NHS Connecting for Health
NHS Data Model and Dictionary Service
Reference: | Change Request 1177 |
Version No: | 1.0 |
Subject: | Preparatory Items Update |
Effective Date: | Immediate |
Reason for Change: | Patch |
Publication Date: | 14 July 2010 |
Background:
This patch updates:
- the NHS Data Model and Dictionary following incorporation of CR1176 to add the note "This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care" to new items.
- items created in other Preparatory Change Requests.
Summary of changes:
Date: | 14 July 2010 |
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.
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Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Conduct Problems Scale Score is a PERSON SCORE.
It is calculated by adding together the responses to questions 5, 7, 12, 18 and 22 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.
If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99). Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.
Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Emotional Problems Scale Score is a PERSON SCORE.
It is calculated by adding together the responses to questions 3, 8, 13, 16 and 24 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.
If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99). Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.
Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Hyperactivity Scale Score is a PERSON SCORE.
It is calculated by adding together the responses to questions 2, 10, 15, 21 and 25 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.
If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99). Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.
Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Peer Problems Scale Score is a PERSON SCORE.
It is calculated by adding together the responses to questions 6, 11, 14, 19 and 23 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.
If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99). Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.
Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Prosocial Behaviour Scale Score is a PERSON SCORE.
It is calculated by adding together the responses to questions 1, 4, 9, 17 and 20 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.
If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99). Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.
Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Questionnaire (SDQ) is a type of ASSESSMENT TOOL.
It is a brief behavioural screening questionnaire which can be completed by:
- Parents of 3-4 year olds
- Parents of 4-16 year olds
- Self-report by 11-16 year olds
- Teachers of 3-4 year olds
- Teachers of 4-16 year olds
There are 25 questions in the Strengths And Difficulties Questionnaire, looking at positive and negative aspects of a child's behaviour. The allowed responses for questions 1-6, 8-10, 12-13, 15-20, and 22-24 are one of the following:
- 0 Not true
- 1 Somewhat true
- 2 Certainly true
- 9 Missing
The allowed responses for questions 7, 11, 14, 21 and 25 are one of the following:
- 0 Certainly true
- 1 Somewhat true
- 2 Not true
- 9 Missing
Subsets of the results from the Strengths And Difficulties Questionnaire are used to calculate the following SDQ Scale and Total Scores:
- Strengths And Difficulties Emotional Problems Scale Score
- Strengths And Difficulties Conduct Problems Scale Score
- Strengths And Difficulties Peer Problems Scale Score
- Strengths And Difficulties Prosocial Behaviour Scale Score
- Strengths And Difficulties Total Difficulties Score
- Strengths And Difficulties Total Impact Score
Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Total Difficulties Score is a PERSON SCORE.
It is calculated by adding together the totals from the following scale score sections:
- Strengths And Difficulties Emotional Problems Scale Score
- Strengths And Difficulties Hyperactivity Scale Score
- Strengths And Difficulties Peer Problems Scale Score
in the Strengths And Difficulties Questionnaire (i.e. all sections apart from the Strengths And Difficulties Prosocial Behaviour Scale Score), to give a total in the range 0-40.
The Strengths And Difficulties Total Difficulties Score is counted as Missing (99) if the PERSON SCORE any of the component scale scores above is also Missing.
Change to Supporting Information: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The Strengths And Difficulties Total Impact Score is a PERSON SCORE.
It is the total score of the Impact Supplement section of the Strengths And Difficulties Questionnaire, if this extended version is used, which covers distress, home life, friendship, classroom learning and leisure activities, and is in the range of 0-10.
Change to Class: Changed Description
This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.
Subtypes of PERSON PROPERTY include:
A condition or state associated with a PERSON. PERSON PROPERTIES are collected as a result of an ACTIVITY.
PERSON PROPERTIES for a PATIENT do not include information about a treatment or intervention. The observation may be a clinical diagnosis. The observer may be a related PERSON or a CARE PROFESSIONAL. Observations may be recorded during, or as a result of, a course of treatment.
PERSON PROPERTIES include:
Change to Attribute: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The reason that a PATIENT was discharged from a Mental Health Care Spell.
National Codes:
01 | Discharged on professional advice |
02 | Discharged against professional advice |
03 | PATIENT non-attendance |
04 | Transferred to other Health Care Provider Medium Secure Unit |
05 | Transferred to other Health Care Provider High Secure Unit |
06 | Transferred to other Health Care Provider not Medium/High Secure |
07 | Transferred to Adult Mental Health Services* |
08 | PATIENT moved out of the area |
09 | PATIENT died |
* National Code 07 is only valid where a child or adolescent PATIENT has been discharged from a Child And Adolescent Mental Health Care Spell because of transfer to adult mental health services - it is not valid for use when discharging a PATIENT from an Adult Mental Health Care Spell.
Change to Attribute: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
An indication of whether a PERSON has a Learning Disability. This may be derived from PATIENT DIAGNOSIS. This may be derived from PATIENT DIAGNOSIS or collected explicitly.
A Learning Disability may be a:
- Registered DISABILITY, which is recorded using REGISTERED DISABILITY CODE if the PERSON is registered disabled; or
- Perceived DISABILITY, which is recorded using PERCEIVED DISABILITY CODE if the clinician considers the PATIENT to have a Learning Disability but it is not formally registered.
National Codes:
Y | Yes |
N | No |
Change to Attribute: Changed Description
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The type of coding system used to classify the role of the second PERSON in a PERSON RELATIONSHIP.
PERSON RELATIONSHIP CODING TYPE details the coding structure applied to the second PERSON in a PERSON RELATIONSHIP in the following circumstances:
RELATIONSHIP TO PERSONcoding structure should be used for Cancer Data Sets;- RELATIONSHIP TO PERSON coding structure should be used for Cancer Data Sets;RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE coding structure should be used for the Child and Adolescent Mental Health Services Data Set and National Children's and Young People's Health Services Data Set;
- PERSON RELATIONSHIP TYPE coding structure should be used in all other instances.
National Codes:
1 | PERSON RELATIONSHIP TYPE |
2 | RELATIONSHIP TO PERSON |
3 | RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE |
Change to Attribute: Changed Description
The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Child and Adolescent Mental Health Services Data Set and National Children's and Young People's Health Services Data Set.
This is used to identify, for example, with whom the child or young person is living in a permanent context or the relationship with the main carer etc.
Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE codes at the high level (shown in bold) or at the more detailed level below each high-level code.
National Codes:
BPX | Biological Parent | |
BPM | Biological mother | |
BPF | Biological father | |
SPX | Step-Parent | |
SPM | Stepmother | |
SPF | Stepfather | |
GPX | Grandparent | |
GPM | Grandmother | |
GPF | Grandfather | |
ORX | Other Relative | |
ORA | Aunt | |
ORU | Uncle | |
ORS | Sister | |
ORB | Brother | |
ORO | Other | |
APX | Adoptive Parent | |
APM | Adoptive mother | |
APF | Adoptive father | |
FPX | Foster Parent | |
FPM | Foster mother | |
FPF | Foster father | |
RCX | Residential Carer | |
OTX | Other | |
NOX | None - Lives Alone |
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See A AND E ARRIVAL MODE |
Default Codes: |
Notes:
A and E ARRIVAL MODE is the same as attribute A AND E ARRIVAL MODE.
A and E ARRIVAL MODE will be replaced by A and E ARRIVAL MODE CODE, which should be used for all new and developing data sets and for XML messages.A and E ARRIVAL MODE will be replaced by A and E ARRIVAL MODE CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See A AND E ARRIVAL MODE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
A and E ARRIVAL MODE CODE is the same as attribute A AND E ARRIVAL MODE.
A and E ARRIVAL MODE CODE replaces A and E ARRIVAL MODE, and should be used for all new and developing data sets and for XML messages.A and E ARRIVAL MODE CODE replaces A and E ARRIVAL MODE and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See A AND E ATTENDANCE CATEGORY |
Default Codes: |
Notes:
A and E ATTENDANCE CATEGORY is the same as attribute A AND E ATTENDANCE CATEGORY.
A FIRST ATTENDANCE is the first or only attendance for the same incident, which may be an injury or occurrence of a condition; a follow-up attendance is a visit to the same department for the same incident as the first visit within the episode. If a PATIENT has a recurring condition, such as epilepsy, or a tendency for joints to dislocate, there would be a new FIRST ATTENDANCE each time that the PATIENT presents with the condition.
A subsequent attendance may not always be a follow-up attendance. It could qualify as an attendance at a consultant out-patient clinic and if so, it needs to be recorded appropriately.
A and E ATTENDANCE CATEGORY will be replaced with A and E ATTENDANCE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.A and E ATTENDANCE CATEGORY will be replaced with A and E ATTENDANCE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See A AND E ATTENDANCE CATEGORY |
Default Codes: |
Notes:This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes: A and E ATTENDANCE CATEGORY CODE is the same as attribute A AND E ATTENDANCE CATEGORY. A and E ATTENDANCE CATEGORY CODE is the same as attribute A AND E ATTENDANCE CATEGORY.
