NHSE Subsegment / Condition Definitions

All people with cancer who have undergone chemotherapy in the past 12 months.

All people who have received chemotherapy (recorded as a procedure or ‘reason for care’) in the past 12 months and with cancer recorded, since 2003, during:

• a hospital admission (cancer is recorded either as the reason for admission or as a co-morbidity),
• an outpatient appointment,
• an A&E attendance, or
• a specialist cancer service appointment

All people with lung cancer who have undergone chemotherapy or radical radiotherapy in the past 12 months.

All people who have received chemotherapy or radical radiotherapy in the past 12 month (recorded as a procedure or ‘reason for care’) and with lung cancer recorded during:

• a hospital admission (cancer is recorded either as the reason for admission or as a co-morbidity), or
• an outpatient appointment

All people with a diagnosis of autism spectrum disorder, including Asperger syndrome.

All people with autism spectrum disorder, as defined above, recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-morbidity),
• an outpatient appointment, or
• a specialist inpatient admission

All people who have a diagnosis of blood or bone marrow cancer. This includes leukaemia and lymphoma.

All people with blood or bone marrow cancer recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-
  morbidity), or
• an outpatient appointment

All people who have undergone a bone marrow or stem cell transplant.

All people who have had a bone marrow or stem cell transplant procedure recorded during a hospital admission.

All people with a clinical diagnosis of cerebral palsy.

All people with cerebral palsy recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-
  morbidity), or
• an outpatient appointment

All people who have a diagnosis of congenital heart disease.

All people with congenital heart disease recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-
  morbidity), or
• an outpatient appointment

All people who have a diagnosis of Down’s syndrome.

All people with Down’s syndrome recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-
  morbidity), or
• an outpatient appointment

All people who are receiving end of life care.

All people with a record of palliative care recorded during:

• a hospital admission (either recorded as a ‘diagnosis’, or as the specialty under
  which the person is treated),
• an outpatient appointment (either recorded as a ‘diagnosis’, or as the specialty under which the person is treated), or
• care received in the community for end of life care

All people who have a condition or undergone a procedure which reduces their immune function, making them more susceptible to infection, including:

• People with Sickle Cell Disease
• People who have had a splenectomy or problems with their spleen
• People with cancer undergoing chemotherapy in the past 12 months
• People with a blood or bone marrow cancer, or who have undergone a bone marrow/stem cell transplant
• People with rare diseases
• People with sarcoidosis
• People with Down’s syndrome
• People who have had an organ transplant
• People with rheumatoid arthritis

All people with an immunocompromised condition (such as those above) recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-morbidity, or a relevant procedure is recorded such as organ transplant or splenectomy),
• an outpatient appointment,
• an A&E attendance, or
• a specialist cancer appointment

All people who are obese (or have a BMI recording of 30 or more).

All people with obesity recorded in the past 3 years, during:

• a hospital admission, or
• an outpatient appointment

All people who have undergone an organ transplant. This includes: heart, liver and kidney transplants.

All people who have had an organ transplant (heart, liver or kidney transplant) procedure recorded during a hospital admission.

All people with a chronic neurological disease that affects respiratory function, which are not part of the Chronic Neurological Disease subsegment (e.g. hereditary ataxia, post polio syndrome, locked-in syndrome).

All people who had a recording of other chronic neurological disorders (such as those listed above) recorded during:

• a hospital admission (recorded either as the reason for admission or as a co- morbidity), or
• an outpatient appointment

All people who have a chronic respiratory disease, that makes them more susceptible to respiratory infection (e.g. pneumoconiosis, fibrosis of the lung, interstitial pneumonia).

All people with chronic respiratory disorders (such as those listed above) recorded during:

• a hospital admission (recorded either as the reason for admission or as a co- morbidity), or
• an outpatient appointment

All people who have had a diagnosis or history of pulmonary embolism.

All people who have had a pulmonary embolism recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-
  morbidity), or
• an outpatient appointment

All people who have a diagnosis of a rare disease or inborn errors of metabolism that significantly increase the risk of infection. This includes immunodeficiencies, metabolic disorders and other disorders effecting the immune mechanism.

All people with a rare disease diagnosis recorded during:

• a hospital admission (recorded either as the reason for admission or as a co-morbidity), or
• an outpatient appointment

All people who have required emergency hospital admission for their asthma, or have eosinophilic asthma.

• All people with asthma recorded as the primary reason for a hospital admission, or
• All people with both asthma and pulmonary eosinophilia recorded during:
  • any hospital admission (recorded either as the reason for admission or as a co- morbidity), or
  • any outpatient appointment

All people whose spleen function has been compromised, including its removal:

• Splenectomy or other operations with splenic involvement (such as biopsy of the spleen)
• Hypo- or hyper-splenism or other diseases of the spleen

All people with spleen problems, as defined above, recorded during:

• a hospital admission (recorded either as the reason for admission or as a co- morbidity, or a relevant procedure is recorded such as splenectomy), or
• an outpatient appointment