NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1038 |
| Version No: | |
| Subject: | DD Patch |
| Effective Date: | Immediate |
| Reason for Change: | NHS Data Dictionary Patch |
| Publication Date: | 18 November 2008 |
Background:
This patch makes the following corrections to the NHS Data Dictionary:
Commissioning Data Set Message Schema Versions
The contact telephone number for the Exeter Helpdesk has been corrected in Publication Information Contact Details.
CDS V6 TYPE 130 - incorrect reference to 'discharge' amended to 'admission'
HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1 - incorrect reference to Organisation Code corrected to Organisation Code (PCT of Residence)
HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2 - incorrect reference to Organisation Code corrected to Organisation Code (PCT of Residence)
MENTAL HEALTH MINIMUM DATA SET - incorrect reference to attribute Settled Accomodation Indicator corrected to data element Settled Accomodation Indicator (Mental Health)
NATIONAL CANCER DATA SET - Extra row removed in Radiotherapy (Brachytherapy) group
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET - Contextual Overview moved to overview page for PCCMDS, this is consistent with the other Critical Care Minimum Data Sets
The default codes for the MARITAL STATUS data element have been added to the PERSON MARITAL STATUS data element.
An annotation in the A & E Diagnosis Table has been corrected.
The What's New page has been edited to reflect the November 2008 release.
The guidance text for the following collections has been corrected to remove erratic numbering with bullets:
Central Returns: COVER, KA34 and KC50
Central Return Data Sets: Admitted Patient Flows, Admitted Patient Stocks, Bookings Admitted Patient and Out-Patient Provider
Supporting Information: Security Issues and Patient Confidentiality
Typing/Hyperlink errors in the following defintions have been corrected - National Cancer Data Set Overview, Appointment Booking Type, Appointment Date.
The hyperlink to Unify2 has been corrected in the Central Return Data Sets Introduction.
The abbreviation COVER has been expanded in the Centrral Return Form navigation for Community returns.
The index page has been amended to highlight coloured text (and link to What's New: November 2008 added).
The following A & E attributes have been renamed from 'A and E' to 'A AND E' for consistency with existing A & E Definitions:
- A AND E ARRIVAL MODE
- A AND E ATTENDANCE CATEGORY
- A AND E ATTENDANCE DISPOSAL
- A AND E INCIDENT LOCATION TYPE
- A AND E INITIAL ASSESSMENT TRIAGE CATEGORY
- A AND E PATIENT GROUP
- A AND E STREAM
Summary of changes:
| Date: | 18 November 2008 |
| Sponsor: | Richard Kavanagh, Head of Interoperability Specifications, Data Standards and Products |
Note: New text is shown with a blue background. Deleted text is crossed out. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.
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Change to Data Set: Changed Description
CDS V6 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS
The Admitted Patient Care Finished General Episode Commissioning Data Set Type carries the data for a Finished General Episode.
It covers all NHS and private Admitted Patient Care (day case and inpatient) activity taking place in any acute, community, psychiatric NHS Trust or Primary Care Trust or other NHS hospital under the care of a consultant, midwife or nurse. Additionally, NHS funded Admitted Patient Care taking place in non-NHS hospitals and institutions is required.
In addition to Finished General Episodes an Unfinished General Episode CDS record is required for all Unfinished General Episodes at midnight on 31 March each year. Unfinished General Episode CDS records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.
The CDS TYPE 130 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (shown independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
EAL ENTRY
HEALTHCARE RESOURCE GROUP
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for HES purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.
| CDS V6 TYPE 130 - THE FINISHED GENERAL EPISODE CDS |
|---|
| CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted. | |||
|---|---|---|---|
| Opt | CDS data element | U/A | HES |
| O | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) | ||
| O | PATIENT PATHWAY IDENTIFIER | ||
| O | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | ||
| O | REFERRAL TO TREATMENT STATUS | ||
| O | REFERRAL TO TREATMENT PERIOD START DATE | ||
| O | REFERRAL TO TREATMENT PERIOD END DATE | ||
| * | LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board) | ||
| CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| Opt | CDS data element | U/A | HES |
| M | LOCAL PATIENT IDENTIFIER | R | • |
| M | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | R | |
| M | NHS NUMBER | R | • |
| M | NHS NUMBER STATUS INDICATOR | R | • |
| O | PATIENT NAME | R | |
| O | PATIENT USUAL ADDRESS | R | |
| M | POSTCODE OF USUAL ADDRESS | R | • |
| M | ORGANISATION CODE (PCT OF RESIDENCE) | R | • |
| Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below). |
| CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| Opt | CDS data element | U/A | HES |
| M | PERSON BIRTH DATE | R | • |
| M | PERSON GENDER CURRENT | R | • |
| O | CARER SUPPORT INDICATOR | R | • |
| M | ETHNIC CATEGORY | R | • |
| M | PERSON MARITAL STATUS (psychiatric patients only) | R | • |
| M | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) (psychiatric patients only) | R | • |
| CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics: To carry the admission details of the Spell containing the Episode. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | HOSPITAL PROVIDER SPELL NUMBER | R | • |
| M | ADMINISTRATIVE CATEGORY (ON ADMISSION) | R | • |
| M | PATIENT CLASSIFICATION | R | • |
| M | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | R | • |
| M | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | R | • |
| M | START DATE (HOSPITAL PROVIDER SPELL) | R | • |
| M | AGE ON ADMISSION | R | • |
| CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics: To carry the discharge details of the Spell containing the Episode. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | • | |
| M | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | • | |
| O | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | • | |
| M | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | • | |
| CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics: To carry the details of the Episode undergone by the Patient. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | EPISODE NUMBER | R | • |
| M | LAST EPISODE IN SPELL INDICATOR | R | • |
| * | ADMINISTRATIVE CATEGORY (AT START OF EPISODE) (Not defined or approved by the Information Standards Board) | R | • |
| M | OPERATION STATUS | R | • |
| O | NEONATAL LEVEL OF CARE | R | • |
| O | FIRST REGULAR DAY OR NIGHT ADMISSION | R | • |
| M | PSYCHIATRIC PATIENT STATUS | R | • |
| * | LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) (Not defined or approved by the Information Standards Board) (psychiatric patients only) | R | • |
| M | START DATE (EPISODE) | R | • |
| M | END DATE (EPISODE) This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE. | | • |
| M | AGE AT CDS ACTIVITY DATE | R | • |
| CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details: To carry the details of the Service Agreement for the Episode. | |||
|---|---|---|---|
| M | COMMISSIONING SERIAL NUMBER | R | • |
| O | NHS SERVICE AGREEMENT LINE NUMBER | R | |
| O | PROVIDER REFERENCE NUMBER | ||
| M | COMMISSIONER REFERENCE NUMBER | R | |
| M | ORGANISATION CODE (CODE OF PROVIDER) | R | • |
| M | ORGANISATION CODE (CODE OF COMMISSIONER) | R | • |
| CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | CONSULTANT CODE | R | • |
| M | MAIN SPECIALTY CODE | R | • |
| M | TREATMENT FUNCTION CODE | R | • |
| CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD): To carry the details of the ICD Diagnoses. | |||
|---|---|---|---|
| M | DIAGNOSIS SCHEME IN USE | ||
| M | PRIMARY DIAGNOSIS (ICD) | • | |
| M | SECONDARY DIAGNOSIS (ICD) (Multiple occurrences may be recorded) | | • |
| CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ): To carry the details of the READ Diagnoses. | |||
|---|---|---|---|
| O | DIAGNOSIS SCHEME IN USE | ||
| O | PRIMARY DIAGNOSIS (READ) | ||
| O | SECONDARY DIAGNOSIS (READ) (Multiple occurrences may be recorded) | | |
| CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities. | |||
|---|---|---|---|
| M | PROCEDURE SCHEME IN USE | ||
| M M | PRIMARY PROCEDURE (OPCS) PROCEDURE DATE | • • | |
M M | (Multiple occurrences of this sub-group may be recorded) PROCEDURE (OPCS) PROCEDURE DATE | • • | |
| CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities. | |||
|---|---|---|---|
| O | PROCEDURE SCHEME IN USE | ||
| O O | PRIMARY PROCEDURE (READ) PROCEDURE DATE | ||
O O | (Multiple occurrences of this sub-group may be recorded) PROCEDURE (READ) PROCEDURE DATE | ||
| CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode: To carry the details of the location at the start of the Episode. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | LOCATION CLASS | R | |
| M | SITE CODE (OF TREATMENT) | R | • |
| * | LOCATION TYPE Definition and value list under review | R | |
| O | INTENDED CLINICAL CARE INTENSITY | R | • |
| O | AGE GROUP INTENDED | R | • |
| O | SEX OF PATIENTS | R | • |
| O | WARD DAY PERIOD AVAILABILITY | R | • |
| O | WARD NIGHT PERIOD AVAILABILITY | R | • |
| CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay: To carry the details of one or more Ward Stays. Up to 97 occurrences of this Group are permitted. | |||
|---|---|---|---|
| M | LOCATION CLASS | ||
| M | SITE CODE (OF TREATMENT) | ||
| * | LOCATION TYPE Definition and value list under review | ||
| O | INTENDED CLINICAL CARE INTENSITY | ||
| O | AGE GROUP INTENDED | ||
| O | SEX OF PATIENTS | ||
| O | WARD DAY PERIOD AVAILABILITY | ||
| O | WARD NIGHT PERIOD AVAILABILITY | ||
| O | START DATE | ||
| O | END DATE | ||
| CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode: To carry the details of the location at the end of the Episode. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | LOCATION CLASS | ||
| M | SITE CODE (OF TREATMENT) | ||
| * | LOCATION TYPE Definition and value list under review | ||
| O | INTENDED CLINICAL CARE INTENSITY | ||
| O | AGE GROUP INTENDED | ||
| O | SEX OF PATIENTS | ||
| O | WARD DAY PERIOD AVAILABILITY | ||
| O | WARD NIGHT PERIOD AVAILABILITY | ||
| CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Neonatal Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell. |
|---|
| CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Admission Characteristics To carry the details of the Neonatal Critical Care Admission. One occurrence is permitted for each Critical Care Period recorded. | |||
|---|---|---|---|
| M | CRITICAL CARE LOCAL IDENTIFIER | R | • |
| M | CRITICAL CARE START DATE | R | • |
| M | CRITICAL CARE START TIME | R | • |
| M | CRITICAL CARE UNIT FUNCTION | R | • |
| M | GESTATION LENGTH (AT DELIVERY) | R | • |
| CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL DAILY CARE - Activity Characteristics To carry the details of the Neonatal Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported. | |||
|---|---|---|---|
| M | ACTIVITY DATE (CRITICAL CARE) | R | • |
| M | PERSON WEIGHT | R | • |
| M | CRITICAL CARE ACTIVITY CODE (up to 20 codes per daily activity occurrence may be recorded) | R | • |
| M | HIGH COST DRUGS (OPCS) (up to 20 codes per daily activity occurrence may be recorded) | R | • |
| CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Discharge Characteristics To carry the details of the Discharge from Neonatal Critical Care. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | CRITICAL CARE DISCHARGE DATE | R | • |
| M | CRITICAL CARE DISCHARGE TIME | R | • |
| CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell. |
|---|
| CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics To carry the details of the Paediatric Critical Care Admission. One occurrence is permitted for each Critical Care Period recorded. | |||
|---|---|---|---|
| M | CRITICAL CARE LOCAL IDENTIFIER | R | • |
| M | CRITICAL CARE START DATE | R | • |
| M | CRITICAL CARE START TIME | R | • |
| M | CRITICAL CARE UNIT FUNCTION | R | • |
| CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics To carry the details of the Paediatric Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported. | |||
|---|---|---|---|
| M | ACTIVITY DATE (CRITICAL CARE) | R | • |
