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

National Codes:

Note: This list is not in alphabetical order.

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

National Codes:

Note: This list is not in alphabetical order.

The type of ACTIVITY GROUP.

National Codes:

Note:
The list is not in alphabetical order.

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

National Codes:

Note: This list is not in alphabetical order.

The actual place type of Delivery.

Recording both the planned and the actual place of Delivery allows all changes of intent to be logged. Note that if a baby is delivered in a different hospital to the one originally specified, there would be no change in the Delivery place type, since the Birth would still have taken place in an NHS hospital.

National Codes:

Note: The codes have been listed in logical sequence rather than in numeric order.

The method of admission to a Hospital Provider Spell.

Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission.

Notes:

• The National Codes have been listed in logical sequence rather than alphanumeric order
• The following National Codes have been introduced to replace National Code 28 'Other means'. National Code 28 will be retired in the next version of the Commissioning Data Set:
  • 2A 'Accident and Emergency Department of another provider where the PATIENT had not been admitted'
  • 2B 'Transfer of an admitted PATIENT from another Hospital Provider in an emergency'
  • 2C 'Baby born at home as intended'
  • 2D 'Other emergency admission'
• The following National Codes are not valid for use in the Mental Health Services Data Set:
  • 2C 'Baby born at home as intended'
  • 28 'Other means'
  • 31 'Admitted ante partum'
  • 32 'Admitted post partum'
  • 82 'The birth of a baby in this Health Care Provider'
  • 83 'Baby born outside the Health Care Provider except when born at home as intended'
• The following National Codes have been introduced to replace National Code 28 'Other means'. National Code 28 will be retired in the next version of the Commissioning Data Set:
  • 2A 'Emergency Admission: Accident and Emergency Department of another provider where the PATIENT had not been admitted'
  • 2B 'Emergency Admission: Transfer of an admitted PATIENT from another Hospital Provider in an emergency'
  • 2C 'Emergency Admission: Baby born at home as intended'
  • 2D 'Emergency Admission: Other emergency admission'
• The following National Codes are not valid for use in the Mental Health Services Data Set:
  • 2C 'Emergency Admission: Baby born at home as intended'
  • 28 'Emergency Admission: Other means'
  • 31 'Maternity Admission: Admitted ante partum'
  • 32 'Maternity Admission: Admitted post partum'
  • 82 'Other Admission: The birth of a baby in this Health Care Provider'
  • 83 'Other Admission: Baby born outside the Health Care Provider except when born at home as intended'
• National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct. 
  • The explanation of the National Code description prefixes are:
    • Elective Admission: when the DECISION TO ADMIT could be separated in time from the actual admission. Note that this does not include a transfer from another Hospital Provider (see National Code 81 below)
    • Emergency Admission: when admission is unpredictable and at short notice because of clinical need
    • Maternity Admission: of a pregnant or recently pregnant woman to a maternity WARD (including Delivery facilities) except when the intention is to terminate the pregnancy
    • Other Admission: not specified above.

National Codes:

A code which indicates the outcome of an OFFER OF ADMISSION to a PATIENT on an ELECTIVE ADMISSION LIST.

National Codes:

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

An indication of whether an APPOINTMENT for a CARE CONTACT took place.

If the APPOINTMENT did not take place it also indicates if advance warning was given.

When an APPOINTMENT is cancelled the APPOINTMENT CANCELLED DATE should also be recorded.

Notes:

• The National Codes have been listed in logical sequence rather than alphanumeric order
• National Code 0 - 'Not applicable - APPOINTMENT occurs in the future' is not valid for use in the following data sets:
  • Community Services Data Set
  • Improving Access to Psychological Therapies Data Set
  • Maternity Services Data Set
  • Mental Health Services Data Set.

Use in the Future Outpatient Commissioning Data Set:

• For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, National Code 0 'Not applicable - APPOINTMENT occurs in the future' should be used.
• Where the future attendance has been cancelled, use the appropriate value from the National Codes.

National Codes:

The status of a REFERRAL REQUEST for a PATIENT referred with a suspected cancer, or referred with breast symptoms with cancer not originally suspected.

For the Cancer Outcomes and Services Data Set, CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS can be recorded for all PATIENTS (regardless of the referral route).

• For the National Cancer Waiting Times Monitoring Data Set,
  • CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS is the status of a REFERRAL REQUEST for a PATIENT:
    • referred with a suspected cancer by a GENERAL MEDICAL PRACTITIONER, GENERAL DENTAL PRACTITIONER, OPTOMETRIST or NHS Screening Service
    • referred from any CARE PROFESSIONAL with breast symptoms where cancer was not originally suspected or upgraded onto the 62 day period.
  • Where a diagnosis of cancer is subsequently made, data on First Definitive Treatment and subsequent treatments should be recorded for PATIENTS receiving NHS funded treatment in England.
    • NHS funded treatment in England refers to Health Care Provider Organisations within England who are treating PATIENTS with cancer who may have been referred from outside England (where the PATIENTS have NHS NUMBERS which exist on the Personal Demographics Service and which can be used within the National Cancer Waiting Times Monitoring Data Set for transmission purposes).
  • Where PATIENTS with a diagnosis of cancer do NOT receive NHS funded treatment in England, or where the diagnosed condition is not within the NHS England list of cancer conditions, further data need not be collected. The full list of conditions can be found on the NHS Digital website at: Cancer Waiting Times.

