Arrival At Hospital Time is an ACTIVITY DATE TIME.Arrival At Hospital Time has been retired from the NHS Data Model and Dictionary.

The time the PATIENT arrived at the hospital.The last live version of Arrival At Hospital Time is available in the March 2012 release of the NHS Data Model and Dictionary.

Where the PATIENT arrived in an Ambulance, this is the time of arrival of the Ambulance at the front door as recorded by the Ambulance Service.Access to this version can be obtained by emailing datastandards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

Where the PATIENT is self referred, this is the time of registration in the Accident and Emergency Department.

Arrival Date is an ACTIVITY DATE TIME.Arrival Date At Accident and Emergency Department is an ACTIVITY DATE TIME.

The date of arrival of a PATIENT in the Accident and Emergency Department.Arrival Date At Accident and Emergency Department is the date the PATIENT:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Arrival Time At Accident and Emergency Department is an ACTIVITY DATE TIME.

Arrival Time At Accident and Emergency Department is the time the PATIENT:

• self presented at the Accident and Emergency Department or
• arrived in an Ambulance at the Accident and Emergency Department.

The time should be recorded using the 24 hour clock.

This supporting information is also known by these names:

Context	Alias
plural	Arrival Times at Accident and Emergency Department

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Arrival Time For Transport Requests is an ACTIVITY DATE TIME.

Arrival Time For Transport Requests is the time (for TRANSPORT REQUESTS) that the vehicle arrives at the specified destination.

The time should be recorded using the 24 hour clock.

This supporting information is also known by these names:

Context	Alias
plural	Arrival Times For Transport Requests

Clinical Status Assessment Date is an ACTIVITY DATE TIME.

The date on which a clinical status assessment was performed.Clinical Status Assessment Date is the date on which a clinical status assessment was performed.

References:
National Cancer Dataset Version 1.3_ISB October 2002

Date Biopsy Taken is an ACTIVITY DATE TIME.

The date on which the biopsy for analysis was taken.Date Biopsy Taken is the date on which the biopsy for analysis was taken.

Date First Seen is an ACTIVITY DATE TIME.

The date that the PATIENT is first seen in the Trust that receives the first referral.Date First Seen is the date that the PATIENT is first seen in the Trust that receives the first referral.

• first Out-Patient Appointment; this is the Attendance Date of the first Out-Patient Attendance Consultant
• first diagnostic procedure if this precedes the first Out-Patient Appointment; this is the first Clinical Intervention Date of the Imaging or Radiodiagnostic Event or CLINICAL INTERVENTION
• first seen as an emergency; this is the Start Date of the Hospital Provider Spell or the Arrival Date At Accident and Emergency Department of the Accident and Emergency Attendance
• the date the PATIENT was first seen following referral (or recall) from (or by) a Screening Unit.

Discharge Date is an ACTIVITY DATE TIME.

The date of discharge from a Hospital Provider Spell.Discharge Date is the date of discharge from a Hospital Provider Spell.

Discharge Ready Date is an ACTIVITY DATE TIME.

The date that a PATIENT was medically ready for discharge from a Hospital Bed but could not be discharged, thereby qualifying for Delayed Discharge Payments under the provisions of the Community Care (Delayed Discharges etc) Act 2003.Discharge Ready Date is the date that a PATIENT was medically ready for discharge from a Hospital Bed but could not be discharged, thereby qualifying for Delayed Discharge Payments under the provisions of the Community Care (Delayed Discharges etc) Act 2003.

The settings from where the discharge may originate are a health service hospital or an independent hospital in pursuance of arrangements made by an NHS body.

Within the Act, the relevant community care services are defined under the National Health Service and Community Care Act 1990 section 46 (3). This in turn refers to provisions of other acts as follows:

"Community care services" means services which a Local Authority may provide or arrange to be provided under any of the following provisions:

(a) Part III of the [1948 c. 29.] National Assistance Act 1948;

(b) section 45 of the [1968 c. 46.] Health Services and Public Health Act 1968;

(c) National Health Service Act 2006; and

(d) section 117 of the [1983 c. 20.] Mental Health Act 1983

End Date is an ACTIVITY DATE TIME.

