NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1784
Version No:1.0
Subject:Organisation and NHS Business Definitions
Effective Date:Immediate
Reason for Change:Patch
Publication Date:6 August 2020

Background:

Work on new versions of the Data Dictionary from 3+ onwards, has identified the following issues:

This patch:

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: https://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

Note: if the web page does not open, please copy the link and paste into the web browser.

Summary of changes:

Diagrams
ACTIVITY DIAGRAM   Changed Diagram
ADDRESS DIAGRAM   Changed Diagram
APPOINTMENT DIAGRAM   Changed Diagram
CANCER OUTCOMES AND SERVICES DIAGRAM   Changed Diagram
CARE PROFESSIONAL DIAGRAM   Changed Diagram
COMMUNITY SERVICES DIAGRAM   Changed Diagram
DIAGNOSTIC IMAGING DIAGRAM   Changed Diagram
HIV AND AIDS DIAGRAM   Changed Diagram
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM   Changed Diagram
MATERNITY SERVICES DIAGRAM   Changed Diagram
NATIONAL JOINT REGISTRY DIAGRAM   Changed Diagram
NATIONAL WORKFORCE DIAGRAM   Changed Diagram
ORGANISATION DIAGRAM   Changed Diagram
PATIENT PATHWAY DIAGRAM   Changed Diagram
RADIOTHERAPY DIAGRAM   Changed Diagram
SERVICE REQUEST DIAGRAM   Changed Diagram
SYSTEMIC ANTI-CANCER THERAPY DIAGRAM   Changed Diagram
 
Data Set
MENTAL HEALTH SERVICES DATA SET   Changed Description
NATIONAL NEONATAL DATA SET - EPISODIC AND DAILY CARE   Changed Description
NATIONAL NEONATAL DATA SET - TWO YEAR NEONATAL OUTCOMES ASSESSMENT   Changed Description
 
