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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 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Accessible information - communication support
|
58921000000137
|
Realm Concept
|
Accessible information - communication support simple reference set (foundation metadata concept)
|
999002121000000109
|
Simple
|
Outlines capability and support required in order to provide accessibility, with regard to disability. Supports SCCI 1605 Accessible Information.
This subset contains terms that support needs identified as part of a screening procedure 1053561000000108 | Information and communication accessibility needs assessment (procedure). |
Supported
|
01 Oct 2015 |
NHS England;
|
Intended
|
For use in all care settings to support accessible information.
|
England;
|
Administrative; Emergency care; Information standard; Reference set by clinical information component; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care; Health Care.Auxiliary services; Health Care.Hospital care; Health Care.Primary care; Health Care.Social care;
|
UK Clinical Extension
|
en
|
ProfessionalRecordStandards
|
der1_SubsetMembers_CommunicationSupport_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
9.0
|
18 Apr 2018 |
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT);
|
View | ||
|
Accessible Information - requires communication professional
|
58951000000133
|
Realm Concept
|
Accessible information - requires communication professional simple reference set (foundation metadata concept)
|
999002151000000104
|
Simple
|
Requirement for communication professional to be present in order to enable accessibility, with regard to disability.
Supports SCCI 1605 Accessible Information. This subset contains terms that support needs identified as part of a screening procedure 1053561000000108 | Information and communication accessibility needs assessment (procedure). |
Supported
|
01 Oct 2014 |
NHS England;
|
Intended
|
For use in all care settings to support accessible information.
|
England;
|
Emergency care; Information standard; Reference set by clinical information component; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care; Health Care.Auxiliary services; Health Care.Hospital care; Health Care.Primary care; Health Care.Social care;
|
UK Clinical Extension
|
en
|
ProfessionalRecordStandards
|
der1_SubsetMembers_CommunicationProfessional_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
8.0
|
18 Apr 2018 |
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT); CDS V6-2-2 Type 011 - Emergency Care CDS; CDS V6-2-3 Type 011 - Emergency Care CDS;
|
View | ||
|
Accessible Information - requires specific contact method
|
58931000000135
|
Realm Concept
|
Accessible information - requires specific contact method simple reference set (foundation metadata concept)
|
999002131000000106
|
Simple
|
Requirement for specifying contact method in order to provide accessibility, with regard to disability. Supports SCCI 1605 Accessible Information.
This subset contains terms that support needs identified as part of a screening procedure 1053561000000108 | Information and communication accessibility needs assessment (procedure). |
Supported
|
01 Oct 2015 |
NHS England;
|
Intended
|
For use in all care settings to support accessible information.
|
England;
|
Emergency care; Information standard; Reference set by clinical information component; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care; Health Care.Auxiliary services; Health Care.Hospital care; Health Care.Primary care; Health Care.Social care;
|
UK Clinical Extension
|
en
|
ProfessionalRecordStandards
|
der1_SubsetMembers_RequiresSpecificContact_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
7.0
|
18 Apr 2018 |
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT);
|
View | ||
|
Accessible Information - requires specific information format
|
58941000000130
|
Realm Concept
|
Accessible information - requires specific information format simple reference set (foundation metadata concept)
|
999002141000000102
|
Simple
|
Requirement for specific information format in order to provide accessibility, with regard to disability.
Supports SCCI 1605 Accessible Information. This subset contains terms that support needs identified as part of a screening procedure 1053561000000108 | Information and communication accessibility needs assessment (procedure). |
Supported
|
01 Oct 2015 |
NHS England;
|
Intended
|
For use in all care settings to support accessible information.
|
England;
|
Administrative; Emergency care; Information standard; Reference set by clinical information component; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care; Health Care.Auxiliary services; Health Care.Hospital care; Health Care.Primary care; Health Care.Social care;
|
UK Clinical Extension
|
en
|
ProfessionalRecordStandards
|
der1_SubsetMembers_RequiresSpecificInformation_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
9.0
|
18 Apr 2018 |
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT);
|
View | ||
|
Accommodation environmental findings simple reference set
|
Accommodation environmental findings simple reference set (foundation metadata concept)
|
1127471000000101
|
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
|
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;
|
Health Care;
|
en-gb
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
1.0
|
09 Nov 2020 | View | |||||||||||
|
Accommodation Tenure
|
Realm Concept
|
Accommodation tenure findings simple reference set (foundation metadata concept)
|
1129551000000102
|
Simple
|
This subset describes the Accommodation Tenure of the subject's usual residence.
|
Deprecated
|
01 Oct 2019 |
NHS Digital;
|
Intended
|
This forms part of the vocab for AccommodationSnCT (XML) in messaging specifications. A subset of SNOMED-CT intended for use in the UK, a set of codes which represent aspects of accommodation including type and tenure of accommodation. This vocab contains multiple distinct sub-sets of codes.