| M | CRITICAL CARE ACTIVITY CODE (up to 20 codes per daily activity occurrence may be recorded) | R | • |
| M | HIGH COST DRUGS (OPCS) (up to 20 codes per daily activity occurrence may be recorded) | R | • |
| CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics To carry the details of the Discharge from Paediatric Critical Care. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | CRITICAL CARE DISCHARGE DATE | R | • |
| M | CRITICAL CARE DISCHARGE TIME | R | • |
| CDS DATA GROUP: ADULT CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Adult Critical Care. See CRITICAL CARE PERIOD The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell. |
|---|
| CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics To carry the details of the Admission to Adult Critical Care. One occurrence is permitted for each Critical Care Period recorded. | |||
|---|---|---|---|
| M | CRITICAL CARE LOCAL IDENTIFIER | R | • |
| M | CRITICAL CARE START DATE | R | • |
| O | CRITICAL CARE START TIME | R | • |
| M | CRITICAL CARE UNIT FUNCTION | R | • |
| O | CRITICAL CARE UNIT BED CONFIGURATION | • | |
| O | CRITICAL CARE ADMISSION SOURCE | • | |
| O | CRITICAL CARE SOURCE LOCATION | • | |
| O | CRITICAL CARE ADMISSION TYPE | • | |
| CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics To carry the details of the Adult Critical Care Activity. One occurrence of this data group is supported. | |||
|---|---|---|---|
| M | ADVANCED RESPIRATORY SUPPORT DAYS | • | |
| M | BASIC RESPIRATORY SUPPORT DAYS | • | |
| M | ADVANCED CARDIOVASCULAR SUPPORT DAYS | • | |
| M | BASIC CARDIOVASCULAR SUPPORT DAYS | • | |
| M | RENAL SUPPORT DAYS | • | |
| M | NEUROLOGICAL SUPPORT DAYS | • | |
| O | GASTRO-INTESTINAL SUPPORT DAYS | • | |
| M | DERMATOLOGICAL SUPPORT DAYS | • | |
| M | LIVER SUPPORT DAYS | • | |
| M | ORGAN SUPPORT MAXIMUM | • | |
| M | CRITICAL CARE LEVEL 2 DAYS | • | |
| M | CRITICAL CARE LEVEL 3 DAYS | • | |
| CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics To carry the details of the Discharge from Adult Critical Care. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | CRITICAL CARE DISCHARGE DATE | R | • |
| M | CRITICAL CARE DISCHARGE TIME | R | • |
| O | CRITICAL CARE DISCHARGE READY DATE | R | • |
| O | CRITICAL CARE DISCHARGE READY TIME | R | • |
| O | CRITICAL CARE DISCHARGE STATUS | R | • |
| O | CRITICAL CARE DISCHARGE DESTINATION | R | • |
| O | CRITICAL CARE DISCHARGE LOCATION | R | • |
| CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| O | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | R | • |
| M | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | R | • |
| CDS DATA GROUP: REFERRAL: To carry the details of the referrer. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | REFERRER CODE | R | • |
| M | REFERRING ORGANISATION CODE | R | • |
| CDS DATA GROUP: ELECTIVE ADMISSION LIST ENTRY: To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | DURATION OF ELECTIVE WAIT | R | • |
| M | INTENDED MANAGEMENT | R | • |
| M | DECIDED TO ADMIT DATE | R | • |
| O | EARLIEST REASONABLE OFFER DATE | R | • |
| CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted. | |||
|---|---|---|---|
| M | HEALTHCARE RESOURCE GROUP CODE | • | |
| M | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | • | |
| CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. One Procedure, either OPCS or READ, may be specified. | |||
|---|---|---|---|
| O | PROCEDURE SCHEME IN USE | ||
| O | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | • | |
Change to Data Set: Changed Description
HES / CDS Data Elements cross referenced by HES Item - Table 2
CDS Type key:G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth
• = Mandatory for this CDS Type
O = Optional for this CDS Type
| HES Item | HES Name | CDS Data Element | CDS TYPE | |||||
| G | D | B | PC | OD | OB | |||
| ADMINISTRATIVE CATEGORY (on admission) | ADMINCAT | ADMINISTRATIVE CATEGORY (on admission) | • | • | • | • | ||
| ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | ADMIMETH | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | • | • | • | • | ||
| AGE AT CENSUS | CENSAGE | AGE AT CENSUS | • | |||||
| ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | DELPREAN | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | • | • | • | • | ||
| ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | DELPOSAN | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | • | • | • | • | ||
| AUGMENTED CARE LOCAL IDENTIFIER | APLOCID | AUGMENTED CARE PERIOD LOCAL IDENTIFIER | O | O | O | |||
| AUGMENTED CARE LOCATION | ACPLOC | AUGMENTED CARE LOCATION | • | • | • | |||
| AUGMENTED CARE OUTCOME INDICATOR | ACPOUT | AUGMENTED CARE OUTCOME INDICATOR | • | • | • | |||
| AUGMENTED CARE PERIOD DISPOSAL | ACPDISP | AUGMENTED CARE PERIOD DISPOSAL | • | • | • | |||
| AUGMENTED CARE PERIOD NUMBER | ACPN | AUGMENTED CARE PERIOD NUMBER | • | • | • | |||
| AUGMENTED CARE PERIOD SOURCE | ACPSOUR | AUGMENTED CARE PERIOD SOURCE | • | • | • | |||
| AUGMENTED CARE PLANNED INDICATOR | ACPPLAN | AUGMENTED CARE PLANNED INDICATOR | • | • | • | |||
| BIRTH DATE | DOB | BIRTH DATE | • | • | • | • | • | • |
| BIRTH DATE (BABY) | DOBBABY | BIRTH DATE (BABY) | • | • | ||||
| BIRTH DATE (MOTHER) | MOTDOB | BIRTH DATE (MOTHER) | • | • | ||||
| BIRTH ORDER | BIRORDER | BIRTH ORDER | • | • | • | • | ||
| BIRTH WEIGHT | BIRWEIT | BIRTH WEIGHT | • | • | • | • | ||
| CARER SUPPORT INDICATOR | CARERSI | CARER SUPPORT INDICATOR | O | O | O | |||
| CATEGORY OF PATIENT | CATEGORY | Not in CDS | ||||||
| CODE OF GP PRACTICE (REGISTERED GMP) | GPPRAC | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | O | O | O | O | O | O |
| COMMISSIONING SERIAL NUMBER | CSNUM | COMMISSIONING SERIAL NUMBER | • | • | • | • | • | • |
| CONSULTANT CODE | CONSULT | CONSULTANT CODE | • | • | • | • | ||
| DATE DETENTION COMMENCED | DETNDATE | DATE DETENTION COMMENCED | • | |||||
| DECIDED TO ADMIT DATE | ELECDATE | DECIDED TO ADMIT DATE (for this provider) | • | • | ||||
| DELIVERY METHOD | DELMETH | DELIVERY METHOD | • | • | • | • | ||
| DELIVERY PLACE CHANGE REASON | DELCHANG | DELIVERY PLACE CHANGE REASON | • | • | • | • | ||
| DELIVERY PLACE TYPE (ACTUAL) | DELPLACE | DELIVERY PLACE TYPE (ACTUAL) | • | • | • | • | ||
| DELIVERY PLACE TYPE (INTENDED) | DELINTEN | DELIVERY PLACE TYPE (INTENDED) | • | • | • | • | ||
| DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATE | CENDATE | DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE | • | |||||
| DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | DISDATE | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | • | • | • | |||
| DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | DISDEST | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | • | • | • | |||
| DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | DISMETH | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | • | • | • | |||
| DURATION OF CARE TO PSYCHIATRIC CENSUS DATE | CENDUR | DURATION OF CARE TO PSYCHIATRIC CENSUS DATE | • | |||||
| DURATION OF DETENTION | DETDUR | DURATION OF DETENTION | • | |||||
| DURATION OF ELECTIVE WAIT | ELECDUR | DURATION OF ELECTIVE WAIT | • | • | ||||
| END DATE (AUGMENTED CARE PERIOD) | ACPEND | END DATE (AUGMENTED CARE PERIOD) | • | • | • | |||
| END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE) | EPIEND | END DATE (EPISODE) | • | • | • | |||
| EPISODE NUMBER | EPIORDER | EPISODE NUMBER | • | • | • | • | ||
| EPISODE STATUS | EPISTAT | Not in CDS | ||||||
| EPISODE TYPE | EPITYPE | Not in CDS | ||||||
| ETHNIC CATEGORY | ETHNOS | ETHNIC CATEGORY | • | • | O | • | • | O |
| FIRST ANTENATAL ASSESSMENT DATE | ANASDATE | FIRST ANTENATAL ASSESSMENT DATE | • | • | • | • | ||
| FIRST REGULAR DAY OR NIGHT ADMISSION | FIRSTREG | FIRST REGULAR DAY OR NIGHT ADMISSION | • | |||||
| GESTATION LENGTH | GESTAT | GESTATION LENGTH | • | • | • | • | ||
| GMP (CODE OF REGISTERED OR REFERRING GMP) | REGGMP | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | • | • | • | • | • | • |
| HEALTHCARE RESOURCE GROUP CODE | HRGNHS | HEALTHCARE RESOURCE GROUP CODE | • | • | • | • | ||
| HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBER | HRGNHSVN | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | • | • | • | • | ||
| HIGH DEPENDENCY CARE LEVEL DAYS | DEPDAYS | HIGH DEPENDENCY CARE LEVEL DAYS | • | • | • | |||
| HOSPITAL PROVIDER SPELL NUMBER | PROVSPNO | HOSPITAL PROVIDER SPELL NUMBER | • | • | • | • | ||
| HRG DOMINANT GROUPING VARIABLE - PROCEDURE | DOMPROC | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | O | O | O | O | ||
| INTENDED MANAGEMENT | INTMANIG | INTENDED MANAGEMENT | • | • | ||||
| INTENSIVE CARE LEVEL DAYS | INTDAYS | INTENSIVE CARE LEVEL DAYS | • | • | • | |||
| LABOUR OR DELIVERY ONSET METHOD | DELONSET | LABOUR OR DELIVERY ONSET METHOD | • | • | • | • | ||
| LAST EPISODE IN SPELL INDICATOR | SPELEND | LAST EPISODE IN SPELL INDICATOR | • | • | • | |||
| LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) | LEGLSTAT | LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) | • | |||||
| LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | LEGLCAT | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | • | • | • | |||
| LIVE OR STILL BIRTH | BIRSTATE | LIVE OR STILL BIRTH | • | • | • | • | ||
| LOCAL PATIENT IDENTIFIER | LOPATID | LOCAL PATIENT IDENTIFIER | • | • | • | • | • | • |
| MAIN SPECIALTY CODE | MAINSPEF | MAIN SPECIALTY CODE | • | • | • | • | ||
| MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) | ACPSPEF | MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) | • | • | • | |||
| MARITAL STATUS | MARSTAT | MARITAL STATUS | • | • | • | • | ||
| MENTAL CATEGORY | MENTCAT | MENTAL CATEGORY | • | |||||
| NEONATAL LEVEL OF CARE | NEOCARE | NEONATAL LEVEL OF CARE | • | • | ||||
| NHS NUMBER | NEWNHSNO | NHS NUMBER | • | • | O | O | • | O |
| NHS NUMBER STATUS INDICATOR | NHSNOIND | NHS NUMBER STATUS INDICATOR | • | • | • | • | • | • |
| NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE | NUMACP | NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE | • | • | • | |||
| NUMBER OF BABIES | NUMBABY | NUMBER OF BABIES | • | • | • | • | ||
| NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only) | ORGSUP | NUMBER OF ORGAN SYSTEMS SUPPORTED | • | • | • | |||
| OPERATION (OPCS-4) | OPERATN2 - OPERATN12 | PROCEDURE (OPCS) | • | • | • | |||
| OPERATION STATUS (per episode) | OPERSTAT | OPERATION STATUS (per episode) | • | • | • | |||
| ORGANISATION CODE (CODE OF COMMISSIONER) | PURCODE | ORGANISATION CODE (CODE OF COMMISSIONER) | • | • | • | • | • | • |
| ORGANISATION CODE (CODE OF PROVIDER) | PROCODE | ORGANISATION CODE (CODE OF PROVIDER) | • | • | • | • | • | • |
| ORGANISATION CODE (PCT OF RESIDENCE) | PCTR | ORGANISATION CODE (PCT OF RESIDENCE) | • | • | • | • | • | • |
| PATIENT CLASSIFICATION | CLASSPAT | PATIENT CLASSIFICATION | • | • | • | • | ||
| POSTCODE OF USUAL ADDRESS | HOMEADD | POSTCODE OF USUAL ADDRESS | • | • | • | • | • | • |
| PREGNANCY TOTAL PREVIOUS PREGNANCIES | NUMPREG | PREGNANCY TOTAL PREVIOUS PREGNANCIES | • | • | ||||
| PRIMARY (ICD-10) | CENDIAG1 | PRIMARY DIAGNOSIS (ICD) | • | |||||
| PRIMARY (ICD-10) | DIAG_1 | PRIMARY DIAGNOSIS (ICD) | • | • | • | |||
| PRIMARY OPERATION (OPCS-4) | OPERATN1 | PRIMARY OPERATION (OPCS-4) | • | • | • | |||
| PRIMARY PROCEDURE DATE | OPDATE1 | PROCEDURE DATE | • | • | • | |||
| PSYCHIATRIC PATIENT STATUS | ADMISTAT | PSYCHIATRIC PATIENT STATUS | • | • | • | |||
| RECORD TYPE | RECTYPE | Not in CDS | ||||||
| REFERRER CODE | REFERRER | REFERRER CODE | • | • | • | • | ||
| REFERRING ORGANISATION CODE | REFERORG | REFERRING ORGANISATION CODE | • | • | • | • | ||
| RESUCITATION METHOD | BIRRESUS | RESUSCITATION METHOD | • | • | • | • | ||
| SECOND - TWELFTH OPERATION DATE | OPDATE2 - OPDATE 12 | PROCEDURE DATE | • | • | • | |||
| SECONDARY (ICD-10) | CENDIAG3 - CENDIAG14 | SECONDARY DIAGNOSIS (ICD) | • | |||||
| SECONDARY (ICD-10) | DIAG_3 - DIAG_14 | SECONDARY DIAGNOSIS (ICD) | • | • | • | |||
| SEX | SEX | SEX | • | • | • | • | • | • |
| SEX (BABY) | SEXBABY | SEX (BABY) | • | • | ||||
| SITE CODE (OF TREATMENT) (at start of episode) | SITETRET | SITE CODE (OF TREATMENT) | • | • | • | • | ||
| SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | ADMISORC | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | • | • | • | • | ||
| START DATE (AUGMENTED CARE PERIOD) | ACPSTAR | START DATE (AUGMENTED CARE PERIOD) | • | • | • | |||
| START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE) | EPISTART | START DATE (EPISODE) | • | • | • | • | ||
| START DATE (HOSPITAL PROVIDER SPELL) | ADMIDATE | START DATE (HOSPITAL PROVIDER SPELL) | • | • | • | • | ||
| STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS | CENSAT | STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS | • | |||||
