Change Request: CP1078

Change Request

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference:	Change Request 1078
Version No:	1.0
Subject:	Update Patch
Effective Date:	Immediate
Reason for Change:	Patch
Publication Date:	4 August 2009

Background:

This patch:

corrects errors identified in the modelling software, i.e. double spaces
adds missing hyperlinks
updates out of date website links
adds a notes section where they are missing from Data Elements
links Data Elements and Attributes where links are missing
adds missing aliases and removes aliases which are not required
renames Health Solution Wales to Health Solutions Wales as identified in the production of DSCN 15/2009
updates Whats New with the new link for the reissued document for DSCN 13/2009 and the updated link for DSCN 07/2009
updates the format in the Main Specialty and Treatment Function Codes as requested by the Information Centre for Health and Social Care
updates/corrects Commissioning Data Set messages where information is missing/incorrect.

Summary of changes:

Diagrams
ACTIVITY	Changed Diagram
PATIENT PATHWAY	Changed Diagram
PERSON AND PERSON PROPERTY	Changed Diagram

Data Set
CDS V6 TYPE 010	Changed Description
CDS V6 TYPE 020	Changed Description
CDS V6 TYPE 021	Changed Description
CDS V6 TYPE 030	Changed Description
CDS V6 TYPE 040	Changed Description
CDS V6 TYPE 050	Changed Description
CDS V6 TYPE 060	Changed Description
CDS V6 TYPE 070	Changed Description
CDS V6 TYPE 080	Changed Description
CDS V6 TYPE 090	Changed Description
CDS V6 TYPE 100	Changed Description
CDS V6 TYPE 110	Changed Description
CDS V6 TYPE 140	Changed Description

Supporting Information
HEALTH SOLUTIONS WALES renamed from HEALTH SOLUTION WALES	Changed Name
HOSPITAL PROVIDER SPELL	Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES	Changed Description
MENTAL HEALTH MINIMUM DATA SET OVERVIEW	Changed Description
WHAT'S NEW: JUNE 2009	Changed Description

Class Definitions
ACTIVITY GROUP	Changed Attributes
CATEGORY VALUED PERSON OBSERVATION	Changed Relationships
CRITICAL CARE PERIOD	Changed Description
DECISION TO ADMIT	Changed Description

Attribute Definitions
APPOINTMENT ACCEPTED DATE renamed from APPOINTMENT ACCEPTED DATE	Changed Name
APPRAISAL REVIEW DATE renamed from APPRAISAL REVIEW DATE	Changed Name
COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA	Changed Name
COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT	Changed Name
MEASURED PERSON OBSERVATION TYPE CODE	Changed Description
META ACTIVITY IDENTIFIER renamed from META ACTIVITY IDENTIFIER	Changed Name
TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT renamed from TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT	Changed Name
TRANSPLANT TISSUE IDENTIFIER renamed from TRANSPLANT TISSUE IDENTIFIER	Changed Name
VACCINE PREVENTABLE DISEASE	Changed Description

Data Elements
A AND E INITIAL ASSESSMENT TIME	Changed Description
ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND renamed from ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND	Changed Name
ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND renamed from ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND	Changed Name
ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND renamed from ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND	Changed Name
ADMINISTRATIVE CATEGORY (AT START OF EPISODE) renamed from ADMINISTRATIVE CATEGORY (AT START OF EPISODE)	Changed Name
AGE AT ATTENDANCE DATE	Changed Aliases
ALCOHOL STATUS	Changed Description
DEATH CAUSE IDENTIFICATION METHOD	Changed Description
DEATH LOCATION TYPE	Changed Description
DELIVERY PLACE TYPE (INTENDED)	Changed Description
EMPLOYMENT STATUS (MENTAL HEALTH)	Changed linked Attribute
MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE renamed from MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE	Changed Name
OBSERVATION DATE (BMI)	Changed Description
OBSERVATION DATE (HBA1C LEVEL)	Changed Description
OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)	Changed Description
OBSERVATION DATE (SERUM CREATININE LEVEL)	Changed Description
OBSERVATION DATE (URINARY ALBUMIN LEVEL) renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)	Changed Name, Description
OCCUPIED BED DAYS	Changed Aliases
OPERATION STATUS	Changed Aliases
ORGANISATION CODE (CODE OF PROVIDER)	Changed Description
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)	Changed Aliases
ORGANISATION CODE (PROVIDER FIRST DIAGNOSTIC TEST)	Changed Aliases
ORGANISATION CODE (REQUESTED BY)	Changed Aliases
OUTCOME OF ATTENDANCE	Changed Description
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)	Changed Description
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)	Changed Aliases, Description
OUT-PATIENT EFFECTIVE WAITS	Changed Aliases
OUT-PATIENT FOLLOW-UP APPOINTMENTS ATTENDANCES SEEN	Changed Description
OUT-PATIENT FOLLOW-UP APPOINTMENTS DID NOT ATTEND	Changed Description
OUT-PATIENTS WAITING	Changed Aliases, Description
OVERSEAS SURGICAL TEAM MEMBER	Changed Description
PERSON GENDER AT REGISTRATION	Changed linked Attribute
PERSON GENDER CURRENT	Changed linked Attribute
PERSON OBSERVATION (BMI)	Changed Description
PERSON OBSERVATION (HBA1C LEVEL)	Changed Description
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)	Changed Description
PERSON OBSERVATION (SERUM CREATININE LEVEL)	Changed Description
PERSON OBSERVATION (URINARY ALBUMIN LEVEL)	Changed Description
REFERRAL RAISED REASON (INTER-PROVIDER TRANSFER)	Changed Description
SOURCE OF REFERRAL FOR A AND E	Changed Aliases
SOURCE OF REFERRAL FOR CANCER	Changed Aliases
SOURCE OF REFERRAL FOR MENTAL HEALTH	Changed Aliases
SOURCE OF REFERRAL FOR OUT-PATIENTS	Changed Aliases
TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)	Changed Aliases
TUMOUR LATERALITY	Changed Description
TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE	Changed Description

Date:	4 August 2009
Sponsor:	Richard Kavanagh, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

Click here for a printer friendly view of this page.

ACTIVITY

Change to Diagram: Changed Diagram

top

PATIENT PATHWAY

Change to Diagram: Changed Diagram

top

PERSON AND PERSON PROPERTY

Change to Diagram: Changed Diagram

top

CDS V6 TYPE 010

Change to Data Set: Changed Description

CDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDS

This Commissioning Data Set carries the data for an Accident and Emergency Attendance Episode and consists of the following Commissioning Data Set Data Groups:

INTERCHANGE, MESSAGE and COMMISSIONING DATA SET TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
GENERAL PRACTITIONER REGISTRATION
ATTENDANCE OCCURRENCE - Activity Characteristics
ATTENDANCE OCCURRENCE - Service Agreement Details
ATTENDANCE OCCURRENCE - Person Group (A And E Consultant)
ATTENDANCE OCCURRENCE - Clinical Information (Diagnosis)
ATTENDANCE OCCURRENCE - Clinical Information (Investigation)
ATTENDANCE OCCURRENCE - Clinical Information (Treatment)
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDS

COMMISSIONING DATA SET DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
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 for Health and Social Care)

COMMISSIONING DATA SET DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	Commissioning Data Set Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
O	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	PERSON BIRTH DATE (From Commissioning Data Set version 6-1 onwards)

Note:
For Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

COMMISSIONING DATA SET DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	Commissioning Data Set Data Element
M	PERSON BIRTH DATE (Commissioning Data Set version 6-0 only)
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR
M	ETHNIC CATEGORY (from Commissioning Data Set version 6-1 onwards)

COMMISSIONING DATA SET 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)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics: To carry the details of the Accident and Emergency attendance.
M	A and E ATTENDANCE NUMBER
M	A and E ARRIVAL MODE
M	A and E ATTENDANCE CATEGORY
M	A and E ATTENDANCE DISPOSAL
M	A and E INCIDENT LOCATION TYPE
M	A and E PATIENT GROUP
M	SOURCE OF REFERRAL FOR A and E
M	A and E DEPARTMENT TYPE
M	ARRIVAL DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE
M	ARRIVAL TIME
M	AGE AT CDS ACTIVITY DATE
M	A and E INITIAL ASSESSMENT TIME (first and unplanned follow-up attendances only)
M	A and E TIME SEEN FOR TREATMENT
M	A and E ATTENDANCE CONCLUSION TIME
M	A and E DEPARTURE TIME

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Accident and Emergency Attendance. One occurrence of this Data Group is permitted.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
O	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Person Group (A + E Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	A and E STAFF MEMBER CODE

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE -Clinical Diagnosis Details - ICD: To carry the details of the Diagnosis Code Scheme and the Diagnoses. One occurrence of this Group is permitted.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (ICD)
O	SECONDARY DIAGNOSIS (ICD) Multiple Secondary Diagnoses may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - READ: To carry the details of the Diagnosis Code Scheme and the Diagnoses. One occurrence of this Group is permitted.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) Multiple Secondary Diagnoses may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - A + E Coded: To carry the details of the Diagnosis Code Scheme and the Diagnoses. One occurrence of this Group is permitted.
M	DIAGNOSIS SCHEME IN USE
M	ACCIDENT AND EMERGENCY DIAGNOSIS - FIRST
M	ACCIDENT AND EMERGENCY DIAGNOSIS - SECOND Multiple Secondary Diagnoses may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Investigation Details - A + E: To carry the details of the Investigation Code Scheme and the Investigations undertaken. Multiple occurrences of this Group are permitted.
M	INVESTIGATION SCHEME IN USE
M	ACCIDENT AND EMERGENCY INVESTIGATION - FIRST
M	ACCIDENT AND EMERGENCY INVESTIGATION - SECOND Multiple Secondary Investigations may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (OPCS): To carry the details of the OPCS coded Clinical Activities and Treatments undertaken. One occurrence of this Group is permitted.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (READ): To carry the details of the READ coded Clinical Activities and Treatments undertaken. One occurrence of this Group is permitted.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (A + E): To carry the details of the A + E coded Clinical Activities and Treatments undertaken. One occurrence of this Group is permitted.
M	PROCEDURE SCHEME IN USE
M M	ACCIDENT AND EMERGENCY TREATMENT - FIRST PROCEDURE DATE (of First Treatment)
M M	(Multiple occurrences of this sub-group may be recorded) ACCIDENT AND EMERGENCY TREATMENT - SECOND PROCEDURE DATE (of Subsequent Treatments)

COMMISSIONING DATA SET DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group.
M	HEALTHCARE RESOURCE GROUP CODE
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

COMMISSIONING DATA SET DATA GROUP: Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the Healthcare Resource Group Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to Healthcare Resource Group Dominant Grouping Variable - Procedure should be omitted.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Note:
In addition, Accident and Emergency reference costs are mandated and collected via a direct data flow between Providers and the Department of Health.

top

CDS V6 TYPE 020

Change to Data Set: Changed Description

CDS V6 TYPE 020 - OUTPATIENT CDS

The Outpatient CDS carries the data for a Care Activity or a cancelled / missed Care Appointment. The data set applies for Consultant, Nurse, Midwife, and other CARE PROFESSIONALS attendances and appointments, including Ward Attendances for nursing care.

This CDS Type must not be used for "Future Outpatients" - for this CDS TYPE 021 must be used.