A FIRST ATTENDANCE is the first or only attendance for the same incident, which may be an injury or occurrence of a condition; a follow-up attendance is a visit to the same department for the same incident as the first visit within the episode. If a PATIENT has a recurring condition, such as epilepsy, or a tendency for joints to dislocate, there would be a new FIRST ATTENDANCE each time that the PATIENT presents with the condition.
A subsequent attendance may not always be a follow-up attendance. It could qualify as an attendance at a consultant out-patient clinic and if so, it needs to be recorded appropriately.
A and E ATTENDANCE CATEGORY CODE replaces A and E ATTENDANCE CATEGORY, and should be used for all new and developing data sets and for XML messages.A and E ATTENDANCE CATEGORY CODE replaces A and E ATTENDANCE CATEGORY and should be used for all new and developing data sets and for XML messages
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | |
National Codes: | See A AND E ATTENDANCE DISPOSAL |
Default Codes: |
Notes:
A and E ATTENDANCE DISPOSAL is the same as attribute A AND E ATTENDANCE DISPOSAL.
A and E ATTENDANCE DISPOSAL will be replaced with A and E ATTENDANCE DISPOSAL CODE, which should be used for all new and developing data sets and for XML messages.A and E ATTENDANCE DISPOSAL will be replaced with A and E ATTENDANCE DISPOSAL CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | |
National Codes: | See A AND E ATTENDANCE DISPOSAL |
Default Codes: |
Notes:
A and E ATTENDANCE DISPOSAL CODE is the same as attribute A AND E ATTENDANCE DISPOSAL.
A and E ATTENDANCE DISPOSAL CODE replaces A and E ATTENDANCE DISPOSAL, and should be used for all new and developing data sets and for XML messages.A and E ATTENDANCE DISPOSAL CODE replaces A and E ATTENDANCE DISPOSAL and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an3 |
HES Item: | TRETSPEF |
National Codes: | See Main Specialty and Treatment Function Codes for the full list of national valid codes |
Default codes: | 199 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly surgical |
499 - Non-UK provider; TREATMENT FUNCTION not known, treatment mainly medical |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest. See Main Specialty and Treatment Function Codes for the full list of valid codes.
Midwife Episodes and Nursing Episodes may use any appropriate ACTIVITY TREATMENT FUNCTION CODE. The pseudo consultant specialty code of 950 for nurses must only be used for CARE PROFESSIONAL MAIN SPECIALTY CODE see Main Specialty and Treatment Function Codes. The code 560 Midwife Episode can be used both as a Main Specialty and a Treatment Function.
The default codes 199 and 499 are only applicable for overseas health care providers.
ACTIVITY TREATMENT FUNCTION CODE replaces TREATMENT FUNCTION CODE, and should be used for all new and developing data sets and for XML messages.
Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.
Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | ADMINCAT |
National Codes: | See ADMINISTRATIVE CATEGORY CODE |
Default Codes: | 98 - Not applicable |
99 - Not known: a validation error |
Notes:
ADMINISTRATIVE CATEGORY is the same as ADMINISTRATIVE CATEGORY CODE.
Overseas visitors who do not qualify for free NHS treatment can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.
The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.
If the ADMINISTRATIVE CATEGORY changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).
ADMINISTRATIVE CATEGORY will be replaced with ADMINISTRATIVE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.ADMINISTRATIVE CATEGORY will be replaced with ADMINISTRATIVE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | ADMINCAT |
National Codes: | See ADMINISTRATIVE CATEGORY CODE |
Default Codes: | 98 - Not applicable |
99 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ADMINISTRATIVE CATEGORY CODE is the same as ADMINISTRATIVE CATEGORY CODE.
Overseas visitors who do not qualify for free NHS treatment can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.
The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.
If the ADMINISTRATIVE CATEGORY CODE changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).
ADMINISTRATIVE CATEGORY CODE replaces ADMINISTRATIVE CATEGORY, and should be used for all new and developing data sets and for XML messages.ADMINISTRATIVE CATEGORY CODE replaces ADMINISTRATIVE CATEGORY and should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | ADMIMETH |
National Codes: | See ADMISSION METHOD |
Default Codes: | 98 - Not applicable |
99 - Not known: a validation error |
Notes:
ADMISSION METHOD (HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD.
ADMISSION METHOD (HOSPITAL PROVIDER SPELL) will be replaced with ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.ADMISSION METHOD (HOSPITAL PROVIDER SPELL) will be replaced with ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | ADMIMETH |
National Codes: | See ADMISSION METHOD |
Default Codes: | 98 - Not applicable |
99 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD.
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) replaces ADMISSION METHOD (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) replaces ADMISSION METHOD (HOSPITAL PROVIDER SPELL) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See ADMISSION OFFER OUTCOME |
Default Codes: |
Notes:
ADMISSION OFFER OUTCOME is the same as attribute ADMISSION OFFER OUTCOME.
PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted into hospital.
If treatment is then deferred because of lack of facilities, or for medical reasons, e.g. the PATIENT may have a cold or unacceptably high blood pressure, the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT.
Note that the ORIGINAL DECIDED TO ADMIT DATE will still be used for the PATIENT's waiting time calculation. However, if the PATIENT fails to arrive or if the Admission is cancelled by, or on behalf of, the PATIENT then the waiting time is re-set from the missed admission date.
ADMISSION OFFER OUTCOME will be replaced with ADMISSION OFFER OUTCOME CODE, which should be used for all new and developing data sets and for XML messages.ADMISSION OFFER OUTCOME will be replaced with ADMISSION OFFER OUTCOME CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See ADMISSION OFFER OUTCOME |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ADMISSION OFFER OUTCOME CODE is the same as attribute ADMISSION OFFER OUTCOME.
PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted into hospital.
If treatment is then deferred because of lack of facilities, or for medical reasons, e.g. the PATIENT may have a cold or unacceptably high blood pressure, the PATIENT is discharged with the ADMISSION OFFER OUTCOME CODE recorded as 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT.
Note that the ORIGINAL DECIDED TO ADMIT DATE will still be used for the PATIENT's waiting time calculation. However, if the PATIENT fails to arrive or if the Admission is cancelled by, or on behalf of, the PATIENT then the waiting time is re-set from the missed admission date.
ADMISSION OFFER OUTCOME CODE replaces ADMISSION OFFER OUTCOME, and should be used for all new and developing data sets and for XML messages.ADMISSION OFFER OUTCOME CODE replaces ADMISSION OFFER OUTCOME and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.
The following values for the attribute AGE GROUP INTENDED, with the addition of Home Leave, are to be used:
1 | Neonates |
2 | Children and /or adolescents |
3 | Elderly |
8 | Any age |
9 | Home Leave |
AGE GROUP INTENDED will be replaced with INTENDED AGE GROUP, which should be used for all new and developing data sets and for XML messages.AGE GROUP INTENDED will be replaced with INTENDED AGE GROUP, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELPREAN |
National Codes: | See ANAESTHETIC OR ANALGESIC CATEGORY |
Default Codes: | 8 - Not applicable, i.e. no analgesic or anaesthetic administered |
9 - Not known: a validation error |
Notes:
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given during labour/delivery, and the type used.
The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY will be replaced with ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY will be replaced with ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELPREAN |
National Codes: | See ANAESTHETIC OR ANALGESIC CATEGORY |
Default Codes: | 8 - Not applicable, i.e. no analgesic or anaesthetic administered |
9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given during labour/delivery, and the type used.
The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY, and should be used for all new and developing data sets and for XML messages.ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELPOSAN |
National Codes: | See ANAESTHETIC OR ANALGESIC CATEGORY |
Default Codes: | 8 - Not applicable, i.e. no analgesic or anaesthetic administered |
9 - Not known: a validation error |
Notes:
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given after delivery, and the type used.
The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY will be replaced with ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.ANAESTHETIC GIVEN POST LABOUR OR DELIVERY will be replaced with ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELPOSAN |
National Codes: | See ANAESTHETIC OR ANALGESIC CATEGORY |
Default Codes: | 8 - Not applicable, i.e. no analgesic or anaesthetic administered |
9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given after delivery, and the type used.
The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN POST LABOUR OR DELIVERY, and should be used for all new and developing data sets and for XML messages.ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN POST LABOUR OR DELIVERY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See ATTENDED OR DID NOT ATTEND |
Default Codes: |
Notes:
For Commissioning Data Set and XML Schema version 6, this Data Element will be recognised as ATTENDANCE STATUS.
Use in the Future Outpatient CDS:
Where the attendance is in the future (and has not been cancelled) use value 0 (zero) - not applicable - APPOINTMENT occurs in the future.
Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).
ATTENDED OR DID NOT ATTEND will be replaced with ATTENDED OR DID NOT ATTEND CODE, which should be used for all new and developing data sets and for XML messages.ATTENDED OR DID NOT ATTEND will be replaced with ATTENDED OR DID NOT ATTEND CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See ATTENDED OR DID NOT ATTEND |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Use in the Future Outpatient CDS:
Where the attendance is in the future (and has not been cancelled) use value 0 (zero) - not applicable - APPOINTMENT occurs in the future.
Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).
ATTENDED OR DID NOT ATTEND CODE replaces ATTENDED OR DID NOT ATTEND, and should be used for all new and developing data sets and for XML messages.ATTENDED OR DID NOT ATTEND CODE replaces ATTENDED OR DID NOT ATTEND and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an3 |
HES Item: | MAINSPEF |
National Codes: | See Main Specialty And Treatment Function Codes for the full list of codes. |
Default Codes: | 199 - Non-UK provider; specialty function not known, treatment mainly surgical |
499 - Non-UK provider; specialty function not known, treatment mainly medical | |
560 - Non-Consultant Led Activity - Midwife Episode | |
950 - Non-Consultant Led Activity - Nursing Episode | |
960 - Non-Consultant Led Activity - Allied Health Professional Episode |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
CARE PROFESSIONAL MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.
It is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.
All Non-Consultant Led Activity is identified in the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE of 560 for MIDWIVES, 950 for NURSES and 960 for Allied Health Professionals.
The default codes 199 and 499 are only applicable for overseas providers.
CARE PROFESSIONAL MAIN SPECIALTY CODE replaces MAIN SPECIALTY CODE, and should be used for all new and developing data sets and for XML messages.CARE PROFESSIONAL MAIN SPECIALTY CODE replaces MAIN SPECIALTY CODE and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | See DATE AND TIME |
HES Item: | |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
DATE AND TIME DATA SET CREATED is the same as DATE AND TIME.
The DATE AND TIME a Data Set was created.
References:The e-GIF version approved for use in NHS England is:Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 23 November 2004.GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELMETH |
National Codes: | See DELIVERY METHOD |
Default Codes: |
Notes:
Additional National Code guidance not contained in the attribute definition is given below. It is shown in italics.
0 | Spontaneous vertex (normal vaginal delivery, occipitoanterior) |
1 | Spontaneous other cephalic (cephalic vaginal delivery with abnormal presentation of head at delivery, without instruments, with or without manipulation) |
2 | Low forceps, not breech (e.g. forceps, low application, without manipulation. Includes forceps delivery not otherwise specified) |
3 | Other forceps, not breech (e.g. forceps with manipulation. Includes high forceps and mid forceps) |
4 | Ventouse, vacuum extraction |
5 | Breech (spontaneous delivery assisted or unspecified. Includes partial breech extraction) |
6 | Breech extraction (not otherwise specified. Includes total breech extraction and version with breech extraction) |
7 | Elective caesarean section (caesarean section before, or at onset of, labour) |
8 | Emergency caesarean section |
9 | Other than those specified above (e.g. application of weight to leg in breech delivery. Includes destructive operation to facilitate delivery and other surgical or instrumental delivery) |
Without extending the width of this field to two characters it is not possible to accommodate a value of 'Not known', therefore the use of 8 and 9 in this field represent exceptions to the general rule.
DELIVERY METHOD will be replaced with DELIVERY METHOD CODE, which should be used for all new and developing data sets and for XML messages.DELIVERY METHOD will be replaced with DELIVERY METHOD CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELMETH |
National Codes: | See DELIVERY METHOD |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Additional National Code guidance not contained in the attribute definition is given below. It is shown in italics.
0 | Spontaneous vertex (normal vaginal delivery, occipitoanterior) |
1 | Spontaneous other cephalic (cephalic vaginal delivery with abnormal presentation of head at delivery, without instruments, with or without manipulation) |
2 | Low forceps, not breech (e.g. forceps, low application, without manipulation. Includes forceps delivery not otherwise specified) |
3 | Other forceps, not breech (e.g. forceps with manipulation. Includes high forceps and mid forceps) |
4 | Ventouse, vacuum extraction |
5 | Breech (spontaneous delivery assisted or unspecified. Includes partial breech extraction) |
6 | Breech extraction (not otherwise specified. Includes total breech extraction and version with breech extraction) |
7 | Elective caesarean section (caesarean section before, or at onset of, labour) |
8 | Emergency caesarean section |
9 | Other than those specified above (e.g. application of weight to leg in breech delivery. Includes destructive operation to facilitate delivery and other surgical or instrumental delivery) |
DELIVERY METHOD CODE replaces DELIVERY METHOD, and should be used for all new and developing data sets and for XML messages.DELIVERY METHOD CODE replaces DELIVERY METHOD and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELCHANG |
National Codes: | See DELIVERY PLACE CHANGE REASON |
Default Codes: | 8 - Not applicable (i.e. no change) 9 - Not known: a validation error |
Notes:
DELIVERY PLACE CHANGE REASON is the same as attribute DELIVERY PLACE CHANGE REASON.
DELIVERY PLACE CHANGE REASON will replace DELIVERY PLACE CHANGE REASON CODE, which should be used for all new and developing data sets and for XML messages.DELIVERY PLACE CHANGE REASON will replace DELIVERY PLACE CHANGE REASON CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELCHANG |
National Codes: | See DELIVERY PLACE CHANGE REASON |
Default Codes: | 8 - Not applicable (i.e. no change) 9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
DELIVERY PLACE CHANGE REASON CODE is the same as attribute DELIVERY PLACE CHANGE REASON.
DELIVERY PLACE CHANGE REASON CODE replaces DELIVERY PLACE CHANGE REASON, and should be used for all new and developing data sets and for XML messages.DELIVERY PLACE CHANGE REASON CODE replaces DELIVERY PLACE CHANGE REASON and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELPLACE |
National Codes: | See ACTUAL DELIVERY PLACE |
Default Codes: |
Notes:
DELIVERY PLACE TYPE (ACTUAL) is the same as attribute ACTUAL DELIVERY PLACE.
DELIVERY PLACE TYPE (ACTUAL) will be replaced with DELIVERY PLACE TYPE CODE (ACTUAL), which should be used for all new and developing data sets and for XML messages.DELIVERY PLACE TYPE (ACTUAL) will be replaced with DELIVERY PLACE TYPE CODE (ACTUAL), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELINTEN |
National Codes: | See INTENDED DELIVERY PLACE |
Default Codes: |
Notes:
DELIVERY PLACE TYPE (INTENDED) is the same as attribute INTENDED DELIVERY PLACE.
DELIVERY PLACE TYPE (INTENDED) will be replaced with DELIVERY PLACE TYPE CODE (INTENDED), which should be used for all new and developing data sets and for XML messages.DELIVERY PLACE TYPE (INTENDED) will be replaced with DELIVERY PLACE TYPE CODE (INTENDED), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELPLACE |
National Codes: | See ACTUAL DELIVERY PLACE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
DELIVERY PLACE TYPE CODE (ACTUAL) is the same as attribute ACTUAL DELIVERY PLACE.
DELIVERY PLACE TYPE CODE (ACTUAL) replaces DELIVERY PLACE TYPE (ACTUAL), and should be used for all new and developing data sets and for XML messages.DELIVERY PLACE TYPE CODE (ACTUAL) replaces DELIVERY PLACE TYPE (ACTUAL) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELINTEN |
National Codes: | See INTENDED DELIVERY PLACE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
DELIVERY PLACE TYPE CODE (INTENDED) is the same as attribute INTENDED DELIVERY PLACE.
DELIVERY PLACE TYPE CODE (INTENDED) replaces DELIVERY PLACE TYPE (INTENDED), and should be used for all new and developing data sets and for XML messages.DELIVERY PLACE TYPE CODE (INTENDED) replaces DELIVERY PLACE TYPE (INTENDED) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | DISDEST |
National Codes: | See DISCHARGE DESTINATION |
Default Codes: | 98 - Not applicable - hospital provider spell not finished at episode end (i.e. not discharged, or current episode unfinished) |
99 - Not known: a validation error |
Notes:
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE DESTINATION and the values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.
This records the destination of a PATIENT on completion of the Hospital Provider Spell. It can also indicate that the PATIENT died or was a still birth.
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | DISDEST |
National Codes: | See DISCHARGE DESTINATION |
Default Codes: | 98 - Not applicable - Hospital Provider Spell not finished at episode end (i.e. not discharged, or current episode unfinished) |
99 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE DESTINATION and the values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.
This records the destination of a PATIENT on completion of the Hospital Provider Spell. It can also indicate that the PATIENT died or was a still birth.
DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DISMETH |
National Codes: | See DISCHARGE METHOD |
Default Codes: | 8 - Not applicable - Hospital Provider Spell. not yet finished (i.e. not discharged) |
9 - Not known: a validation error |
Notes:
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE METHOD.
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DISMETH |
National Codes: | See DISCHARGE METHOD |
Default Codes: | 8 - Not applicable - Hospital Provider Spell not yet finished (i.e. not discharged) |
9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE METHOD.