| STATUS OF PERSON CONDUCTING DELIVERY | DELSTAT | STATUS OF PERSON CONDUCTING DELIVERY | • | • | • | • | ||
| TREATMENT FUNCTION CODE | TRETSPEF | TREATMENT FUNCTION CODE | • | • | • | • | ||
| WARD TYPE AT PSYCHIATRIC CENSUS DATE | CENWARD | Not in CDS | ||||||
| WARD TYPE AT START OF EPISODE | WARDSTRT | Not in CDS | ||||||
Change to Data Set: Changed Description
HES / CDS Data Elements cross referenced by HES Name - Table 1
CDS Type key:G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth
• = Mandatory for this CDS Type
O = Optional for this CDS Type
| HES Name | HES Item | CDS Data Element | CDS TYPE | |||||
| G | D | B | PC | OD | OB | |||
| ACPDISP | AUGMENTED CARE PERIOD DISPOSAL | AUGMENTED CARE PERIOD DISPOSAL | • | • | • | |||
| ACPEND | END DATE (AUGMENTED CARE PERIOD) | END DATE (AUGMENTED CARE PERIOD) | • | • | • | |||
| ACPLOC | AUGMENTED CARE LOCATION | AUGMENTED CARE LOCATION | • | • | • | |||
| ACPN | AUGMENTED CARE PERIOD NUMBER | AUGMENTED CARE PERIOD NUMBER | • | • | • | |||
| ACPOUT | AUGMENTED CARE OUTCOME INDICATOR | AUGMENTED CARE OUTCOME INDICATOR | • | • | • | |||
| ACPPLAN | AUGMENTED CARE PLANNED INDICATOR | AUGMENTED CARE PLANNED INDICATOR | • | • | • | |||
| ACPSOUR | AUGMENTED CARE PERIOD SOURCE | AUGMENTED CARE PERIOD SOURCE | • | • | • | |||
| ACPSPEF | MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) | MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) | • | • | • | |||
| ACPSTAR | START DATE (AUGMENTED CARE PERIOD) | START DATE (AUGMENTED CARE PERIOD) | • | • | • | |||
| ADMIDATE | START DATE (HOSPITAL PROVIDER SPELL) | START DATE (HOSPITAL PROVIDER SPELL) | • | • | • | • | ||
| ADMIMETH | ADMISSION METHOD (HOSPITAL PROVIDER SPELL | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | • | • | • | • | ||
| ADMINCAT | ADMINISTRATIVE CATEGORY (on admission) | ADMINISTRATIVE CATEGORY (on admission) | • | • | • | • | ||
| ADMISORC | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | • | • | • | • | ||
| ADMISTAT | PSYCHIATRIC PATIENT STATUS | PSYCHIATRIC PATIENT STATUS | • | • | • | |||
| ANASDATE | FIRST ANTENATAL ASSESSMENT DATE | FIRST ANTENATAL ASSESSMENT DATE | • | • | • | • | ||
| APLOCID | AUGMENTED CARE LOCAL IDENTIFIER | AUGMENTED CARE PERIOD LOCAL IDENTIFIER | O | O | O | |||
| BIRORDER | BIRTH ORDER | BIRTH ORDER | • | • | • | • | ||
| BIRRESUS | RESUSCITATION METHOD | RESUSCITATION METHOD | • | • | • | • | ||
| BIRSTATE | LIVE OR STILL BIRTH | LIVE OR STILL BIRTH | • | • | • | • | ||
| BIRWEIT | BIRTH WEIGHT | BIRTH WEIGHT | • | • | • | • | ||
| CATEGORY | CATEGORY OF PATIENT | Not in CDS | ||||||
| CARERSI | CARER SUPPORT INDICATOR | CARER SUPPORT INDICATOR | O | O | O | |||
| CENDATE | DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATE | DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE | • | |||||
| CENDIAG1 | PRIMARY (ICD-10) | PRIMARY DIAGNOSIS (ICD) | • | |||||
| CENDIAG3 – CENDIAG14 | SECONDARY (ICD-10) | SECONDARY DIAGNOSIS (ICD) | • | |||||
| CENDUR | DURATION OF CARE TO PSYCHIATRIC CENSUS DATE | DURATION OF CARE TO PSYCHIATRIC CENSUS DATE | • | |||||
| CENSAGE | AGE AT CENSUS | AGE AT CENSUS | • | |||||
| CENSAT | STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS | STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS | • | |||||
| CENWARD | WARD TYPE AT PSYCHIATRIC CENSUS DATE | Not in CDS | • | |||||
| CLASSPAT | PATIENT CLASSIFICATION | PATIENT CLASSIFICATION | • | • | • | • | ||
| CONSULT | CONSULTANT CODE | CONSULTANT CODE | • | • | • | • | ||
| CSNUM | COMMISSIONING SERIAL NUMBER | COMMISSIONING SERIAL NUMBER | • | • | • | • | • | • |
| DELCHANG | DELIVERY PLACE CHANGE REASON | DELIVERY PLACE CHANGE REASON | • | • | • | • | ||
| DELINTEN | DELIVERY PLACE TYPE (INTENDED) | DELIVERY PLACE TYPE (INTENDED) | • | • | • | • | ||
| DELMETH | DELIVERY METHOD | DELIVERY METHOD | • | • | • | • | ||
| DELONSET | LABOUR OR DELIVERY ONSET METHOD | LABOUR OR DELIVERY ONSET METHOD | • | • | • | • | ||
| DELPLACE | DELIVERY PLACE TYPE (ACTUAL) | DELIVERY PLACE TYPE (ACTUAL) | • | • | • | • | ||
| DELPOSAN | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | • | • | • | • | ||
| DELSTAT | STATUS OF PERSON CONDUCTING DELIVERY | STATUS OF PERSON CONDUCTING DELIVERY | • | • | • | • | ||
| DEPDAYS | HIGH DEPENDENCY CARE LEVEL DAYS | HIGH DEPENDENCY CARE LEVEL DAYS | • | • | • | |||
| DELPREAN | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | • | • | • | • | ||
| DETDUR | DURATION OF DETENTION | DURATION OF DETENTION | • | |||||
| DETNDATE | DATE DETENTION COMMENCED | DATE DETENTION COMMENCED | • | |||||
| DIAG_1 | PRIMARY (ICD-10) | PRIMARY (ICD-10) | • | • | • | |||
| DIAG_3 - DIAG_14 | SECONDARY (ICD-10) | SECONDARY DIAGNOSIS (ICD) | • | • | • | |||
| DISDATE | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | • | • | • | |||
| DISDEST | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | • | • | • | |||
| DISMETH | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | • | • | • | |||
| DOB | BIRTH DATE | BIRTH DATE | • | • | • | • | • | • |
| DOBBABY | BIRTH DATE (BABY) | BIRTH DATE (BABY) | • | • | ||||
| DOMPROC | HRG DOMINANT GROUPING VARIABLE - PROCEDURE | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | O | O | O | O | ||
| ELECDATE | DECIDED TO ADMIT DATE | DECIDED TO ADMIT DATE (for this provider) | • | • | ||||
| ELECDUR | DURATION OF ELECTIVE WAIT | DURATION OF ELECTIVE WAIT | • | • | ||||
| EPIEND | END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE) | END DATE (EPISODE) | • | • | • | |||
| EPIORDER | EPISODE NUMBER | EPISODE NUMBER | • | • | • | • | ||
| EPISTART | START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE) | START DATE (EPISODE), | • | • | • | • | ||
| EPISTAT | EPISODE STATUS | Not in CDS | ||||||
| EPITYPE | EPISODE TYPE | Not in CDS | ||||||
| ETHNOS | ETHNIC CATEGORY | ETHNIC CATEGORY | • | • | O | • | • | O |
| FIRSTREG | FIRST REGULAR DAY OR NIGHT ADMISSION | FIRST REGULAR DAY OR NIGHT ADMISSION | • | |||||
| GESTAT | GESTATION LENGTH | GESTATION LENGTH | • | • | • | • | ||
| GPPRAC | CODE OF GP PRACTICE (REGISTERED GMP) | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | O | O | O | O | O | O |
| HOMEADD | POSTCODE OF USUAL ADDRESS | POSTCODE OF USUAL ADDRESS | • | • | • | • | • | • |
| HRGNHS | HEALTHCARE RESOURCE GROUP CODE | HEALTHCARE RESOURCE GROUP CODE | • | • | • | • | ||
| HRGNHSVN | HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBER | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | • | • | • | • | ||
| INTDAYS | INTENSIVE CARE LEVEL DAYS | INTENSIVE CARE LEVEL DAYS | • | • | • | |||
| INTMANIG | INTENDED MANAGEMENT | INTENDED MANAGEMENT | • | • | ||||
| LEGLCAT | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | • | • | • | |||
| LEGLSTAT | LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) | LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) | • | |||||
| LOPATID | LOCAL PATIENT IDENTIFIER | LOCAL PATIENT IDENTIFIER | • | • | • | • | • | • |
| MAINSPEF | MAIN SPECIALTY CODE | MAIN SPECIALTY CODE | • | • | • | • | ||
| MARSTAT | MARITAL STATUS | MARITAL STATUS | • | • | • | • | ||
| MENTCAT | MENTAL CATEGORY | MENTAL CATEGORY | • | |||||
| MOTDOB | BIRTH DATE (MOTHER) | BIRTH DATE (MOTHER) | • | • | ||||
| NEOCARE | NEONATAL LEVEL OF CARE | NEONATAL LEVEL OF CARE | • | • | ||||
| NEWNHSNO | NHS NUMBER | NHS NUMBER | • | • | O | • | O | O |
| NHSNOIND | NHS NUMBER STATUS INDICATOR | NHS NUMBER STATUS INDICATOR | • | • | • | • | • | • |
| NUMACP | NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE | NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE | • | • | • | |||
| NUMBABY | NUMBER OF BABIES | NUMBER OF BABIES | • | • | • | • | ||
| NUMPREG | PREGNANCY TOTAL PREVIOUS PREGNANCIES | PREGNANCY TOTAL PREVIOUS PREGNANCIES | • | • | ||||
| OPDATE1 | PRIMARY PROCEDURE DATE | PROCEDURE DATE | • | • | • | |||
| OPDATE2 OPDATE 12 | SECOND - TWELFTH OPERATION DATE | PROCEDURE DATE | • | • | • | |||
| OPERATN1 | PRIMARY OPERATION (OPCS-4) | PRIMARY PROCEDURE (OPCS) | • | • | • | |||
| OPERATN2 - OPERATN12 | OPERATION (OPCS-4) | PROCEDURE (OPCS) | • | • | • | |||
| OPERSTAT | OPERATION STATUS (per episode) | OPERATION STATUS (per episode) | • | • | • | |||
| ORGSUP | NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only) | NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only) | • | • | • | |||
| PCTR | ORGANISATION CODE (PCT OF RESIDENCE) | ORGANISATION CODE (PCT OF RESIDENCE) | • | • | • | • | • | • |
| PROCODE | ORGANISATION CODE (CODE OF PROVIDER) | ORGANISATION CODE (CODE OF PROVIDER) | • | • | • | • | • | • |
| PROVSPNO | HOSPITAL PROVIDER SPELL NUMBER | HOSPITAL PROVIDER SPELL NUMBER | • | • | • | • | ||
| PURCODE | ORGANISATION CODE (CODE OF COMMISSIONER) | ORGANISATION CODE (CODE OF COMMISSIONER) | • | • | • | • | • | • |
| RECTYPE | RECORD TYPE | Not in CDS | ||||||
| REFERORG | REFERRING ORGANISATION CODE | REFERRING ORGANISATION CODE | • | • | • | • | ||
| REFERRER | REFERRER CODE | REFERRER CODE | • | • | • | • | ||
| REGGMP | GMP (CODE OF REGISTERED OR REFERRING GMP) | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | • | • | • | • | • | • |
| SEX | SEX | SEX | • | • | • | • | • | • |
| SEXBABY | SEX (BABY) | SEX (BABY) | • | • | ||||
| SITETRET | SITE CODE (OF TREATMENT) (at start of episode) | SITE CODE (OF TREATMENT) (at start of episode) | • | • | • | • | ||
| SPELEND | LAST EPISODE IN SPELL INDICATOR | LAST EPISODE IN SPELL INDICATOR | • | • | • | |||
| TRETSPEF | TREATMENT FUNCTION CODE | TREATMENT FUNCTION CODE | • | • | • | • | ||
| WARDSTRT | WARD TYPE AT START OF EPISODE | Not in CDS | ||||||
Change to Data Set: Changed Description
Mental Health Minimum Data Set Overview
The Mental Health Minimum Data Set concerns adult PATIENTS (including elderly) who receive care in NHS specialist mental health services. This care is delivered within a Mental Health Care Spell. For some PATIENTS, care will comprise a small number of Out-Patient Appointments over a few weeks. For others, it may extend over many years and include hospital, community, out-patient and day care attendances which may commonly overlap.
The Mental Health Minimum Data Set is assembled and produced for a defined period of time known as the REPORTING PERIOD (which may be monthly, quarterly or annually) and comprises a data set record for each Mental Health Care Spell which occurs wholly or partially within the REPORTING PERIOD.
Change to Data Set: Changed Description
National Cancer Data Set Overview
Site Specific Cancers
Brain and Central Nervous SystemBreast Cancer
Colorectal Cancer
Lung Cancer
Head and Neck Cancer
Sarcoma
Skin Cancer
Urological Cancer
Upper GI Cancer
Gynaecological Cancer
Site-Specific Data Elements
Brain and Central Nervous SystemBrain and Central Nervous System
Brain and Central Nervous System |
|---|
| Data Set Data Element |
| - |
Breast CancerBreast Cancer
Colorectal CancerColorectal Cancer
Head and Neck CancerHead and Neck Cancer
Lung CancerLung Cancer
Lung Cancer |
|---|
| Data Set Data Element |
| SMOKING STATUS |
| YEAR STOPPED SMOKING |
| ESTIMATED PACK YEARS |
| COPD PRESENT |
| FEV1 ABSOLUTE AMOUNT |
| FEV1 PERCENTAGE |
SarcomaSarcoma
Skin CancerSkin Cancer
Urological CancerUrological Cancer
Urological Cancer |
|---|
| Data Set Data Element |
| SERUM TUMOUR MARKER PSA |
| S CATEGORY FINAL PRETREATMENT |
| DRUG ROUTE OF ADMINISTRATION |
Upper GI CancerUpper GI Cancer
Gynaecological CancerGynaecological Cancer
Gynaecological Cancer |
|---|
| Data Set Data Element |
| GYNAECOLOGICAL ONCOLOGY ACCREDITATION |
Change to Data Set: Changed Description
Paediatric Critical Care Minimum Data Set Overview
Scope:
The scope of the Paediatric Critical Care Minimum Data Set is:
| |
If one or more of these items apply to a PATIENT, then the PATIENT would be counted as receiving Paediatric Critical Care at one of the levels of Intensive Care or High Dependency Care depending on the conditions/interventions which apply.
A number of these interventions will only occur in a Paediatric Intensive Care Unit environment where all PATIENTS are covered by the Paediatric Critical Care Minimum Data Set regardless of treatment. Care for PATIENTS outside of a Paediatric Intensive Care Unit will in practice be dealing with a shorter list of interventions. The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with CRITICAL CARE UNIT FUNCTION:
Paediatric Intensive Care Unit; orWard for children and young people; orHigh Dependency Unit for children and young people; orRenal Unit for children and young people; orBurns Unit for children and young people; orNon standard location using the operating department for children and young people.