The CDS consists of the following CDS Data Groups:

INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
CARE EPISODE
ATTENDANCE OCCURRENCE
GP REGISTRATION
REFERRAL
MISSED APPOINTMENT OCCURRENCE
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 020 - THE OUTPATIENT CDS (Known in the Schema as the Care Activity 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
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 for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	PERSON BIRTH DATE (From Commissioning Data Set version 6-1 onwards)

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE (Commissioning data set version 6-0 only)
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR
M	ETHNIC CATEGORY (from Commissioning Data Set Version 6-1)

CDS DATA GROUP: CARE EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (ICD)
O	SECONDARY DIAGNOSIS (ICD) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics: To carry the details of the Care Attendance or cancelled appointment.
M	ATTENDANCE IDENTIFIER
M	ADMINISTRATIVE CATEGORY
M	ATTENDED OR DID NOT ATTEND
M	FIRST ATTENDANCE
M	MEDICAL STAFF TYPE SEEING PATIENT
M	OPERATION STATUS (per attendance)
M	OUTCOME OF ATTENDANCE
M	APPOINTMENT DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
M	AGE AT CDS ACTIVITY DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Location Group of Care Attendance: To carry the details of the location and Site Code of Treatment. One occurrence of this Group is permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list currently under review

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)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL - Activity Characteristics: To carry the details of the referral. One occurrence of this Group is permitted.
M	PRIORITY TYPE
M	SERVICE TYPE REQUESTED
M	SOURCE OF REFERRAL FOR OUT-PATIENTS
M	REFERRAL REQUEST RECEIVED DATE

CDS DATA GROUP: REFERRAL - Person Group (Referrer): To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: MISSED APPOINTMENT - Occurrence: To carry the details of a missed appointment. One occurrence of this Group is permitted.
M	LAST DNA OR PATIENT CANCELLED DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	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.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Note:
HRG Dominant Grouping Variable does not apply to Care Attendances but the data structure is retained for documentation purposes.

top

CDS V6 TYPE 021

Change to Data Set: Changed Description

CDS V6 TYPE 021 - FUTURE OUTPATIENT CDS

The Future Outpatient CDS carries the data for a forthcoming Care Activity, future or planned Care Appointment. The data set applies for Consultant, Nurse and Midwife attendances and appointments including Ward Attendances for nursing care.

The CDS TYPE 021 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
CARE EPISODE
ATTENDANCE OCCURRENCE
GP REGISTRATION
REFERRAL
HEALTHCARE RESOURCE GROUP

Note: Each Commissioning Data Set must contain a valid CDS ACTIVITY DATE and when using the CDS BULK REPLACEMENT UPDATE MECHANISM this date must also be compatible with the CDS REPORT PERIOD START DATE and the CDS REPORT PERIOD END DATE specified as part of the CDS EXCHANGE PROTOCOL.

The CDS ACTIVITY DATE has an "originating date" held within the Commissioning Data Set data and for the Future Outpatient CDS Type this is the APPOINTMENT DATE held in the Attendance Occurrence-Activity Characteristics data structure.

Where the source application system cannot provide a valid date, the default value may be applied, see APPOINTMENT DATE.

CDS V6 TYPE 021 - THE FUTURE OUTPATIENT CDS (Known in the Schema as Future Care Activity 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated appointment)
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 for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	PERSON BIRTH DATE (From Commissioning Data Set version 6-1 onwards)

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE (Commissioning data set version 6-0 only)
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR
*	ETHNIC CATEGORY (from Commissioning Data Set Version 6-1. Note this CDS type has not been approved by the Information Standards Board for Health and Social Care and this item is included as a placeholder for future development.)

CDS DATA GROUP: CARE EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (ICD): To carry the details of the ICD Diagnosis Scheme and the provisional Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (ICD)
O	SECONDARY DIAGNOSIS (ICD) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (READ): To carry the details of the READ Diagnosis Scheme and the provisional Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics: To carry the details of the Future Care Attendance or cancelled future appointment.
O	ATTENDANCE IDENTIFIER
M	ADMINISTRATIVE CATEGORY
O	ATTENDED OR DID NOT ATTEND
M	FIRST ATTENDANCE
O	MEDICAL STAFF TYPE SEEING PATIENT
O	OPERATION STATUS (per attendance)
O	OUTCOME OF ATTENDANCE
M	APPOINTMENT DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
M	AGE AT CDS ACTIVITY DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Future Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities to be undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities to be undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Location Group of the Future Care Attendance: To carry the details of the location and Site Code of Treatment. One occurrence of this Group is permitted.
O	LOCATION CLASS
O	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list currently under review

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)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL - Activity Characteristics: To carry the details of the referral. One occurrence of this Group is permitted.
M	PRIORITY TYPE
M	SERVICE TYPE REQUESTED
M	SOURCE OF REFERRAL FOR OUT-PATIENTS
M	REFERRAL REQUEST RECEIVED DATE

CDS DATA GROUP: REFERRAL - Person Group (Referrer): To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: MISSED APPOINTMENT - Occurrence: To carry the details of a missed appointment. One occurrence of this Group is permitted.
O	LAST DNA OR PATIENT CANCELLED DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the anticipated Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the anticipated HRG Dominant Grouping Variable - Procedure.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Note:
HRG Dominant Grouping Variable does not apply to Care Attendances but the data structure is retained for documentation purposes.

top

CDS V6 TYPE 030

Change to Data Set: Changed Description

CDS V6 TYPE 030 - EAL - END OF PERIOD CENSUS STANDARD CDS

The Elective Admission List CDSs consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

The End Of Period Census Commissioning Data Sets carry details for all booked, planned and waiting list admissions consisting of records of patients waiting for elective admission at a specified date. These should be sent within one month of the end of the period to which they relate unless a shorter time-scale has been agreed with the recipient.

Three derivations are permitted:
1) CDS Type 030 - The End Of Period Census (STANDARD)
2) CDS Type 040 - The End Of Period Census (OLD)
3) CDS Type 050 - The End Of Period Census (NEW)

This derivation, CDS Type = 030 - The End Of Period Census (STANDARD), is the simplest variation and, with one exception detailed below, all Providers must be able to create it as defined and all Commissioners must be able to process it.

The exception as identified above is for an Elective Admission List Removal. Some providers send a final EAL-End Of Period Census CDS after the patient has been removed from the list to identify when and why this took place. Commissioners who do not wish to receive such final EAL-End Of Period Census Commissioning Data Sets should ignore them.

The CDS TYPE 030 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
EAL ENTRY REMOVAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 030 - THE ELECTIVE ADMISSION LIST END OF PERIOD CENSUS - STANDARD CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient's Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: (PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	PERSON BIRTH DATE (From Commissioning Data Set version 6-1 onwards)

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE (Commissioning Data Set version 6-0 only)
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
O	NHS SERVICE AGREEMENT CHANGE DATE

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the EAL ENTRY Occurrence.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE (for this provider) This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

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)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: EAL ENTRY REMOVAL: To carry the details of the removal from the EAL. One occurrence of this Group is permitted.
O	ELECTIVE ADMISSION LIST REMOVAL REASON
O	ELECTIVE ADMISSION LIST REMOVAL DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - 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.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

top

CDS V6 TYPE 040

Change to Data Set: Changed Description

CDS V6 TYPE 040 - EAL - END OF PERIOD CENSUS OLD CDS

The Elective Admission List CDSs consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

Three derivations are permitted:
1) CDS Type 030 - The End Of Period Census (STANDARD)
2) CDS Type 040 - The End Of Period Census (OLD)
3) CDS Type 050 - The End Of Period Census (NEW)

This derivation, CDS Type = 040 - The End Of Period Census (OLD), is used to report to the previous (old) Commissioner that the EAL Entry is now the responsibility of another Commissioner.

The CDS TYPE 040 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
COMMISSIONING OCCURRENCE

CDS V6 TYPE 040 - THE ELECTIVE ADMISSION LIST END OF PERIOD CENSUS - OLD 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
O	~~REFERRAL TO TREATMENT STATUS~~
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE

top

CDS V6 TYPE 050

Change to Data Set: Changed Description

CDS V6 TYPE 050 - EAL - END OF PERIOD CENSUS NEW CDS

The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

Three derivations are permitted:
1) CDS Type 030 - The End Of Period Census (STANDARD)
2) CDS Type 040 - The End Of Period Census (OLD)
3) CDS Type 050 - The End Of Period Census (NEW)

This derivation, CDS Type = 050 - The End Of Period Census (NEW), may be used to report to a new Commissioner an EAL Entry that had previously been the responsibility of another Commissioner.

The CDS TYPE 050 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
EAL ENTRY REMOVAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 050 - THE ELECTIVE ADMISSION LIST END OF PERIOD CENSUS - NEW 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	PERSON BIRTH DATE (From Commissioning Data Set version 6-1 onwards)

Note:
For Security Issues and Patient 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 Security Issues and Patient Confidentiality), 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, and PERSON BIRTH DATE.

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE (Commissioning Data Set version 6-0 only)
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the Care Attendance or missed appointment.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE (for this provider)
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

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)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the referral. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: EAL ENTRY REMOVAL: To carry the details of the removal from the EAL. One occurrence of this Group is permitted.
O	ELECTIVE ADMISSION LIST REMOVAL REASON
O	ELECTIVE ADMISSION LIST REMOVAL DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - 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.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

top

CDS V6 TYPE 060

Change to Data Set: Changed Description

CDS V6 TYPE 060 - EAL - EVENT DURING PERIOD - ADD CDS

The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

The Event During Period Commissioning Data Set Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.

These Commissioning Data Sets are intended for those Providers and Commissioners who have the capability to implement transaction-based processing. They should be supplemented where required by an annual EAL End Of Period Census.

Six EAL Event During Period derivations are permitted:
1) CDS Type 060 - The Event During Period (ADD)
2) CDS Type 070 - The Event During Period (REMOVE)
3) CDS Type 080 - The Event During Period (OFFER)
4) CDS Type 090 - The Event During Period (AVAILABLE / UNAVAILABLE)
5) CDS Type 100 - The Event During Period (OLD SERVICE AGREEMENT)
6) CDS Type 110 - The Event During Period (NEW SERVICE AGREEMENT)

This derivation, CDS TYPE = 060, is the Event During Period (ADD) and is used to make an initial report that the EAL entry has been added to the Provider's Elective Admission List.

Note that for EAL Event During Period Commissioning Data Set Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 060 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 060 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - ADD 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	PERSON BIRTH DATE (From Commissioning Data Set version 6-1 onwards)

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE (Commissioning Data Set version 6-0 only)
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	ORGANISATION CODE (CODE OF PROVIDER)
O	NHS SERVICE AGREEMENT CHANGE DATE

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the EAL ENTRY Occurrence.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE. for this provider)
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

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)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the referral. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - 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.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

top

CDS V6 TYPE 070

Change to Data Set: Changed Description

CDS V6 TYPE 070 - EAL - EVENT DURING PERIOD - REMOVE CDS

The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

The Event During Period Commissioning Data Set Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.

This derivation, CDS Type = 070, is the Event During Period (REMOVE) and is used to report that the EAL entry has been removed from the Provider's Elective Admission List.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 070 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
EAL ENTRY REMOVAL

CDS V6 TYPE 070 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - REMOVE 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: EAL ENTRY REMOVAL: To carry the details of the removal from the EAL. One occurrence of this Group is permitted.
M	ELECTIVE ADMISSION LIST REMOVAL REASON
M	ELECTIVE ADMISSION LIST REMOVAL DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

top

CDS V6 TYPE 080

Change to Data Set: Changed Description

CDS V6 TYPE 080 - EAL - EVENT DURING PERIOD - OFFER CDS

The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

The Event During Period Commissioning Data Set Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.

