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Data Dictionary for Care (DD4C)
DD4C has been migrated to Delen, with effect of November 2022. A summary of how content and functionality is affected after the migration onto Delen, is provided on this page.
What is the DD4C?
The DD4C provides information (metadata) about SNOMED CT refsets and subsets. It is designed to help users to better understand the purpose and intended uses of refsets and subsets. It does not include the members that make up the refsets and subsets.
DD4C on Delen
The DD4C service provides a catalogue of existing SNOMED CT refsets and subsets that are published elsewhere (e.g., NHS England Terminology Server, Technology Reference Update Distribution (TRUD), NHS Digital SNOMED CT Browser). It includes information to aid the understanding of SNOMED CT material and provides access to this catalogue in a single location.
The aim of the service is to help support the quality of care through information being recorded once and enabling data to flow (interoperability) between systems, for the end-to-end care of patients and populations. Achieving such interoperability will enable co-ordinated, planned care, as well as more effective use of care information.
Searching DD4C
Please begin viewing the DD4C by using the 'Quick Search' below or the 'Advanced Search' by selecting the 'magnifying glass' icon or the 'Search this database' option at the bottom left hand-side of the screen.
Requesting Changes
Only read-access is available to DD4C content on Delen. If you want to add new content, modify or archive existing content, this must be made by making requests to the Terminology and Classifications Delivery Service. More details of how to request a change is provided on this page.
606 entries
| Subset Name | Subset Original ID | Subset Type | Refset FSN | Refset ID | Refset Type | Subset Description | Viewable at | Subset Status | Subset Status Date | Owner (Organisation Name) | Usage Type | Usage Description | Geographic Usage | Usage Category | Inclusion Criteria | Exclusion Criteria | Subject Category | Subset Release Category | Language | Folder Name | File Name | Subset Licence Type | Metadata Version | Last Updated | NHS Data Model & Dictionary | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Actual Place of Death findings
|
58801000000138
|
Realm Concept
|
Actual place of death findings simple reference set (foundation metadata concept)
|
999002761000000100
|
Simple
|
Codes to record the location where the subject of the record died. To inform formal carers that an individual has died. To enable organisations to assess whether individuals achieve their preference for place of death.
|
Draft for Trial Use
|
29 Nov 2016 |
NHS Digital;
|
Intended
|
The National End of Life Care Intelligence Network, hosted by Public Health England, has undertaken widespread consultation and is in the process of updating ISB1580 following formal withdrawal of support for the Liverpool Care Pathway. The related message specification and value sets have been updated and a number of subsets have been created to support this requirement. Many of them will be useful for other purposes and thus where wider utility is expected the names do not reference �end of life care�.
|
UK;
|
Assessment; End of life; Finding;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
UK Clinical Extension
|
en
|
ProfessionalRecordStandards
|
der1_SubsetMembers_ActPlaceDeathFind_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
5.0
|
10 Nov 2020 | View | ||||
|
Acute kidney injury findings simple reference set
|
Acute kidney injury findings simple reference set (foundation metadata concept)
|
1127821000000102
|
A refset used to support the extraction of data for the Summary Care Record that has been designed to consider user entry. This refset had been designed to consider the principles of the emerging Clinical Data Architecture for the NHS.
|
Draft for Trial Use
|
01 Oct 2019 |
Intended
|
A refset used to support the extraction of data for the Summary Care Record that has been designed to consider user entry. This refset had been designed to consider the principles of the emerging Clinical Data Architecture for the NHS.
|
Age group - any age; Gender - not specified; Sex - not specified;
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Health Care;
|
en-gb
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
1.0
|
10 Nov 2020 | View | ||||||||||||
|
Additional language spoken findings simple reference set
|
Additional language spoken findings simple reference set (foundation metadata concept)
|
747621000000107
|
Simple
|
A refset used to support the extraction of data for the Summary Care Record that has been designed to consider user entry. This refset had been designed to consider the principles of the emerging Clinical Data Architecture for the NHS
|
Supported
|
11 Nov 2020 |
Intended
|
A refset used to support the extraction of data for the Summary Care Record that has been designed to consider user entry. This refset had been designed to consider the principles of the emerging Clinical Data Architecture for the NHS
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care;
|
en-gb
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
1.0
|
10 Nov 2020 | View | |||||||||||
|
Administration of medication
|
1311000000134
|
Realm Concept
|
Administration of medication simple reference set (foundation metadata concept)
|
999000231000000102
|
Simple
|
Administration of medication procedures by route for use in messaging.
Message representing the administration of a single dose, cycle or complete course of medication to a patient, and its status (e.g. planned, done, abandoned). If required, it may indicate the route(s) (e.g. intravenous) and/or the site(s) of administration. This subset deliberately omits concepts that identify the specific drug or regime. A subset called Care planning medication administration does contain these. |
Deprecated
|
11 Nov 2020 |
NHS Digital;
|
Intended
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Intended use in messages within NHS England
|
England;
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Messaging Interoperability; User interface;
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Age group - any age; Gender - not specified; Sex - not specified;
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Health Care;
|
UK Clinical Extension
|
en
|
ClinicalMessaging
|
der1_SubsetMembers_Adminmed_GB1000000_DATESTAMP.txt
|
IHTSDO SNOMED CT� Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
7.0
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10 Nov 2020 | View | |||
|
Administrative Procedure
|
1051000000130
|
Realm Concept
|
Administrative procedure simple reference set (foundation metadata concept)
|
999000241000000106
|
Simple
|
Administrative Procedure
|
Deprecated
|
11 Nov 2020 |
NHS Digital;
|
Intended
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A subset of SNOMED-CT intended for use in the UK, that describes an administrative procedure.