The National Codes have been listed in logical sequence rather than numeric order.

National Codes:

The type of treatment or care which was delivered during a Cancer Treatment Period.

Notes:

• National Code 'Specialist Palliative Care', should only be used where care is being delivered under the management of a CONSULTANT in Palliative Medicine.
• National Code 'Non-Specialist Palliative Care (excluding Active Monitoring)' is only to be used where the treatment consists of Palliative Care not under the management of a CONSULTANT in Palliative Medicine.
• National Code 'Non-Specialist Palliative Care (excluding Active Monitoring)' should only be used to record an ACTIVITY where there is no intention to offer a future course of treatment other than those contained within National Codes 07, 08 or 09 at the time the CARE PLAN is agreed between the CARE PROFESSIONAL and PATIENT. This type of care is sometimes referred to as ‘best supportive care’ within NHS services.

National Codes:

Notes:

• National Code 'Specialist Palliative Care', should only be used where care is being delivered under the management of a CONSULTANT in Palliative Medicine.
• National Code 'Non-Specialist Palliative Care (excluding Active Monitoring)' is only to be used where the treatment consists of Palliative Care not under the management of a CONSULTANT in Palliative Medicine.
• National Code 'Non-Specialist Palliative Care (excluding Active Monitoring)' should only be used to record an ACTIVITY where there is no intention to offer a future course of treatment other than those contained within National Codes 07, 08 or 09 at the time the CARE PLAN is agreed between the CARE PROFESSIONAL and PATIENT. This type of care is sometimes referred to as ‘best supportive care’ within NHS services.

The type of CARE CONTACT.

National Codes:

Note: The list is not in alphabetical order.

The level of resources and intensity of care which it is intended to provide or is provided in a particular WARD.

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

The Delivery place type where the pregnant woman plans to have her baby.

• The first INTENDED DELIVERY PLACE type is recorded, as designated by the CARE PROFESSIONAL in consultation with the PATIENT.
• The initial INTENDED DELIVERY PLACE may not be recorded since there may be no history of Antenatal care. For example, the pregnancy may not have been diagnosed or may have been concealed. In this case, National Code 'None of the above' would be recorded.

National Codes:

Note: The codes have been listed in logical sequence rather than in numeric order.

The method by which the process of Labour began, or Delivery by caesarean section occurred.

Note:

• National Code 1 is not to be recorded if a planned elective caesarean section is carried out, see National Code 2.
• If an unplanned caesarean section is performed after Labour has started National Codes 1, 3, 4, and 5 should be used as applicable.
• If the methods at National Code 3, 4, or 5 have been used to accelerate rather than induce Labour, they should not be recorded under these codes.

National Codes:

Note: 1 is not to be recorded if a planned elective caesarean section is carried out, see 2. If an unplanned caesarean section is performed after Labour has started code 1, 3, 4, & 5 is to be used as applicable. If the methods at 3, 4, or 5 have been used to accelerate rather than induce Labour, they should not be recorded under these codes.

An indication of whether the birth was a live or stillbirth.

A stillbirth is a birth after a gestation of 24 weeks (168 days) where the baby shows no identifiable signs of life at delivery.

Note:

• National Code 5 'Baby born but died later' is only valid for use in the PDS Birth Notification Data Sets.

National Codes:

National Codes:

Note: This list is not in alphabetical order.

A PLANNED ACTIVITY may have many dates associated with it but may only have one date of a particular type.

National Codes:

Note: This list is not in alphabetical order.

The reason that a PATIENT was referred to a Community Health Service. 

National Codes:

Note: This list is not in alphabetical order.

The source of referral to a Mental Health Service.

Notes:

• The following National Codes are for use in the Improving Access to Psychological Therapies Data Set only:
  • M8 'Debt Agency'
  • N1 'Stepped up from low intensity Improving Access to Psychological Therapies Service'
  • N2 'Stepped down from high intensity 'Improving Access to Psychological Therapies Service'.
• The following National Codes are for use in the Improving Access to Psychological Therapies Data Set only:
  • M8 'Other: Debt Agency'
  • N1 'Stepped up from low intensity Improving Access to Psychological Therapies Service'
  • N2 'Stepped down from high intensity 'Improving Access to Psychological Therapies Service'.
• National Code N3 'Improving Access to Psychological Therapies Service is only valid for use in the Mental Health Services Data Set
• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

The prime reason for an adjustment to waiting time for the National Cancer Waiting Times Monitoring Data Set.