This derivation, CDS Type = 080, is the Event During Period (OFFER) and is used to report that an offer of admission has been made to the patient.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 080 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
EAL OFFER OF ADMISSION

CDS V6 TYPE 080 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - OFFER 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: EAL OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome. One occurrence of this Group is permitted.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
O	EARLIEST REASONABLE OFFER DATE

top

CDS V6 TYPE 090

Change to Data Set: Changed Description

CDS V6 TYPE 090 - EAL - EVENT DURING PERIOD - AVAILABLE / UNAVAILABLE CDS

The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

The Event During Period Commissioning Data Set Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.

This derivation, CDS Type = 090, is the Event During Period (AVAILABLE / UNAVAILABLE) and is used to report changes in the patient's availability for treatment.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 090 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
EAL PATIENT SUSPENSION

CDS V6 TYPE 090 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - AVAILABLE / UNAVAILABLE 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	~~ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)~~
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: EAL PATIENT SUSPENSION: To carry the details of the patient's unavailability for treatment (Suspension). One occurrence of this Group is permitted.
M	SUSPENSION START DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
M	SUSPENSION END DATE

top

CDS V6 TYPE 100

Change to Data Set: Changed Description

CDS V6 TYPE 100 - EAL - EVENT DURING PERIOD - OLD SERVICE AGREEMENT CDS

The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

The Event During Period Commissioning Data Set Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.

This derivation, CDS Type = 100, is the Event During Period (OLD SERVICE AGREEMENT) and is used to report to the previous (OLD) Commissioner that the EAL Entry is now the responsibility of a new Commissioner.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 100 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
COMMISSIONING OCCURRENCE

CDS V6 TYPE 100 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - OLD SERVICE AGREEMENT 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

~~CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:~~ ~~To carry the details of the Service Agreement for the Care Attendance.~~
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Elective Admission List Entry.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

top

CDS V6 TYPE 110

Change to Data Set: Changed Description

CDS V6 TYPE 110 - EAL - EVENT DURING PERIOD - NEW SERVICE AGREEMENT CDS

The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

The Event During Period Commissioning Data Set Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.

This derivation, CDS TYPE = 110, is the Event During Period (NEW SERVICE AGREEMENT) and is used to make an initial report to a new Commissioner of an EAL entry that had previously been the responsibility of another Commissioner.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 110 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 110 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - NEW SERVICE AGREEMENT 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
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
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 for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	PERSON BIRTH DATE (From Commissioning Data Set version 6-1 onwards)

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE (Commissioning Data Set version 6-0 only)
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the EAL ENTRY Occurrence.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE (for this provider)
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

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)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the referral. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - 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.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

top

CDS V6 TYPE 140

Change to Data Set: Changed Description

CDS V6 TYPE 140 - ADMITTED PATIENT CARE - FINISHED DELIVERY EPISODE CDS

The Admitted Patient Care Finished Delivery Episode Commissioning Data Set Type carries the data for a Finished Delivery Episode which is required when a delivery has resulted in a registrable birth. This may take place in either NHS Hospitals or in non-NHS organisations funded by the NHS. The information is taken from the birth notification for each baby born.

In addition to Finished Delivery Episodes an Unfinished Delivery Episode Commissioning Data Set record is required for all Unfinished Birth Episodes at midnight on 31 March each year.

The CDS TYPE 140 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
PREGNANCY
ANTENATAL CARE
HOSPITAL LABOUR / DELIVERY
BIRTH OCCURRENCE
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 Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.

CDS V6 TYPE 140 - THE FINISHED DELIVERY 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 for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity details of the Patient (the MOTHER). 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	•
M	PERSON BIRTH DATE (from Commissioning Data Set version 6-1 onwards)	R	•

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient (the MOTHER). One occurrence of this Group is permitted.
M	PERSON BIRTH DATE (Commissioning Data Set version 6-0 only)	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: DELIVERY CHARACTERISTICS: To carry the delivery characteristics of the Patient (the MOTHER). One occurrence of this Group is permitted.
M	PREGNANCY TOTAL PREVIOUS PREGNANCIES		•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics: To carry the admission details of the Spell containing the Delivery 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 Delivery 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 Delivery 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 for Health and Social Care~~)	R	•
*	ADMINISTRATIVE CATEGORY (AT START OF EPISODE) (Not defined or approved by the Information Standards Board for Health and Social Care)	R	•
M	OPERATION STATUS	R	•
M	PSYCHIATRIC PATIENT STATUS	R	•
*	LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) (Not defined or approved by the Information Standards Board for Health and Social Care) (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 Birth 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 Delivery 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.
O	LOCATION CLASS
O	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 Delivery Episode. One occurrence of this Group is permitted.
O	LOCATION CLASS
O	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: PAEDIATRIC CRITICAL CARE PERIOD:~~ ~~To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care.~~ ~~See~~ ~~CRITICAL CARE ACTIVITY~~ 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: 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 for each Critical Care Period.
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 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 - ADULT CARE - Admission Characteristics To carry the details of the Admission to Adult Critical Care. One occurrence of this Group per Critical Care Period is permitted.
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 Group per Critical Care Period is permitted.
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	•
O	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 per Critical Care Period 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: PREGNANCY - Activity Characteristics: To carry the details of the Pregnancy. One occurrence of this Group is permitted.
M	NUMBER OF BABIES	R	•

CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics: To carry the details of the Antenatal Care. One occurrence of this Group is permitted.
M	FIRST ANTENATAL ASSESSMENT DATE	R	•

CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician: To carry the details of the Clinician responsible for the Antenatal Care. One occurrence of this Group is permitted.
M	GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE)	R
O	GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)	R

CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended: To carry the details of the intended delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
*	LOCATION TYPE Definition and value list under review	R
M	DELIVERY PLACE CHANGE REASON	R	•
M	DELIVERY PLACE TYPE (INTENDED)	R	•

CDS DATA GROUP: HOSPITAL LABOUR / DELIVERY - Activity Characteristics: To carry the details of the Labour / Delivery. One occurrence of this Group is permitted.
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R	•
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R	•
O	GESTATION LENGTH (LABOUR ONSET)	R
M	LABOUR OR DELIVERY ONSET METHOD	R	•
M	DELIVERY DATE	R

CDS DATA GROUP: BIRTH OCCURRENCE GROUP To carry the details up to 9 Birth Occurrences. Each Data Group consists of the following Sub-Groups: ACTIVITY CHARACTERISTICS (max 1 per Baby) PERSON GROUP (BABY) (max 1 per Baby) LOCATION GROUP (max 1 per Baby)

CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics: To carry the details of the birth occurrence(s). One occurrence of this Group is permitted for each Birth Occurrence Group, one per baby.
M	BIRTH ORDER	R	•
M	DELIVERY METHOD	R	•
M	GESTATION LENGTH (ASSESSMENT)	R	•
M	RESUSCITATION METHOD	R	•
M	STATUS OF PERSON CONDUCTING DELIVERY	R	•

CDS DATA GROUP: BIRTH OCCURRENCE - PERSON PATIENT IDENTITY (BABY): To carry the personal details of the baby. One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
O	LOCAL PATIENT IDENTIFIER (BABY)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))	R
O	NHS NUMBER (BABY)	R
M	NHS NUMBER STATUS INDICATOR (BABY)	R
M	PERSON BIRTH DATE (BABY) (from Commissioning Data Set version 6-1 onwards)	R	•
	Note: For Security Issues and Patient Confidentiality, the baby's name must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in Security Issues and Patient Confidentiality), all the baby's identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER (BABY), NHS NUMBER (BABY) and PERSON BIRTH DATE (BABY)

CDS DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS - (BABY): To carry the characteristics of the baby. One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
M	PERSON BIRTH DATE (BABY) (Commissioning Data Set version 6-0 only)	R	•
M	PERSON GENDER CURRENT (BABY)	R	•
M	LIVE OR STILL BIRTH	R	•
M	BIRTH WEIGHT	R	•

CDS DATA GROUP: BIRTH OCCURRENCE -LOCATION GROUP: To carry the details of the Actual delivery Place. One occurrence of this Group is permitted for each Baby.
M	LOCATION CLASS	R
*	LOCATION TYPE Definition and value list under review	R
M	DELIVERY PLACE TYPE (ACTUAL)	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		•

top

HEALTH SOLUTIONS WALES renamed from HEALTH SOLUTION WALES

Change to Supporting Information: Changed Name

Changed Name from Data_Dictionary.NHS_Business_Definitions.H.Health_Solution_Wales to Data_Dictionary.NHS_Business_Definitions.H.Health_Solutions_Wales

top

HOSPITAL PROVIDER SPELL

Change to Supporting Information: Changed Description

Hospital Provider Spell is an ACTIVITY GROUP.

The total continuous stay of a PATIENT using a Hospital Bed on premises controlled by a Health Care Provider during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more Nursing Episodes or Midwife Episodes in a WARD. During Nursing Episodes and Midwife Episodes general medical care is the responsibility of their own GENERAL MEDICAL PRACTITIONER, who is not acting as a CONSULTANT. The Hospital Provider Spell may be as a result of an ELECTIVE ADMISSION LIST ENTRY.

During the Hospital Provider Spell, the PATIENT may be subject to more than one ADMINISTRATIVE CATEGORY PERIODS. The PATIENT may be subject to one or more CRITICAL CARE PERIODS.

~~The~~ ~~Hospital Provider Spell~~ ~~starts when a~~ ~~CONSULTANT~~, ~~NURSE~~ or ~~MIDWIFE~~ ~~assumes responsibility for care following the decision to admit the~~ ~~PATIENT~~.The Hospital Provider Spell starts when a CONSULTANT, NURSE or MIDWIFE assumes responsibility for care following the DECISION TO ADMIT the PATIENT. This may be before formal admission procedures have been completed and the PATIENT transferred to a WARD. For example, if a PATIENT is brought into hospital as an emergency and dies in the OPERATING THEATRE before being transferred to a WARD, the PATIENT would have started a Hospital Provider Spell.

In some circumstances a PATIENT may take Home Leave, or Mental Health Leave Of Absence for a period of 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Provider Spell, Consultant Episode (Hospital Provider), Nursing Episode, Midwife Episode or Hospital Stay.

Each admission as part of a series of regular day/night admissions generates a separate Hospital Provider Spell and Consultant Episode (Hospital Provider). An admission is the start of the PATIENT's Hospital Provider Spell and the first Consultant Episodes (Hospital Provider), Midwife Episode or Nursing Episode within the spell. If the PATIENT is on a Hospital Site the admission will also start the first Hospital Stay and, unless the PATIENT has to spend time as a LODGED PATIENT, the admission will also start the first Ward Stay within that Hospital Provider Spell. If the PATIENT is in a Care Home the admission will start the first Care Home Stay (Consultant Care) within the Hospital Provider Spell. Any admission of a PERSON liable to be detained under the Mental Health Act 1983 cannot be in a Care Home and must be a Hospital Provider Spell.

A discharge will be the end of the last Consultant Episode (Hospital Provider), Midwife Episode or Nursing Episode, and the end of the last Care Home Stay (Consultant Care) or Hospital Stay and Ward Stay within that Hospital Provider Spell.

If there is any time spent as a LODGED PATIENT before transfer to a WARD this is included in the Hospital Provider Spell.