The Paediatric Critical Care Minimum Data Set is sent as a subset in the following Commissioning Data Set messages:
ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE
ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE
ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE
| Data set data element | |||
|---|---|---|---|
| Person Group (Patient): To carry the personal details of the Patient. One occurrence of this Group is permitted. | |||
| PERSON BIRTH DATE | |||
| DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | |||
| DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | |||
| Paediatric Critical Care Group: To carry the details of the Paediatric Critical Care Period. | |||
| CRITICAL CARE LOCAL IDENTIFIER | |||
| CRITICAL CARE START DATE | |||
| CRITICAL CARE START TIME | |||
| CRITICAL CARE DISCHARGE DATE | |||
| CRITICAL CARE DISCHARGE TIME | |||
| CRITICAL CARE UNIT FUNCTION | |||
| Paediatric Critical Care Daily Activity Group: To carry the daily activity data for each day of the Paediatric Critical Care Period. 999 occurrences of this Group are permitted. | |||
| ACTIVITY DATE (CRITICAL CARE) | |||
| 20 occurrences of Critical Care Activity Codes are permitted within the Paediatric Critical Care Daily Activity Group. All codes relate to care provided on the CRITICAL CARE START DATE. | |||
| CRITICAL CARE ACTIVITY CODE | |||
| 2 HIGH COST DRUGS (OPCS) codes are permitted but there is the capacity for 20 codes within the Paediatric Critical Care Daily Activity Group, to allow future refinement. All codes relate to drugs provided on the CRITICAL CARE LOCAL IDENTIFIER. | |||
| HIGH COST DRUGS (OPCS) | |||
Change to Central Return Form: Changed Description, Aliases
COVER - Request Parameters for Hepatitis B Vaccination data
Contextual OverviewContextual Overview
The Department of Health requires annual information on childhood immunisations to support performance indicators and benchmark indicators.
The performance indicators and benchmark indicators will be published routinely on the Department of Health Website - Statistics.
Information provided by COVER together with supplementary data collected on KC50 is published annually in the Health and Social Care Information Centre statistical bulletin: NHS Immunisation Statistics, England.
Completing the return COVER - Request Parameters for COVER data
The return is required from Primary Care Trusts for children in their responsible population, i.e.
- all children registered with a GENERAL PRACTITIONER whose practice forms part of the Primary Care Trust, regardless of where the child is resident, plus
- any children not registered with a GENERAL PRACTITIONER, who are resident within the Primary Care Trust's statutory geographical boundary.Children resident within the Primary Care Trust geographical area, who are registered with a GENERAL PRACTITIONER belonging to another Primary Care Trust, should be returned by that GENERAL PRACTITIONER's Primary Care Trust.
The return is required to be submitted quarterly to the Health Protection Agency Centre for Infections, who then forward annual data to the Department of Health.
The information necessary for COVER may be submitted as a computer output page containing the relevant data, which should be returned within two months of the end of the quarter to which it relates.
The COVER data provides the immunisation status of three cohorts of children, aged 12 months, 24 months, and 5 years.
Request 1: 12 MONTH COHORT
1. The total number of children for whom the Primary Care Trust is responsible on dd/mm/yyyy reaching their 1st birthday during the evaluation quarter.
This is the total number of children in the 12 month cohort, i.e. the number of children within the Primary Care Trust's responsible population at the REPORTING PERIOD END DATE who reached the age of one during the REPORTING PERIOD.
2. Total number included in line 1 completing a primary course at any time up to their 1st birthday for each of the listed diseases.
This is a count of the number of Immunisation Programmes For Person for children in the 12 month cohort, with an Immunisation Completion Date for an IMMUNISATION COURSE TYPE classification of primary up to the child's first birthday for particular VACCINE PREVENTABLE DISEASES. The VACCINE PREVENTABLE DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), Group C meningococcal disease (MenC), MMR and Pneumococcal (Pnc).
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Planned Immunisation Programme for neonates and schoolchildren'. Immunisation Dose Given is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 17 'Immunisation Dose Given'. Immunisation Completion Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 35 'Immunisation Completion Date'.
Request 2: 24 MONTH COHORT
3. The total number of children for whom the Primary Care Trust is responsible on dd/mm/yyyy reaching their 2nd birthday during the evaluation quarter.
This is the total number of children in the 24 month cohort, i.e. the number of children within the Primary Care Trusts responsible population at the REPORTING PERIOD END DATE who reached the age of two during the REPORTING PERIOD.
4. Total number included in line 3 completing a primary course at any time up to their 2nd birthday for each of the listed diseases.
This is a count of the number of Immunisation Programmes For Person for children in the 24 month cohort, with an Immunisation Completion Date for an IMMUNISATION COURSE TYPE classification of primary up to the child's second birthday for particular VACCINE PREVENTABLE DISEASES. The VACCINE PREVENTABLE DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), Group C meningococcal disease (MenC), MMR, Pneumococcal (Pnc) and Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC).
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Planned Immunisation Programme for neonates and schoolchildren'. Immunisation Dose Given is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 17 'Immunisation Dose Given'. Immunisation Completion Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 35 'Immunisation Completion Date'.
For booster courses this is a count of the number of Immunisation Programmes For Person for children in the 24 month cohort, with an Immunisation Completion Date for an IMMUNISATION COURSE TYPE classification of booster up to the PERSON's second birthday for particular VACCINE PREVENTABLE DISEASES. The VACCINE PREVENTABLE DISEASES currently reported are Pneumococcal (Pnc) and Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC).
Request 3: 5 YEAR COHORT
5. The total number of children for whom the Primary Care Trust is responsible on dd/mm/yyyy reaching their 5th birthday during the evaluation quarter.
This is the total number of children in the 5 year cohort, i.e. the number of children within the Primary Care Trust's responsible population at the REPORTING PERIOD END DATE who reached the age of five during the REPORTING PERIOD.
6. Total number included in line 5 completing a primary course at any time up to their 5th birthday and also total number included in line 5 receiving boosters for each of the listed diseases.
This is a count of the number of Immunisation Programmes For Person for children in the 5 year cohort, with an Immunisation Completion Date for an IMMUNISATION COURSE TYPE classification of primary up to the PERSON's fifth birthday for particular VACCINE PREVENTABLE DISEASES. The VACCINE PREVENTABLE DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), Group C meningococcal disease (MenC), and MMR, Pneumococcal (Pnc) and Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC).
For booster courses this is a count of the number of Immunisation Programmes For Person for children in the 5 year cohort, with an Immunisation Completion Date for an IMMUNISATION COURSE TYPE classification of booster up to the PERSON's fifth birthday for particular VACCINE PREVENTABLE DISEASES. The VACCINE PREVENTABLE DISEASES currently reported are Pneumococcal (Pnc) and Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC).
Change to Central Return Form: Changed Description, Aliases
- Changed Description
- Alias Changes
Name Old Value New Value fullname Cover of Vaccination Evaluated Rapidly Return
Change to Central Return Form: Changed Description
COVER - Request Parameters for Hepatitis B Vaccination data
12 month cohort12 month cohort
1. Total number of children for whom the PCT is responsible on dd/mm/yy with maternal Hepatitis B status positive and reaching their first birthday during the evaluation quarter.
A count of the number of children relevant to a particular Primary Care Trust (either registered with a GP Practice within the PCT or, if not registered with a GP Practice, residing within the geographical boundaries of the PCT) who reached the age of one year during the evaluation period who have a MATERNAL HEP B STATUS with a National Code 2 'Maternal Hepatitis B status positive'.
2. Total number included in line 1 and receiving a third dose of Hepatitis B vaccine before their 1st birthday.
A count of the number of children in an Immunisation Programme For Person within the above cohort who reached the age of one year during the evaluation period who have had 3 Immunisation Doses Given for VACCINE PREVENTABLE DISEASE classification of Hepatitis B before the child's first birthday. Immunisation Programme For Person is a PERSON IN PROGRAMME. Immunisation Dose Given is a CLINICAL INTERVENTION with a National Code 17 'Immunisation Dose Given'.
24 month cohort
3. Total number of children for whom the PCT is responsible on dd/mm/yy with maternal Hepatitis B status positive and reaching their second birthday during the evaluation quarter.
A count of the number of children relevant to a particular Primary Care Trust (either registered with a GP Practice within the PCT or, if not registered with a GP Practice, residing within the geographical boundaries of the PCT) who reached their second birthday during the evaluation period who have a MATERNAL HEP B STATUS with a National Code 2 'Maternal Hepatitis B status positive'
4. Total number included in line 3 and receiving a fourth dose of vaccine for Hepatitis B before their 2nd birthday
A count of the number of children in an Immunisation Programme For Person within the above cohort who have had a fourth Immunisation Dose Given for VACCINE PREVENTABLE DISEASE of classification Hepatitis B before the child's second birthday. Immunisation Programme For Person is a PERSON IN PROGRAMME. Immunisation Dose Given is a CLINICAL INTERVENTION with a National Code 17 'Immunisation Dose Given'.
Change to Central Return Form: Changed Description
KA34: Ambulance Services
Contextual OverviewContextual Overview
The Department of Health requires summary details from NHS Health Care Providers on ambulance activity. The return provides performance management measures of response time; these are also required by trusts for ambulance service internal monitoring and for defining service agreements.
The information originally monitored: 'Your guide to the NHS' targets and the standards introduced following a review of ambulance performance standards in 1996-97. The standards required that, by 2001, all ambulance services would be expected to reach 75% of immediately life-threatening calls within 8 minutes, with further progress thereafter.
The information is required to inform strategic policy development, to provide data to the Healthcare Commission for performance and activity assessment, to ensure that Spending Review bids reflect changes to overall demand and to inform the development of ambulance trust reference costs.
Information based on the return is published annually in the Department of Health Statistical Bulletin 'Ambulance services; England'.
Completing Return KA34: Ambulance Services
The central return KA34 is completed by NHS Health Care Providers - Trusts providing an Ambulance Service.
An Ambulance Service is a type of ORGANISATION providing organisational arrangements for provision of PATIENT transport services.
The return KA34 relates to activity taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within one month of the end of the year to which it relates. For the year 2004/05 changes were introduced mid-year; the first 6 months collect information on Emergency Calls Category B & C together while the second 6 months collect information on Category B & C separately. Subsequent years collect information on Emergency Calls Category B & C separately throughout the year.
The return requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Ambulance Trust - the NHS Health Care Provider of the Ambulance Service.
The return requires information on:
a. Emergency Calls: The following are subdivided by Category A, B & C. i. Total number of emergency calls received in the year; ii. The number of calls that resulted in an emergency response arriving at the scene of the incident; iii. The number of calls that resulted in an emergency response arriving at the scene of the incident within 8 minutes (from 1 October 2004 this is no longer required for Category C calls); iv. The number of calls where following the arrival of an emergency response no ambulance is required; v. The number of calls that resulted in an ambulance able to transport a PATIENT arriving at the scene of the incident (from 1 October 2004 this is no longer required for Category C calls); vi. The number of calls that resulted in an ambulance able to transport a PATIENT arriving at the scene of the incident within specified urban or rural target response times (from 1 October 2004 this is no longer required for Category C calls). b. Patient Journeys: Emergency: i. Total number of emergency PATIENT TRANSPORT JOURNEYS sub-divided by Categories A, B & C. c. Patient Journeys: Urgent: i. Total number of urgent PATIENT journeys ii. Arrival time in relation to requested arrival time: number not more than 15 minutes late d. Patient Journeys: Non-Urgent: i. Total number of special or planned journeys
Change to Central Return Form: Changed Description
KA34 - Ambulance Services
Part 1: Emergency CallsPart 1: Emergency Calls
Part 1 of KA34 requires information on Emergency Transport Requests by RESPONSE CATEGORY Include any Urgent Transport Requests, Special Transport Requests and Planned Transport Requests which, after interrogation and the agreement of the caller, are treated as Emergency Transport Requests.
- An Emergency Transport Request is a TRANSPORT REQUEST where the TRANSPORT REQUEST TYPE is National Code 01 'Emergency Transport Request'.
Category A: Immediately Life Threatening Calls (column 4)
A count of the number of Emergency Transport Requests with a RESPONSE CATEGORY classification of 'Category A: immediately life threatening'.
Category B&C: Other Emergency Calls (column 5)
A count of the total number of Emergency Transport Requests with a RESPONSE CATEGORY classification of 'Category B: serious but not immediately life threatening and Category C: other emergency calls which are not immediately life threatening or serious This count applies to calls from April to September 2004.
Category B: (column 6)
A count of the number of Emergency Transport Requests with a RESPONSE CATEGORY classification of 'Category B: serious but not immediately life threatening'.
Category C: (column 7)
A count of the number of Emergency Transport Requests with a RESPONSE CATEGORY classification of 'Category C: other emergency calls which are not immediately life threatening'.
Total number of Emergency Calls (line 01)
This line counts the total number of Emergency Transport Requests received. If there have been multiple calls to an incident, count all calls in this line. From 1 October 2004, requests classified as Category B and Category C are recorded separately.
Number of calls resulting in an emergency response arriving at the scene of the incident (line 02)
This line counts the number of Emergency Transport Requests for which a RESPONSE TIME - NON-AMBULANCE or RESPONSE TIME - AMBULANCE has been recorded. From 1 October 2004 Categories A, B and C are recorded separately.
Number of calls resulting in an emergency response arriving at the scene of the incident within 8 minutes (line 03)
This line counts the number of Emergency Transport Requests for which a RESPONSE TIME - NON-AMBULANCE or RESPONSE TIMES - AMBULANCE has been recorded and the response time is less than or equal to 8 minutes and 0 seconds. From 1 October 2004 this detail is not required for Category C.
The response time is the elapsed time from receipt of an emergency call to the time that an emergency response vehicle (ambulance or non-ambulance) arrives at the scene of the incident. The clock starts when the following details about the call have been ascertained (which may be prior to allocation of the despatch code).
a. caller's telephone number b. exact location of the incident c. nature of the chief complaint. The clock stops when the emergency response vehicle (ambulance or non-ambulance) arrives at the scene of the incident.
Where both a RESPONSE TIME - NON-AMBULANCE and a RESPONSE TIMES - AMBULANCE have been recorded for the same Emergency Transport Requests, then the shortest recorded response time should be used to determine if response time is less than or equal to 8 minutes and 0 seconds.
If there have been multiple calls to an incident, count only one call per incident in this line.
Number of calls where following the arrival of an emergency response no ambulance is required (line 04)
This line counts the number of Emergency Transport Requests with a RESPONSE - AMBULANCE CANCELLED classification of 'Yes, ambulance cancelled as no longer required'. If there have been multiple calls to an incident, count only one call per incident in this line. From 1 October 2004 the Categories A, B and C are recorded separately.
Number of calls resulting in an ambulance able to transport a patient arriving at the scene of the incident (line 05)
This line counts the number of Emergency Transport Requests for which a RESPONSE TIMES - AMBULANCE has been recorded. If there have been multiple calls to an incident, count only one call per incident in this line. From 1 October 2004 this detail is not required for Category C.