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE METHOD (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) and should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See ELECTIVE ADMISSION LIST REMOVAL REASON |
Default Codes: |
Notes:
PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted to hospital. If treatment is then deferred because of lack of facilities or for medical reasons - the PATIENT may have a cold or unacceptably high blood pressure - the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as: 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT. Note that the ORIGINAL DECIDED TO ADMIT DATE must still be used to calculate the start of the PATIENT's waiting time calculation.
ELECTIVE ADMISSION LIST REMOVAL REASON will be replaced with ELECTIVE ADMISSION LIST REMOVAL REASON CODE, which should be used for all new and developing data sets and for XML messages.ELECTIVE ADMISSION LIST REMOVAL REASON will be replaced with ELECTIVE ADMISSION LIST REMOVAL REASON CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See ELECTIVE ADMISSION LIST REMOVAL REASON |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ELECTIVE ADMISSION LIST REMOVAL REASON CODE is the same as attribute ELECTIVE ADMISSION LIST REMOVAL REASON.
PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted to hospital. If treatment is then deferred because of lack of facilities or for medical reasons - the PATIENT may have a cold or unacceptably high blood pressure - the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as: 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT. Note that the ORIGINAL DECIDED TO ADMIT DATE must still be used to calculate the start of the PATIENT's waiting time calculation.
ELECTIVE ADMISSION LIST REMOVAL REASON CODE replaces ELECTIVE ADMISSION LIST REMOVAL REASON, and should be used for all new and developing data sets and for XML messages.ELECTIVE ADMISSION LIST REMOVAL REASON CODE replaces ELECTIVE ADMISSION LIST REMOVAL REASON and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | |
National Codes: | See ELECTIVE ADMISSION TYPE |
Default Codes: |
Notes:
ELECTIVE ADMISSION TYPE is the same as attribute ELECTIVE ADMISSION TYPE.
ELECTIVE ADMISSION TYPE will be replaced with ELECTIVE ADMISSION TYPE CODE, which should be used for all new and developing data sets and for XML messages.ELECTIVE ADMISSION TYPE will be replaced with ELECTIVE ADMISSION TYPE CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | |
National Codes: | See ELECTIVE ADMISSION TYPE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
ELECTIVE ADMISSION TYPE CODE is the same as attribute ELECTIVE ADMISSION TYPE
ELECTIVE ADMISSION TYPE CODE replaces ELECTIVE ADMISSION TYPE, and should be used for all new and developing data sets and for XML messages.ELECTIVE ADMISSION TYPE CODE replaces ELECTIVE ADMISSION TYPE and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See FIRST ATTENDANCE |
Default Codes: |
Notes:
This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED was a face to face contact or telephone/telemedicine consultation.
A FIRST ATTENDANCE is the first in a series, or only attendance of an APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent attendances in the series which take place should be recorded as follow-up.
FIRST ATTENDANCE National Code 5 - "Referral to Treatment Clock Stop Administrative Event" allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity. It flows through the CDS V6 TYPE 020 - OUTPATIENT CDS structure. See Referral To Treatment Clock Stop Administrative Event.
FIRST ATTENDANCE will be replaced with FIRST ATTENDANCE CODE, which should be used for all new and developing data sets and for XML messages.FIRST ATTENDANCE will be replaced with FIRST ATTENDANCE CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See FIRST ATTENDANCE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
FIRST ATTENDANCE CODE is the same as attribute FIRST ATTENDANCE.
This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED was a face to face contact or telephone/telemedicine consultation.
A FIRST ATTENDANCE is the first in a series, or only attendance of an APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent attendances in the series which take place should be recorded as follow-up.
FIRST ATTENDANCE National Code 5 - "Referral to Treatment Clock Stop Administrative Event" allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity. It flows through the CDS V6 TYPE 020 - OUTPATIENT CDS structure. See Referral To Treatment Clock Stop Administrative Event.
FIRST ATTENDANCE CODE replaces FIRST ATTENDANCE, and should be used for all new and developing data sets and for XML messages.FIRST ATTENDANCE CODE replaces FIRST ATTENDANCE, and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See FIRST REGULAR DAY OR NIGHT ADMISSION |
Default Codes: |
Notes:
FIRST REGULAR DAY OR NIGHT ADMISSION is the same as attribute FIRST REGULAR DAY OR NIGHT ADMISSION.
FIRST REGULAR DAY OR NIGHT ADMISSION will be replaced with FIRST REGULAR DAY OR NIGHT ADMISSION CODE, which should be used for all new and developing data sets and for XML messages.FIRST REGULAR DAY OR NIGHT ADMISSION will be replaced with FIRST REGULAR DAY OR NIGHT ADMISSION CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See FIRST REGULAR DAY OR NIGHT ADMISSION |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
FIRST REGULAR DAY OR NIGHT ADMISSION CODE is the same as attribute FIRST REGULAR DAY OR NIGHT ADMISSION.
FIRST REGULAR DAY OR NIGHT ADMISSION CODE replaces FIRST REGULAR DAY OR NIGHT ADMISSION, and should be used for all new and developing data sets and for XML messages.FIRST REGULAR DAY OR NIGHT ADMISSION CODE replaces FIRST REGULAR DAY OR NIGHT ADMISSION and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | an1 |
HES item: | |
National Codes: | See AGE GROUP INTENDED |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.
The following values for the attribute AGE GROUP INTENDED, with the addition of Home Leave, are to be used:
1 | Neonates |
2 | Children and /or adolescents |
3 | Elderly |
8 | Any age |
9 | Home Leave |
INTENDED AGE GROUP replaces AGE GROUP INTENDED, and should be used for all new and developing data sets and for XML messages.INTENDED AGE GROUP replaces AGE GROUP INTENDED and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | |
National Codes: | See CLINICAL CARE INTENSITY |
Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY is required to be separately recorded.
INTENDED CLINICAL CARE INTENSITY is the same as attribute CLINICAL CARE INTENSITY and the values recorded within the Commissioning Data Set messages are the National Codes contained within the definition of CLINICAL CARE INTENSITY, but with the addition of:
71 | Home Leave, non-psychiatric |
72 | Home Leave, psychiatric |
INTENDED CLINICAL CARE INTENSITY will be replaced with INTENDED CLINICAL CARE INTENSITY CODE, which should be used for all new and developing data sets and for XML messages.INTENDED CLINICAL CARE INTENSITY will be replaced with INTENDED CLINICAL CARE INTENSITY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | |
National Codes: | See CLINICAL CARE INTENSITY |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY CODE is required to be separately recorded.
INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY and the values recorded are the National Codes contained within the definition of CLINICAL CARE INTENSITY, but with the addition of:
71 | Home Leave, non-psychiatric |
72 | Home Leave, psychiatric |
INTENDED CLINICAL CARE INTENSITY CODE replaces INTENDED CLINICAL CARE INTENSITY, and should be used for all new and developing data sets and for XML messages.INTENDED CLINICAL CARE INTENSITY CODE replaces INTENDED CLINICAL CARE INTENSITY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | |
National Codes: | See CLINICAL CARE INTENSITY |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) is the same as attribute CLINICAL CARE INTENSITY but the only allowable values from the list of National Codes are:
For PATIENTS with Mental Illness:
51 | For Intensive Care - specially designated ward for PATIENTS needing containment and more intensive management (eg Psychiatric Intensive Care Unit (PICU)). This is not to be confused with intensive nursing where a PATIENT may require one-to-one nursing while on a standard WARD |
52 | For Short Stay - PATIENTS intended to stay for less than a year |
53 | For Long Stay - PATIENTS intended to stay for a year or more |
For PATIENTS with Learning Disabilities:
61 | Designated or interim secure unit |
62 | PATIENTS intending to stay less than a year |
63 | PATIENTS intending to stay a year or more |
In addition to this, the following value which is not part of the National Codes is also permitted for the Child and Adolescent Mental Health Services Data Set and the Mental Health Minimum Data Set (see INTENDED CLINICAL CARE INTENSITY CODE):In addition to this, the following value which is not part of the National Codes is also permitted for the Child and Adolescent Mental Health Services Data Set and the Mental Health Minimum Data Set (see INTENDED CLINICAL CARE INTENSITY CODE):
72 | Home Leave, psychiatric |
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | INTMANIG |
National Codes: | See INTENDED MANAGEMENT |
Default Codes: | 8 - Not applicable |
9 - Not known: a validation error |
Notes:
This categorisation describes what is intended to happen to the PATIENT. Occasionally the PATIENT's treatment does not go exactly to plan. For example, a PATIENT admitted as a day case may develop complications and have to be kept in overnight. Therefore another data item, PATIENT CLASSIFICATION, is used to describe what actually happens to the PATIENT. In this example, the PATIENT CLASSIFICATION would be 'Ordinary admission' and not 'Day case admission'.
INTENDED MANAGEMENT will be replaced with INTENDED MANAGEMENT CODE, which should be used for all new and developing data sets and for XML messages.INTENDED MANAGEMENT will be replaced with INTENDED MANAGEMENT CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | INTMANIG |
National Codes: | See INTENDED MANAGEMENT |
Default Codes: | 8 - Not applicable |
9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
INTENDED MANAGEMENT CODE is the same as attribute INTENDED MANAGEMENT.