A Hospital Provider Spell starts with a Hospital Provider admission and ends with a Hospital Provider discharge.

top

MAIN SPECIALTY AND TREATMENT FUNCTION CODES

Change to Supporting Information: Changed Description

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact the NHS Data Model and Dictionary Service; see Contact Details.

Table 1 Main Specialty codes

	Code	Main Specialty Title
		~~Surgical Specialties~~
		Surgical Specialties
	100	GENERAL SURGERY
	101	UROLOGY
	110	TRAUMA & ORTHOPAEDICS
	120	ENT
	130	OPHTHALMOLOGY
	140	ORAL SURGERY
	141	RESTORATIVE DENTISTRY
	142	PAEDIATRIC DENTISTRY
	143	ORTHODONTICS
	145	ORAL & MAXILLO FACIAL SURGERY
	146	ENDODONTICS
	147	PERIODONTICS
	148	PROSTHODONTICS
	149	SURGICAL DENTISTRY
	150	NEUROSURGERY
	160	PLASTIC SURGERY
	170	CARDIOTHORACIC SURGERY
	171	PAEDIATRIC SURGERY
	180	ACCIDENT & EMERGENCY
	190	ANAESTHETICS
	191	no longer in use
	192	CRITICAL CARE MEDICINE
		~~Medical Specialties~~
		Medical Specialties
	300	GENERAL MEDICINE
	301	GASTROENTEROLOGY
	302	ENDOCRINOLOGY
	303	CLINICAL HAEMATOLOGY
	304	CLINICAL PHYSIOLOGY
	305	CLINICAL PHARMACOLOGY
	310	AUDIOLOGICAL MEDICINE
	311	CLINICAL GENETICS
	312	CLINICAL CYTOGENETICS and MOLECULAR GENETICS
	313	CLINICAL IMMUNOLOGY and ALLERGY
	314	REHABILITATION
	315	PALLIATIVE MEDICINE
	320	CARDIOLOGY
	321	PAEDIATRIC CARDIOLOGY
	330	DERMATOLOGY
	340	RESPIRATORY MEDICINE (also known as thoracic medicine)
	350	INFECTIOUS DISEASES
	352	TROPICAL MEDICINE
	360	GENITOURINARY MEDICINE
	361	NEPHROLOGY
	370	MEDICAL ONCOLOGY
	371	NUCLEAR MEDICINE
	400	NEUROLOGY
	401	CLINICAL NEURO-PHYSIOLOGY
	410	RHEUMATOLOGY
	420	PAEDIATRICS
	421	PAEDIATRIC NEUROLOGY
	430	GERIATRIC MEDICINE
	450	DENTAL MEDICINE SPECIALTIES
	460	MEDICAL OPHTHALMOLOGY
†	500	OBSTETRICS and GYNAECOLOGY
	501	OBSTETRICS
	502	GYNAECOLOGY
	510	no longer in use
	520	no longer in use
	560	MIDWIFE EPISODE
	600	GENERAL MEDICAL PRACTICE
	601	GENERAL DENTAL PRACTICE
	610	no longer in use
	620	no longer in use
		~~Psychiatry~~
		Psychiatry
	700	LEARNING DISABILITY
	710	ADULT MENTAL ILLNESS
	711	CHILD and ADOLESCENT PSYCHIATRY
	712	FORENSIC PSYCHIATRY
	713	PSYCHOTHERAPY
	715	OLD AGE PSYCHIATRY
		~~Radiology~~
		Radiology
	800	CLINICAL ONCOLOGY (previously RADIOTHERAPY)
	810	RADIOLOGY
		~~Pathology~~
		Pathology
	820	GENERAL PATHOLOGY
	821	BLOOD TRANSFUSION
	822	CHEMICAL PATHOLOGY
	823	HAEMATOLOGY
	824	HISTOPATHOLOGY
	830	IMMUNOPATHOLOGY
	831	MEDICAL MICROBIOLOGY
	832	no longer in use
		~~Other~~
		Other
	900	COMMUNITY MEDICINE
	901	OCCUPATIONAL MEDICINE
	902	COMMUNITY HEALTH SERVICES DENTAL
	903	PUBLIC HEALTH MEDICINE
	904	PUBLIC HEALTH DENTAL
	950	NURSING EPISODE
	960	ALLIED HEALTH PROFESSIONAL EPISODE
	990	no longer in use


†	~~Code 500 is not acceptable for Central Returns including HES~~
	~~Pseudo Main Specialty codes should be used in CDS messages for lead~~ ~~CARE PROFESSIONALS~~ ~~other than~~ ~~CONSULTANT~~ ~~medical and dental staff eg 560, 950 and 960.~~
	~~The Main Specialty for GPs is General Medical Practice or General Dental Practice~~
	~~Joint Consultant Clinic activity should be recorded against the~~ ~~MAIN SPECIALTY CODE~~ ~~of the~~ ~~CONSULTANT~~ ~~managing the clinic~~
†	Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
	Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960.
	The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice
	Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic

Table 2 Treatment Function codes

Code	Treatment Function Title	Comments
	~~Surgical Specialties~~
	Surgical Specialties
100	GENERAL SURGERY	Includes sub-categories not elsewhere listed eg endocrine surgery.
101	UROLOGY
102	TRANSPLANTATION SURGERY	Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103	BREAST SURGERY	Includes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104	COLORECTAL SURGERY	Surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105	HEPATOBILIARY & PANCREATIC SURGERY	Includes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106	UPPER GASTROINTESTINAL SURGERY
107	VASCULAR SURGERY
110	TRAUMA & ORTHOPAEDICS
120	ENT	Ear, nose and throat
130	OPHTHALMOLOGY
140	ORAL SURGERY
141	RESTORATIVE DENTISTRY	Endodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142	PAEDIATRIC DENTISTRY
143	ORTHODONTICS
144	MAXILLO-FACIAL SURGERY	Mouth, jaw and face related surgery.
150	NEUROSURGERY
160	PLASTIC SURGERY
161	BURNS CARE	To be used by recognised specialist units and associated outreach services only
170	CARDIOTHORACIC SURGERY	Should only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171	PAEDIATRIC SURGERY	This is paediatric general surgery
172	CARDIAC SURGERY
173	THORACIC SURGERY
174	CARDIOTHORACIC TRANSPLANTATION	To be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180	ACCIDENT & EMERGENCY
190	ANAESTHETICS	This can be used in out-patients only. Pain Management should be recorded in 191.
191	PAIN MANAGEMENT	Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
192	CRITICAL CARE MEDICINE	also known as Intensive Care Medicine
	~~Other Children's Specialties~~
	Other Children's Specialties
211	PAEDIATRIC UROLOGY	Dedicated services to children with appropriate facilities and support staff
212	PAEDIATRIC TRANSPLANTATION SURGERY	Dedicated services to children with appropriate facilities and support staff
213	PAEDIATRIC GASTROINTESTINAL SURGERY	Dedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214	PAEDIATRIC TRAUMA AND ORTHOPAEDICS	Dedicated services to children with appropriate facilities and support staff.
215	PAEDIATRIC EAR NOSE AND THROAT	Dedicated services to children with appropriate facilities and support staff
216	PAEDIATRIC OPHTHALMOLOGY	Dedicated services to children with appropriate facilities and support staff
217	PAEDIATRIC MAXILLO-FACIAL SURGERY	Dedicated services to children with appropriate facilities and support staff
218	PAEDIATRIC NEUROSURGERY	Dedicated services to children with appropriate facilities and support staff
219	PAEDIATRIC PLASTIC SURGERY	Dedicated services to children with appropriate facilities and support staff
220	PAEDIATRIC BURNS CARE	Dedicated services to children with appropriate facilities and support staff
221	PAEDIATRIC CARDIAC SURGERY	Dedicated services to children with appropriate facilities and support staff
222	PAEDIATRIC THORACIC SURGERY	Dedicated services to children with appropriate facilities and support staff
241	PAEDIATRIC PAIN MANAGEMENT	Dedicated services to children with appropriate facilities and support staff
242	PAEDIATRIC INTENSIVE CARE	Only to be used by designated Paediatric Intensive Care Units
251	PAEDIATRIC GASTROENTEROLOGY	Dedicated services to children with appropriate facilities and support staff
252	PAEDIATRIC ENDOCRINOLOGY	Dedicated services to children with appropriate facilities and support staff
253	PAEDIATRIC CLINICAL HAEMATOLOGY	Dedicated services to children with appropriate facilities and support staff
254	PAEDIATRIC AUDIOLOGICAL MEDICINE	Dedicated services to children with appropriate facilities and support staff
255	PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY	Dedicated services to children with appropriate facilities and support staff
256	PAEDIATRIC INFECTIOUS DISEASES	Dedicated services to children with appropriate facilities and support staff
257	PAEDIATRIC DERMATOLOGY	Dedicated services to children with appropriate facilities and support staff
258	PAEDIATRIC RESPIRATORY MEDICINE	Dedicated services to children with appropriate facilities and support staff
259	PAEDIATRIC NEPHROLOGY	Dedicated services to children with appropriate facilities and support staff
260	PAEDIATRIC MEDICAL ONCOLOGY	Dedicated services to children with appropriate facilities and support staff
261	PAEDIATRIC METABOLIC DISEASE	Dedicated services to children with appropriate facilities and support staff
262	PAEDIATRIC RHEUMATOLOGY	Dedicated services to children with appropriate facilities and support staff
280	PAEDIATRIC INTERVENTIONAL RADIOLOGY	Dedicated services to children with appropriate facilities and support staff
290	COMMUNITY PAEDIATRICS	Includes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291	PAEDIATRIC NEURO-DISABILITY	Dedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
	~~Medical Specialties~~
	Medical Specialties
300	GENERAL MEDICINE	Includes sub-categories not elsewhere listed eg metabolic medicine.
301	GASTROENTEROLOGY
302	ENDOCRINOLOGY
303	CLINICAL HAEMATOLOGY	Excludes ANTICOAGULANT SERVICE see 324
304	CLINICAL PHYSIOLOGY	Physiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305	CLINICAL PHARMACOLOGY
306	HEPATOLOGY	Also known as liver medicine
307	DIABETIC MEDICINE
308	BLOOD AND MARROW TRANSPLANTATION	Previously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309	HAEMOPHILIA	Previously in Clinical Haematology
310	AUDIOLOGICAL MEDICINE	The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311	CLINICAL GENETICS	To be used by recognised specialist units and associated outreach services only.
312	not a Treatment Function
313	CLINICAL IMMUNOLOGY and ALLERGY	Should only be used where there are no separate services for Clinical Immunology and Allergy
314	REHABILITATION
315	PALLIATIVE MEDICINE
316	CLINICAL IMMUNOLOGY
317	ALLERGY	The diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318	INTERMEDIATE CARE	Intermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319	RESPITE CARE
320	CARDIOLOGY
321	PAEDIATRIC CARDIOLOGY
322	CLINICAL MICROBIOLOGY
323	SPINAL INJURIES	To be used by recognised specialist units and associated outreach services only.
324	ANTICOAGULANT SERVICE	The monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
330	DERMATOLOGY
340	RESPIRATORY MEDICINE	also known as Thoracic Medicine
341	RESPIRATORY PHYSIOLOGY	Physiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
350	INFECTIOUS DISEASES
352	TROPICAL MEDICINE
360	GENITOURINARY MEDICINE
361	NEPHROLOGY
370	MEDICAL ONCOLOGY	The diagnosis and treatment, typically with chemotherapy, of patients with cancer.
371	NUCLEAR MEDICINE
400	NEUROLOGY
401	CLINICAL NEUROPHYSIOLOGY	The study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410	RHEUMATOLOGY
420	PAEDIATRICS
421	PAEDIATRIC NEUROLOGY
422	NEONATOLOGY	Special Care, High Dependency and Intensive Care.
424	WELL BABIES	Care given by the mother/substitute with medical and neonatal nursing advice if needed
430	GERIATRIC MEDICINE
450	DENTAL MEDICINE SPECIALTIES	Includes oral medicine.
460	MEDICAL OPHTHALMOLOGY
500	not a Treatment Function
501	OBSTETRICS	The management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502	GYNAECOLOGY	Disorders of the female reproductive system. Includes planned terminations.
503	GYNAECOLOGICAL ONCOLOGY
510	no longer in use	Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520	no longer in use	Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560	MIDWIFE EPISODE
600	not a Treatment Function
610	no longer in use	Record as Obstetrics
620	no longer in use	Use the appropriate function under which the patient is treated
	~~Therapies~~
	Therapies
650	PHYSIOTHERAPY	The treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651	OCCUPATIONAL THERAPY	The use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652	SPEECH AND LANGUAGE THERAPY	The assessment, treatment and help to prevent speech, language and swallowing difficulties.
653	PODIATRY	Also known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654	DIETETICS	The application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655	ORTHOPTICS	The diagnosis and treatment of visual problems involving eye movement and alignment.
656	CLINICAL PSYCHOLOGY	The diagnosis and treatment of emotional and behavioural disorders.
	~~Psychiatry~~
	Psychiatry
700	LEARNING DISABILITY
710	ADULT MENTAL ILLNESS
711	CHILD and ADOLESCENT PSYCHIATRY
712	FORENSIC PSYCHIATRY
713	PSYCHOTHERAPY
715	OLD AGE PSYCHIATRY
720	EATING DISORDERS	A specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721	ADDICTION SERVICES	The psychiatric prevention and treatment of substance misuse including drugs and alcohol
722	LIAISON PSYCHIATRY	The provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723	PSYCHIATRIC INTENSIVE CARE	The provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724	PERINATAL PSYCHIATRY	A specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
	~~Radiology~~
	Radiology
800	CLINICAL ONCOLOGY (previously RADIOTHERAPY)	The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810	not a Treatment Function
811	INTERVENTIONAL RADIOLOGY	Not to be used for diagnostic imaging.
812	DIAGNOSTIC IMAGING	The production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
	~~Pathology~~
	Pathology
820	not a Treatment Function
821	not a Treatment Function
822	CHEMICAL PATHOLOGY	To be used for clinical management only.
823	not a Treatment Function	See Clinical Haematology
824	not a Treatment Function
830	not a Treatment Function	see Clinical Immunology
831	not a Treatment Function	See Clinical Microbiology
832	no longer in use
840	AUDIOLOGY	Physiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
	~~Other~~
	Other
900	not a Treatment Function
901	not a Treatment Function
950	not a Treatment Function	Use the appropriate function under which the patient is treated
960	not a Treatment Function	Use the appropriate function under which the patient is treated
990	no longer in use