Number of calls resulting in an ambulance able to transport a patient arriving at the scene of the incident within 14 minutes (Urban Services) and 19 minutes (Rural Services) (line 06)
This line counts the number of Emergency Transport Requests for which a RESPONSE TIMES - AMBULANCE has been recorded and the response time is:
a. less than or equal to 14 minutes and 0 seconds for an Ambulance Service with an URBAN OR RURAL INDICATOR classification of 'Urban'. or b. less than or equal to 19 minutes and 0 seconds for an Ambulance Service with an URBAN OR RURAL INDICATOR classification of 'Rural'. From 1 October 2004 this detail is not required for Category C.
The response time is the elapsed time from receipt of an emergency call, to the time that the ambulance arrives at the scene of the incident. The clock starts when the following details about the call have been ascertained (which may be prior to allocation of the despatch code).
a. caller's telephone number b. exact location of the incident c. nature of the chief complaint. The clock stops when the ambulance arrives at the scene of the incident.
If there have been multiple calls to an incident, count only one call per incident in this line.
Note that both RESPONSE TIME - NON-AMBULANCE and RESPONSE TIMES - NON-AMBULANCE count towards the 8 minute standard, but only RESPONSE TIMES - AMBULANCE counts towards the 14/19 minute standard.
Part 2: Patient Journeys: Emergency (Categories A, B&C)
Total number of emergency patient journeys (line 07, column 7)
This counts the total number of patient journeys made as a result of Emergency Transport Requests for all RESPONSE CATEGORIES. Each patient conveyed is counted as an individual emergency patient journey. Include any Urgent Transport Requests, Special Transport Requests and Planned Transport Requests which, after interrogation and the agreement of the caller, are treated as Emergency Transport Requests.
Column 9 counts the total for Category A.
Column 10 counts the total for Category B & C combined for the period April to September 2004.
Column 11 counts the total for Category B from October 2004.
Column 12 counts the total for Category C from October 2004.Part 3: Patient Journeys: Urgent
Exclude any Urgent Transport Requests which, after interrogation and the agreement of the caller, are treated as Emergency Transport Requests.
Total number of urgent patient journeys (line 08, column 14)
This counts the total number of PATIENT TRANSPORT JOURNEYS made as a result of Urgent Transport Requests.
Arrival Time in relation to Requested Arrival Time: Number not more than 15 minutes late (line 09, column 14)
This counts the total number of PATIENT TRANSPORT JOURNEYS made as a result of Urgent Transport Requests, where the difference between the ARRIVAL TIME REQUESTED and the actual ARRIVAL TIME recorded is 15 minutes or less.
An Urgent Transport Request is a TRANSPORT REQUEST where the TRANSPORT REQUEST TYPE is National Code 02 'Urgent Transport Request'.
Part 4: Patient Journeys: Non-Urgent
Total number of special/planned journeys (line 10, column 16)
This counts the total number of PATIENT TRANSPORT JOURNEYS made as a result of Special Transport Requests and Planned Transport Requests.
Special Transport Request and Planned Transport Request are both a TRANSPORT REQUEST where the TRANSPORT REQUEST TYPE is National Code 03 'Special Transport Request'.
Exclude any Special Transport Requests and Planned Transport Requests which, after interrogation and the agreement of the caller, are treated as Emergency Transport Requests or Urgent Transport Requests
Change to Central Return Form: Changed Description
KC50 - Immunisation Programmes Activity
Contextual OverviewContextual Overview
The Department of Health and Regional Offices require summary details from NHS Health Care Providers to monitor Immunisation Programme activity in their areas. This information is normally available through the Child Health computer system.
Immunisation Programmes are programmes to deliver services within a 'structured framework' to a defined target population, planned by the Department of Health and implemented by Health Authorities which are aimed at maintaining an adequate level of immunisation in a population against a specific VACCINE PREVENTABLE DISEASE, such as diphtheria or tuberculosis, by a determined sequence of immunisation courses which can be primary, first booster, second booster, etc.
National targets for all vaccines in the recommended childhood schedule have been set at 95%, as detailed in the National Priorities Guidance Undercutting Health Inequalities. The KC50 return monitors progress of the childhood immunisation programme.
Information based on the return is also used in Public Expenditure Survey (PES) negotiations and resource allocation to the NHS.
Information about uptake of immunisation, formerly on the KC51 return, is collected through the `COVER' (cover of vaccination evaluated rapidly) returns made to the Communicable Disease Surveillance Centre (CDSC). From April 1999 uptake of all primary and booster pre-school immunisation is being monitored through COVER.
The KC50 return relates to school leaver immunisation and also to BCG testing and vaccination, as these aspects of the immunisation programme are not at present available through the COVER system.
Information based on the return will be published annually in a Department of Health Statistical Bulletin `Vaccination and Immunisation Programmes; England'.
Completing Return KC50 - Immunisation Programmes Activity
The central return KC50 is completed by NHS Health Care Providers - NHS Trusts. These are asked to ensure that all immunisation ACTIVITY in their area is recorded, including that provided by GENERAL PRACTITIONERS in addition to the NHS Trusts own provision of immunisation, if any. If problems are encountered in obtaining immunisation data from GENERAL PRACTITIONERS, this should be indicated on the return. The NHS Trust which manages the Child Health System should be responsible for liaising if necessary with neighbouring NHS Trust to ensure full coverage and avoid duplication. If full coverage cannot be provided, this should be indicated on the return.
The KC50 return relates to activity taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within two months of the end of the year to which it relates.
KC50 requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Health Care Provider as well as the name of a contact and the contact telephone number on the front page. The ORGANISATION CODES is repeated at the bottom of each sheet.
Change to Central Return Form: Changed Description
KC50 - Immunisation Programmes Activity
Part A: Immunisations Given to School Leavers (Ages 13 - 16)Part A: Immunisations Given to School Leavers (Ages 13 - 16)
Part A of the return collects information about school leaver booster immunisations together with information on school leaver Measles, Mumps and Rubella (MMR) immunisations.
Age (in years) on Receipt of Booster or Reinforcing Dose (first column)
This is derived from the PERSON BIRTH DATE of the PERSON. Line 99 requires the total of children in the 13-16 age band in the period covered by the return who are included in one or more Immunisation Programme For Person.
Number of Booster/Reinforcing Doses given to School Leavers in the year (column 2 - 4)
Column 2 requires a count of the number of children in the 13-16 age band with an Immunisation Dose Given as part of an Immunisation Programme For Person where the VACCINE PREVENTABLE DISEASE which is the target of the IMMUNISATION COURSE TYPE is diphtheria and the immunisation course is for all completed MMR courses. The Dose Given Date must fall within the period covered by the return, between 1 April and 31 March.
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Immunisation Programme'. Immunisation Dose Given is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 17 'Immunisation Dose Given'. Dose Given Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 37 'Dose Given Date'.
For columns 3 and 4, the VACCINE PREVENTABLE DISEASES are tetanus and polio respectively; all other requirements are the same as for column 2.
Number of Courses of MMR Completed in the Year for Children Aged 13 - 16 (column 5)
Column 5 requires a count of the number of children in the 13-16 age band with an Immunisation Dose Given as part of an Immunisation Programme For Person where the VACCINE PREVENTABLE DISEASE which is the target of the IMMUNISATION COURSE TYPE is MMR and the immunisation course is for all completed MMR courses. The Immunisation Completion Date given must fall within the period covered by the return, between 1 April and 31 March.
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Immunisation Programme'. Immunisation Dose Given is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 17 'Immunisation Dose Given'. Immunisation Completion Date is the same as attribute ACTIVITY DATEwhere ACTIVITY DATE TIME TYPE is National Code 35 'Immunisation Completion Date'.
Part B: BCG (Tuberculosis)
Part B of KC50 requires age-banded data on the number and results of tuberculosis skin tests in the year and the number of BCG vaccinations made both through Immunisation Programmes and through opportunistic or other screening for anyone aged 1 or over.
Age (in years) at vaccination (column 6)
This is derived from the PERSON BIRTH DATE of the PERSON and is the age at the time of vaccination. Line 01 is now recorded by Part c of the return and so is not used. Line 02 includes children aged 1 to 9 years, line 03 includes children aged 10 to 13 years and Line 04, children aged 14 and 15 years. Line 05 includes all persons 16 years and over. Line 99 requires the total for all ages 1 or over.
Number of Skin Tests in the Year (columns 7 & 8)
Columns 7 & 8 require a count of the number of people with an IMMUNITY TEST RESULT, with a Test Of Immunity made as part of an Immunisation Programme For Person and where the VACCINE PREVENTABLE DISEASE which is the target of the Immunisation Programme is tuberculosis. The count only covers those immunity tests where the result is known. The Test Date must fall within the period covered by the return, between 1 April and 31 March.
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Immunisation Programme'. Test Of Immunity is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 30 'Test Of Immunity'. Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 38 'Test Date'.
Found Positive (column 7)
Column 7 requires a count of the IMMUNITY TEST RESULTS, where the classification is 'Test given and result known: individual immune'.
Found Negative (column 8)
Column 8 requires a count of the IMMUNITY TEST RESULTS where the classification is'Test given and result known: individual not immune'.
Note that in general the number of skin tests found negative is considerably larger than the number found positive. If this is not the case, an explanation should be included on the front sheet of the return.
The number of negative skin tests in Immunisation Programmes For Person for school-children (aged less than 16 years) should be approximately the same as the number of vaccinations given. Again, if this is not the case, an explanation should be included on the front sheet of the return.
Number of Vaccinations in the Year (columns 9 & 10)
Columns 9 and 10 require a count of Immunisation Dose Given as part of an Immunisation Programme For Person where the VACCINE PREVENTABLE DISEASE which is the target of the IMMUNISATION COURSE TYPE is tuberculosis. The Dose Given Date given must fall within the period covered by the return, between 1 April and 31 March.
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Immunisation Programme'. Immunisation Dose Given is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 17 'Immunisation Dose Given'. Dose Given Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 37 'Dose Given Date'.
Through Planned Programmes for School-children (column 9)
Column 9 requires a count of the number of people vaccinated against tuberculosis where the IMMUNISATION PROGRAMME TYPE is National Code 01 'Planned Programme for schoolchildren'.
Other Programmes and Opportunistic (column 10)
Column 10 requires a count of the number of people vaccinated against tuberculosis where the IMMUNISATION PROGRAMME TYPE is National Code 04 'Other Programme'. This includes those instances where immunisation, perhaps as the opportunity arises, is by virtue of being a TB contact, new immigrant, at occupational high risk, etc.
Part C: BCG (Tuberculosis) Persons Aged Under 1
Part C of KC50 relates to children aged under 1 who receive BCG vaccinations made through Immunisation Programmes and through opportunistic or other screening.
Immunisation Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 08 'Immunisation Programme'.
Type of Programme (column 11)
Column 11 is for immunisation of any child under 1 and whether the immunisation was opportunistic or other screening. Line 01 includes all immunisations where the IMMUNISATION PROGRAMME TYPE is National Code 02 'Planned programme for all neonates vaccinated routinely'. Line 02 includes all immunisations where the IMMUNISATION PROGRAMME TYPE is National Code 03 'Planned programme for neonates in selective high-risk group'. Line 03 includes any other programmes or opportunistic immunisations of children under 1, this is where the IMMUNISATION PROGRAMME TYPE is National Code 04 'Other Programme'. Line 99 requires the total immunisations of children under 1 within the reporting period.
Number identified as requiring vaccination (column 12)
Column12 is a count of the number of children under 1 who are identified as part of an Immunisation Programme For Person and where the VACCINE PREVENTABLE DISEASE which is the target of the Immunisation Programme is tuberculosis.
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Immunisation Programme'
Found Vaccinated (column 13)
Column13 is a count of Immunisation Doses Given as part of an Immunisation Programme For Person where the VACCINE PREVENTABLE DISEASE which is the target of the Immunisation Programme is tuberculosis.
Immunisation Programme For Person is a PATIENT's involvement as a subject of a HEALTH PROGRAMME where the HEALTH PROGRAMME is a HEALTH PROGRAMME TYPE of National Code 08 'Immunisation Programme'.
Immunisation Dose Given is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 17 'Immunisation Dose Given'.
Change to Supporting Information: Changed Description
ACCIDENT AND EMERGENCY CLINICAL CODES
Accident and Emergency Diagnosis
A broad classification of types of diagnoses which may be made as a result of Accident And Emergency Attendance. The full description is made up of codes from three tables - ACCIDENT AND EMERGENCY DIAGNOSIS, Accident And Emergency Attendance: ANATOMICAL AREAS and Accident And Emergency Attendance: ANATOMICAL SIDE. ANATOMICAL AREA (a classification of parts of the human body) and ANATOMICAL SIDE (an indication of the side of the human body) together give the Anatomical Site of clinical problems presented at an Accident And Emergency Attendance.
Certain items are sub-analysed to specify the diagnosis, investigation or treatment more precisely. These are marked with an asterisk. The diagnosis sub-analysis list follows the main diagnosis list, and the treatment sub-analysis list follows the main treatment list.
- It is recommended that computerised systems provide a minimum of six character fields for each category in order to accommodate more detailed information if necessary. Where fewer than six characters are required for coding, such as for investigations and treatments, it is recommended that the codes are left-justified and the unused fields left blank.
