NHS ENGLAND SAR 2605-2330711 — FULL DECODED MASTER FILE
Rocky Mark Alberone, NHS no 426 384 9175, DoB 22 Sep 1990, GP Ramsey Health Centre (D81059)
Supersedes nhs_sar_decoded.txt. Every code below verified against the source named in brackets.
Sources: [SUS-GUID] = the disclosure's own bundled "7 SUS CDS All Definitions.xlsx"; [NHS-DD] = NHS Data Model & Dictionary (archive releases); [WHO] = WHO ICD-10 browser; [SNOMED] = CSIRO Ontoserver; [OPCS] = official OPCS-4 dictionary (UK Biobank distribution of the NHS classification); [TFC] = NHS DD Main Specialty & Treatment Function Codes table; [NHSE] = NHS England IAPT waiting-times guidance.
Anything not decodable from public sources is marked as such — no guesses.

=======================================================================
1. SUMMARY CARE RECORD (5. SCR_Redacted.pdf — OCR'd in full)
=======================================================================
- ADHD — recorded 27 Feb 2025
- Narcissistic personality disorder — 12 Apr 2017
- Overdose Mar 2017, described as "life threatening dose"
- H/O deliberate self-harm, multiple attempts — 04 Sep 2017
- "On sex offenders register" — administrative entry, 04 Sep 2017
- Fluoxetine 30mg + propranolol 40mg — from 15 Aug 2024 (one month after 12 Jul 2024 device seizure)
- Neurology referral — 29 Jul 2024
- Vasectomy — 02 Feb 2018
- Reaction to local anaesthetic — 2016
- Depression interim review — 15 Jan 2024
- COVID jabs: 26 Aug 2021, 14 Dec 2021 (Moderna), 26 Mar 2022 (Pfizer booster)

=======================================================================
2. MENTAL HEALTH SERVICES DATA SET (6a. MHSDS) — provider RT1 = Cambridgeshire & Peterborough NHS FT (CPFT)
=======================================================================
DIAGNOSES (21 Feb 2014, previous-diagnosis records):
- F60.1 Schizoid personality disorder [WHO]
- F60.2 Dissocial personality disorder [WHO]
(You were never told the schizoid one; only dissocial, emotionally unstable/borderline, narcissistic were ever mentioned to you.)

REFERRAL SOURCE CODES [NHS-DD]: E1 Police, E3 Probation, B1 Self, A1 GP, A3 Other primary care, M2 Phone/electronic, M6 Other service, M7 Single point of access, H2 Other secondary care.
REFERRAL REASON CODES [NHS-DD]: 14 Personality disorders, 16 Conduct disorders, 18 In crisis, 23 Adjustment to health issues.
TEAM TYPE CODES [NHS-DD]: D02 Criminal Justice Liaison & Diversion, A05 Primary Care MH, A13 Psychological Therapy (non-IAPT), A16 Personality Disorder Service, B01 Forensic MH, A19 24/7 Crisis line, A11 Psychiatric liaison, C01 Autism Service, F01 Education-based MH Support Team, Z01 Other MH service.

REFERRAL TRAIL:
- 2016–2019 and Sep–Dec 2023: crisis-cluster referrals (reason 18)
- Mar 2017: psychiatric liaison (A11) during hospital admission
- Aug–Dec 2017: Autism Service (C01) + Forensic MH (B01)
- 20 Oct 2023: Police (E1) → D02 L&D after weapons arrest; closed 07 Jun 2024
- 15 Jun 2024: Police (E1) → Z01, opened and closed same day — 3 days before the 18 Jun 2024 TTLDN. This is police contacting mental health services about you; no treatment followed.
- 29 Jul 2024: GP (D81059) → A05 Primary Care MH; closed 18 Sep 2024
- 18 Sep 2024 → A13 Psychological Therapy, incl. 3 Sep 2024 55-min face-to-face; closed 24 Feb 2025
- 12 Feb 2025: source A3 → F01 (education MH team — almost certainly miscoded), same-day closed
- 18 Feb 2025: PROBATION (E3) → B01 Forensic MH; 75-min face-to-face 6 Feb 2025, SNOMED 310348003 "Seen by psychologist" [SNOMED]; closed same day, closure reason 02 = Treatment completed [NHS-DD]
- 15 Aug 2025 (arrest day): Police (E1) → D02 L&D; 95-min face-to-face same day; discharged 20 Aug 2025

SOCIAL/PERSONAL CIRCUMSTANCES (17 Aug 2025, entered via L&D/CPFT):
- SNOMED 20430005 = Heterosexual [SNOMED]
- SNOMED 160552003 = "Not religious" [SNOMED] — written by CPFT via the custody L&D team, not by you

CARE PLANS [NHS-DD]: type 12 = Mental Health Crisis Plan (10 Sep 2014); type 10 = Mental Health Care Plan.

