HES / CDS Data Elements cross referenced by HES Item - Table 2

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other BirthThis item has been retired from the NHS Data Model and Dictionary.

• = Mandatory for this CDS Type
O = Optional for this CDS TypeThe last live version of this item is available in the September 2015 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

HES / CDS Data Elements cross referenced by HES Name - Table 1

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other BirthThis item has been retired from the NHS Data Model and Dictionary.

• = Mandatory for this CDS Type
O = Optional for this CDS TypeThe last live version of this item is available in the September 2015 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

• Commissioning Data Sets Menu

• HES - CDS Data items cross referenced by HES Name - Table 1
• HES - CDS Data items cross referenced by HES Item - Table 2

This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the September 2015 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

For further information on Hospital Episode Statistics, see the Health and Social Care Information Centre website at: Hospital Episode Statistics.

The default codes 199 and 499 are only applicable for overseas health care providers.

ACTIVITY TREATMENT FUNCTION CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) is used to record the ADMINISTRATIVE CATEGORY CODE at the start of the Hospital Provider Spell.

ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

Notes:
BIRTH DATE is the date on which a PERSON was born.

BIRTH DATE will be replaced with PERSON BIRTH DATE which is the most recent approved national information standard to describe the required definition.

BIRTH ORDER records the sequence in which the baby was born, with 1 indicating the first or only birth in the sequence (i.e. singleton), 2 indicating the second birth in the sequence, 3 indicating the third, and so on.

The range is 0001 to 9998.

CARE PROFESSIONAL MAIN SPECIALTY CODE 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 by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE of:

• 560 - Non-Consultant Led Activity - Midwife Episode
• 950 - Non-Consultant Led Activity - Nursing Episode 
• 960 - Non-Consultant Led Activity - Allied Health Professional Episode.

The default codes 199 and 499 are only applicable for overseas providers.

For the purposes of the Quarterly Bed Availability and Occupancy Data Set (KH03), the applicable list of CARE PROFESSIONAL MAIN SPECIALTY CODES is available by emailing unify2@dh.gsi.gov.uk.

CARE PROFESSIONAL MAIN SPECIALTY CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

From 01/04/2001 this data item will be used to identify PATIENTS treated under Non-Contract Activities. NHS Trusts and NHS Foundation Trusts are required to insert the letters 'OAT' (mandated input as capitals) in the first three characters of the COMMISSIONING SERIAL NUMBER field of the Admitted Patient Care Commissioning Data Set. The remaining three characters will continue to be defined locally, see DSCN 17/2000.

From 01/04/2005 an '=' (equals) as the last significant character in this six character field will indicate an episode that should be excluded from the National Tariff Payment System tariff.

The position of the last character depends on any preceding characters eg 1st character if field is otherwise blank, 4th character if following 'OAT', up to a maximum of 6th position. This provides a general exclusion facility for unusual circumstances or where more specific rules regarding coding in other fields cannot be implemented due to local software restrictions.

All Midwife Episodes and attendances are identified in the Commissioning Data Sets and Hospital Episode Statistics by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE, 560, see Main Specialty and Treatment Function Codes Table. An Organisation Data Service Default Code is used in the CONSULTANT CODE field to show that a MIDWIFE is the responsible CARE PROFESSIONAL. Note that the MIDWIFE's own Nursing and Midwifery Council code is not used.

All Nursing Episodes and attendances are identified in the Commissioning Data Sets and Hospital Episode Statistics by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE, 950, see Main Specialty and Treatment Function Codes Table. An Organisation Data Service Default Code is used in the CONSULTANT CODE field to show that a NURSE is the responsible CARE PROFESSIONAL. Note that the NURSE's own Nursing and Midwifery Council code is not used.

This is the PERSON PROPERTY EFFECTIVE DATE of the Mental Health Act Legal Status. It is the date on which the first order was made in this period of detention, even though the section of the Act under which the PATIENT is detained may have changed, the PATIENT may have been transferred to another provider or the PATIENT was detained under the Act after admission to the current provider. All changes in MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE should be recorded, and the continuous period of detention obtained by comparing the PERSON PROPERTY EFFECTIVE DATES for the historical Mental Health Act Legal Status records. (Act refers to the 1983 Mental Health Act).

