD

Organisation Code (9 characters). Code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.
Based on the previous census.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_STATS_PREV_CENSUS_HEALTH_ORG_CD

LAST_UPDATED

Service Type Requested Description. The terms of reference for the referral request.

SERVICE_TYPE_REQST_DESC

Lower Layer Super Output Area (LSOA) code (9 characters) in which the patient is resident, for the latest version of LSOA codes (2011)

PAT_LSOA_CD

Current Provider Organisation Name, for health care providers in Wales only. This is the organisation name of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_NAME_WELSH_ONLY

Consultant Main Speciality Code. A unique code identifying each Main Specialty designated by Royal Colleges.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors.Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each consultant should be assigned a Main Specialty by the organisation to which the consultant is contracted. For physicians and surgeons with a generalist component to their work, the Main Specialty should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The Main Specialty is specific to a Health Care Provider. If, for example, a consultant physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the Main Specialty in the former case. Consultants in general medicine or general surgery may also have specialist interests and these should be recorded as well as the Main Specialty.

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

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

The Main Specialty code for general practitioners is General Medical Practice or General Dental Practice.

Joint Consultant Clinic activity should be recorded against the Main Specialty code of the consultant managing the clinic.

CON_SPEC_CD

COUNT_OUTPATIENT_REF

Current Referring Organisation Name, for referring organisations in Wales only. The name of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

REF_ORG_CURR_NAME_WELSH_ONLY

Organisation Name. Name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.
Based on the previous census.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_STATS_PREV_CENSUS_HEALTH_ORG_NAME

Derived Administrative Category Code. Code to indicate whether the patient is treated as an NHS, private or amenity patient etc.

ADMIN_CAT_DERIVED_CD

Previous Organisation Name. Name for the Local Health Board (LHB) where the patient is resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

PAT_RES_HEALTH_ORG_PREV_NAME

The five year age band of the patient at date of clinical referral.

PAT_CLIN_REF_AGE_FIVE_YEAR_BANDS

Status code assigned when deriving the Encrypted Anonymised Linking Field.

ALF_STS_CD

Consultant Main Speciality Description. Descriptions for each Main Specialty designated by Royal Colleges.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors.Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each consultant should be assigned a Main Specialty by the organisation to which the consultant is contracted. For physicians and surgeons with a generalist component to their work, the Main Specialty should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The Main Specialty is specific to a Health Care Provider. If, for example, a consultant physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the Main Specialty in the former case. Consultants in general medicine or general surgery may also have specialist interests and these should be recorded as well as the Main Specialty.

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

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

The Main Specialty code for general practitioners is General Medical Practice or General Dental Practice.

Joint Consultant Clinic activity should be recorded against the Main Specialty code of the consultant managing the clinic.

CON_SPEC_DESC

Indiactes whether or not the patient referral date is valid.

REF_DT_VALID

The reason(s) for the patient requiring involvement with care professionals. These may include any problem, issue or event affecting the patient's health and/ or well being.

The information held within this data item must be a valid clinical code or term.

REASON_FOR_REF

PAT_REG_GP_GEO_HEALTH_ORG_PREVIOUS_NAME

Current Referring Site Code (5 character code). The code of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

This information is essential for managing contracts which are based on patterns of referral.

REF_ORG_CURR_CD

This is the date on which the patient was told about the referral. The starting point should be the date of referral given on the referral notification (not the date the letter was received in hospital). In cases where the referrer fails to specify a date of referral, the date the referral notification was received should be used.

Dates to be used;
- Date the patient is told about the referral
- Date on referral notification
- Date of receipt of referral notification (only to be used where no date on document present)
- Date of verbal referral – For verbal referrals, the date of referral is equal to the date on which the verbal request is received. This date must be documented; any follow up written referral documentation will not affect the verbal date of referral.
- Where a patient self refers, the date of referral is equal to the date of attendance.

REF_DT

Indiactes whether or not the clinical referral date is valid.

CLIN_REF_DT_VALID

Previous Local Authority code (4 characters) in which the patient is resident. Based on the current census.

PAT_STATS_CURR_CENSUS_LA_PREV_CD

PAT_REG_GP_GEO_HEALTH_ORG_CD

Referrer Priority Type Description. This is the Referrer's assessment of the priority of a request for services. The value may be obtained from the text in the referral notification and is unaffected by the priority as assessed by the Consultant or Independent Nurse responsible for the outpatient appointment on review of the referral notification.

Note: If a patient self-refers, this field should be populated with the default value of 1.

Note: The 'routine' value is to be utilized as a default if no urgency or clinical priority is included within the referral notification. Where an urgency or clinical priority is included 'urgency' can be defined as per the extant guidance.

REF_PRIORITY_TYPE_DESC

Previous Local Authority code (4 characters) in which the patient is resident. Based on the previous census.

PAT_STATS_PREV_CENSUS_LA_PREV_CD

Service Type Requested Code. The terms of reference for the referral request.

SERVICE_TYPE_REQST_CD

PAT_REG_GP_CLUSTER_CD

CLIN_REF_DT_KEY

Derived Referrer Priority Type Code. This is the Referrer's assessment of the priority of a request for services. The value may be obtained from the text in the referral notification and is unaffected by the priority as assessed by the Consultant or Independent Nurse responsible for the outpatient appointment on review of the referral notification.

Note: If a patient self-refers, this field should be populated with the default value of 1.

Note: The 'routine' value is to be utilized as a default if no urgency or clinical priority is included within the referral notification. Where an urgency or clinical priority is included 'urgency' can be defined as per the extant guidance.

Outpatient Referral (OPRD)

Documentation

Coverage

Provenance

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Temporal

Accessibility

Access

Usage

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Origin