ACCIDENT AND EMERGENCY DIAGNOSISis a six character code, comprising:Diagnosis Conditionn2Sub-Analysisn1Accident And Emergency Attendance-ANATOMICAL AREAn2Accident And Emergency Attendance-ANATOMICAL SIDEan1Accident and Emergency Diagnosis - Diagnosis ConditionDiagnosis ConditionCodeLaceration01Contusion/abrasion*02Soft tissue inflammation03Head injury*04Dislocation/fracture/joint injury/amputation*05Sprain/ligament injury06Muscle/tendon injury07Nerve injury08Vascular injury09Burns and scalds*10Electric shock11Foreign body12Bites/stings13Poisoning* (including overdose)14Near drowning15Visceral injury16Infectious disease*17Local infection18Septicaemia19Cardiac conditions*20Cerebro-vascular conditions21Other vascular conditions22Haematological conditions23Central Nervous System conditions* (excluding strokes)24Respiratory conditions*25Gastrointestinal conditions*26Urological conditions (including cystitis)27Obstetric conditions28Gynaecological conditions29Diabetes and other endocrinological conditions*30Dermatological conditions31Allergy (including anaphylaxis)32Facio-maxillary conditions33ENT conditions34Psychiatric conditions35Ophthalmological conditions36Social problem (includes chronic alcoholism and homelessness)37Diagnosis not classifiable38Nothing abnormal detected39Item sub-analysedAccident and Emergency Diagnosis - Sub-analysisSub-analysisCodeContusion/abrasion- contusion- abrasion12Head Injury- concussion- other head injury12Dislocation/fracture/joint injury/amputation- dislocation- open fracture- closed fracture- joint injury- amputation12345Burns and scalds- electric- thermal- chemical- radiation1234Poisoning- prescriptive drugs- proprietary drugs- controlled drugs- other, including alcohol1234Infectious disease- notifiable disease- non-notifiable disease12Cardiac conditions- myocardial ischaemia & infarction- other non-ischaemia12Respiratory conditions- bronchial asthma- other non-asthma12Central Nervous System conditions- epilepsy- other non-epilepsy12Gastrointestinal conditions- haemorrhage- acute abdominal pain- other123Diabetes and other endocrinological conditions- diabetic- other non-diabetic12Anatomical SiteAccident And Emergency Anatomical Area - AreaAnatomical AreaCodeHead and NeckBrain01Head02Face03Eye04Ear05Nose06Mouth, Jaw, Teeth07Throat08Neck09Upper LimbShoulder10Axilla11Upper Arm12Elbow13Forearm14Wrist15Hand16Digit17TrunkCervical spine18Thoracic19Lumbosacral spine20Pelvis21Chest22Breast23Abdomen24Back/buttocks25Ano/rectal26Genitalia27Lower LimbHip28Groin29Thigh30Knee31Lower leg32Ankle33Foot34Toe35Multiple Site36Accident and Emergency Anatomical SideLeftLRightRBilateralBNot applicable8- ACCIDENT AND EMERGENCY DIAGNOSIS is a six character code, comprising:
Diagnosis Condition n2 Sub-Analysis n1 Accident And Emergency Attendance - ANATOMICAL AREA n2 Accident And Emergency Attendance - ANATOMICAL SIDE an1 Accident and Emergency Diagnosis - Diagnosis Condition
*Item sub-analysedDiagnosis Condition Code Laceration 01 Contusion/abrasion* 02 Soft tissue inflammation 03 Head injury* 04 Dislocation/fracture/joint injury/amputation* 05 Sprain/ligament injury 06 Muscle/tendon injury 07 Nerve injury 08 Vascular injury 09 Burns and scalds* 10 Electric shock 11 Foreign body 12 Bites/stings 13 Poisoning* (including overdose) 14 Near drowning 15 Visceral injury 16 Infectious disease* 17 Local infection 18 Septicaemia 19 Cardiac conditions* 20 Cerebro-vascular conditions 21 Other vascular conditions 22 Haematological conditions 23 Central Nervous System conditions* (excluding strokes) 24 Respiratory conditions* 25 Gastrointestinal conditions* 26 Urological conditions (including cystitis) 27 Obstetric conditions 28 Gynaecological conditions 29 Diabetes and other endocrinological conditions* 30 Dermatological conditions 31 Allergy (including anaphylaxis) 32 Facio-maxillary conditions 33 ENT conditions 34 Psychiatric conditions 35 Ophthalmological conditions 36 Social problem (includes chronic alcoholism and homelessness) 37 Diagnosis not classifiable 38 Nothing abnormal detected 39 Accident and Emergency Diagnosis - Sub-analysis
Sub-analysis Code Contusion/abrasion - contusion
- abrasion1
2Head Injury - concussion
- other head injury1
2Dislocation/fracture/joint injury/amputation - dislocation
- open fracture
- closed fracture
- joint injury
- amputation1
2
3
4
5Burns and scalds - electric
- thermal
- chemical
- radiation1
2
3
4Poisoning - prescriptive drugs
- proprietary drugs
- controlled drugs
- other, including alcohol1
2
3
4Infectious disease - notifiable disease
- non-notifiable disease1
2Cardiac conditions - myocardial ischaemia & infarction
- other non-ischaemia1
2Respiratory conditions - bronchial asthma
- other non-asthma1
2Central Nervous System conditions - epilepsy
- other non-epilepsy1
2Gastrointestinal conditions - haemorrhage
- acute abdominal pain
- other1
2
3Diabetes and other endocrinological conditions - diabetic
- other non-diabetic1
2Anatomical Site
Accident And Emergency Anatomical Area - Area
Anatomical Area Code Head and Neck Brain 01 Head 02 Face 03 Eye 04 Ear 05 Nose 06 Mouth, Jaw, Teeth 07 Throat 08 Neck 09 Upper Limb Shoulder 10 Axilla 11 Upper Arm 12 Elbow 13 Forearm 14 Wrist 15 Hand 16 Digit 17 Trunk Cervical spine 18 Thoracic 19 Lumbosacral spine 20 Pelvis 21 Chest 22 Breast 23 Abdomen 24 Back/buttocks 25 Ano/rectal 26 Genitalia 27 Lower Limb Hip 28 Groin 29 Thigh 30 Knee 31 Lower leg 32 Ankle 33 Foot 34 Toe 35 Multiple Site 36 Accident and Emergency Anatomical Side Left L Right R Bilateral B Not applicable 8
Change to Supporting Information: Changed Description
Events During the Reporting Period
Contextual OverviewThe Department of Health requires performance management information on ELECTIVE ADMISSION LIST events within a specified REPORTING PERIOD.
The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.
This central information collection requirement is both:
provider based and is submitted by provider NHS Trust and provider Primary Care Trusts regardless of where PATIENTS live.
and
commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.
Each submission will be from one ORGANISATION in the role of provider or commissioner and should only contain data appropriate to that role i.e. must not contain a mixture of commissioning and provider role data.
COMMISSIONER OR PROVIDER STATUS INDICATOR indicates whether it is a submission from the ORGANISATION in the role of commissioner of care or provider of care.
Admitted Patient Flow Events
- The collection data is sub grouped by MAIN SPECIALTY CODE. Where no flow activity data for a MAIN SPECIALTY CODE has occurred within the REPORTING PERIOD then no admitted patient flow sub group should be recorded for it. Only one sub group is permitted per MAIN SPECIALTY CODE.
- The collection is for:
all PATIENTS for whom a DECISION TO ADMIT was taken during the REPORTING PERIOD to place the patients on the Elective Admission List.
and
all PATIENTS admitted during the REPORTING PERIOD from the Elective Admission List
and
all PATIENTS who giving no advance warning failed to attend for admission from the Elective Admission List during the REPORTING PERIOD
and
all PATIENTS who were removed from the Elective Admission List during the REPORTING PERIOD for reasons other than admission
- It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.
It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.
ELECTIVE ADMISSION TYPE records the classification of the admission.
The collection is sub-divided into a count of day case admissions and ordinary admissions.
INTENDED MANAGEMENT records whether a PATIENT is intended as an ordinary admission (to stay overnight) or a day case admission (not to stay overnight).
Contextual Overview
Change to Supporting Information: Changed Description
Admitted Patient Stocks at the end of the Reporting Period
The Department of Health requires performance management information on ELECTIVE ADMISSION LIST stocks at the end of a specified REPORTING PERIOD.
The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.
This central information collection requirement is both:
provider based and is submitted by provider NHS Trusts and provider Primary Care Trusts regardless of where PATIENTS live.
and
commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.
Each submission will be from one ORGANISATION in the role of provider or commissioner and should only contain data appropriate to that role i.e. must not contain a mixture of commissioning and provider role data.
COMMISSIONER OR PROVIDER STATUS INDICATOR indicates whether it is a submission from the ORGANISATION in the role of commissioner of care or provider of care.
Admitted Patient Stock Group Main Specialty
- The collection data is grouped by MAIN SPECIALTY CODE. Where there are no stocks present for a MAIN SPECIALTY CODE within the REPORTING PERIOD then no admitted patient stocks group should be recorded for it. Only one sub group is permitted per MAIN SPECIALTY CODE.
Admitted Patient Stock Sub Group Ordinary Admissions and Day Case Admissions
- Within the MAIN SPECIALTY CODE grouping, the collection is further sub grouped by WAITING FOR ADMISSION INTENDED MANAGEMENT which indicates whether the sub group is for ordinary admissions or day case admissions
- The collection is for:
all PATIENTS who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted from the Elective Admission List
and
all PATIENTS who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted by specified waiting time band from the Elective Admission List
and
all PATIENTS who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted from the Elective Admission List due to Self-Deferred Admission
and
all PATIENTS who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted from the Elective Admission List who at the REPORTING PERIOD END DATE are Suspended Patients
- It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTS and PATIENTS from overseas.
It excludes those PATIENTS who are classified as a planned admissions and for the total number of PATIENTS waiting and waiting by time band also excludes Suspended Patients.
ELECTIVE ADMISSION TYPE records the classification of the admission.
The collection is further sub grouped into a count of day case admissions and ordinary admissions .
INTENDED MANAGEMENT records whether a PATIENT is intended as an ordinary admission or a day case admission and therefore which WAITING FOR ADMISSION INTENDED MANAGEMENT it is being sub grouped within.
Summarised Admitted Patient Stock Group Intended Procedures for Ordinary Admissions
- The collection data is grouped by ADMISSION INTENDED PROCEDURE which indicates the required range of OPERATIVE PROCEDURES. Where the are no stocks present for an ADMISSION INTENDED PROCEDURE within the REPORTING PERIOD then no in-patient stocks group should be recorded for it. Only one group is permitted per ADMISSION INTENDED PROCEDURE.
- The required grouping ranges of ADMISSION INTENDED PROCEDURE are:
0001 CABG - K40-46 Coronary Artery Bypass Graft Code Range:
or
0002 PTCA - K49-50 Percutaneous Transluminal Operations Coding Range:
or
0003 Valves Coding Range K25-K35 & K38
or
0004 - Angiography Coding Range K63 & K65 - Within the ADMISSION INTENDED PROCEDURE the collection only applies to patients waiting for admission as ordinary admissions as indicated by WAITING FOR ADMISSION INTENDED MANAGEMENT.
- The collection is for:
all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD and are waiting to be admitted from the Elective Admission List
and
all PATIENTS for who have an OFFER OF ADMISSION MADE DATE before or on the REPORTING PERIOD END DATE and are waiting to be admitted by specified waiting time band from the Elective Admission List
- It includes those PATIENTS who are classified as a booked admissions and waiting list admissions; and is inclusive of private PATIENTSs and PATIENTS from overseas.
It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.
ELECTIVE ADMISSION TYPE records the classification of the admission.
Change to Supporting Information: Changed Description
Provider Admitted Patient and Out-Patient Bookings: Events During the Reporting Period
Contextual OverviewThe Department of Health requires performance management information on ELECTIVE ADMISSION LIST and APPOINTMENT WAITING LIST booking events within a specified REPORTING PERIOD.
The Department of Health uses the information to help monitor national WAITING LIST trends. These are used to develop policies and indicate changes which can enable the WAITING LISTS to be managed more effectively.
This central information collection requirement is provider based and is submitted by provider NHS Trusts and provider Primary Care Trusts regardless of where PATIENTS live.
Admitted Patient Booking Events
- The collection is for:
all PATIENTS for whom a DECISION TO ADMIT was taken during the REPORTING PERIOD to place the PATIENTS on the ELECTIVE ADMISSION LIST for booked and waiting list admission
and
all patients for whom a DECISION TO ADMIT was taken during the REPORTING PERIOD to place the patients on the ELECTIVE ADMISSION LIST for booked admission only.
- It excludes those PATIENTS who are classified as a planned admissions and Suspended Patients.
ELECTIVE ADMISSION TYPE records the classification of the admission.
- All PATIENTS waiting for admission to NHS hospitals should be included, i.e. include PATIENTS who are private patients and patients from overseas where they have an OVERSEAS VISITOR STATUS of OVERSEAS VISITOR EXEMPT CATEGORY).
The collection is sub-divided into a count of day case admissions and ordinary admissions.
INTENDED MANAGEMENT records whether a PATIENT is intended as an ordinary admission (to stay overnight) or a day case admission (not to stay overnight).
Out-Patient Booking Events
- The collection is for:
all PATIENTS referred within the REPORTING PERIOD for a first Out-Patient Appointment by GENERAL PRACTITIONER written referral where a booking systems was used
and
all PATIENTS given a first APPOINTMENT and added to the Out-Patient Waiting List within the REPORTING PERIOD for a first Out-Patient Appointment arising from a GENERAL PRACTITIONER written referral regardless of whether or not a booking systems was used.
- The APPOINTMENT ACCEPTED DATE of the first APPOINTMENT indicates which REPORTING PERIOD the first APPOINTMENT was added to the Out-Patient Waiting List.
A first APPOINTMENT is where APPOINTMENT FIRST ATTENDANCE is National Code 01 'First appointment' for a first appointment which has taken place.
Where one or more APPOINTMENT is recorded for a PATIENT but none has as yet taken place, the notional 'first appointment' will be the APPOINTMENT with the earliest APPOINTMENT DATE. This excludes any APPOINTMENTS which have been cancelled as indicated by a recorded APPOINTMENT CANCELLED DATE.
Contextual Overview
Change to Supporting Information: Changed Description
Introduction
The development of data sets supports:- information requirements of national and local performance management, planning and clinical governance
- assurance of the quality of health and social care services
- the monitoring of National Service Frameworks (NSFs)
The information in the Central Return Data Sets is transmitted at aggregate level.Some of these Central Return Data Sets are transmitted to Unify2.
Unify2 is the data collection system used by the Knowledge and Intelligence team in the Department of Health to collect a wide range of performance information.The Unify2 homepage can be found at the following address:
Note: access to this address requires a Unify2 account and password. Any queries about the site can be addressed to the Unify2 helpdesk by emailing STEIS-Helpdesk@dh.gsi.gov.uk or calling 0113 254 5278
Change to Supporting Information: Changed Description
The following tables set out the authorised versions of the Commissioning Data Set.