	~~Treatment Function Codes should be used for all aggregate central returns unless otherwise stated eg Workforce returns use Main Specialty Codes~~
	~~GENERAL MEDICAL PRACTITIONER~~, ~~NURSE~~ ~~and Allied Health Professional/~~ ~~Biomedical Scientist~~/ ~~Clinical Scientist~~ ~~ACTIVITY~~ ~~should be recorded against the Treatment Function under which the~~ ~~PATIENT~~ ~~is treated~~
	~~Joint Consultant Clinic~~ ~~ACTIVITY~~ ~~should be recorded against the Treatment Function which best describes the specialised service~~

Notes:

TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES
GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

top

MENTAL HEALTH MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Mental Health Minimum Data Set Overview

The Mental Health Minimum Data Set was introduced by DSCN20/19/P13 in April 2000 in response to the lack of national clinical data collection in the mental health arena, in line with the information requirements of the emerging National Service Framework for Mental Health.

Since April 2003 (DSCN 49/2002) it has been a mandatory requirement that all Providers of specialist adult, including elderly, mental health services submit central Mental Health Minimum Data Set returns on a quarterly basis, with an additional annual submission.

The Mental Health Minimum Data Set facilitates the collection of person-focussed clinical data and the sharing of such data to underpin the delivery of mental health care. It is structured around the clinical process and includes an outcome assessment (Health of the Nation Outcome Scales, or HoNOS). It records the key role played by partner agencies, particularly social services.

The Mental Health Minimum Data Set describes Mental Health Care Spells. These comprise all interventions made for a PATIENT by a specialist Mental Health Care Team from initial REFERRAL REQUEST to final discharge. For some individuals the Mental Health Care Spell will comprise a short Consultant Out-Patient Episode; for others it may extend over many years and include hospital, community, out-patient and day care episodes.

Information is collected relating to various stages in the journey of the PATIENT, including activity such as Hospital Provider Spells, Consultant Out-Patient Episodes, community care, and NHS day care episodes; mental health reviews and assessments including Care Programme Approach (CPA) and Health of the National Outcome Scales (HoNOS); contacts with mental health professionals such as care co-ordinators, psychiatric NURSES and CONSULTANTS; and also any diagnosis and treatment.

The prime purpose of the Mental Health Minimum Data Set is to provide local clinicians and managers with better quality information for clinical audit, and service planning and management.

Central collection provides improved national information, facilitating feedback to Trusts, and the setting of benchmarks. It will also allow the delivery of the National Service Framework for Mental Health priorities to be monitored.

The Mental Health Minimum Data Set data is collected from NHS Trusts and submitted via the "Mental Health Minimum Data Set Assembler" to the Secondary Uses Service for storage, analysis and reporting by a variety of stakeholders including the Department of Health, Care Quality Commission, and the Health and Social Care Information Centre.

The Mental Health Minimum Data Set is transmitted to the Secondary Uses Service using Mental Health Minimum Data Set Message Schema Versions

Please note that the collection of the Mental Health Minimum Data Set does not replace any other collection of mental health data such as the Admitted Patient Care Commissioning Data Set Type Detained and/or Long Term Psychiatric Census, which should continue to be collected.

For further information on the Mental Health Minimum Data Set, please view the following Health and Social Care Information Centre website:

~~http://www.~~http://www.ic.nhs.~~uk/mentalhealth/mhmds~~uk/services/mental-health/mental-health-minimum-dataset-mhmds

Mental Health Minimum Data Set Version History

Version	Date Issued	Summary of Changes	DSCN	Implementation Date
1.0	November 1999	Introduction of Mental Health Minimum Data Set	DSCN 20/99/P13	April 2000
1.1	June 2002	Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)	DSCN 27/2002	April 2003
1.2	September 2002	Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)	DSCN 29/2002	April 2003
1.3	October 2002	Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)	DSCN 48/2002	April 2003
2.0	October 2002	Mental Health Minimum Data Set - Mandatory Central returns. This version of the data set incorporates changes defined in DSCN 27/2002, 29/2002 and 48/2002.	DSCN 49/2002	April 2003
2.1	November 2007	Introduction of Mental Health Minimum Data Set Version 2.1	DSCN 37/2007	November 2007
3.0	February 2008	Introduction of Mental Health Minimum Data Set Version 3.0 - incorporating changes required for Mental Health Act 2007 and Public Service Agreement Delivery Agreement 16 (Social Exclusion)	DSCN 06/2008	April 2008

top

WHAT'S NEW: JUNE 2009

Change to Supporting Information: Changed Description

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR1014 (1 June 2009) -~~ ~~DSCN 13/2009~~ ~~Religious and Other Belief System Affiliation~~
CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
~~CR1047 (1 April 2011) -~~ ~~DSCN 07/2009~~ ~~Data Standards: Diabetic Retinopathy Screening Dataset v3.6~~
CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6
CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS)
CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
CR861 (Immediate) - DSCN 16/2008 Central Return: Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
CR942 (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

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
CR791 (1 April 2007) - DSCN 13/2006 Priority Type
CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR764 (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

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

top

ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:

		A and E INCIDENT LOCATION TYPE
		A and E PATIENT GROUP
		ACTIVITY GROUP TYPE
		ADMISSION METHOD
		AMI ADMISSION DIAGNOSIS
		AMI ADMISSION WARD TYPE
		AMI ADMITTING CONSULTANT TYPE
		AMI CAUSE OF DEATH IN HOSPITAL
		AMI DISCHARGE DIAGNOSIS
		AMI HEART RATE
		BONE SARCOMA LOCATION
		BROAD PATIENT GROUP
		CANCER REFERRAL TO TREATMENT PERIOD START DATE
		CANCER STATUS
		CANCER TREATMENT INTENT
		CANCER TREATMENT PERIOD START DATE
		COPD PRESENT
		CORONARY ANGIOGRAPHY PERFORMED
		CPA LEVEL
		DELIVERY FACILITIES ONLY USED
		DELIVERY PLACE CHANGE REASON
		DIAGNOSTIC ROUTE
		DISCHARGE DESTINATION
		DISCHARGE METHOD
		DISTRIBUTION OF LESIONS PRESENT
		ECG DETERMINING TREATMENT
		FIRST REGULAR DAY OR NIGHT ADMISSION
		FULL POSTNATAL EXAMINATION DATE
		GENERAL DENTAL SERVICE INDICATOR
		GENETICALLY DETERMINED SKIN CANCER TYPE
		GENITOURINARY EPISODE TYPE
		INFECTION PROBABLE SOURCE
		INITIAL CONTACT TYPE
		INTENDED DELIVERY PLACE
		INVESTIGATION OR INTERVENTION REFERRAL DATE
		MATERNAL RUBELLA STATUS
		MENSTRUAL STATUS
		MENTAL HEALTH CARE SPELL END CODE
		MIDWIFE EPISODE END REASON
		NEONATAL LEVEL OF CARE
		NURSING EPISODE END REASON
		NUTRITIONAL SUPPORT PROVIDED TYPE
		PATIENT CLASSIFICATION
		POSSUM SCORE (AFTER SURGERY)
		POSSUM SCORE (AT DIAGNOSIS)
		PREGNANCY LEAD PROFESSIONAL TYPE
		PREGNANCY PREVIOUS CAESAREAN SECTIONS
		PREGNANCY PREVIOUS INDUCED ABORTIONS
		PREGNANCY TOTAL LIVE BIRTHS
		PREGNANCY TOTAL NEONATAL DEATHS
		PREGNANCY TOTAL NON-INDUCED ABORTIONS
		PREGNANCY TOTAL PREVIOUS PREGNANCIES
		PREGNANCY TOTAL STILL BIRTHS
		PREVIOUS MATERNAL BLOOD TRANSFUSION
		PREVIOUS TREATMENT ELSEWHERE
		QUALITY OF LIFE
		RADIOTHERAPY INTENT
		REHABILITATION REFERRAL
		RTA FURTHER ADMISSION PLANNED
		SARCOMA CONDITION FIRST SEEN
		SARCOMA LARGEST DIAMETER
		SARCOMA PART SITE
		S CATEGORY FINAL PRETREATMENT
		SERUM TUMOUR MARKER PSA
		SKIN TCELL CLINICAL VARIANT
		SKIN TCELL SURFACE AREA
		SOFT TISSUE SARCOMA LOCATION
		SOURCE OF ADMISSION
		SUPERVISED COMMUNITY TREATMENT END REASON
		~~SUPERVISED COMMUNITY TREATMENT END REASON1~~
		SUPERVISION REGISTER RISK
		TELEPHONE CONTACT INDICATOR
		TREATMENT START DATE CANCER
		WARD STAY TERMINATION REASON