The end of a stay, an episode, period covered by a plan, or other period of time.End Date is the end of a stay, an episode, period covered by a plan, or other period of time.

End Time is an ACTIVITY DATE TIME.

The end time of a stay, episode, period covered by a plan, or other period of time.End Time is the end time of a stay, episode, period covered by a plan, or other period of time.

The time is expressed on a 24 hour clock basis.

First Antenatal Assessment Date is an ACTIVITY DATE TIME.

This is the date on which the pregnant woman was assessed and arrangements made for antenatal care.First Antenatal Assessment Date is the date on which the pregnant woman was assessed and arrangements made for antenatal care. This is not necessarily the occasion on which arrangements were made for delivery.

Procedure Date is an ACTIVITY DATE TIME.

Procedure Date is the date of the occurrence of the CLINICAL INTERVENTION.

This supporting information is also known by these names:

Context	Alias
plural	Procedure Dates

Second Operation Date is an ACTIVITY DATE TIME.

This is the ACTIVITY DATE of the CLINICAL INTERVENTION which is the second operation.Second Operation Date is the ACTIVITY DATE of the CLINICAL INTERVENTION which is the second operation.

Smoking Quit Date is an ACTIVITY DATE TIME.

Smoking Quit Date is the date set by a PERSON on which they intend to stop smoking.

This supporting information is also known by these names:

Context	Alias
plural	Smoking Quit Dates

Start Time is an ACTIVITY DATE TIME.

The start time of a stay, episode, period covered by a plan, or other period of time.Start Time is the start time of a stay, episode, period covered by a plan, or other period of time.

The time is expressed on a 24 hour clock basis.

An ACTIVITY may have many dates and times associated with it but may only have one date or time of a particular type.

National Codes:

Dates

Note: This list is not in alphabetical order.

Times

Note: This list is not in alphabetical order.

The time of arrival in the Accident and Emergency Department or for TRANSPORT REQUESTS this records the time the vehicle arrives at the specified destination. The time should be recorded using the 24 hour clock.ARRIVAL TIME is either the:

SMOKING QUIT DATE is the Smoking Quit Date.

For PERSONS using bupropion (Zyban), it is recommended that a SMOKING QUIT DATE is set within the first 2 weeks of therapy, usually in the second week, e.g. day 8.

For PERSONS using Champix, current license specification and preliminary guidance indicates that a SMOKING QUIT DATE should fall on the 8th day after commencement of dosing with Champix.

ARRIVAL DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Arrival Date'.

Notes:

Definition:CDS BULK REPLACEMENT GROUP is not required when the Commissioning Data Set Net Change Update Mechanism is used.
The Commissioning Data Set Group into which CDS TYPES must be grouped when using the Commissioning Data Set Bulk Replacement Update Mechanism.
The Commissioning Data Set Bulk Replacement Update Mechanism process identifies previously transferred CDS TYPES that are to be replaced by the submitted Commissioning Data Set interchange. To do this the CDS BULK REPLACEMENT GROUP must be used together with the following data items:

• CDS REPORT PERIOD START DATE
• CDS REPORT PERIOD END DATE
• CDS INTERCHANGE SENDER IDENTITY
• CDS PRIME RECIPIENT IDENTITY

Permitted values are:Permitted National Codes:

Usage:
This is a mandatory data item when the Commissioning Data Set Bulk Replacement Update Mechanism is used and is not required when the Commissioning Data Set Net Change Update Mechanism is used.