This categorisation describes what is intended to happen to the PATIENT. Occasionally the PATIENT's treatment does not go exactly to plan. For example, a PATIENT admitted as a day case may develop complications and have to be kept in overnight. Therefore another data item, PATIENT CLASSIFICATION, is used to describe what actually happens to the PATIENT. In this example, the PATIENT CLASSIFICATION would be 'Ordinary admission' and not 'Day case admission'.
INTENDED MANAGEMENT CODE replaces INTENDED MANAGEMENT, and should be used for all new and developing data sets and for XML messages.INTENDED MANAGEMENT CODE replaces INTENDED MANAGEMENT, and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The following values are to be used:
1 | Operative procedure intended |
8 | Not applicable: no operative procedure intended |
9 | Not known |
INTENDED PROCEDURE STATUS will be replaced with INTENDED PROCEDURE STATUS CODE, which should be used for all new and developing data sets and for XML messages.INTENDED PROCEDURE STATUS will be replaced with INTENDED PROCEDURE STATUS CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
The following values are to be used:
1 | Operative procedure intended |
8 | Not applicable: no operative procedure intended |
9 | Not known |
INTENDED PROCEDURE STATUS CODE replaces INTENDED PROCEDURE STATUS, and should be used for all new and developing data sets and for XML messages.INTENDED PROCEDURE STATUS CODE replaces INTENDED PROCEDURE STATUS and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELONSET |
National Codes: | see LABOUR OR DELIVERY ONSET METHOD |
Default Codes: | 9 - Not known: a validation error |
Notes:
LABOUR OR DELIVERY ONSET METHOD is the same as the attribute LABOUR OR DELIVERY ONSET METHOD.
Only those methods that are used to induce labour, such as surgical induction, medical induction or a combination of the two, should be recorded. Methods that are used to accelerate labour should not be recorded.
LABOUR OR DELIVERY ONSET METHOD will be replaced with LABOUR OR DELIVERY ONSET METHOD CODE, which should be used for all new and developing data sets and for XML messages.LABOUR OR DELIVERY ONSET METHOD will be replaced with LABOUR OR DELIVERY ONSET METHOD CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELONSET |
National Codes: | See LABOUR OR DELIVERY ONSET METHOD |
Default Codes: | 9 - Not known: a validation error |
Notes:This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
LABOUR OR DELIVERY ONSET METHOD CODE is the same as the attribute LABOUR OR DELIVERY ONSET METHOD.
Only those methods that are used to induce labour, such as surgical induction, medical induction or a combination of the two, should be recorded. Methods that are used to accelerate labour should not be recorded.
LABOUR OR DELIVERY ONSET METHOD CODE replaces LABOUR OR DELIVERY ONSET METHOD, and should be used for all new and developing data sets and for XML messages.LABOUR OR DELIVERY ONSET METHOD CODE replaces LABOUR OR DELIVERY ONSET METHOD and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | SPELEND |
National Codes: | |
Default Codes: | 9 - Not known |
Notes:
This derived data element identifies whether the consultant episode is the final episode in the Hospital Provider Spell.
The following values with the addition of the Default Code, can be used:
1 | This episode is the last episode in the hospital provider spell |
2 | The episode is not the last episode in the hospital provider spell |
LAST EPISODE IN SPELL INDICATOR will be replaced with LAST EPISODE IN SPELL INDICATOR CODE, which should be used for all new and developing data sets and for XML messages.LAST EPISODE IN SPELL INDICATOR will be replaced with LAST EPISODE IN SPELL INDICATOR CODE, which should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | SPELEND |
National Codes: | |
Default Codes: | 9 - Not known |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
This derived data element identifies whether the consultant episode is the final episode in the Hospital Provider Spell.
The following values with the addition of the Default Code, can be used:
1 | This episode is the last episode in the Hospital Provider Spell |
2 | The episode is not the last episode in the Hospital Provider Spell |
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.LAST EPISODE IN SPELL INDICATOR CODE replaces LAST EPISODE IN SPELL INDICATOR and should be used for all new and developing data sets and for XML messages.
LAST EPISODE IN SPELL INDICATOR CODE replaces LAST EPISODE IN SPELL INDICATOR, and should be used for all new and developing data sets and for XML messages.Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | LEGLSTAT |
National Codes: | |
Default Codes: |
Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding. It is only required for the Admitted Patient Care CDS - Detained and/or Long Term Psychiatric Census.
LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) will be replaced with MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE), which should be used for all new and developing data sets and for XML messages.LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) will be replaced with MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | LEGLCAT |
National Codes: | |
Default Codes: |
Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding.
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) will be replaced with MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION), which should be used for all new and developing data sets and for XML messages.LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) will be replaced with MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | BIRSTATE |
National Codes: | See LIVE OR STILL BIRTH |
Default Codes: |
Notes:
LIVE OR STILL BIRTH is the same as the attribute LIVE OR STILL BIRTH.
If born dead before 24 weeks, it would be a spontaneous abortion.
LIVE OR STILL BIRTH will be replaced with LIVE OR STILL BIRTH CODE, which should be used for all new and developing data sets and for XML messages.LIVE OR STILL BIRTH will be replaced with LIVE OR STILL BIRTH CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | BIRSTATE |
National Codes: | See LIVE OR STILL BIRTH |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
LIVE OR STILL BIRTH CODE is the same as the attribute LIVE OR STILL BIRTH.
If born dead before 24 weeks, it would be a spontaneous abortion.
LIVE OR STILL BIRTH CODE replaces LIVE OR STILL BIRTH, and should be used for all new and developing data sets and for XML messages.LIVE OR STILL BIRTH CODE replaces LIVE OR STILL BIRTH and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n3 |
HES item: | MAINSPEF |
National Codes: | See Main Specialty And Treatment Function Codes for the full list of codes. |
Default Codes: | 199 - Non-UK provider; specialty function not known, treatment mainly surgical |
499 - Non-UK provider; specialty function not known, treatment mainly medical | |
560 - Non-Consultant Led Activity - Midwife Episode | |
950 - Non-Consultant Led Activity - Nursing Episode | |
960 - Non-Consultant Led Activity - Allied Health Professional Episode |
Notes:
MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.
It is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.
All Non-Consultant Led Activity is identified in the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics by a pseudo MAIN SPECIALTY CODE of 560 for MIDWIVES, 950 for NURSES and 960 for Allied Health Professionals.
The default codes 199 and 499 are only applicable for overseas providers.
MAIN SPECIALTY CODE will be replaced with CARE PROFESSIONAL MAIN SPECIALTY CODE, which should be used for all new and developing data sets and for XML messages.MAIN SPECIALTY CODE will be replaced with CARE PROFESSIONAL MAIN SPECIALTY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | MENTCAT |
National Codes: | See MENTAL CATEGORY |
Default Codes: | 8 - Not applicable (i.e. not detained) |
9 - Not known: a validation error |
Notes:
See Mental Health Act Table for details of how MENTAL CATEGORIES relates to Parts and Sections of the Act.
This data element is effective for PATIENTS detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, which abolishes the Mental Health Act 1983 MENTAL CATEGORIES. For PATIENTS detained from 3rd November 2008, the MENTAL HEALTH ACT 2007 MENTAL CATEGORY data element should be used.
MENTAL CATEGORY may continue to be used for historical purposes for any PATIENT last detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force. In these circumstances MENTAL CATEGORY will flow in the CDS V6 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS, and the Mental Health Minimum Data Set.
MENTAL CATEGORY will be replaced with MENTAL CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.MENTAL CATEGORY will be replaced with MENTAL CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | MENTCAT |
National Codes: | See MENTAL CATEGORY |
Default Codes: | 8 - Not applicable (i.e. not detained) |
9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
See Mental Health Act Table for details of how MENTAL CATEGORY CODES relate to Parts and Sections of the Act.
This data element is effective for PATIENTS detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, which abolishes the Mental Health Act 1983 MENTAL CATEGORIES. For PATIENTS detained from 3rd November 2008, the MENTAL HEALTH ACT 2007 MENTAL CATEGORY data element should be used.
MENTAL CATEGORY CODE may continue to be used for historical purposes for any PATIENT last detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force. In these circumstances MENTAL CATEGORY CODE will flow in the CDS V6 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS, and the Mental Health Minimum Data Set.
MENTAL CATEGORY CODE replaces MENTAL CATEGORY, and should be used for all new and developing data sets and for XML messages.MENTAL CATEGORY CODE replaces MENTAL CATEGORY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE |
HES Item: | LEGLSTAT |
National Codes: | See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding. It is only required for the Admitted Patient Care CDS - Detained and/or Long Term Psychiatric Census.
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) replaces LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE), and should be used for all new and developing data sets and for XML messages.MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) replaces LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE |
HES Item: | LEGLCAT |
National Codes: | See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding.
