NHS SAR — DECODED SUBSTANCE (verified sources: WHO ICD-10 browser, SNOMED terminology server, NHS Data Dictionary May 2024 archive)

== SUMMARY CARE RECORD (GP record, OCR'd in full) ==
- Risk flag 04 Sep 2017: "H/O: deliberate self harm - multiple attempts in past"
- Diagnoses: ADHD (27 Feb 2025); Narcissistic personality disorder (12 Apr 2017); Drug overdose - life threatening dose (18 Mar 2017); Overdose of antidepressant drug (01 Mar 2017)
- Meds 15 Aug 2024: Fluoxetine 30mg daily; Propranolol 40mg 3x/day
- Meds 18 Jul 2025: Flucloxacillin + fusidic acid (toe infection)
- Admin 04 Sep 2017: "On sex offenders register"
- Referral to neurology 29 Jul 2024
- Bilateral vasectomy 02 Feb 2018
- Allergy: adverse reaction to local anaesthetics (2016, per patient questionnaire)
- Depression interim review 15 Jan 2024

== MENTAL HEALTH DATASET (MHSDS) ==
Previous diagnoses recorded 21 Feb 2014:
- F60.1 = Schizoid personality disorder [WHO ICD-10]
- F60.2 = Dissocial personality disorder [WHO ICD-10]

Referrals (codes decoded per NHS Data Dictionary):
- 20 Oct 2023: source E1=Police, reason 16=Conduct disorders, team D02=Criminal Justice Liaison & Diversion Service. Closed 07 Jun 2024.
- 12 Sep 2023: source M2=Telephone/Electronic Access Service, reason 23=Adjustment to health issues. Closed 20 Feb 2024.
- 16 Sep 2023: source M6=Other service, reason 14=Personality disorders. Closed 09 Oct 2023.
- Multiple crisis-line contacts (reason 18=In crisis, source B1=Self / A1=GP): 2019 cluster, Sep-Dec 2023 cluster.
- 15 Jun 2024: source E1=Police, reason 23, team Z01=Other MH service. Same-day closed. [3 days before TTLDN service, 4 weeks before seizure]
- 29 Jul 2024: referred by GP practice D81059, reason 23, team A05=Primary Care Mental Health Service. Closed 18 Sep 2024.
- 18 Sep 2024: reason 23, team A13=Psychological Therapy Service (non-IAPT). Closed 24 Feb 2025.
- 12 Feb 2025: source A3=Other Primary Health Care, team F01 (recorded as Education-based MH Support Team - odd, likely miscoded). Same-day closed.
- 18 Feb 2025: source E3=PROBATION SERVICE, reason 16=Conduct disorders, team B01=FORENSIC MENTAL HEALTH SERVICE. Same-day closed, reason 02.
- 15 Aug 2025 (arrest day): source E1=Police, reason 16, team D02=Criminal Justice Liaison & Diversion. Discharged 20 Aug 2025.

Social/personal circumstances recorded 17 Aug 2025 (2 days after arrest), verified SNOMED:
- 20430005 = "Heterosexual"
- 160552003 = "Not religious"

Care plans: crisis plan 10 Sep 2014 (type 12=Crisis Plan*), care plan 15 Jan 2013 (type 10*). *type labels not yet verified

== HOSPITAL ADMISSION (APC, one coded episode, 2016 file) ==
ICD-10 verified: T43.5 poisoning by antipsychotics/neuroleptics; X61.9 intentional self-poisoning by psychotropic drugs; T51.0 toxic effect of ethanol; X65.9 intentional self-poisoning by alcohol; R40.2 coma unspecified; F10.1 harmful use of alcohol; F91.1 unsocialized conduct disorder; F61 mixed and other personality disorders.
Procedure X56.9 [OPCS - not yet verified]

== OUTPATIENT / IMAGING ==
- OP diagnosis only R69 = "Unknown and unspecified causes of morbidity" (i.e. nothing coded)
- Procedures U24.1/X99.7 [OPCS - not yet verified]; DIDS imaging file content not yet extracted

== NOT YET DONE ==
- OPCS procedure codes, care plan type labels, DIDS rows, IAPT/CSDS row content, POS data-sharing PDF