ACCOMMODATION (mhs003) [NHS-DD Accommodation Type list]:
- 02 = Tenant, Local Authority/social housing (settled) — 2013–2014 entries
- 03 = Tenant, private landlord (settled) — from 17 Jun 2015
- 19 = Temporary housing to prevent/relieve homelessness (unsettled, SettledInd=N) — Jan + Jul 2013
- MA06 = legacy pre-MHSDS code — NOT decodable from public sources
EMPLOYMENT [NHS-DD]: 02 = Unemployed and actively seeking work.

=======================================================================
3. 2017 HOSPITAL ADMISSION (1a SUS csv 2016_FY_APC + 2016_FY_EM)
=======================================================================
A&E 01 Mar 2017, Hinchingbrooke (RQQ31), seen 05:29 [codes from SUS-GUID CDS 010]:
- Arrival mode 1 = Ambulance; referral source 03 = Emergency services; patient group 30 = Deliberate self-harm; incident location 10 = Home; first attendance
- A&E diagnosis 14 = Poisoning (including overdose) [NHS-DD A&E tables]
- Investigations: haematology, cross-match, biochemistry, ECG [NHS-DD A&E tables]
- Treatments: observation ×2, IV cannula, guidance/advice (verbal) [NHS-DD A&E tables]
- Disposal 01 = Admitted to hospital bed

ADMISSION 02–17 Mar 2017 (admitted 05:31, discharged 17 Mar 18:00):
- Admission method 21 = Emergency via A&E of same hospital [SUS-GUID]
- Admission source 19 = usual place of residence; discharge destination 19 = usual place of residence [SUS-GUID]
- Specialty 300 = General (Internal) Medicine [TFC]
- ICD-10 [WHO]: T43.5 poisoning by antipsychotics/neuroleptics; X61.9 intentional self-poisoning with psychotropic drugs; T51.0 ethanol; X65.9 intentional self-poisoning with alcohol; R40.2 coma; F10.1 alcohol harmful use; F91.1 unsocialized conduct disorder; F61 mixed personality disorders
- Procedure OPCS X56.9 = Unspecified intubation of trachea [OPCS] — you were intubated (fits the coma code)
- Critical care record present; admission source 01
- MARITAL_STATUS "8" and PSYCHIATRIC_PATIENT_STATUS "8": neither matches the published national code lists (marital: 1–4/S,M,D,W,P,N; psych status: 0/1/2) [SUS-GUID] — filler/default values, not decodable
- DIDS imaging: ~10 imaging events 2–13 Mar 2017 at RQQ31 during this admission (rows carry no procedure labels), reports issued 10–25 Mar 2017

=======================================================================
4. OTHER A&E ATTENDANCES (1a SUS csv) [codes from SUS-GUID CDS 010 + NHS-DD A&E tables]
=======================================================================
- 2008, West Midlands (RXK), 02:07am: self-referral, arrival mode 2 (not ambulance), incident location 91 Other, patient group 80 Other, discharged with GP follow-up
- 25 Sep 2016, Peterborough City Hospital (RGN80): referral source 06 = POLICE, arrival mode 1 = ambulance, diagnosis 35 = Psychiatric conditions, investigation 24 = None, treatment 22/2 = Guidance/advice only – verbal, disposal 03 = discharged, no follow-up needed
- 26 Sep 2016, same site: SELF-referral, arrival mode 2, diagnosis 35 = Psychiatric conditions, advice-verbal, disposal 02 = discharged to GP follow-up. Same day you self-referred to IAPT.

=======================================================================
5. OUTPATIENTS (1a SUS csv OP files) [codes from SUS-GUID CDS 020, OPCS, TFC]
=======================================================================
ENT (specialty 120 = Ear Nose & Throat Service):
- 27 Apr 2012: attended (code 5), outcome 1 = discharged from consultant care
- 28 Dec 2012: cancelled by the hospital (code 4)
- 18 Jan 2013 + 13 Feb 2013: did not attend, no warning (code 3)
- 17 Dec 2014, clinic "ISR ENT": attended; procedures U24.1 = Pure tone audiometry + U24.8 = Other specified diagnostic audiology [OPCS] — hearing tests

Critical care follow-up (specialty 192 = Intensive Care Medicine Service [TFC], clinic code "CCFU"):
- 07 Jul 2017 + 03 Nov 2017: both attended, outcome 3 = appointment to be made at later date; diagnosis R69 = Unknown and unspecified causes of morbidity [WHO]; X99.7 = Procedure carried out but no appropriate OPCS-4 code [OPCS]. These are ICU follow-up appointments after the March 2017 admission.