The Commissioning Data Set Bulk Replacement Update Mechanism process identifies previously transferred CDS TYPES that are to be replaced by the submitted Commissioning Data Set interchange. To do this the CDS BULK REPLACEMENT GROUP must be used together with the following data items:

CDS REPORT PERIOD START DATE
CDS REPORT PERIOD END DATE
CDS INTERCHANGE SENDER IDENTITY
CDS PRIME RECIPIENT IDENTITYCDS BULK REPLACEMENT GROUP will be replaced with  CDS BULK REPLACEMENT GROUP CODE, which should be used for all new and developing data sets and for XML messages.

It is particularly important when using the Commissioning Data Set Bulk Replacement Update Mechanism for a CDS BULK REPLACEMENT GROUP to contain all the relevant CDS TYPES for the extracted time period in a single Commissioning Data Set Interchange, e.g. the Finished General Episodes, Finished Delivery Episodes and Finished Birth Episodes in a Finished Episode Group.

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:
CDS BULK REPLACEMENT GROUP CODE is the Commissioning Data Set Group into which CDS TYPES must be grouped when using the Commissioning Data Set Bulk Replacement Update Mechanism.

CDS BULK REPLACEMENT GROUP CODE is not required when the Commissioning Data Set Net Change Update Mechanism is used.

The Commissioning Data Set Bulk Replacement Update Mechanism process identifies previously transferred CDS TYPES that are to be replaced by the submitted Commissioning Data Set interchange. To do this the CDS BULK REPLACEMENT GROUP CODE must be used together with the following data items:

• CDS REPORT PERIOD START DATE
• CDS REPORT PERIOD END DATE
• CDS INTERCHANGE SENDER IDENTITY
• CDS PRIME RECIPIENT IDENTITY

It is particularly important when using the Commissioning Data Set Bulk Replacement Update Mechanism for a CDS BULK REPLACEMENT GROUP CODE to contain all the relevant CDS TYPES for the extracted time period in a single Commissioning Data Set Interchange, e.g. the Finished General Episodes, Finished Delivery Episodes and Finished Birth Episodes in a Finished Episode Group.

Permitted National Codes:

CDS BULK REPLACEMENT GROUP CODE replaces CDS BULK REPLACEMENT GROUP and should be used for all new and developing data sets and for XML messages.

This data element is also known by these names:

Context	Alias
plural	CDS BULK REPLACEMENT GROUP CODES

Notes:

Definition:
A code to identify the Commissioning Data Set Submission Protocol associated with the transaction.

Permitted National Codes:

Usage:CDS PROTOCOL IDENTIFIER will be replaced with CDS PROTOCOL IDENTIFIER CODE, which should be used for all new and developing data sets and for XML messages.

See the supporting information in the Commissioning Data Set Submission Protocol for more details.

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:
CDS PROTOCOL IDENTIFIER CODE is a code to identify the Commissioning Data Set Submission Protocol associated with the transaction.

Permitted National Codes:

CDS PROTOCOL IDENTIFIER CODE replaces CDS PROTOCOL IDENTIFIER and should be used for all new and developing data sets and for XML messages.

This data element is also known by these names:

Context	Alias
plural	CDS PROTOCOL IDENTIFIERS

Notes:

Definition:
A code to identify the specific type of Commissioning Data Set data.

Permitted National Codes:

Usage:
This is a mandatory data element for the processing of Commissioning Data Set data.CDS TYPE will be replaced with CDS TYPE CODE, which should be used for all new and developing data sets and for XML messages.

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:
CDS TYPE CODE is a code to identify the specific type of Commissioning Data Set data.

Permitted National Codes:

CDS TYPE CODE replaces CDS TYPE and should be used for all new and developing data sets and for XML messages.