Where there is more than one adjustment applicable, this should be the reason for the longest adjustment.

Notes:

• Where there has been no adjustment to waiting time, National Code 'No adjustment to waiting time' should be used.
• National Code 'Did Not Attend Out-Patient Appointment' is only to be used, where applicable, within WAITING TIME ADJUSTMENT REASON (FIRST SEEN).
• National Code 'Patient pause' cannot be used within WAITING TIME ADJUSTMENT REASON (FIRST SEEN) as a patient pause can only be applied in relation to an OFFER OF ADMISSION for treatment.

National Codes:

Notes:

• Where there has been no adjustment to waiting time, National Code 'No adjustment to waiting time' should be used.
• National Code 'Did Not Attend Out-Patient Appointment' is only to be used, where applicable, within WAITING TIME ADJUSTMENT REASON (FIRST SEEN).
• National Code 'Patient pause' cannot be used within WAITING TIME ADJUSTMENT REASON (FIRST SEEN) as a patient pause can only be applied in relation to an OFFER OF ADMISSION for treatment.

Use in Commissioning Data Set Version 6-2 onwards

Where Out-Patient Clinics are held on WARDS (such as Pre-assessment Clinics), these should be categorised as ACTIVITY LOCATION TYPE CODE National Code E01 'Out-Patient Clinic' and not National Code E02 'WARD'.  This will allow Ward Attendances to be differentiated from Out-Patient Clinics in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set flow.

For ACTIVITY falling under Allied Health Professional Referral To Treatment Measurement, ACTIVITY LOCATION TYPE CODE may be submitted to allow identification of Allied Health Professional ACTIVITY taking place on WARDS, which is not related to the Hospital Provider Spell for the PATIENT being seen by the Allied Health Professional.  For example, if a Podiatrist were asked to see a PATIENT who was currently admitted for a condition where the agreed care pathway did not include Podiatry services, then an Out-Patient Appointment Non-Consultant should be recorded, with the ACTIVITY LOCATION TYPE CODE of E02 'WARD'.

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 NHS Digital website at: Payment by Results Guidance.

ADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) is the method of admission to a Hospital Provider Spell for a mother for Labour and Delivery.

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).

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.

For specific National Code usage in different data sets, see CRITICAL CARE ACTIVITY CODE.

DEATH LOCATION TYPE CODE (ACTUAL) is the actual LOCATION where the PERSON died.

DEATH LOCATION TYPE CODE (PREFERRED) is the preferred LOCATION of death as specified by the PATIENT, Patient Proxy or Carer.

For specific National Code usage in different data sets, see DIAGNOSIS SCHEME IN USE.

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 NHS Digital website at: Payment by Results Guidance.

DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL) is the method of discharge from a Hospital Provider Spell for the mother following Delivery.

FIRST ATTENDANCE 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.

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

• The National Codes have been listed in logical sequence rather than alphanumeric order.

Permitted National Codes:

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.

For specific National Code usage in different data sets, see ONWARD REFERRAL REASON.

PERSON GENDER CODE CURRENT is a PERSON's gender currently.

PERSON GENDER CODE CURRENT 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 NHS Digital website at: Payment by Results Guidance.

PERSON GENDER CODE CURRENT will be replaced with PERSON STATED GENDER CODE or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.PERSON GENDER CODE CURRENT will be replaced with PERSON STATED GENDER CODE or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.

PERSON RELATIONSHIP (MAIN CARER) is the relationship between the PATIENT and the PERSON who undertakes the main caring role for them.

For specific National Code usage in different data sets, see PROCEDURE SCHEME IN USE.

For specific National Code usage in different data sets, see PROFESSIONAL REGISTRATION BODY CODE.

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 REFERRAL TO TREATMENT PERIOD STATUS must be present in the Commissioning Data Set PATIENT PATHWAY Data Group.

For specific National Code usage in different data sets, see REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

For specific National Code usage in different data sets, see SEX OF PATIENTS.

SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) is the source of admission to a Hospital Provider Spell in a Hospital Site.

SOURCE OF ADMISSION 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 NHS Digital website at: Payment by Results Guidance.

For specific National Code usage in different data sets, see SOURCE OF REFERRAL FOR MENTAL HEALTH.

WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is the reason for an adjustment to a waiting time prior to the DATE FIRST SEEN.

If there is more than one adjustment applicable, WAITING TIME ADJUSTMENT REASON (FIRST SEEN) should be the reason for the longest calculated adjustment days.

WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (FIRST SEEN).

WAITING TIME ADJUSTMENT REASON (TREATMENT) is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (TREATMENT). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.

WAITING TIME ADJUSTMENT REASON (TREATMENT) should only be recorded where CANCER CARE SETTING FOR TREATMENT is:

• National Code 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 'Ordinary admission') or
• National Code 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 'Day case admission').

Note: National Codes 01, 03 and 04 are not valid for the Referral To Treatment (RTT) data group in the Mental Health Services Data Set.