=======================================================================
6. IAPT TALKING THERAPIES (6c)
=======================================================================
26 Sep 2016 — self-referral to RT1 (CPFT):
- First scores: PHQ-9 = 21 (severe depression range), GAD-7 = 15 (severe anxiety range), WSAS 32.5
- One 45-min assessment-and-treatment session 27 Sep 2016 (APPTYPE 03 = Assessment and Treatment [NHSE]); attended (code 5) [NHS-DD]
- Provisional diagnosis F99 = mental disorder not otherwise specified [WHO]
- End code 44 = Referred to a non-IAPT mental health service [NHS-DD June 2015 release]

08 Jul 2018 — self-referral to RT119:
- First scores: PHQ-9 = 24, GAD-7 = 21, WSAS 34 (higher than 2016)
- One 30-min session 25 Jul 2018, attended
- End code 11 = Not suitable for IAPT service — signposted elsewhere with mutual agreement of patient [NHS-DD June 2015 release]

Person records: 2016 — ethnicity Z (not stated), sexual orientation '9'; 2018 — ethnicity A (White British), RELIGION 'K', SEXUALORIENTATION '1' = Heterosexual/Straight (matches the NHS sexual-orientation code frame and your SNOMED entry). Values not decodable from public sources: RELIGION 'K' (IAPT v1.5 high-level religion groupings — value list not published anywhere reachable), orientation '9' (2016 frame), BAFINDICATOR 03, THERTYPE1 28, PSYCHMED 03, STEPINTENSITY 01 (all defined only inside the IAPT v1.5 Technical Output Specification, whose download NHS Digital has taken offline).

=======================================================================
7. COMMUNITY SERVICES (7. CSDS) [NHS-DD]
=======================================================================
- 30 Sep 2021 → RYV (Cambridgeshire Community Services): reason 043 = Musculoskeletal problems, team 20 = Musculoskeletal Service; closed Oct 2021
- 13 Sep 2023 → RT1: reason 033 = Foot care, team 27 = Podiatry Service; closed 16 Nov 2023, closure reason 05 = Did Not Attend

=======================================================================
8. IMAGING (3. DIDS.csv — 17 rows)
=======================================================================
- 21 Nov 2016: GP-referred imaging at RQQ31, same-day, reported 22 Nov 2016
- 02–13 Mar 2017: ~10 imaging events during the admission (no labels on rows)
- 13 May 2024: GP G8842215 at Ramsey Health Centre requested SNOMED 408754009 = CT of entire head [SNOMED]; performed 30 May 2024 at Hinchingbrooke (RGN90); reported 02 Jun 2024. (3 duplicate rows.)

=======================================================================
9. DEMOGRAPHICS / PDS (4a, 4b — decoded earlier, carried forward)
=======================================================================
- Previous name "Jason STORM" until 05 Apr 2016; old NHS number GQD90L241
- Address history from 2004; 32 Serjeants Close from Jul 2015
- Ethnicity recorded 'A' (White British) pre-2023 but 'S' from 2023 — a data error worth flagging to PDS/GP
- No death registration (obviously)

=======================================================================
10. NATIONAL DATA RELEASES (9a. POS.pdf)
=======================================================================
- 984 releases of your data 29 Apr 2016 – 07 Jun 2026, 0 removed — you have NO national data opt-out in place
- Recipients include universities, ALSPAC, IQVIA, CPRD
- 8 UK-extension SNOMED procedure codes in the release list: not decodable — they resolve on no public terminology server

=======================================================================
11. SPINE ACCESS AUDIT (8a) + KEY (8b)
=======================================================================
8b "Business Message Types" is the glossary for 8a: it defines each Spine access type (EPS prescriptions, DBS batch tracing, PDS trace/retrieval/update queries QUPA_*, PSIS/SCR document requests). Important from its own wording: an "Advanced Trace" hit means your record appeared in a candidate list — not necessarily that it was opened; "PDS Retrieval" means it was accessed.
8a: 7,456 access entries, 11 Sep 2014 → 02 Jun 2026. Top accessors overall: Ramsey Health Centre (2,567), CPFT (1,637), Sandwell & West Birmingham (702), Wye Valley (398), Worcestershire Acute (375), Black Country Partnership (316), Rainbow Surgery (253), Pharmacy2U (197).
- BCH POLICE CUSTODY: 14 accesses, all in the Aug–Sep 2025 window around your 15 Aug 2025 arrest (custody healthcare/L&D)
- ADHD360 Limited: 39 accesses since 2024 (your ADHD assessment provider)
- The West Midlands trusts' volume is dominated by DBS batch-tracing message types (record synchronisation), not people reading your record

=======================================================================
12. REMAINING FILES
=======================================================================
- 2. HES.xlsx: AE/APC/OP sheets (207/224/180 rows) — the same hospital activity as the SUS csvs in HES warehouse form; no new events found beyond those decoded above
- 1c SUS reports (3 csvs, extract runs Apr 2017 / Dec 2023 / Nov 2024): field-by-field "Column Name / Value / Description" dumps of the same SUS records — they carry their own descriptions
- 10. Covid Vaccination: your 3 jab records (as in SCR), a PDS snapshot, and the NIMS cohort-eligibility row used for vaccine invitations

=======================================================================
NOT DECODABLE FROM PUBLIC SOURCES (complete list, no guesses made)
=======================================================================
MA06 (legacy accommodation); RELIGION 'K'; SEXUALORIENTATION '9' (2016); BAFINDICATOR 03; THERTYPE1 28; PSYCHMED 03; STEPINTENSITY 01; MARITAL_STATUS 8; PSYCHIATRIC_PATIENT_STATUS 8; 8 UK-extension SNOMED codes in POS; imaging types on the 2016/2017 DIDS rows (blank in the data itself).