top

CATEGORY VALUED PERSON OBSERVATION

Change to Class: Changed Relationships

Each CATEGORY VALUED PERSON OBSERVATION

	must be categorised by one and only one ACCOMMODATION STATUS
	or must be categorised by one and only one ALCOHOL STATUS
	or must be categorised by one and only one ASPIRIN THERAPY LOCATION
	or must be categorised by one and only one BLEED COMPLICATION
	or must be categorised by one and only one ETHNIC CATEGORY
	or must be categorised by one and only one JOINT REPLACEMENT REVISION CLASSIFICATION
	or must be categorised by one and only one LANGUAGE CLASSIFICATION
	or must be categorised by one and only one LEGAL STATUS CLASSIFICATION
	or must be categorised by one and only one PATIENT CLINICAL GROUP
	or must be categorised by one and only one PERFORMANCE STATUS
	or must be categorised by one and only one PERSON GENDER
	or must be categorised by one and only one PERSON MARITAL STATUS
	or must be categorised by one and only one RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION
	or must be categorised by one and only one RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
	or must be categorised by one and only one SARCOMA PREDISPOSING CONDITION
	or must be categorised by one and only one SEXUAL ORIENTATION
	or must be categorised by one and only one SKIN LYMPHOMA MORPHOLOGY
	or must be categorised by one and only one SOCIO-ECONOMIC CLASSIFICATION
	~~must be categorised by one and only one~~ ~~RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP~~

top

CRITICAL CARE PERIOD

Change to Class: Changed Description

This is an ACTIVITY GROUP.

A period of time within a Hospital Provider Spell during which a PATIENT receives critical care.

For PATIENTS treated in 'neonatal facilities', that is, in WARDS with a CRITICAL CARE UNIT FUNCTION of 13, 14 or 15, critical care PATIENTS include:

a)	All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Neonatal Intensive Care Unit regardless of care being delivered.
or
b)	All PATIENTS (excluding Mothers) on a WARD with a CRITICAL CARE UNIT FUNCTION Facility for Babies on a Neonatal Transitional Care Ward or Facility for Babies on a Maternity Ward to whom one or more CRITICAL CARE ACTIVITIES with codes 01 to 02, 04 - 16 or 22 - 29 is delivered for a period greater than 4 hours.

For PATIENTS treated in 'adult facilities' or 'other facilities', that is, WARDS with a CRITICAL CARE UNIT FUNCTION of 01-03, 05-12, 90 or 91, the following applies;

Outreach activity and resuscitation conducted outside designated critical care areas should not be recorded as a CRITICAL CARE PERIOD. The only exception is outreach activity involving the delivery of Level 2 or Level 3 care to a PATIENT in a non standard location for a period of more than four hours prior to agreed admission to a critical care bed. This exception may be recorded as a CRITICAL CARE PERIOD, using a temporary location and the CRITICAL CARE LEVEL National Code 02 'Level 2' or 03 'Level 3'.
A new CRITICAL CARE PERIOD starts when the PATIENT is admitted to a critical care location regardless of CRITICAL CARE LEVEL. Repeated admissions to the same unit, transfers to a different critical care location and transfers from a non-standard location to a critical care unit within the same Hospital Provider Spell trigger a new CRITICAL CARE PERIOD identified by different start dates or CRITICAL CARE UNIT FUNCTIONS. A change of Consultant Episode (Hospital Provider) or brief transfers for investigation or treatment do not end the CRITICAL CARE PERIOD.
A CRITICAL CARE PERIOD ends when the PATIENT is discharged from the critical care location or dies or the care that is being delivered in a non-standard location (see below) is CRITICAL CARE LEVEL National Code 00 'Level 0' or 01 'Level 1'.
Critical care locations are described by CRITICAL CARE UNIT FUNCTION and UNIT BED CONFIGURATION. Critical Care beds may include occasional non-standard locations using a ward area or operating department when conventional critical care beds are not available. Non standard locations may only be recorded if the CRITICAL CARE LEVEL is National Code 02 'Level 2' or 03 'Level 3' and the delivery of care is greater than four hours.
The type of ORGAN SYSTEM SUPPORTED is recorded and the duration of each organ system support is calculated from the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE.
A CRITICAL CARE PERIOD does not include the following:
a. Surgical and anaesthetic intra-operative care
b. Post-operative care within an operating department except where level 2 or level 3 care are provided for more than 4 hours
c. Cardiac (coronary) Care
d. Imaging procedures
e. Endoscopy procedures

Commissioning Data Set Transmission

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 always be 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.

top

DECISION TO ADMIT

Change to Class: Changed Description

A record of the event that a clinical DECISION TO ADMIT a PATIENT to a particular Health Care Provider has been made by or on behalf of someone, who has the RIGHT OF ADMISSION. ~~This decision denotes that the~~ ~~PATIENT~~ ~~is intended to be admitted to a hospital bed, either immediately or subsequently in the future.~~ This decision denotes that the PATIENT is intended to be admitted to a Hospital Bed, either immediately or subsequently in the future.

Note: The DECISION TO ADMIT may be as a result of a transfer of a PATIENT from a WAITING LIST of another Health Care Provider.

top

APPOINTMENT ACCEPTED DATE renamed from APPOINTMENT ACCEPTED DATE

Change to Attribute: Changed Name

Changed Name from Data_Dictionary.Attributes.A.Ana.APPOINTMENT_ACCEPTED__DATE to Data_Dictionary.Attributes.A.Ana.APPOINTMENT_ACCEPTED_DATE

top

APPRAISAL REVIEW DATE renamed from APPRAISAL REVIEW DATE

Change to Attribute: Changed Name

Changed Name from Data_Dictionary.Attributes.A.Ana.APPRAISAL_REVIEW__DATE to Data_Dictionary.Attributes.A.Ana.APPRAISAL_REVIEW_DATE

top

COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA

Change to Attribute: Changed Name

Changed Name from Data_Dictionary.Attributes.C.Com.COMPLAINT__HOSPITAL_AND_COMMUNITY_HEALTH_SERVICES_SERVICE_AREA to Data_Dictionary.Attributes.C.Com.COMPLAINT_HOSPITAL_AND_COMMUNITY_HEALTH_SERVICES_SERVICE_AREA

top

COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT

Change to Attribute: Changed Name

Changed Name from Data_Dictionary.Attributes.C.Com.COMPLAINT__HOSPITAL_AND_COMMUNITY_HEALTH_SERVICES_SUBJECT to Data_Dictionary.Attributes.C.Com.COMPLAINT_HOSPITAL_AND_COMMUNITY_HEALTH_SERVICES_SUBJECT

top

MEASURED PERSON OBSERVATION TYPE CODE

Change to Attribute: Changed Description

Identifies the type of MEASURED PERSON OBSERVATION being recorded as one of the business definitions listed in the MEASURED PERSON OBSERVATION class as a type of this class.

Each MEASURED PERSON OBSERVATION TYPE CODE must have an associated MEASUREMENT VALUE TYPE.

National Codes:

01	~~Weight~~
02	~~Height~~
03	~~Body Surface Area~~
04	~~Diastolic Pressure~~
05	~~Systolic Pressure~~
06	~~FEV1 Percentage~~
07	~~FEV1 Absolute Amount~~
01	Weight
02	Height
03	Body Surface Area
04	Diastolic Pressure
05	Systolic Pressure
06	FEV1 Percentage
07	FEV1 Absolute Amount

top

META ACTIVITY IDENTIFIER renamed from META ACTIVITY IDENTIFIER

Change to Attribute: Changed Name

Changed Name from Data_Dictionary.Meta_Model.Attributes.M.Meta.META__ACTIVITY_IDENTIFIER to Data_Dictionary.Meta_Model.Attributes.M.Meta.META_ACTIVITY_IDENTIFIER

top

TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT renamed from TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT

Change to Attribute: Changed Name

Changed Name from Data_Dictionary.Attributes.T.Tes.TRAINING_ACTIVITY_ACCREDITATION__CREDIT_AMOUNT to Data_Dictionary.Attributes.T.Tes.TRAINING_ACTIVITY_ACCREDITATION_CREDIT_AMOUNT

top

TRANSPLANT TISSUE IDENTIFIER renamed from TRANSPLANT TISSUE IDENTIFIER

Change to Attribute: Changed Name

Changed Name from Data_Dictionary.Attributes.T.Tran.TRANSPLANT_TISSUE__IDENTIFIER to Data_Dictionary.Attributes.T.Tran.TRANSPLANT_TISSUE_IDENTIFIER

top

VACCINE PREVENTABLE DISEASE

Change to Attribute: Changed Description

A disease, or group of diseases, or the name of the vaccine used to provide immunity for one or several diseases, against which an Immunisation Programme is directed.

National Codes:

01	Diphtheria (d/D)*
02	Tetanus (T)*
03	Inactivated poliomyelitis vaccine (IPV)*
04	Pertussis (P)*
05	Diphtheria, tetanus, pertussis and polio (dTaP/IPV and DTaP/IPV)*
06	Tuberculosis (BCG)*
07	Anthrax
08	Haemophilus influenzae type b (Hib)*
09	Measles, Mumps and Rubella (MMR)*
10	Rabies
11	Typhoid
12	Group C meningococcal disease (MenC)*
13	Hepatitis B (Hep B)*
14	Pneumococcal conjugate vaccine (PCV)*
15	Pneumococcal polysaccaride vaccine (PPV)*
16	Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC)*
17	~~Influenza~~
18	Human Papillomavirus (HPV)*
19	Diphtheria, tetanus and polio (Td/IPV)*
20	~~Varicella~~
21	Measles*
22	Mumps*
23	Rubella*
96	~~Other~~
13	Hepatitis B (Hep B)*
14	Pneumococcal conjugate vaccine (PCV)*
15	Pneumococcal polysaccaride vaccine (PPV)*
16	Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC)*
17	Influenza
18	Human Papillomavirus (HPV)*
19	Diphtheria, tetanus and polio (Td/IPV)*
20	Varicella
21	Measles*
22	Mumps*
23	Rubella*
96	Other

*required to enable data to be returned centrally

top

A AND E INITIAL ASSESSMENT TIME

Change to Data Element: Changed Description

Format/length:	see TIME
HES item:
National Codes:
Default Codes:

Notes:
~~The time a~~ ~~PATIENT~~ ~~is assessed by medical or nursing staff in an~~ ~~Accident And Emergency Department~~ ~~to determine priority for treatment.~~The time a PATIENT is assessed by medical or nursing staff in an Accident And Emergency Department to determine priority for treatment, for first and unplanned follow-up attendances only. The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.

~~PATIENTS~~ ~~will be assessed within 15 minutes of their arrival in the~~ ~~Accident And Emergency Department~~.PATIENTS will be assessed within 15 minutes of their arrival in the Accident And Emergency Department, for first and unplanned follow-up attendances only.

A and E INITIAL ASSESSMENT TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 52 'A+E Initial Assessment Time'.