Where the detention order is held by a hospital other than that where the PATIENT is present at the date of the census, the latter should ensure the information relating to this detention order is obtained from the former hospital. Only the hospital where the PATIENT is treated should submit the data.

Mental Health Act Legal Status is a CATEGORY VALUED PERSON OBSERVATION where CATEGORY VALUED PERSON OBSERVATION TYPE is National Code 07 'Legal Status Classification'.

DECIDED TO ADMIT DATE may be the same as the date of admission (e.g. most emergency admissions). Alternatively, a decision can be made to admit at a future date. This decision denotes that the PATIENT is intended to be admitted to a Hospital Bed, either immediately or subsequently in the future. It records the event that a clinical DECISION TO ADMIT a PATIENT to a Hospital Bed has been made by or on behalf of someone, who has the right of admission to a Hospital Provider.

The date will be different from the ORIGINAL DECIDED TO ADMIT DATE when the PATIENT has been transferred from another provider's list, or when the PATIENT has been admitted to hospital, discharged but not treated and is again placed on an ELECTIVE ADMISSION LIST with a new DECISION TO ADMIT.

Additional National Code guidance not contained in the attribute definition is given below. It is shown in italics.

CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set must be submitted annually to the Secondary Uses Service using a date of 31 March for the year of the census.

See the Commissioning Data Set Mandated Data Flows for further information.

By local agreement, other submissions may be made and where this is undertaken, the date chosen must also be compatible with the Commissioning Data Set Submission Protocol used.

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

DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL), which is the most recent approved national information standard to describe the required definition.

DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL), which is the most recent approved national information standard to describe the required definition.

Notes:
This derived item records the waiting time from the ORIGINAL DECIDED TO ADMIT DATE to the admission date at the provider where the treatment actually takes place.DURATION OF ELECTIVE WAIT is a derived item that records the waiting time from the ORIGINAL DECIDED TO ADMIT DATE to the admission date at the provider where the treatment actually takes place.

Enter 0000-8887 in days, right justified with preceding zeros.

A waiting time of 0 (zero) days is only to be entered after careful scrutiny.

Please note that the PATIENT's WAITING PERIOD EXCLUSIONS (their aggregate suspended and/or self-deferred periods) should be subtracted from the DURATION OF ELECTIVE WAIT.

END DATE (EPISODE) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

A known EPISODE NUMBER can be between 01 to 87.

For other Health Care Provider episodes, it is a sequence number for a CONSULTANT/PATIENT combination; or it is a sequence number for each Sexual Health and HIV Episode; or it is a sequence number for each Community Episode in a Nursing In The Community Programme.

EPISODE NUMBER is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

The 16+1 ethnic data categories defined in the 2001 census is the national mandatory standard for the collection and analysis of ethnicity.

The national code must be transmitted as the first character in the 2 character field. The second character is optional for use locally. It must, however, be able to be grouped consistently with the 16 main categories.

The information recorded about ETHNIC CATEGORIES must be obtained by asking the PATIENT.

National code Z should be used where the PERSON has been given the opportunity to state their ETHNIC CATEGORY but chose not to. Default code 99 should be used where the PERSON's ETHNIC CATEGORY is not known.

GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) is the ORGANISATION CODE of the GP Practice that the PATIENT is registered with.

Use of Organisation Data Service Default Codes

• V81997 should be used when a PATIENT presents, who is not currently registered at a GP Practice, but is eligible to be registered should they wish to.
• 
  
• V81998 should be used where a PATIENT should not have a registered GP Practice, due for instance to them having only recently entered the country.
• 
  
• V81999 should be used where it is not possible to determine a PATIENT's registered GP Practice code, but it is known that they should have one, or where it is impossible to determine whether they should or shouldn't have a registered practice (for instance the PATIENT cannot communicate and is unidentified).