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) replaces LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION), and should be used for all new and developing data sets and for XML messages.MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) replaces LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The following values can be used:
01 | Number present and verified |
02 | Number present but not traced |
03 | Trace required |
04 | Trace attempted - No match or multiple match found |
05 | Trace needs to be resolved - (NHS Number or patient detail conflict) |
06 | Trace in progress |
07 | Number not present and trace not required |
08 | Trace postponed (baby under six weeks old) |
NHS NUMBER STATUS INDICATOR will be replaced with NHS NUMBER STATUS INDICATOR CODE, which should be used for all new and developing data sets and for XML messages.NHS NUMBER STATUS INDICATOR will be replaced with NHS NUMBER STATUS INDICATOR CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | See NHS NUMBER STATUS INDICATOR |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The NHS NUMBER STATUS INDICATOR of the NHS NUMBER (BABY) within the Commissioning Data Set Delivery Episode and Commissioning Data Set Home Delivery.
The values to be used are as for NHS NUMBER STATUS INDICATOR.
NHS NUMBER STATUS INDICATOR (BABY) will be replaced with NHS NUMBER STATUS INDICATOR CODE (BABY), which should be used for all new and developing data sets and for XML messages.NHS NUMBER STATUS INDICATOR (BABY) will be replaced with NHS NUMBER STATUS INDICATOR CODE (BABY), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | See NHS NUMBER STATUS INDICATOR |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The NHS NUMBER STATUS INDICATOR of the NHS NUMBER (MOTHER) within the Commissioning Data Set Birth Episode and Commissioning Data Set Home Birth.
The values to be used are as for NHS NUMBER STATUS INDICATOR.
NHS NUMBER STATUS INDICATOR (MOTHER) will be replaced with NHS NUMBER STATUS INDICATOR CODE (MOTHER), which should be used for all new and developing data sets and for XML messages.NHS NUMBER STATUS INDICATOR (MOTHER) will be replaced with NHS NUMBER STATUS INDICATOR CODE (MOTHER), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
The following values can be used:
01 | Number present and verified |
02 | Number present but not traced |
03 | Trace required |
04 | Trace attempted - No match or multiple match found |
05 | Trace needs to be resolved - (NHS Number or patient detail conflict) |
06 | Trace in progress |
07 | Number not present and trace not required |
08 | Trace postponed (baby under six weeks old) |
NHS NUMBER STATUS INDICATOR CODE replaces NHS NUMBER STATUS INDICATOR, and should be used for all new and developing data sets and for XML messages.NHS NUMBER STATUS INDICATOR CODE replaces NHS NUMBER STATUS INDICATOR and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | See NHS NUMBER STATUS INDICATOR CODE |
HES Item: | |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
The NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (BABY).
The values to be used are as for NHS NUMBER STATUS INDICATOR CODE.
NHS NUMBER STATUS INDICATOR CODE (BABY) replaces NHS NUMBER STATUS INDICATOR (BABY), and should be used for all new and developing data sets and for XML messages.NHS NUMBER STATUS INDICATOR CODE (BABY) replaces NHS NUMBER STATUS INDICATOR (BABY), and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | See NHS NUMBER STATUS INDICATOR CODE |
HES Item: | |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
The NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (MOTHER).
The values to be used are as for NHS NUMBER STATUS INDICATOR CODE.
NHS NUMBER STATUS INDICATOR CODE (MOTHER) replaces NHS NUMBER STATUS INDICATOR (MOTHER), and should be used for all new and developing data sets and for XML messages.NHS NUMBER STATUS INDICATOR CODE (MOTHER) replaces NHS NUMBER STATUS INDICATOR (MOTHER) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | NUMBBABY |
National Codes: | |
Default Codes: | 9 - Not known: a validation error |
Notes:
This derived data item records the number of REGISTERABLE BIRTHS (live or still born at a particular delivery).
The following values with the addition of the Default Code, can be used:
1 | One |
2 | Two |
3 | Three |
4 | Four |
5 | Five |
6 | Six or more |
NUMBER OF BABIES will be replaced with NUMBER OF BABIES INDICATOR, which should be used for all new and developing data sets and for XML messages.NUMBER OF BABIES will be replaced with NUMBER OF BABIES INDICATOR, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | NUMBBABY |
National Codes: | |
Default Codes: | 9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
This derived data item records the number of REGISTERABLE BIRTHS (live or still born at a particular delivery).
The following values with the addition of the Default Code, can be used:
1 | One |
2 | Two |
3 | Three |
4 | Four |
5 | Five |
6 | Six or more |
NUMBER OF BABIES INDICATOR replaces NUMBER OF BABIES, and should be used for all new and developing data sets and for XML messages.NUMBER OF BABIES INDICATOR replaces NUMBER OF BABIES and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | OPERSTAT |
National Codes: | |
Default Codes: |
Notes:
OPERATION STATUSES should be used once for each record to record states of knowledge regarding the operative procedure.
1 | One or more operative procedure carried out |
8 | Not applicable i.e. no operative procedures performed or intended |
9 | Not known i.e. finished episode/out-patient attendance but no data entered or the episode is unfinished and no data needs to be present. This would be a validation error only for a finished episode |
Use in the Future Outpatient CDS:
If it is not intended to perform a procedure at the future attendance, use value 8. Otherwise this data element should be omitted.
OPERATION STATUS will be replaced with OPERATION STATUS CODE, which should be used for all new and developing data sets and for XML messages.OPERATION STATUS will be replaced with OPERATION STATUS CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | OPERSTAT |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
OPERATION STATUS CODES should be used once for each record to record states of knowledge regarding the operative procedure.
1 | One or more operative procedure carried out |
8 | Not applicable i.e. no operative procedures performed or intended |
9 | Not known i.e. finished episode/out-patient attendance but no data entered or the episode is unfinished and no data needs to be present. This would be a validation error only for a finished episode |
Use in the Future Outpatient CDS:
If it is not intended to perform a procedure at the future attendance, use value 8. Otherwise this data element should be omitted.
OPERATION STATUS CODE replaces OPERATION STATUS, and should be used for all new and developing data sets and for XML messages.OPERATION STATUS CODE replaces OPERATION STATUS and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See OUTCOME OF ATTENDANCE |
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).
OUTCOME OF ATTENDANCE will be replaced with OUTCOME OF ATTENDANCE CODE, which should be used for all new and developing data set and for XML messages.OUTCOME OF ATTENDANCE will be replaced with OUTCOME OF ATTENDANCE CODE, which should be used for all new and developing data set and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See OUTCOME OF ATTENDANCE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
OUTCOME OF ATTENDANCE CODE 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).
OUTCOME OF ATTENDANCE CODE replaces OUTCOME OF ATTENDANCE, and should be used for all new and developing data set and for XML messages.OUTCOME OF ATTENDANCE CODE replaces OUTCOME OF ATTENDANCE and should be used for all new and developing data set and for XML messages.
Change to Data Element: Changed Description
Format/length: | 1 numeric |
HES item: | |
National Codes: | See PERSON GENDER CODE for the National Codes, which may all be used except ' 0 Not Known '. |
Default Codes: |
Notes:
A PERSON's gender at registration.
PERSON GENDER AT REGISTRATION is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '01 - Person Gender at Registration'.
The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER AT REGISTRATION will be replaced with PERSON GENDER CODE AT REGISTRATION, which should be used for all new and developing systems and for XML messages.The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER AT REGISTRATION will be replaced with PERSON GENDER CODE AT REGISTRATION, which should be used for all new and developing systems and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See PERSON GENDER CODE for the National Codes, which may all be used except ' 0 Not Known '. |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
A PERSON's gender at registration.
PERSON GENDER CODE AT REGISTRATION is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '01 - Person Gender at Registration'.
The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CODE AT REGISTRATION replaces PERSON GENDER AT REGISTRATION, and should be used for all new and developing data sets and for XML messages.The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CODE AT REGISTRATION replaces PERSON GENDER AT REGISTRATION and should be used for all new and developing data sets and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See PERSON GENDER CODE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
A PERSON's gender currently.
PERSON GENDER CODE CURRENT is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '02 - Person Gender Current'.
The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CODE CURRENT replaces PERSON GENDER CURRENT, and should be used for all new and developing data sets and for XML messages.The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CODE CURRENT replaces PERSON GENDER CURRENT and should be used for all new and developing data sets and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.
Change to Data Element: Changed Description
Format/Length: | See PERSON GENDER CODE CURRENT |
HES Item: | |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
PERSON GENDER CODE CURRENT (BABY) is the same as data element PERSON GENDER CODE CURRENT.
PERSON GENDER CODE CURRENT (BABY) replaces PERSON GENDER CURRENT (BABY), and should be used for all new and developing data sets and for XML messages.PERSON GENDER CODE CURRENT (BABY) replaces PERSON GENDER CURRENT (BABY) and should be used for all new and developing data sets and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.
Change to Data Element: Changed Description
Format/length: | 1 numeric |
HES item: | |
National Codes: | See PERSON GENDER CODE |
Default Codes: |
Notes:
A PERSON's gender currently.