Accident And Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

top

ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND renamed from ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND

Change to Data Element: Changed Name

Changed Name from Data_Dictionary.Data_Field_Notes.A.ACCIDENT_AND_EMERGENCY_ADMISSION__NUMBER_OF_HOURS_WAIT_BAND to Data_Dictionary.Data_Field_Notes.A.ACCIDENT_AND_EMERGENCY_ADMISSION_NUMBER_OF_HOURS_WAIT_BAND

top

ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND renamed from ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND

Change to Data Element: Changed Name

Changed Name from Data_Dictionary.Data_Field_Notes.A.ACCIDENT_AND_EMERGENCY_ADMISSION_TOTAL__PER__WAIT_BAND to Data_Dictionary.Data_Field_Notes.A.ACCIDENT_AND_EMERGENCY_ADMISSION_TOTAL_PER_WAIT_BAND

top

ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND renamed from ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND

Change to Data Element: Changed Name

Changed Name from Data_Dictionary.Data_Field_Notes.A.ACCIDENT_AND_EMERGENCY_ATTENDANCE__NUMBER_OF_HOURS_WAIT_BAND to Data_Dictionary.Data_Field_Notes.A.ACCIDENT_AND_EMERGENCY_ATTENDANCE_NUMBER_OF_HOURS_WAIT_BAND

top

ADMINISTRATIVE CATEGORY (AT START OF EPISODE) renamed from ADMINISTRATIVE CATEGORY (AT START OF EPISODE)

Change to Data Element: Changed Name

Changed Name from Data_Dictionary.Data_Field_Notes.A.Adm.ADMINISTRATIVE_CATEGORY_(AT_START__OF_EPISODE) to Data_Dictionary.Data_Field_Notes.A.Adm.ADMINISTRATIVE_CATEGORY_(AT_START_OF_EPISODE)

top

AGE AT ATTENDANCE DATE

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural AGES AT ATTENDANCE DATE

top

ALCOHOL STATUS

Change to Data Element: Changed Description

Format/length:	n1
HES item:
~~National Codes:~~
National Codes:	See ALCOHOL STATUS CODE
Default Codes:	9 - Not known

Notes:
~~The alcohol status of the~~ ~~PATIENT~~ ~~at the time the alcohol usage is recorded.~~ALCOHOL STATUS is the same as attribute ALCOHOL STATUS CODE.

~~National codes:~~

1	~~Current heavy~~
2	~~Heavy in the past~~
3	~~Current light~~
4	~~Never~~

~~References:~~
~~National Cancer Dataset Version 1.3_ISB October 2002~~

The alcohol status of the PATIENT at the time the alcohol usage is recorded.

top

DEATH CAUSE IDENTIFICATION METHOD

Change to Data Element: Changed Description

Format/length:	n1
HES item:
National Codes:	Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes:

Notes:
DEATH CAUSE IDENTIFICATION METHOD is the same as attribute DEATH CAUSE IDENTIFICATION METHOD.

top

DEATH LOCATION TYPE

Change to Data Element: Changed Description

Format/length:	n1
HES item:
National Codes:	Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes:

Notes:
DEATH LOCATION TYPE is the same as attribute DEATH LOCATION TYPE.

top

DELIVERY PLACE TYPE (INTENDED)

Change to Data Element: Changed Description

Format/length:	n1
HES item:	DELINTEN
National Codes:
Default Codes:

Notes:
~~DELIVERY PLACES TYPE (INTENDED)~~ ~~is the same as attribute~~ ~~INTENDED DELIVERY PLACE~~.DELIVERY PLACE TYPE (INTENDED) is the same as attribute INTENDED DELIVERY PLACE.

top

EMPLOYMENT STATUS (MENTAL HEALTH)

Change to Data Element: Changed linked Attribute

EMPLOYMENT STATUS (MENTAL HEALTH)

Attribute:

EMPLOYMENT STATUS

top

MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE renamed from MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE

Change to Data Element: Changed Name

Changed Name from Data_Dictionary.Data_Field_Notes.M.MHMD.MHMDS__INTERFACE_GATEWAY_SERVICE_TRANSLATION_REFERENCE to Data_Dictionary.Data_Field_Notes.M.MHMD.MHMDS_INTERFACE_GATEWAY_SERVICE_TRANSLATION_REFERENCE

top

OBSERVATION DATE (BMI)

Change to Data Element: Changed Description

Format/length:	see DATE
HES item:
National Codes:
Default Codes:

Notes:
~~The~~ ~~PERSON PROPERTY OBSERVED DATE~~ ~~when the~~ ~~MEASURED PERSON OBSERVATION~~ ~~of the type ' Body Mass Index' was calculated.~~The PERSON PROPERTY OBSERVED DATE when the MEASURED PERSON OBSERVATION of the type 'Body Mass Index' was calculated.

top

OBSERVATION DATE (HBA1C LEVEL)

Change to Data Element: Changed Description

Format/length:	see DATE
HES item:
National Codes:
Default Codes:

Notes:
~~The~~ ~~PERSON PROPERTY OBSERVED DATE~~ ~~for the~~ ~~MEASURED PERSON OBSERVATION~~ ~~of the type 'HbA1c level'.~~The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'HbA1c level'.

top

OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)

Change to Data Element: Changed Description

Format/length:	see DATE
HES item:
National Codes:
Default Codes:

Notes:
~~The~~ ~~PERSON PROPERTY OBSERVED DATE~~ ~~for the~~ ~~MEASURED PERSON OBSERVATION~~ ~~of the type 'serum cholesterol level'.~~The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'Serum Cholesterol Level'.

top

OBSERVATION DATE (SERUM CREATININE LEVEL)

Change to Data Element: Changed Description

Format/length:	see DATE
HES item:
National Codes:
Default Codes:

Notes:
~~The~~ ~~PERSON PROPERTY OBSERVED DATE~~ ~~for the~~ ~~MEASURED PERSON OBSERVATION~~ ~~of the type 'serum creatinine level'.~~The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'Serum Creatinine Level'.

top

OBSERVATION DATE (URINARY ALBUMIN LEVEL) renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)

Change to Data Element: Changed Name, Description

Format/length:	see DATE
HES item:
National Codes:
Default Codes:

Notes:
~~The~~ ~~PERSON PROPERTY OBSERVED DATE~~ ~~for the~~ ~~MEASURED PERSON OBSERVATION~~ ~~of the type 'urinary albumin level' .~~The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'Urinary Albumin Level' .

top

OCCUPIED BED DAYS

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural OCCUPIED BED DAYS

top

OPERATION STATUS

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural OPERATION STATUS OPERATION STATUSES

top

ORGANISATION CODE (CODE OF PROVIDER)

Change to Data Element: Changed Description

Format/length:	see ORGANISATION CODE
HES item:	PROCODE
National Codes:
Default Codes:	89997 - Non-UK provider where no organisation code has been issued
	89999 - Non-NHS UK provider where no organisation code has been issued

Notes:
ORGANISATION CODE (CODE OF PROVIDER) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider. ~~This should always be the~~ ~~ORGANISATION CODE~~ ~~of the provider receiving the Payment by Results tariff income for the Commissioning Data Sets.~~

Where NHS patient care is sub-commissioned to independent or overseas providers, the NHS Service Agreement should specify that the non-NHS provider has requested an identifying organisation code from the ~~Organisation Data Service~~.For the Commissioning Data Sets, this should always be the ORGANISATION CODE of the Health Care Provider receiving the Payment by Results tariff income.

Where NHS PATIENT care is sub-commissioned to independent or overseas providers, the NHS Service Agreement should specify that the non-NHS provider has requested an identifying ORGANISATION CODE from the Organisation Data Service.

top

ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural ORGANISATION CODES (PATIENT PATHWAY IDENTIFIER ISSUER)

top

ORGANISATION CODE (PROVIDER FIRST DIAGNOSTIC TEST)

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural ORGANISATION CODES (PROVIDER FIRST DIAGNOSTIC TEST)

top

ORGANISATION CODE (REQUESTED BY)

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural ORGANISATION CODES (REQUESTED BY)

top

OUTCOME OF ATTENDANCE

Change to Data Element: Changed Description

Format/length:	n1
HES item:
National Codes:	Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes:

Notes:
OUTCOME OF ATTENDANCE is the same as attribute OUTCOME OF ATTENDANCE.

Use in the Future Outpatient CDS:
Leave blank for future attendances which have NOT been cancelled.

~~For~~ ~~cancelled~~ ~~future attendances use the appropriate value (see~~ ~~OUTCOME OF ATTENDANCE~~)For cancelled future attendances use the appropriate value (see OUTCOME OF ATTENDANCE).

top

OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:	n3
HES item:
National Codes:
Default Codes:

Notes:
~~OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)~~ ~~is optional in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:~~OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH) is optional in the Mental Health Minimum Data Set and should only be present if:

a.	one or more Out-Patient Attendance Consultant within the Mental Health Care Spell has occurred during the REPORTING PERIOD
and
b.	where the main TREATMENT FUNCTION of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTY being 700, 710,712, 713 and 715.

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by an Out-Patient Attendance Consultant and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an Attendance Date for each Out-Patient Attendance Consultant and the calculation is based upon those attendances which have occurred during the REPORTING PERIOD.

Out-Patient Attendance Consultant is a CARE CONTACT where CARE CONTACT TYPE is National Code 27 'Out-Patient Attendance Consultant'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Attendance Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.

top

OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)

Change to Data Element: Changed Aliases, Description

Format/length:	n3
HES item:
National Codes:
Default Codes:

Notes:
~~OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)~~ ~~is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:~~OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH) is an optional data element in the Mental Health Minimum Data Set and should only be present if:

a.	one or more Out-Patient Appointment within the Mental Health Care Spell has occurred during the REPORTING PERIOD
and
b.	where the ATTENDED OR DID NOT ATTEND classification of the Out-Patient Appointment is National Code 3 'Did not attend - no advance warning given

It is the total number of such did not attends within the REPORTING PERIOD. Each such did not attend is recorded by Out-Patient Appointment and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an Appointment Date for each Out-Patient Appointment and the calculation is based upon those did not attends which have occurred during the REPORTING PERIOD.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Appointment Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is 40 'Appointment Date'.

top

OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)

Change to Data Element: Changed Aliases, Description

Alias Changes
Changed Description
Name Old Value New Value
plural OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)

top

OUT-PATIENT EFFECTIVE WAITS

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural OUT-PATIENT EFFECTIVE WAITS

top

OUT-PATIENT FOLLOW-UP APPOINTMENTS ATTENDANCES SEEN

Change to Data Element: Changed Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
The total number of follow-up attendance APPOINTMENTS, where the Out-Patient Attendance Consultant took place within the REPORTING PERIOD. This includes private PATIENT attendances.

When an Out-Patient Appointment Consultant APPOINTMENT takes place, an Out-Patient Attendance Consultant CARE CONTACT records the attendance with FIRST ATTENDANCE recording whether it is a FIRST ATTENDANCE or a follow-up attendance and ACTIVITY DATE recording the ATTENDANCE DATE.

The ADMINISTRATIVE CATEGORY records whether a PATIENT is a private or NHS PATIENT and should be the ADMINISTRATIVE CATEGORY which is current at the DATE of the attendance ACTIVITY DATE.