Any code from the SNOMED CT UK AccommodationTenure subset with subset original id 6161000000138. Any code from the SNOMED CT UK AccommodationType subset with subset original id 6171000000131. The use of this subset is Advisory as defined in latest version of "NPFIT-ELIBR-AREL-P1R2-0178 Technical Guidance for Implementation of Templated CDA Domains." |
England;
|
Finding; Messaging Interoperability; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care; Health Care.Hospital care; Health Care.Primary care; Health Care.Public Health; Health Care.Social care; Psychiatry and Psychology/Mental Health; Social Sciences;
|
UK Clinical Extension
|
en
|
ClinicalMessaging
|
der1_SubsetMembers_AccommodationTenure_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
9.0
|
10 Nov 2020 | View | ||||
|
Accommodation Type
|
6161000000138
|
Realm Concept
|
Type of accommodation simple reference set (foundation metadata concept)
|
999001371000000102
|
Simple
|
This contains concepts describing the Accommodation Type of the subject's usual residence.
|
Deprecated
|
31 Mar 2018 |
NHS Digital;
|
Intended
|
The use of this subset is Advisory as defined in latest version of "NPFIT-ELIBR-AREL-P1R2-0178 Technical Guidance for Implementation of Templated CDA Domains."
|
England;
|
Assessment; Finding; Messaging Interoperability; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care; Health Care.Social care;
|
UK Clinical Extension
|
en
|
ClinicalMessaging
|
der1_SubsetMembers_AccommodationType_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
7.0
|
07 Jan 2019 | View | |||
|
Action context values
|
55071000000130
|
Realm Concept
|
Action context values simple reference set (foundation metadata concept)
|
999001711000000106
|
Simple
|
All subtypes of 288532009 | Context values for actions (qualifier value) used to give context to procedures, e.g. planned, done.
|
Deprecated
|
01 Oct 2014 |
NHS Digital;
|
Intended
|
To enable the context of actions to be available to users in a consistent manner and communicated consistently avoiding the use of context concepts which are intended for navigational or reporting purposes only. A separate, more constrained list is available for care planning functionality (34341000000138)
|
England;
|
Foundation reference sets; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care;
|
UK Clinical Extension
|
en
|
ProfessionalRecordStandards
|
der1_SubsetMembers_ActionContextValues_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
7.0
|
10 Nov 2020 | View | |||
|
Activity of daily living findings
|
5981000000139
|
Realm Concept
|
Activity of daily living simple reference set (foundation metadata concept)
|
999001381000000100
|
Simple
|
A set of codes which represent issues with the things we normally do in daily living including any daily activity we perform for self-care (such as feeding ourselves, bathing, dressing, grooming), work, house work etc).
This excludes detailed functional mobility, communication, breathing, which are covered by other subsets to support Health and Social Care Integration. |
Deprecated
|
11 Nov 2020 |
NHS Digital;
|
Intended
|
England;
|
Assessment; Finding; Messaging Interoperability; User interface;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
UK Clinical Extension
|
en
|
ClinicalMessaging
|
der1_SubsetMembers_ActivityOfDailyLiving_GB1000000_DATESTAMP.txt
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
6.0
|
10 Nov 2020 | View | |||||
|
Activity of daily living related to physical function findings
|
74811000000134
|
Context Concept
|
Activity of daily living related to physical function findings simple reference set (foundation metadata concept)
|
999002751000000103
|
Simple
|
A list of an individual�s ability to physically perform activities of daily living. This excludes mobility which is covered in a separate subset.
|
Supported
|
11 Nov 2020 |
The Chartered Society of Physiotherapy;
|
Intended
|
Allied health professional; Finding; Physiotherapy;
|
Age group - any age; Gender - not specified; Sex - not specified;
|
Health Care;
|
UK Clinical Extension
|
en-gb
|
ICD10 Licence; IHTSDO SNOMED CT� Licence; OPCS Licence; Open Government Licence; UKTC SNOMED CT� Licence;
|
3.0
|
10 Nov 2020 | View |