PERSON GENDER CURRENT is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '02 - Person Gender Current'.
The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CURRENT will be replaced with PERSON GENDER CODE CURRENT, which should be used for all new and developing systems and for XML messages.The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CURRENT will be replaced with PERSON GENDER CODE CURRENT, which should be used for all new and developing systems and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.
Change to Data Element: Changed Description
Format/length: | See PERSON GENDER CURRENT |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
PERSON GENDER CURRENT (BABY) is the same as data element PERSON GENDER CURRENT.
PERSON GENDER CURRENT (BABY) will be replaced with PERSON GENDER CODE CURRENT (BABY), which should be used for all new and developing data sets and for XML messages.PERSON GENDER CURRENT (BABY) will be replaced with PERSON GENDER CODE CURRENT (BABY), which should be used for all new and developing data sets and for XML messages.
References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See PRIORITY TYPE |
Default Codes: |
Notes:
PRIORITY TYPES can be defined more precisely if this is needed for local purposes, as long as the classifications can be mapped back to the National Codes.
PRIORITY TYPE will be replaced with PRIORITY TYPE CODE, which should be used for all new and developing data sets and for XML messages.PRIORITY TYPE will be replaced with PRIORITY TYPE CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | see PRIORITY TYPE |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
PRIORITY TYPE CODES can be defined more precisely if this is needed for local purposes, as long as the classifications can be mapped back to the National Codes.
PRIORITY TYPE CODE replaces PRIORITY TYPE, and should be used for all new and developing data sets and for XML messages.PRIORITY TYPE CODE replaces PRIORITY TYPE and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | ADMISTAT |
National Codes: | |
Default Codes: |
Notes:
Where a PATIENT has a history of admissions to several Hospital Provider, then priority between National Codes 1 and 2 should be given to the current Hospital Provider, and National Code 1 selected, irrespective of whether or not the last admission was to the same Hospital Provider.
This data item applies only to PATIENTS admitted or transferred to a CONSULTANT in one of the psychiatric specialties within a Hospital Provider Spell. Record this against the first consultant episode under a CONSULTANT in one of the psychiatric specialties but not for subsequent psychiatric consultant episodes or for any non-psychiatric episodes. This information is used to indicate the turnover period within the service and identify, where possible, all first time psychiatric admissions and re-admissions.
National Codes:
0 | No known previous Hospital Provider Spells with a Consultant Episode (Hospital Provider) within a psychiatric speciality within any Health Care Provider. | |
1 | One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with this Health Care Provider. | |
2 | One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with another Health Care Provider, but none with this Health Care Provider. | |
8 | Not applicable: the patient is not receiving admitted patient care under a consultant in a psychiatric specialty. | |
9 | Not known: the patient is receiving admitted patient care under a consultant in a psychiatric specialty, but the information is not available. This constitutes a validation error |
PSYCHIATRIC PATIENT STATUS will be replaced with PSYCHIATRIC PATIENT STATUS CODE, which should be used for all new and developing data sets and for XML messages.PSYCHIATRIC PATIENT STATUS will be replaced with PSYCHIATRIC PATIENT STATUS CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | ADMISTAT |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Where a PATIENT has a history of admissions to several Hospital Provider, then priority between National Codes 1 and 2 should be given to the current Hospital Provider, and National Code 1 selected, irrespective of whether or not the last admission was to the same Hospital Provider.
This data item applies only to PATIENTS admitted or transferred to a CONSULTANT in one of the psychiatric specialties within a Hospital Provider Spell. Record this against the first consultant episode under a CONSULTANT in one of the psychiatric specialties but not for subsequent psychiatric consultant episodes or for any non-psychiatric episodes. This information is used to indicate the turnover period within the service and identify, where possible, all first time psychiatric admissions and re-admissions.
National Codes:
0 | No known previous Hospital Provider Spells with a Consultant Episode (Hospital Provider) within a psychiatric speciality within any Health Care Provider. | |
1 | One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with this Health Care Provider. | |
2 | One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with another Health Care Provider, but none with this Health Care Provider. | |
8 | Not applicable: the PATIENT is not receiving admitted patient care under a CONSULTANT in a psychiatric specialty. | |
9 | Not known: the PATIENT is receiving admitted patient care under a CONSULTANT in a psychiatric specialty, but the information is not available. This constitutes a validation error |
PSYCHIATRIC PATIENT STATUS CODE replaces PSYCHIATRIC PATIENT STATUS, and should be used for all new and developing data sets and for XML messages.PSYCHIATRIC PATIENT STATUS CODE replaces PSYCHIATRIC PATIENT STATUS and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | |
National Codes: | See REFERRAL TO TREATMENT PERIOD STATUS |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
REFERRAL TO TREATMENT PERIOD STATUS is the same as attribute REFERRAL TO TREATMENT PERIOD STATUS.
Use in Commissioning Data Set version 6-0 onwards
If the Commissioning Data Set record relates to a Referral To Treatment Period Included In 18 Weeks Target, and is of the following Commissioning Data Set Types:
- CDS V6 TYPE 020 - OUTPATIENT CDS
- CDS V6 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS
- CDS V6 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS
- CDS V6 TYPE 030 - EAL - END OF PERIOD CENSUS STANDARD CDS
- CDS V6 TYPE 060 - EAL - EVENT DURING PERIOD - ADD CDS
- CDS V6 TYPE 070 - EAL - EVENT DURING PERIOD - REMOVE CDS
- CDS V6 TYPE 080 - EAL - EVENT DURING PERIOD - OFFER CDS
then REFERRAL TO TREATMENT PERIOD STATUS must be present in the Commissioning Data Set PATIENT PATHWAY Data Group.
REFERRAL TO TREATMENT PERIOD STATUS replaces REFERRAL TO TREATMENT STATUS, and should be used for all new and developing data sets and for XML messages.REFERRAL TO TREATMENT PERIOD STATUS replaces REFERRAL TO TREATMENT STATUS and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | |
National Codes: | See REFERRAL TO TREATMENT PERIOD STATUS |
Default Codes: |
Notes:
This is the same as attribute REFERRAL TO TREATMENT PERIOD STATUS.
Use in Commissioning Data Set version 6-0 onwards
If the Commissioning Data Set record relates to a Referral To Treatment Period Included In 18 Weeks Target, and is of the following Commissioning Data Set Types:
- CDS V6 TYPE 020 - OUTPATIENT CDS
- CDS V6 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS
- CDS V6 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS
- CDS V6 TYPE 030 - EAL - END OF PERIOD CENSUS STANDARD CDS
- CDS V6 TYPE 060 - EAL - EVENT DURING PERIOD - ADD CDS
- CDS V6 TYPE 070 - EAL - EVENT DURING PERIOD - REMOVE CDS
- CDS V6 TYPE 080 - EAL - EVENT DURING PERIOD - OFFER CDS
then REFERRAL TO TREATMENT STATUS must be present in the Commissioning Data Set PATIENT PATHWAY Data Group.
REFERRAL TO TREATMENT STATUS will be replaced with REFERRAL TO TREATMENT PERIOD STATUS, which should be used for all new and developing data sets and for XML messages.REFERRAL TO TREATMENT STATUS will be replaced with REFERRAL TO TREATMENT PERIOD STATUS, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | BIRRESUS |
National Codes: | |
Default Codes: | 8 - Not applicable (e.g. stillborn, where no method of resuscitation was attempted) |
9 - Not known: a validation error |
Notes:
This data item is derived from RESUSCITATION METHOD POSITIVE PRESSURE and RESUSCITATION METHOD DRUGS
It records the means by which regular respiration of the baby was attempted. This is not recorded for stillbirths. For local purposes, the actual drugs administered should be specified.
The following values with the addition of the Default Codes, can be used:
1 | Positive pressure nil, drugs nil |
2 | Positive pressure nil, drugs administered |
3 | Positive pressure by mask, drugs nil |
4 | Positive pressure by mask, drugs administered |
5 | Positive pressure by endotracheal tube, drugs nil |
6 | Positive pressure by endotracheal tube, drugs administered |
RESUSCITATION METHOD will be replaced with RESUSCITATION METHOD CODE, which should be used for all new and developing data sets and for XML messages.RESUSCITATION METHOD will be replaced with RESUSCITATION METHOD CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | BIRRESUS |
National Codes: | |
Default Codes: | 8 - Not applicable (e.g. stillborn, where no method of resuscitation was attempted) |
9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
This data item is derived from RESUSCITATION METHOD POSITIVE PRESSURE and RESUSCITATION METHOD DRUGS
It records the means by which regular respiration of the baby was attempted. This is not recorded for stillbirths. For local purposes, the actual drugs administered should be specified.
The following values with the addition of the Default Codes, can be used:
1 | Positive pressure nil, drugs nil |
2 | Positive pressure nil, drugs administered |
3 | Positive pressure by mask, drugs nil |
4 | Positive pressure by mask, drugs administered |
5 | Positive pressure by endotracheal tube, drugs nil |
6 | Positive pressure by endotracheal tube, drugs administered |
RESUSCITATION METHOD CODE replaces RESUSCITATION METHOD, and should be used for all new and developing data sets and for XML messages.RESUSCITATION METHOD CODE replaces RESUSCITATION METHOD and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | See SERVICE TYPE REQUESTED |
Default Codes: |
Notes:
SERVICE TYPE REQUESTED is the same as attribute SERVICE TYPE REQUESTED.