This data element is also known by these names:

Context	Alias
plural	CDS TYPE CODES

This data element is mandatory for PATIENTS referred urgently by their GENERAL PRACTITIONER for suspected cancer but can also be applied to other PATIENTS.For the National Cancer Waiting Times Monitoring Data Set, Cancer Registration Data Set and National Cancer Data Set, DATE FIRST SEEN:

The date will be one of the following, whichever is the earliest SERVICE relating to the REFERRAL REQUEST:

• first Out-Patient Appointment; this is the Attendance Date of the first Out-Patient Attendance Consultant
• first diagnostic procedure if this precedes the first Out-Patient Appointment; this is the first Clinical Intervention Date of the Imaging or Radiodiagnostic Event or CLINICAL INTERVENTION
• first seen as an emergency; this is the Start Date of the Hospital Provider Spell or the Arrival Date of the Accident and Emergency Attendance
• the date the PATIENT was first seen following referral (or recall) from (or by) a Screening Unit
• is mandatory for PATIENTS referred urgently by their GENERAL PRACTITIONER for suspected cancer but can also be applied to other PATIENTS
• may not be the same as FIRST SEEN BY SPECIALIST DATE (CANCER) which records the first time the PATIENT sees an appropriate specialist in cancer care.

Date First Seen may not be the same as FIRST SEEN BY SPECIALIST DATE (CANCER) which records the first time the PATIENT sees an appropriate specialist in cancer care.

Notes:
The date a PATIENT was discharged from a Community Health Service.

DISCHARGE DATE (COMMUNITY HEALTH SERVICE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Discharge Date'.DISCHARGE DATE (COMMUNITY HEALTH SERVICE) is the date a PATIENT was discharged from a Community Health Service.

DISCHARGE DATE (HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Discharge Date'.

DISCHARGE DATE (HOSPITAL PROVIDER SPELL) is the date a PATIENT was discharged from a Hospital Provider Spell.

DISCHARGE DATE (MENTAL HEALTH SERVICE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Discharge Date'.

DISCHARGE DATE (MENTAL HEALTH SERVICE) is the date a PATIENT was discharged from a Mental Health Care Spell.

END DATE is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'End Date'.

END TIME is the ACTIVITY TIME where the ACTIVITY DATE TIME TYPE of National Code 'End Time'.

FIRST ANTENATAL ASSESSMENT DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National code 'First Antenatal Assessment Date'.

Notes:
NEONATAL LEVEL OF CARE is the same as attribute NEONATAL LEVEL OF CARE.

The value recorded must be the highest level of care given during a Hospital Provider Spell with Neonatal Level Of Care Periods.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.NEONATAL LEVEL OF CARE will be replaced with NEONATAL LEVEL OF CARE CODE, which should be used for all new and developing data sets and for XML messages.

Neonatal Level Of Care Period is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 25 'Neonatal Level of Care Period'.

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:
NEONATAL LEVEL OF CARE CODE is the same as attribute NEONATAL LEVEL OF CARE.

The value recorded must be the highest level of care given during a Hospital Provider Spell with Neonatal Level Of Care Periods.

NEONATAL LEVEL OF CARE CODE replaces NEONATAL LEVEL OF CARE CODE and should be used for all new and developing data sets and for XML messages.

This data element is also known by these names:

Context	Alias
plural	NEONATAL LEVELS OF CARE CODES

Attribute:

Permitted National Codes:

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 INDICATION CODE, which should be used for all new and developing data sets and for XML messages.

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 REGISTRABLE BIRTHS (live or still born at a particular delivery).NUMBER OF BABIES INDICATION CODE is a derived data element that records the number of REGISTRABLE BIRTHS (live or still born at a particular delivery).

Permitted National Codes:

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 INDICATION CODE replaces NUMBER OF BABIES and should be used for all new and developing data sets and for XML messages.

PRIMARY PROCEDURE DATE is the Clinical Intervention Date of the PRIMARY OPERATION (OPCS-4).

Notes:
Second Operation Date is the same as the attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 42 'Second Operation Date'.

This is the ACTIVITY DATE of the CLINICAL INTERVENTION which is the second operation.

Notes:
SPEECH AND SWALLOWING ASSESSMENT DATE is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 43 'Speech and Swallowing Assessment Date'.SPEECH AND SWALLOWING ASSESSMENT DATE is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Speech and Swallowing Assessment Date'.

START DATE  is the ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.

This is the ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 'Start Time' .