Commissioning Data Set Version 6
The CDS Version NHS006 consists of several components identified in the CDS Version CDS006 Type List.
| CDS Version | Available From | Mandated From | Usable To | Message Format | Message Version |
| NHS006 | 31/12/2007 | 01/04/2008 | - | XML Schema | Download Message Schema V6.0-2007-10-26 and CDS XML Message Documentation V6-0-2007-10-26 and CDS XML Release Notes V6-0-2007-10-26* |
| NHS006 | 31/12/2007 | 01/04/2008 | Superceded before live use | XML Schema | Message Schema v6.0-2007-03-01 and CDS XML Message Documentation V6-0-2007-03-01 |
Commissioning Data Set Version 5
The CDS Version NHS005 consists of several components identified in the CDS Version NHS005 Type List.
| CDS Version | Available From | Mandated From | Usable To | Message Format | Message Version |
| NHS005 | 01/10/2007 | 01/10/2007 | 31/03/2008 | XML Schema | Download Message Schema v5-0-2007-06-01 and Message Documentation v5-0-2007-06-01 |
| NHS005 | 01/09/2006 | 06/11/2006 | 01/10/2007 | XML Schema | Download Message Schema v5-0-2006-08-04 and Message Documentation v5-0-2006-08-04 |
| NHS005 | 01/04/2006 | 01/09/2006 | Superceded before live use | XML Schema | Download V-5-0 schema and documentation |
CDS Version 5-0-2007-06-01 is backward compatible with CDS Version 5-0-2006-08-04. Any data conforming with CDS Version 5-0-2006-08-04 conforms with CDS Version 5-0-2007-06-01. CDS Version 5-0-2006-08-04 includes all standards updates to DSCN 14/2005. In addition
- value 8 has been included in the enumeration for ADMISSION OFFER OUTCOME to correct an error in CDS Version 5-0-2006-08-04
- value 3 has been included in the enumeration for PRIORITY TYPE - DSCN 13/2006
- values 304, 371, 401, 812 and 840 have been included in the enumeration for TREATMENT FUNCTION CODE - DSCN 02/2007
- values 12, 13,14,15,16, 17 and 97 have been included in the enumeration for SOURCE OF REFERRAL FOR OUT-PATIENTS - DSCN 16/2007. Code 8 'Other', which is retired in DSCN 16/2007, has been retained in CDS Version5-0-2007-06-01 for backward compatibility.
V-5-0-2006-08-04 corrects an error in V-5-0 in the definition of the data type supporting CRITICAL CARE UNIT FUNCTION and restricts the length of CRITICAL CARE LOCAL IDENTIFIER to 8 characters.
Commissioning Data Set Versions 3 and 4
The CDS Version NHS004 consists of several components identified in the CDS Version NHS003 and 4 Type List.
| CDS Version | Available From | Mandated From | Usable To | Message Format | Message Version |
| NHS004 | 01/10/2005 | Only for NWCS-SUS migration | XML Schema | V-4-2-a | |
This CDS version was released to support the initial implementation of the CDS-XML processes submitting data to the SUS and must be used only for NWCS-SUS migration.
Whilst CDS data items as specified in the NHS CDS Manual have been repositioned into the NHS Data Dictionary, no structural or data content changes were made to the CDS specifications which remain as per version NHS003.
| CDS Version | Available From | Mandated From | Usable To | Message Format | Message Version |
| NHS003 | 2001 | 2001 | 31 March 2007 | UN/EDIFACT | CDSM MIG V4 |
This CDS version is the final CDS specification supported by the use of the NHSCDS EDIFACT Message.
The CDS NHS003 specifications are documented in the NHS CDS Manual which is available from the NHS Data Standards website.
The CDS Version NHS003 consists of several components as identified in the CDS Version NHS003 and 4 Type List.
Change to Supporting Information: Changed Description
Commissioning Data Set Overview
A.Information RequirementsInformation Requirements
- Information on care provided by NHS hospitals and Primary Care Trusts for all PATIENTS and Independent Sector providers (for NHS PATIENTS only) is required to:
- monitor and manage Service Agreements;
- develop commissioning plans;
- monitor Health Improvement Programmes;
- underpin clinical governance;
- understand the health needs of the population.
Main commissioners need access to data to monitor Non-Contract Activity as part of the management of their Service Agreements. Primary Care Trusts also need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activities.
Independent Sector Treatment Centres (TC) are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Set and may submit it on their own behalf or via a third party. Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.
TheDepartment of Healthneeds a complete record of allPATIENTSadmitted to or treated as out-patients by NHS hospitals andPrimary Care Trusts, includingPATIENTSreceiving private treatment. The record also includes NHSPATIENTStreated electively in the independent sector and overseas. Hospital Episode Statistics (HES) are derived from the Admitted Patient Care Commissioning Data Set Types, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Set Types submitted via the NHS-wide Clearing Service (NWCS). These records provide information about hospital andPATIENTmanagement and epidemiological data onPATIENTdiagnoses and operative procedures. The Hospital Episode Statistics data warehouse has already been used to support many aspects of the new Performance Framework.B. Data Flows- The Department of Health needs a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment. The record also includes NHS PATIENTS treated electively in the independent sector and overseas. Hospital Episode Statistics (HES) are derived from the Admitted Patient Care Commissioning Data Set Types, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Set Types submitted via the NHS-wide Clearing Service (NWCS). These records provide information about hospital and PATIENT management and epidemiological data on PATIENT diagnoses and operative procedures. The Hospital Episode Statistics data warehouse has already been used to support many aspects of the new Performance Framework.
Data Flows
- Hospital Episode Statistics records are extracted from the NWCS database quarterly. The timely provision of Admitted Patient Care (APC) records to the NWCS, complete with clinical information, is now a performance issue for Trusts.
The strategic direction set out within Information for Health is to develop comprehensive and consistent electronic health records for PATIENTS from clinical information flows. In the short term, access to and the analysis of Commissioning Data Set Types will remain important, and the exchange of these data sets should continue on at least a monthly basis.
To determine who receives Commissioning Data Set Types,NHS TrustsandPrimary Care Trustsneed to takeallof the following factors into account, not necessarily in the order specified here:identifying thePATIENT's registeredGeneral Medical Practitioner Practice- to establish the responsiblePrimary Care Trust;determining where thePATIENTis resident - necessary when thePATIENTis not registered with aGeneral Medical Practitioner Practice;assigning the correct type of NHS Service Agreement for the treatment provided;identifying an overseas visitor and whether thePATIENTis a privatePATIENT.
The information data flows are shown in the Tables below.C. Commissioning Data Set Data Flow DefinitionsTo determine who receives Commissioning Data Set Types, NHS Trusts and Primary Care Trusts need to take all of the following factors into account, not necessarily in the order specified here:
- identifying the PATIENT's registered General Medical Practitioner Practice - to establish the responsible Primary Care Trust;
- determining where the PATIENT is resident - necessary when the PATIENT is not registered with a General Medical Practitioner Practice;
- assigning the correct type of NHS Service Agreement for the treatment provided;
- identifying an overseas visitor and whether the PATIENT is a private PATIENT.
The information data flows are shown in the Tables below.Commissioning Data Set Data Flow Definitions
The exchange of individual Commissioning Data Set Types may be mandatory or optional. All Admitted Patient Care, Out-Patient Attendance and Accident & Emergency Attendance Commissioning Data Set Type exchanges are mandatory, but exchanges of some individual Commissioning Data Set Types for Elective Admission List are not, and require local agreement between the parties concerned. Where Commissioning Data Set information is collected, it should always be exchanged via the NHS Wide Clearing Service.
Where Commissioning Data Set Types are exchanged, the data items within the Commissioning Data Set Type have a mandatory or optional status. A data item marked as mandatory (M) means that it must be included in the Commissioning Data Set Type; a data item marked as optional (O) means that the data item need only be included if both parties agree to its exchange. Although the exchange of the Commissioning Data Set Type may be optional, this does not apply to the status of the data items within this Commissioning Data Set Type.
For records relating to Commissioning Data Set ACTIVITY from the 1st April 2005 see REVISED CDS INFORMATION FLOW ADDRESSING GRID - ACTIVITY from 1st April 2005 below. An additional PATIENT/ Service Agreement row has been introduced to identify activity commissioned by the National Specialised Commissioning Group (NSCG). The code YDD82 should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for National Specialised Commissioning Group commissioned activity.
For records relating to Commissioning Data Set ACTIVITY from 1st April 2002 to 31st March 2005, see PREVIOUS CDS INFORMATION FLOW ADDRESSING GRID - ACTIVITY from 1st April 2002 to 31st March 2005 below.
REVISED COMMISSIONING DATA SET INFORMATION FLOW ADDRESSING GRID - ACTIVITY from 1st April 2005
CDS PRIME RECIPIENT - - - PATIENT/Service Agreement PCT OF RESIDENCE PCT responsible Main Commissioner ORGANISATION to which costs of treatment accrue PATIENT registered with General Medical Practitioner Practice with Primary Care Trust Service Agreement * * PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust Service Agreement * * PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract Activity * * * PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract Activity * * * Overseas visitor exempt from charges and not registered with a General Medical Practitioner Practice *
(TDH00)* Overseas visitor exempt from charges and registered with a General Medical Practitioner Practice *
(TDH00)* * Overseas visitor liable for NHS charges and not registered with a General Medical Practitioner Practice *
(VPP00)Overseas visitor liable for NHS charges and registered with a General Medical Practitioner Practice *
(VPP00)* PATIENT registered with a General Medical Practitioner Practice with a Specialised Services & Other Commissioning Consortia Service Agreement * * * PATIENT not registered with a General Medical Practitioner Practice with a Specialised Services & Other Commissioning Consortia Service Agreement * * * Private PATIENT * * National Specialised Commissioning Group commissioned * * YDD82 Notes:
a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.
b. Note that if two recipients are identical (PCT OF RESIDENCE is the same as the Main Commissioner) only one data set should be sent to that recipient.
c. For further information please refer to DSCN 06/2005.
PREVIOUS COMMISSIONING DATA SET INFORMATION FLOW ADDRESSING GRID - Activity from 1st April 2002 to 31st March 2005
CDS PRIME RECIPIENT Patient/Service Agreement PCT OF RESIDENCE PCT responsible Main Commissioner Organisation to which costs of treatment accrue Patient registered with GP with PCT Service Agreement * * Patient not registered with a GP but resident in an area covered by a PCT with a PCT Service Agreement * * Patient registered with a GP treated as an Out Of Area Treatment (OAT) * * * Patient not registered with a GP treated as an Out Of Area Treatment (OAT) * * * Overseas visitor exempt from charges and not registered with a GP *
(TDH00)* Overseas visitor exempt from charges and registered with a GP *
(TDH00)* * Overseas visitor liable for NHS charges and not registered with a GP *
(VPP00)Overseas visitor liable for NHS charges and registered with a GP *
(VPP00)* Patient registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement * * * Patient not registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement * * * Private Patient * * Notes:
a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.
b. Note that if two recipients are identical (PCT OF RESIDENCE is the same as the Main Commissioner) only one data set should be sent to that recipient.
c. For further information please refer to DSCN 46/2002.
Change to Supporting Information: Changed Description
Change to Supporting Information: Changed Description
NHS DATA MODEL AND DICTIONARY
Version 3
What's New: August 2008What's New: November 2008
 |
|
| The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS. The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the NHS Information Standards Board and published as Data Set Change Notices. About the NHS Data Model and Dictionary Version 3 and Meta Model |
Change to Supporting Information: Changed Description
- Navigation:
Data Model:Data Dictionary:
Data Collections:
- Data Model:
- Data Dictionary:
- Data Collections:
Change to Supporting Information: Changed Description
The purpose of the National Cancer Data Set is to advise organisations within the National Health Service on a transferable set of data. These data will meet the needs of clinical audit, assist in the generation of National Performance Indicators and will allow outcome assessment.
By clicking on the date element text within the data set opposite, the selected data element definition will be displayed.By clicking on the data element text within the data set opposite, the selected data element definition will be displayed.
Any text within the displayed definition which is in blue and uppercase is the name of a class, attribute or data element; business definitions appear in Title Case and all if clicked on will display the definition for that class, attribute, data element or business definition.
Change to Supporting Information: Changed Description
Introduction
The Paediatric Critical Care Minimum Data Set has been specified as a simple data specification but will be carried within the existing framework of the Commissioning Data Set as supported by the Secondary Uses Service.
Note that this enhancement is only intended to be implemented as a new version in the Commissioning Data Set-XML Message and will not be implemented in the current Commissioning Data Set-EDIFACT Message (NHS005).
Scope:
The definition of Paediatric Critical Care is linked to the definition of Paediatric Critical Care Healthcare Resource Groups.
The scope of the Paediatric Critical Care Minimum Data Set is:
| a) | All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Paediatric Intensive Care Unit regardless of care being delivered |
| b) | All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION with National Code of either:
|
| 04 | Exchange transfusion |
| 05 | Peritoneal dialysis (acute patients only i.e. excluding chronic) |
| 06 | Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin |
| 09 | Supplemental oxygen therapy (irrespective of ventilatory state) |
| 13 | Tracheostomy cared for by nursing staff |
| 16 | Haemofiltration |
| 50 | Continuous electrocardiogram monitoring |
| 51 | Invasive ventilation via endotracheal tube |
| 52 | Invasive ventilation via tracheostomy tube |
| 53 | Non-invasive ventilatory support |
| 55 | Nasopharyngeal airway |
| 56 | Advanced ventilatory support (Jet or Oscillatory ventilation) |
| 57 | Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline |
| 58 | Apnoea requiring intervention |
| 59 | Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser |
| 60 | Arterial line monitoring |
| 61 | Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing) |
| 62 | Central venous pressure monitoring |
| 63 | Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids |
| 64 | Cardio-pulmonary resuscitation (CPR) |
| 65 | Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump |
| 66 | Haemodialysis (acute patients only i.e. excluding chronic) |
| 67 | Plasma filtration or Plasma exchange |
| 68 | ICP-intracranial pressure monitoring |
| 69 | Intraventricular catheter or external ventricular drain |
| 70 | Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin |
| 71 | Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase) |
| 72 | Extracorporeal liver support using Molecular Absorbent Recirculating System (MARS) |
| 73 | Continuous pulse oximetry |
| 74 | Patient nursed in single occupancy cubicle |
If one or more of these items apply to a PATIENT, then the PATIENT would be counted as receiving Paediatric Critical Care at one of the levels of Intensive Care or High Dependency Care depending on the conditions/interventions which apply.