SERVICE TYPE REQUESTED will be replaced with SERVICE TYPE REQUESTED CODE, which should be used for all new and developing data sets and for XML messages.SERVICE TYPE REQUESTED will be replaced with SERVICE TYPE REQUESTED CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See SERVICE TYPE REQUESTED |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
SERVICE TYPE REQUESTED CODE is the same as attribute SERVICE TYPE REQUESTED.
SERVICE TYPE REQUESTED CODE replaces SERVICE TYPE REQUESTED, and should be used for all new and developing data sets and for XML messages.SERVICE TYPE REQUESTED CODE replaces SERVICE TYPE REQUESTED and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component SEX OF PATIENTS is required to be separately recorded. The classifications for SEX OF PATIENTS are not the same as the National Codes contained within the definition of PERSON GENDER.
The following values for the classifications of attribute SEX OF PATIENTS, with the addition of Home Leave, can be used:
1 | Male |
2 | Female |
8 | Not specified |
9 | Home Leave |
SEX OF PATIENTS will be replaced with SEX OF PATIENTS CODE, which should be used for all new and developing data sets and for XML messages.SEX OF PATIENTS will be replaced with SEX OF PATIENTS CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component SEX OF PATIENTS CODE is required to be separately recorded. The classifications for SEX OF PATIENTS CODE are not the same as the National Codes contained within the definition of PERSON GENDER.
The following values for the classifications of attribute SEX OF PATIENTS CODE, with the addition of Home Leave, can be used:
1 | Male |
2 | Female |
8 | Not specified |
9 | Home Leave |
SEX OF PATIENTS CODE replaced SEX OF PATIENTS, and should be used for all new and developing data sets and for XML messages.SEX OF PATIENTS CODE replaced SEX OF PATIENTS and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n2 |
HES item: | ADMISORC |
National Codes: | See SOURCE OF ADMISSION |
Default Codes: | 98 - Not applicable |
99 - Not known: a validation error |
Notes:
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) is the same as attribute SOURCE OF ADMISSION.
The values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) will be replaced with SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) will be replaced with SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an2 |
HES Item: | ADMISORC |
National Codes: | See SOURCE OF ADMISSION |
Default Codes: | 98 - Not applicable |
99 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) is the same as attribute SOURCE OF ADMISSION.
The values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) replaces SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) replaces SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | CENSAT |
National Codes: | |
Default Codes: |
Notes:
The information about the current detained status is derived from LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) and the length of stay in hospital derived from details held about the current Hospital Provider Spell
See Mental Health Act Table for details of how this data item relates to Parts and Sections of the Act.
The following values can be used:
1 | Detained patient |
2 | Long term patient |
3 | Detained and long term patient |
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS will be replaced with STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE, which should be used for all new and developing data sets and for XML messages.STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS will be replaced with STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE, which should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | CENSAT |
National Codes: | |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
The information about the current detained status is derived from MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) and the length of stay in hospital derived from details held about the current Hospital Provider Spell
See Mental Health Act Table for details of how this data item relates to Parts and Sections of the Act.
The following values can be used:
1 | Detained patient |
2 | Long term patient |
3 | Detained and long term patient |
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE replaces STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS, and should be used for all new and developing data sets and for XML messages.STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE replaces STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS, and should be used for all new and developing data sets and for XML messages.
Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | DELSTAT |
National Codes: | Click on the attribute tab to display the attribute that contains the National Codes. |
Default Codes: | 9 - Not known: a validation error |
Notes:
STATUS OF PERSON CONDUCTING DELIVERY is the same as the attribute STATUS OF PERSON CONDUCTING DELIVERY.
STATUS OF PERSON CONDUCTING DELIVERY will be replaced with STATUS OF PERSON CONDUCTING DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.STATUS OF PERSON CONDUCTING DELIVERY will be replaced with STATUS OF PERSON CONDUCTING DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | DELSTAT |
National Codes: | See STATUS OF PERSON CONDUCTING DELIVERY |
Default Codes: | 9 - Not known: a validation error |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
STATUS OF PERSON CONDUCTING DELIVERY CODE is the same as the attribute STATUS OF PERSON CONDUCTING DELIVERY.
STATUS OF PERSON CONDUCTING DELIVERY CODE replaces STATUS OF PERSON CONDUCTING DELIVERY, and should be used for all new and developing data sets and for XML messages.STATUS OF PERSON CONDUCTING DELIVERY CODE replaces STATUS OF PERSON CONDUCTING DELIVERY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | an2 |
HES item: | |
National Codes: | See STATUS OF SERVICE REQUEST FOR MENTAL HEALTH |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
STATUS OF SERVICE REQUEST (MENTAL HEALTH) is the same as attribute STATUS OF SERVICE REQUEST FOR MENTAL HEALTH.
Change to Data Element: Changed Description
Format/length: | n3 |
HES item: | TRETSPEF |
National Codes: | |
Default codes: | 199 - Non-UK provider; treatment function not known, treatment mainly surgical |
499 - Non-UK provider; treatment function not known, treatment mainly medical |
Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest. See Main Specialty and Treatment Function Codes for the full list of valid codes.
Midwife Episodes and Nursing Episodes may use any appropriate TREATMENT FUNCTION CODE . The pseudo consultant specialty code of 950 for nurses must only be used for MAIN SPECIALTY CODE see Main Specialty and Treatment Function Codes. The code 560 Midwife Episode can be used both as a Main Specialty and a Treatment Function.
The default codes 199 and 499 are only applicable for overseas health care providers.
TREATMENT FUNCTION CODE will be replaced with ACTIVITY TREATMENT FUNCTION CODE, which should be used for all new and developing data sets and for XML messages.TREATMENT FUNCTION CODE will be replaced with ACTIVITY TREATMENT FUNCTION CODE, which should be used for all new and developing data sets and for XML messages.
Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.
Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For CDS message purposes therefore the constituent component WARD DAY PERIOD AVAILABILITY is required to be separately recorded.
The value for the number of days open only during the day is as recorded by attribute WARD DAY PERIOD AVAILABILITY, but with the addition of Home Leave:
0-7 | |
9 | Home Leave |
WARD DAY PERIOD AVAILABILITY will be replaced with WARD DAY PERIOD AVAILABILITY CODE, which should be used for all new and developing data sets and for XML messages.WARD DAY PERIOD AVAILABILITY will be replaced with WARD DAY PERIOD AVAILABILITY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See WARD DAY PERIOD AVAILABILITY |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For CDS message purposes therefore the constituent component WARD DAY PERIOD AVAILABILITY is required to be separately recorded. For Commissioning Data Set message purposes therefore the constituent component WARD DAY PERIOD AVAILABILITY is required to be separately recorded.
The value for the number of days open only during the day is as recorded by attribute WARD DAY PERIOD AVAILABILITY, but with the addition of Home Leave:
0-7 | |
9 | Home Leave |
WARD DAY PERIOD AVAILABILITY CODE replaces WARD DAY PERIOD AVAILABILITY, and should be used for all new and developing data sets and for XML messages.WARD DAY PERIOD AVAILABILITY CODE replaces WARD DAY PERIOD AVAILABILITY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/length: | n1 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component WARD NIGHT PERIOD AVAILABILITY is required to be separately recorded.
The value for the number of days open only during the night is as recorded by attribute WARD NIGHT PERIOD AVAILABILITY, but with the addition of Home Leave:
0-7 | |
9 | Home Leave |
WARD NIGHT PERIOD AVAILABILITY will be replaced with WARD NIGHT PERIOD AVAILABILITY CODE, which should be used for all new and developing data sets and for XML messages.WARD NIGHT PERIOD AVAILABILITY will be replaced with WARD NIGHT PERIOD AVAILABILITY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See WARD NIGHT PERIOD AVAILABILITY |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component WARD NIGHT PERIOD AVAILABILITY is required to be separately recorded.
The value for the number of days open only during the night is as recorded by attribute WARD NIGHT PERIOD AVAILABILITY, but with the addition of Home Leave:
0-7 | |
9 | Home Leave |
WARD NIGHT PERIOD AVAILABILITY CODE replaces WARD NIGHT PERIOD AVAILABILITY, and should be used for all new and developing data sets and for XML messages.WARD NIGHT PERIOD AVAILABILITY CODE replaces WARD NIGHT PERIOD AVAILABILITY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
Format/Length: | an1 |
HES Item: | |
National Codes: | See WARD SECURITY LEVEL |
Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care
Notes:WARD SECURITY LEVEL is the same as WARD SECURITY LEVEL.WARD SECURITY LEVEL is the same as attribute WARD SECURITY LEVEL.
For enquiries, please email datastandards@nhs.net