This GENERAL MEDICAL PRACTITIONER works within the General Medical Practitioner Practice with which the PATIENT is registered.

A GENERAL MEDICAL PRACTITIONER will have at least one of the following:

• GENERAL MEDICAL COUNCIL REFERENCE NUMBER
• DOCTOR INDEX NUMBER
• GENERAL MEDICAL PRACTITIONER PPD CODE.

Ministry of Defence Doctors:

• If a Ministry of Defence Doctor has a GENERAL MEDICAL PRACTITIONER PPD CODE, the GENERAL MEDICAL PRACTITIONER PPD CODE should be used
• If a Ministry of Defence Doctor does not have a GENERAL MEDICAL PRACTITIONER PPD CODE, Organisation Data Service Default Code G9999981 'GENERAL MEDICAL PRACTITIONER PPD CODE not applicable' should be used.

A HOSPITAL PROVIDER SPELL NUMBER is a unique identifier for each Hospital Provider Spell for a Health Care Provider.

HOSPITAL PROVIDER SPELL NUMBER is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

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'.

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.

Permitted National Codes:

If born dead before 24 weeks, it would be a spontaneous abortion.

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) is only required for the Admitted Patient Care CDS - Detained and/or Long Term Psychiatric Census.

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 is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

For the AIDC for Patient Identification Data Set, NHS NUMBER must be displayed in accordance with the NHS Common User Interface Information Standard - NHS Number Input and Display (ISB 1504).

Notes:
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:

Permitted National Codes:

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.

ORGANISATION CODE (CODE OF COMMISSIONER) is the ORGANISATION CODE of the ORGANISATION commissioning health care.

For Commissioning Data Sets, the ORGANISATION CODE (CODE OF COMMISSIONER) should always be the ORGANISATION CODE of the original commissioner to support the National Tariff Payment System.

The NHS England document "Who pays? Determining responsibility for payments to providers" sets out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.)

The document includes information on the following:

• General Rules
• Applying the rules to Clinical Commissioning Group commissioned services
• Exceptions to the general rules
• Examples to help clarify the boundaries of responsibility between commissioning ORGANISATIONS.

For further information on this document contact NHS England at "Contact us".

ORGANISATION CODE (CODE OF PROVIDER) is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider.

For Commissioning Data Sets, the ORGANISATION CODE (CODE OF PROVIDER) should always be the ORGANISATION CODE of the Health Care Provider receiving the National Tariff Payment System income.

ORGANISATION CODE (CODE OF PROVIDER) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

ORGANISATION CODE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES STEPPED TO PROVIDER) is the ORGANISATION CODE (CODE OF PROVIDER) of the ORGANISATION stepped to during an Improving Access to Psychological Therapies Care Spell.

ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) is the ORGANISATION CODE of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER. 

Where Choose and Book has been used, the ORGANISATION CODE X09 should be used.

Use in Commissioning Data Set version 6-0 onwards

If the Commissioning Data Set record relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, and is of the following Commissioning Data Set Types:

• CDS V6-2 Type 020 - Outpatient Commissioning Data Set
• CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
• CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
• CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set
• CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set
• CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set
• CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set

then ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) must be present in the Commissioning Data Set PATIENT PATHWAY Data Group. 

ORGANISATION CODE (STOP SMOKING SERVICE PROVIDER) is the same as data element ORGANISATION CODE (RESPONSIBLE PCT) with the exception of PERSONS receiving a Stop Smoking Service at or near their workplace, which may be some distance from their home.

For example, a Stop Smoking Service might be provided for commuters at their workplace in a large city. In such circumstances it is likely that PERSONS will be drawn from a range of places in the surrounding area e.g. commuters to London who live all around the south-east of England.

Where a SERVICE is judged to meet these criteria, the Primary Care Trust providing the SERVICE is the Responsible Primary Care Trust.

The duration of stay is derived by subtracting the date of admission from the date of discharge.

In the case of maternity PATIENTS, the use being made of the delivery facilities is also used in this derivation.

PATIENT CLASSIFICATION CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.