It is the total number of follow-up attendance APPOINTMENTS where:

	a.	~~the~~ ~~FIRST ATTENDANCE~~ ~~of the~~ ~~Out-Patient Attendance Consultant~~ ~~CARE CONTACT is National Code 2~~ ~~'Follow-up attendance face to face'~~ ~~or 4~~ ~~'Follow-up telephone or telemedicine consultation'~~
	a.	the FIRST ATTENDANCE of the Out-Patient Attendance Consultant CARE CONTACT is National Code 2 'Follow-up attendance face to face' or 4 'Follow-up telephone or telemedicine consultation'
and
	b.	the ACTIVITY DATE of the Out-Patient Attendance Consultant CARE CONTACT is within the period of the REPORTING PERIOD START DATE and the REPORTING PERIOD END DATE
		Within the REPORTING PERIOD includes where the DATE is the same as the START DATE or END DATE

top

OUT-PATIENT FOLLOW-UP APPOINTMENTS DID NOT ATTEND

Change to Data Element: Changed Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
The total number of accepted APPOINTMENTS which should have resulted in a follow-up Out-Patient Attendance Consultant within the REPORTING PERIOD which did not take place due to the PATIENT not attending the APPOINTMENT. This includes private PATIENT non-attendances.

~~When an~~ ~~Out-Patient Attendance Consultant~~ ~~actually takes place, any~~ ~~APPOINTMENT~~ ~~which did not take place due to the~~ ~~PATIENT~~ ~~not attending and which has a later~~ ~~APPOINTMENT DATE~~ ~~to that of the actual first attendance APPOINTMENT should be classified as should have resulted in a follow-up~~ ~~Out-Patient Attendance Consultant~~.When an Out-Patient Attendance Consultant actually takes place, any APPOINTMENT which did not take place due to the PATIENT not attending and which has a later APPOINTMENT DATE to that of the actual FIRST ATTENDANCE APPOINTMENT should be classified as should have resulted in a follow-up Out-Patient Attendance Consultant.

It is the total number of APPOINTMENTS where:

	a.	the ATTENDED OR DID NOT ATTEND of the Out-Patient Appointment Consultant APPOINTMENT is National Code 3 'Did not attend - no advance warning given' or 7 'PATIENT arrived late and could not be seen'
and
	b.	the APPOINTMENT DATE is within the period of the REPORTING PERIOD START DATE and the REPORTING PERIOD END DATE.
		Within the REPORTING PERIOD includes where the DATE is the same as the START DATE or END DATE
and
	c.	a first Out-Patient Attendance Consultant CARE CONTACT has been recorded for the PATIENT
		and
		the ACTIVITY DATE is before (or on the same day) as the APPOINTMENT DATE of the non-attended APPOINTMENT

top

OUT-PATIENTS WAITING

Change to Data Element: Changed Aliases, Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
~~The total number of GENERAL PRACTITIONER written referrals, whether from doctors or dentists, where the first Out-Patient Attendance Consultant has not yet taken place.~~The total number of GP WRITTEN REFERRALS, whether from doctors or dentists, where the first Out-Patient Attendance Consultant has not yet taken place.

When an Out-Patient Appointment Consultant APPOINTMENT takes place an Out-Patient Attendance Consultant CARE CONTACT records the attendance with FIRST ATTENDANCE recording whether it is a first attendance or a follow-up attendance and ACTVITY DATE recording the the Attendance Date.When an Out-Patient Appointment Consultant APPOINTMENT takes place, an Out-Patient Attendance Consultant CARE CONTACT records the attendance with FIRST ATTENDANCE recording whether it is a FIRST ATTENDANCE or a follow-up attendance and ACTIVITY DATE recording the ATTENDANCE DATE.

~~The effective waiting period should be calculated from the FIRST ATTENDANCE EFFECTIVE START DATE which takes into account any waiting time resets instigated by the PATIENT.~~The effective waiting period should be calculated from the FIRST ATTENDANCE EFFECTIVE WAIT START DATE which takes into account any waiting time resets instigated by the PATIENT.

~~It is the total number of GP written referrals where:~~It is the total number of GP WRITTEN REFERRALS where:

	a.	~~the REFERRAL REQUEST TYPE of the REFERRAL REQUEST is National Code 01 '~~~~GP referral request~~'
	a.	the REFERRAL REQUEST TYPE of the REFERRAL REQUEST is National Code 01 'GP referral request'
and
	b.	~~the WRITTEN REFERRAL REQUEST INDICATOR of the REFERRAL REQUEST is classification~~ ~~'Yes'~~
	b.	the WRITTEN REFERRAL REQUEST INDICATOR of the REFERRAL REQUEST is classification 'Yes'
and
	c.	~~the REFERRAL REQUEST is to a CONSULTANT for an Out-Patient Appointment Consultant~~
	c.	the REFERRAL REQUEST is to a CONSULTANT for an Out-Patient Appointment Consultant
and
	d.	~~no first Out-Patient Attendance Consultant CARE CONTACT has been recorded~~
	d.	no first Out-Patient Attendance Consultant CARE CONTACT has been recorded
and
	e.	~~the calculated waiting time between the FIRST ATTENDANCE EFFECTIVE START DATE and the REPORTING PERIOD END DATE.~~
	e.	the calculated waiting time between the FIRST ATTENDANCE EFFECTIVE WAIT START DATE and the REPORTING PERIOD END DATE.
		Out-Patient Effective Waiting Time Calculation provides full details on calculating the waiting time band

top

OUT-PATIENTS WAITING

Change to Data Element: Changed Aliases, Description

Alias Changes
Changed Description
Name Old Value New Value
plural OUT-PATIENTS WAITING

top

OVERSEAS SURGICAL TEAM MEMBER

Change to Data Element: Changed Description

Format/length:	n1
HES item:
National Codes:	Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes:

~~References:~~
~~National Joint Registry Dataset: v.1: 24th March 2003~~Notes:
OVERSEAS SURGICAL TEAM MEMBER is the same as attribute OVERSEAS SURGICAL TEAM MEMBER.

top

PERSON GENDER AT REGISTRATION

Change to Data Element: Changed linked Attribute

PERSON GENDER AT REGISTRATION

Attribute:

PERSON GENDER CODE

top

PERSON GENDER CURRENT

Change to Data Element: Changed linked Attribute

PERSON GENDER CURRENT

Attribute:

PERSON GENDER CODE

top

PERSON OBSERVATION (BMI)

Change to Data Element: Changed Description

Format/length:	n3 nn.n
HES item:
National Codes:
Default Codes:

Notes:
~~This records the~~ ~~Body Mass Index~~ ~~of the~~ ~~PERSON~~ ~~and corresponds to~~ ~~MEASURED OBSERVATION VALUE~~ ~~where the~~ ~~MEASURED PERSON OBSERVATION TYPE CODE~~ ~~= 'Body Mass Index' and the~~ ~~MEASUREMENT VALUE TYPE CODE~~ ~~= 'Number'.~~This records the Body Mass Index of the PERSON and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = 'Body Mass Index' and the MEASUREMENT VALUE TYPE CODE = 'Number'.

This value is derived from Weight in kilograms divided by Height in metres squared (kg/m²).

top

PERSON OBSERVATION (HBA1C LEVEL)

Change to Data Element: Changed Description

Format/length:	n3 nn.n
HES item:
National Codes:
Default Codes:

Notes:
~~The recorded glycated haemoglobin and corresponds to~~ ~~MEASURED OBSERVATION VALUE~~ ~~where the~~ ~~MEASURED PERSON OBSERVATION TYPE CODE~~ ~~= "HbA1c Level" and the~~ ~~MEASUREMENT VALUE TYPE CODE~~ ~~= "number".~~The recorded glycated haemoglobin and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "HbA1c Level" and the MEASUREMENT VALUE TYPE CODE = "number".

top

PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)

Change to Data Element: Changed Description

Format/length:	n3 nn.n
HES item:
National Codes:
Default Codes:

Notes:
~~The recorded cholesterol level (mmol/L) and corresponds to~~ ~~MEASURED OBSERVATION VALUE~~ ~~where the~~ ~~MEASURED PERSON OBSERVATION TYPE CODE~~ ~~= ''Serum Cholesterol Level;" and the~~ ~~MEASUREMENT VALUE TYPE CODE~~ ~~= "mmol/L".~~The recorded cholesterol level (mmol/L) and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = ''Serum Cholesterol Level" and the MEASUREMENT VALUE TYPE CODE = "mmol/L".

top

PERSON OBSERVATION (SERUM CREATININE LEVEL)

Change to Data Element: Changed Description

Format/length:	n4 - nnnn
HES item:
National Codes:
Default Codes:

Notes:
~~The recorded creatinine (µmol/L): serum creatinine using laboratory assay and corresponds to~~ ~~MEASURED OBSERVATION VALUE~~ ~~where the~~ ~~MEASURED PERSON OBSERVATION TYPE CODE~~ ~~= "Serum Creatinine Level" and the~~ ~~MEASUREMENT VALUE TYPE CODE~~ ~~= "µmol/L".~~The recorded creatinine (µmol/L): serum creatinine using laboratory assay and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "Serum Creatinine Level" and the MEASUREMENT VALUE TYPE CODE = "µmol/L".

top

PERSON OBSERVATION (URINARY ALBUMIN LEVEL)

Change to Data Element: Changed Description

Format/length:	n3 - nnn
HES item:
National Codes:
Default Codes:

Notes:
The recorded result of the urinary albumin level must be accompanied by a recorded URINARY ALBUMIN LEVEL TESTING METHOD.

~~Derive from the~~ ~~MEASURED OBSERVATION VALUE~~ ~~recorded for the~~ ~~MEASURED PERSON OBSERVATION TYPE CODE~~ ~~'Urinary Albumin level'.~~Derive from the MEASURED OBSERVATION VALUE recorded for the MEASURED PERSON OBSERVATION TYPE CODE 'Urinary Albumin Level'.

top

REFERRAL RAISED REASON (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description

Format/length:	n2
HES item:
National Codes:	See below
Default Codes:

Notes:

The reason for referral of the PATIENT as part of an inter-provider transfer. ~~This is the same as~~ ~~SERVICE REQUEST RAISED REASON, but has a restricted national code list.~~

This is the same as SERVICE REQUEST RAISED REASON, but has a restricted national code list.

For inter-provider transfers, use one of the following

National Codes:

01	Transfer of Clinical Responsibility
02	Opinion Only
03	Diagnostic Test
98	Not Applicable
99	Not Known

top

SOURCE OF REFERRAL FOR A AND E

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural SOURCES OF REFERRALS FOR A+E SOURCES OF REFERRAL FOR A+E

top

SOURCE OF REFERRAL FOR CANCER

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural SOURCES OF REFERRALS FOR CANCER SOURCES OF REFERRAL FOR CANCER

top

SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural SOURCES OF REFERRALS FOR MENTAL HEALTH SOURCES OF REFERRAL FOR MENTAL HEALTH

top

SOURCE OF REFERRAL FOR OUT-PATIENTS

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural SOURCES OF REFERRALS FOR OUT-PATIENTS SOURCES OF REFERRAL FOR OUT-PATIENTS

top

TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)

Change to Data Element: Changed Aliases

Alias Changes
Name Old Value New Value
plural TREATMENT FUNCTION CODES (REFERRAL TO TREATMENT PERIOD)

top

TUMOUR LATERALITY

Change to Data Element: Changed Description

Format/length:	an1
HES item:
National codes	Click on the attribute tab to display the attribute that contains the National Codes.
Default codes	8 - Not applicable
	9 - Not known

Notes:
TUMOUR LATERALITY is the same as attribute TUMOUR LATERALITY.

top

TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE

Change to Data Element: Changed Description

Format/length:	an2
HES item:
National codes	Click on the attribute tab to display the attribute that contains the National Codes.
Default codes

Notes:

This is the same as attribute TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE.

top

For enquiries, please email datastandards@nhs.net

Name	Old Value	New Value
plural	OPERATION STATUS	OPERATION STATUSES