A number of these interventions will only occur in a Paediatric Intensive Care Unit environment where all PATIENTS are covered by the Paediatric Critical Care Minimum Data Set regardless of treatment. Care for PATIENTS outside of a Paediatric Intensive Care Unit will in practice be dealing with a shorter list of interventions. The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with CRITICAL CARE UNIT FUNCTION:
- Paediatric Intensive Care Unit; or
- Ward for children and young people; or
- High Dependency Unit for children and young people; or
- Renal Unit for children and young people; or
- Burns Unit for children and young people; or
- Non standard location using the operating department for children and young people.
The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a CRITICAL CARE UNIT FUNCTION other than those listed above.
The Paediatric Critical Care Minimum Data Set will be carried as part of the following Admitted Patient Care Commissioning Data Set Types:
- The Admitted Patient Care Finished General Episode (Commissioning Data Set TYPE 130)
- The Admitted Patient Care Unfinished General Episode (Commissioning Data Set TYPE 190)
- The Admitted Patient Care Delivery Episode (Commissioning Data SetTYPE 140)
- The Admitted Patient Care Unfinished Delivery Episode (Commissioning Data Set TYPE 200)
- The Admitted Patient Care Finished Birth Episode (Commissioning Data Set TYPE 120)
- The Admitted Patient Care Unfinished Birth Episode (Commissioning Data Set TYPE 180)
Change to Supporting Information: Changed Description
CONTACT DETAILS
- General Enquiries about the NHS Data Model and Dictionary:
NHS Data Model and Dictionary Service
NHS Connecting for Health
Princes Exchange
Princes Square
Leeds
LS1 4HYEmail: datastandards@nhs.net
NHS Data Model and Dictionary Service Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary
- The NHS Information Standards Board:
The NHS Information Standards Board
Princes Exchange
Princes Square
Leeds
LS1 4HYInternet: http://www.isb.nhs.uk/
- Hospital Episode Statistics (HES):
Website: HES online
Queries: HES queries
- Clinical Coding general enquiries:
International Classification of Diseases (ICD-10)
Classification of Surgical Operations and Procedures Fourth Revision Consolidated Version (OPCS-4);
Clinical Terms (The Read Codes);
SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms)For all general enquiries, contact:
NHS Connecting for Health
Data Standards and Products Help Desk
E-mail: datastandards@nhs.net- Electronic copies of International Classification of Diseases (ICD-10) Volumes 1, 2 and 3;
- The ICD-10 metadata file and its specification;
- The ICD-10 Codes and Titles (on diskette);
- The ICD-10 Tables of Equivalence (on diskette);
- The Alphabetical Index of Classification of Surgical Operations and Procedures (Fourth Revision Consolidated Version (OPCS-4) in hard copy;
- Electronic format of Index and Tabular List of OPCS-4;
- OPCS-4 metadata file and its specification;
- Clinical Terms (The Read Codes) and SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms) are released to licensees every six months (March and September) via the Terminology Reference Data Update Distribution Service (TRUD).
Information on the Terminology Reference Data Update Distribution Service (TRUD) can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/.
Hard copy versions of ICD-10 and the Tabular List of OPCS-4 are available from The Stationery Office (formerly HMSO).
- Electronic copies of International Classification of Diseases (ICD-10) Volumes 1, 2 and 3;
Organisation Data ServiceQueries:Organisation Data ServiceHexagon HousePynes HillRydon LaneExeterDevon EX2 5SEexeter.helpdesk@nhs.netTel: 01392 206 248Organisation Data Servicewebsitepages:- Organisation Data Service Queries:
Organisation Data Service
Hexagon House
Pynes Hill
Rydon Lane
Exeter
Devon EX2 5SE
exeter.helpdesk@nhs.net
Tel: 01392 251 289Organisation Data Service website pages:
- NHSnet pages where data is published: http://nww.connectingforhealth.nhs.uk/ods/
- Public domain pages: http://www.nhs.uk/ods/
- Information pages on the NHS Connecting for Health website:
http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html
Information on the Terminology Reference Data Update Distribution Service can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/
Postcodes:
Postcode and Geographic Area Queries
All Fields Postcode Directory
Areas of Residence Classification
NHS Organisation Manual
1991 Frozen Postcode File
Communal Establishment FileTel: 01329 813243 or 813477
Office for National Statistics Geography Customer Services Unit
Fax: 01329 813383
e-mail: ons.geography@ons.gov.uk
Internet: http://www.statistics.gov.uk
Office for National Statistics
Segensworth Road
Titchfield
Fareham
Hants
PO15 5RR
1991 Frozen Postcode File
Communal Establishment FileTel: 01329 813243 or 813477
Fax: 01329 813383
e-mail: ons.geography@ons.gov.uk
Internet: http://www.statistics.gov.uk
Change to Supporting Information: Changed Description
SECURITY ISSUES AND PATIENT CONFIDENTIALITY
A.A. Removal of name and address where the NHS Number is present
From 1 April 1999, PATIENT NAME and PATIENT USUAL ADDRESS (not POSTCODE OF USUAL ADDRESS) must be removed from all commissioning data sets where a valid NHS NUMBER is present. This applies to all nationally defined Commissioning Data Sets Types (CDS) and any additional locally agreed flows from service providers to commissioning bodies.
A valid NHS NUMBER is one that has passed the check digit calculation on entry into the source system. If an NHS NUMBER is not valid (i.e. does not conform with the check digit algorithm) then PATIENT NAMES and PATIENT USUAL ADDRESSES should not be removed, as the reliability of the NHS NUMBER will not be known.
The NHS NUMBER STATUS INDICATOR is a mandatory part of the CDS. PATIENT NAMES and PATIENT USUAL ADDRESSES should be removed when a valid NHS NUMBER is present, even if the NHS Number Status Indicator does not have a status of 01, Number present and verified.
B. Marital Status
Following the recommendations of the Data Protection Registrar, Providers should not record MARITAL STATUS in any CDS Type, except in respect of the psychiatric specialities in the Admitted Patient Care CDS Types, where it will continue to be recorded.
C. Sensitive data
The Human Fertilisation and Embryology Act 1990 as amended by the Human Fertilisation and Embryology (Disclosure of Information) Act 1992 imposes statutory restrictions on the disclosure of information about identifiable individuals in connection with certain infertility treatments. A list of the relevant codes is given in Table 1. In these cases the NHS NUMBER, LOCAL PATIENT IDENTIFIER, PATIENT NAMES, POSTCODE OF USUAL ADDRESS and BIRTH DATE should be omitted from the CDS Types.
Other statutory restrictions on the disclosure of patient information do not prohibit the disclosure to individuals involved with the treatment and prevention of certain specific diseases (HIV/AIDS and venereal diseases) in the population.
TABLE 1: TREATMENTS PROVIDED UNDER THE LICENCE OF THE HUMAN FERTILISATION AND EMBRYOLOGY AUTHORITY
Description OPCS-4 ICD-10 Standard In Vitro Fertilisation (IVF) Q13.-1 Introduction of gamete into uterine cavity, or
Q38.3 Endoscopic intrafallopian transfer of gameteZ31.2 In vitro fertilization IVF with donor sperm Q13.- 1 Introduction of gamete into uterine cavity, or
Q38.3 Endoscopic intrafallopian transfer of gameteZ31.2 In vitro fertilization IVF with donor eggs Q13.-1 Introduction of gamete into uterine cavity, or
Q38.3 Endoscopic intrafallopian transfer of gameteZ31.2 In vitro fertilization Donor insemination (DI) Q13.3 Intrauterine artificial insemination, or
Q13.2 Intracervical artificial inseminationZ31.1 Artificial insemination Gamete intrafallopian transfer (GIFT) with donor sperm Q38.3 Endoscopic intrafallopian transfer of gamete Z31.3 Other assisted fertilization methods Gamete intrafallopian transfer (GIFT) with donor eggs Q38.3 Endoscopic intrafallopian transfer of gamete Z31.3Other assisted fertilization methods Intracytoplasmic sperm injection (ICSI) Sub-zonal insemination (SUZI) Zygote intrafallopian transfer (ZIFT) Q38.3 Endoscopic intrafallopian transfer of gamete Z31.2 In vitro fertilization Partial Zona Dissection (PZD) Zona drilling Hamster- egg penetration test Assisted hatching Pre-implantation Genetic Diagnosis (PGD) Storage of sperm Storage of embryos Use and storage of testicular tissue Transport/satellite IVF/ICSI Embryo donation Z31.8 Other procreative management Research 1.- means all fourth characters of this rubric should be included.
All records containing patient identifiable information, other than those covered by the Human Fertilisation & Embryology Acts, as outlined in the Table above, should be treated as sensitive. Organisations may continue to exchange records containing NHS NUMBER, POSTCODE OF USUAL ADDRESS and BIRTH DATE in these cases, but receiving organisations must ensure that only those staff with legitimate need have access to this information, e.g. public health departments, and strictly on a need to know basis. No-one should have unrestricted access unless fully justified in accordance with the principles of the Caldicott Committee Report.
Where patient level data is required for other purposes within an organisation, it should be anonymised/aggregated prior to disclosure by someone with legitimate access. If this is not practicable, local protocols defining which CDS Types are particularly sensitive (including, but not necessarily restricted to HIV/AIDS and venereal disease) agreed by the organisation Caldicott Guardian, should be put in place and identifiers stripped from these records.
Your Caldicott Guardian will be able to advise you further on all issues relating to patient confidentiality.
Where appropriate, further information about confidentiality is contained within the notes for individual data items.
Change to Supporting Information: Changed Description, Name
DSCNs published but not yet incorporated into the NHS Data Model and Dictionary:
- CP1002 (1 April 2009) - DSCN 24/2008 Data Standards: Commissioning Data Set Version 6-1 Tables
- CP843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
- CP1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set
Release: November 2008
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category
Release: August 2008
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
CP956 (1 September 2008) -DSCN 18/2008Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset- CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
- CP861 (Immediate) - DSCN 16/2008 Central Return: Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
- CP964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
- CP965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
- CP879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)
Release: May 2008
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
- CP910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
- CP900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
- CP934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
- CP935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
- CP925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
- CP942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract)
Release: February 2008
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
- CP881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
- CP904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
- CP824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)
Release: November 2007
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
- CP814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
- CP930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
- CP834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
- CP875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
- CP880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description
Release: August 2007
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
- CP831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
- CP825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)
Release: June 2007
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
- CP833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
- CP801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return
Release: May 2007
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
- CP856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
- CP869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
- CP827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
- CP817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
- CP849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
- CP822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
- CP850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
- CP786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return
Release: February 2007
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
- CP826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
- CP813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
- CP768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
- CP798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
Release: September 2006
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
- CP792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
- CP719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
- CP791 (1 April 2007) - DSCN 13/2006 Priority Type
- CP774 (1 September 2006) - DSCN 12/2006 Person Marital Status
Release: May 2006
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
- Correction to menu structure to include Critical Care Minimum Data Set
Release: April 2006
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
- CP756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
- CP724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
- CP754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
- CP763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
- CP767 (Immediate) - DSCN 02/2006 Referral Request Received Date
- CP690 (1 September 2005) - DSCN 16/2005 Marital Status
Release: August 2005
DSCNs Incorporated into the NHS Data Model and Dictionary:
- CP555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
- CP715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
- CP706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
- CP691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code
NHS Data Model and Dictionary: Change Menu
Change to Attribute: Changed Name
- Changed Name from Data_Dictionary.Attributes.A.A_and_E_ARRIVAL_MODE to Data_Dictionary.Attributes.A.A_AND_E_ARRIVAL_MODE
Change to Attribute: Changed Name
- Changed Name from Data_Dictionary.Attributes.A.A_and_E_ATTENDANCE_CATEGORY to Data_Dictionary.Attributes.A.A_AND_E_ATTENDANCE_CATEGORY
Change to Attribute: Changed Name
- Changed Name from Data_Dictionary.Attributes.A.A_and_E_ATTENDANCE_DISPOSAL to Data_Dictionary.Attributes.A.A_AND_E_ATTENDANCE_DISPOSAL
Change to Attribute: Changed Name
- Changed Name from Data_Dictionary.Attributes.A.A_and_E_INCIDENT_LOCATION_TYPE to Data_Dictionary.Attributes.A.A_AND_E_INCIDENT_LOCATION_TYPE
Change to Attribute: Changed Name
- Changed Name from Data_Dictionary.Attributes.A.A_and_E_INITIAL_ASSESSMENT_TRIAGE_CATEGORY to Data_Dictionary.Attributes.A.A_AND_E_INITIAL_ASSESSMENT_TRIAGE_CATEGORY
Change to Attribute: Changed Name
- Changed Name from Data_Dictionary.Attributes.A.A_and_E_PATIENT_GROUP to Data_Dictionary.Attributes.A.A_AND_E_PATIENT_GROUP
Change to Attribute: Changed Name
- Changed Name from Data_Dictionary.Attributes.A.A_and_E_STREAM to Data_Dictionary.Attributes.A.A_AND_E_STREAM
Change to Attribute: Changed Description
National Codes:
| 01 | Scheduled Appointment |
| 02 | Unscheduled Appointment |
Change to Data Element: Changed Description
| Format/length: | see DATE |
| HES item: | |
| National Codes: | |
| Default Codes: |
This is the same as APPOINTMENT DATE.
Usage in the CDS:The Outpatient and Future Outpatient CDS Types use the Data Field Notes as the "CDS ORIGINATING DATE" as a mandatory requirement of the CDS Exchange Protocol, see CDS ACTIVITY DATE.The Outpatient and Future Outpatient CDS Types use the APPOINTMENT DATE as the "CDS ORIGINATING DATE" as a mandatory requirement of the CDS Exchange Protocol, see CDS ACTIVITY DATE.
For the Future Outpatient CDS where no APPOINTMENT DATE is available from the healthcare system, a default date value of 2999-12-31 may be applied.
Care must be taken to generate the correct CDS Exchange Protocol when using this default value.
Change to Data Element: Changed Description
| Format/length: | an1 |
| HES item: | |
| National Codes: | |
| Default Codes: | 8 - Not applicable, i.e. not a psychiatric episode |
| 9 - Not known |
Notes:
PERSON MARITAL STATUS is the same as PERSON MARITAL STATUS CODE.
PERSON MARITAL STATUS should be used for all new and developing systems and for XML messages.