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England;
|
Administrative; Messaging Interoperability; Procedure; User interface;
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Age group - any age; Gender - not specified; Sex - not specified;
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Health Care; Health Care.Hospital care; Health Care.Primary care; Health Care.Public Health; Health Care.Social care;
|
UK Clinical Extension
|
en
|
ClinicalMessaging
|
der1_SubsetMembers_Adminproc_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
6.0
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10 Nov 2020 | View | |||
|
Advance care plan type
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Realm Concept
|
Advance care plan type simple reference set (foundation metadata concept)
|
1382481000000104
|
Simple
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Refset to support the requirements of DAPB 4022 Personalised care and support planning.
Contains Advance Care Plan record artefact concepts. |
https://termbrowser.nhs.uk/?perspective=full&conceptId1=1382481000000104&edition=uk-edition&server=https://termbrowser.nhs.uk/sct-browser-api/snomed&langRefset=999001261000000100,999000691000001104 |
Draft for Trial Use
|
28 Sep 2022 |
NHS England;
|
Actual
|
To support the requirements of DAPB 4022 Personalised care and support planning
|
England;
|
Care planning; Social care;
|
Age group - Adult; Gender - not specified; Sex - not specified;
|
Health Care.Social care;
|
UK Clinical Extension
|
en-gb
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ICD10 Licence; OPCS Licence; UKTC SNOMED CT� Licence;
|
1.0
|
05 Dec 2022 | View | |||||
|
Advance decision to refuse treatment preference findings
|
47731000000135
|
Realm Concept
|
Advance decision to refuse treatment preference findings simple reference set (foundation metadata concept)
|
999002181000000105
|
Simple
|
Codes to record ADRT preferences for Advance care planning in accordance with the MCA 2005. An advance decision to refuse treatment (ADRT) is a decision to refuse a specific treatment made in advance by a person who has capacity to do so. This decision only applies at a future time when that person lacks capacity to consent to, or refuse, the specified treatment.
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Supported
|
01 Oct 2014 |
NHS Digital;
|
Intended
|
To alert those caring for a person are aware that the person has made decisions regarding their future care in the event that they lose capacity.
The National End of Life Care Intelligence Network, hosted by Public Health England, has undertaken widespread consultation and is in the process of updating ISB1580 following formal withdrawal of support for the Liverpool Care Pathway. The related message specification and value sets have been updated and a number of subsets have been created to support this requirement. Many of them will be useful for other purposes and thus where wider utility is expected the names do not reference �end of life care�. |
England;
|
Assessment; Finding; Messaging Interoperability; Reference set by clinical information component; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care;
|
UK Clinical Extension
|
en
|
ProfessionalRecordStandards
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der1_SubsetMembers_RefuseTreatmentDecision_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
7.0
|
31 May 2018 | View | |||
|
Adverse drug reactions reference set for GP/FP health issue
|
Adverse drug reactions reference set for GP/FP health issue (foundation metadata concept)
|
450990004
|
International refset with governance and membership managed by SNOMED International, refset not currently distributed in the main release files
|
Draft for Trial Use
|
01 Oct 2019 |
SNOMED International;
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Intended
|
International refset with governance and membership managed by SNOMED International, refset not currently distributed in the main release files
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care;
|
en-gb
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
2.0
|
15 Apr 2021 | View | |||||||||||
|
Adverse drug reactions reference set for GP/FP reason for encounter
|
Adverse drug reactions reference set for GP/FP reason for encounter (foundation metadata concept)
|
450981006
|
International refset with governance and membership managed by SNOMED International, refset not currently distributed in the main release files
|
Draft for Trial Use
|
01 Oct 2019 |
SNOMED International;
|
Intended
|
International refset with governance and membership managed by SNOMED International, refset not currently distributed in the main release files
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care;
|
en-gb
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
2.0
|
15 Apr 2021 | View | |||||||||||
|
Adverse Reaction Event
|
1021000000139
|
Realm Concept
|
Adverse reaction event simple reference set (foundation metadata concept)
|
999000251000000109
|
Simple
|
Allowable SNOMED CT base concepts for Adverse Reaction Events
|
Deprecated
|
11 Nov 2020 |
NHS Digital;
|
Intended
|
This is designed to provide detailed technical information on the representation of allergies and adverse reactions when using NHS message templates.
This document provides; guidance on populating Allergies and Adverse Reactions templates and the SNOMED CT codes to be used This subset should be used in combination with the drug/food/substance value sets for causative agent as described in MIM 4.1.04 to represent allergy and adverse reactions consistently for the purpose of storage and communication between NCRS compliant systems |
England;
|
Allergy; Messaging Interoperability; Reference set by clinical information component; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care;
|
UK Clinical Extension
|
en
|
ClinicalMessaging
|
der1_SubsetMembers_Advreaeve_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
6.0
|
10 Nov 2020 | View |