Supporting Information
ABBREVIATED MENTAL TEST SCORE   Changed Description
ACTIVITY DATE FOR AGE (CONTRACT MONITORING)   Changed Description
ACTIVITY END DATE (CONTRACT MONITORING)   Changed Description
ACTIVITY START DATE (CONTRACT MONITORING)   Changed Description
ADULT COMORBIDITY EVALUATION - 27   Changed Description
ADULT IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES PROGRAMME   Changed Description
AGGREGATE CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
ALLRED SCORE   Changed Description
AMBULANCE SERVICE   Changed Description
AMERICAN JOINT COMMITTEE ON CANCER   Changed Description
AMERICAN SOCIETY OF ANESTHESIOLOGISTS   Changed Description
ANTENATAL   Changed Description
ANTIRETROVIRAL THERAPY   Changed Description
APPOINTMENT REQUEST   Changed Description
APPRAISAL REVIEW   Changed Description
APPROVED MENTAL HEALTH PROFESSIONAL   Changed Description
ASSOCIATION OF EARLY PREGNANCY UNITS   Changed Description
BACKGROUND   Changed Description
BODY MASS INDEX   Changed Description
BREAST SCREENING UNIT   Changed Description
BRITISH ASSOCIATION FOR PAEDIATRIC NEPHROLOGY   Changed Description
BRITISH HIV ASSOCIATION   Changed Description
BRITISH PSYCHOLOGICAL SOCIETY   Changed Description
BRITISH TRANSPLANTATION SOCIETY   Changed Description
CANCER END OF TREATMENT SUMMARY PLAN   Changed Description
CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW   Changed Description
CARDIOPULMONARY EXERCISE TEST   Changed Description
CARE HOME   Changed Description
CARE HOME STAY (MIDWIFE CARE)   Changed Description
CARE HOME STAY (NURSING CARE)   Changed Description
CARE HOME WITH NURSING   Changed Description
CARE HOME WITHOUT NURSING   Changed Description
CARE PERSONNEL   Changed Description
CARE QUALITY COMMISSION   Changed Description
CARE TRUST   Changed Description
CDS TYPE   Changed Description
CDS V6-2 TYPE 060 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (ADD) CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 070 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (REMOVE) CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 080 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (OFFER) CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 090 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (AVAILABLE OR UNAVAILABLE) CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 100 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (OLD SERVICE AGREEMENT) CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 110 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (NEW SERVICE AGREEMENT) CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 120 - ADMITTED PATIENT CARE - FINISHED BIRTH EPISODE CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 140 - ADMITTED PATIENT CARE - FINISHED DELIVERY EPISODE CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 150 - ADMITTED PATIENT CARE - OTHER BIRTH EVENT CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 160 - ADMITTED PATIENT CARE - OTHER DELIVERY EVENT CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 180 - ADMITTED PATIENT CARE - UNFINISHED BIRTH EPISODE CDS OVERVIEW   Changed Description
CDS V6-2 TYPE 200 - ADMITTED PATIENT CARE - UNFINISHED DELIVERY EPISODE CDS OVERVIEW   Changed Description
CHILDREN'S CANCER AND LEUKAEMIA GROUP   Changed Description
CHILDREN'S HOME   Changed Description
CHIROPODIST   Changed Description
CLINICAL COMMISSIONING GROUP   Changed Description
CLINICAL DATA SETS INTRODUCTION   Changed Description
CLINICAL DENTAL TECHNICIAN   Changed Description
CLINICAL FRAILTY SCALE   Changed Description
CLINICAL NURSE SPECIALIST   Changed Description
CLINICAL PSYCHOLOGIST   Changed Description
CLINICAL SENATE   Changed Description
COMMISSIONING DATA SET ADDRESSING GRID   Changed Description
COMMISSIONING DATA SET DATA DUPLICATION   Changed Description
COMMISSIONING DATA SET NOTATION   Changed Description
COMMISSIONING DATA SETS INTRODUCTION   Changed Description
COMMISSIONING DATA SETS OVERVIEW   Changed Description
COMMISSIONING DATA SET SUBMISSION AND ORGANISATION MERGERS   Changed Description
COMMISSIONING DATA SET SUBMISSION PROTOCOL   Changed Description
COMMISSIONING SUPPORT UNIT   Changed Description
COMMUNITY HEALTH INDEX (SCOTLAND)   Changed Description
COMMUNITY HEALTH PARTNERSHIP (SCOTLAND)   Changed Description
COMMUNITY SAFETY PARTNERSHIP   Changed Description
COUNSELLING PSYCHOLOGIST   Changed Description
CT SCAN   Changed Description
DA1 (RETIRED) renamed from DA1   Changed Description, status to Retired, Name
DATA COLLECTIONS HELP   Changed Description
DATA COORDINATION BOARD   Changed Description
DATA SERVICES FOR COMMISSIONERS   Changed Description
DATA SERVICES FOR COMMISSIONERS REGIONAL OFFICE   Changed Description
DAY CARE FACILITY   Changed Description
DECISION SUPPORT TOOL FOR NHS CONTINUING HEALTHCARE   Changed Description
DECISION TO TREAT   Changed Description
DENTAL PRACTICE   Changed Description
DENTAL THERAPIST   Changed Description
DENTIST WITH ENHANCED SKILLS   Changed Description
DEPARTMENT FOR EDUCATION   Changed Description
DEPARTMENT FOR WORK AND PENSIONS   Changed Description
DEPARTMENT OF HEALTH AND SOCIAL CARE   Changed Description
DEVICES PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
DIAGNOSTIC IMAGING DATA SET OVERVIEW   Changed Description
DIEPOXYBUTANE TEST   Changed Description
DRUGS PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
DUCTAL CARCINOMA IN SITU   Changed Description
EARLY PREGNANCY UNIT   Changed Description
EDUCATIONAL ESTABLISHMENT   Changed Description
EDUCATIONAL PSYCHOLOGIST   Changed Description
EDUCATION HEALTH AND CARE PLAN   Changed Description
ELECTROCARDIOGRAM   Changed Description
ELECTROENCEPHALOGRAM   Changed Description
EMPLOYMENT SUPPORT   Changed Description
ENHANCED SUPPORTIVE CARE   Changed Description
ENUMERATION DISTRICT   Changed Description
ESOPHAGEAL COMPLICATIONS CONSENSUS GROUP   Changed Description
EUROPEAN CENTRE FOR DISEASE PREVENTION AND CONTROL   Changed Description
EUROPEAN GROUP FOR THE IMMUNOLOGICAL CLASSIFICATION OF LEUKAEMIA SCORING SYSTEM   Changed Description
EUROPEAN HEALTH INSURANCE CARD (RETIRED) renamed from EUROPEAN HEALTH INSURANCE CARD   Changed Description, status to Retired, Name
EUROPEAN LEUKEMIANET   Changed Description
EUROPEAN NEUROENDOCRINE TUMOR SOCIETY   Changed Description
FACULTY OF GENERAL DENTAL PRACTICE (UK)   Changed Description
FEMALE GENITAL MUTILATION DATA SET OVERVIEW   Changed Description
FETAL ANOMALY ULTRASOUND SCAN   Changed Description
FETUS (RETIRED) renamed from FETUS   Changed Description, status to Retired, Name
FORENSIC PSYCHOLOGIST   Changed Description
GENERAL DENTAL COUNCIL DENTAL CARE PROFESSIONALS REGISTER   Changed Description
GENERAL DENTAL COUNCIL DENTISTS REGISTER   Changed Description
GENERAL DENTAL COUNCIL SPECIALIST LISTS IN DISTINCTIVE BRANCHES OF DENTISTRY   Changed Description
GENERAL MEDICAL COUNCIL GP REGISTER   Changed Description
GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS   Changed Description
GENERAL MEDICAL PRACTITIONER PRACTICE   Changed Description
GENERAL PHARMACEUTICAL COUNCIL   Changed Description
GENERAL PHARMACEUTICAL COUNCIL REGISTER   Changed Description
GENERAL PRACTITIONER WITH AN EXTENDED ROLE   Changed Description
GET INFORMATION ABOUT SCHOOLS   Changed Description
GP PRACTICE   Changed Description
GRIFFITHS MENTAL DEVELOPMENT SCALES   Changed Description
GS1   Changed Description
GUMCAD SEXUALLY TRANSMITTED INFECTION SURVEILLANCE SYSTEM DATA SET OVERVIEW   Changed Description
HBA1C   Changed Description
HEALTH AND CARE PROFESSIONS COUNCIL   Changed Description
HEALTH AND WELLBEING BOARD   Changed Description
HEALTH CARE PROVIDER   Changed Description
HEALTHCARE QUALITY IMPROVEMENT PARTNERSHIP   Changed Description
HEALTHCARE RESOURCE GROUP   Changed Description
HEALTH EDUCATION ENGLAND   Changed Description
HEALTH OF THE NATION OUTCOME SCALE (WORKING AGE ADULTS)   Changed Description
HEALTH PSYCHOLOGIST   Changed Description
HEALTH RESEARCH AUTHORITY   Changed Description
HEALTHWATCH ENGLAND   Changed Description
HIGH COST TARIFF EXCLUDED DEVICE   Changed Description
HIGH COST TARIFF EXCLUDED DRUG   Changed Description
HIV AND AIDS REPORTING DATA SET OVERVIEW   Changed Description
HOSPICE   Changed Description
HOSPITAL PROVIDER   Changed Description
HOSPITAL SITE   Changed Description
HUMAN TISSUE AUTHORITY   Changed Description
HYPERBARIC OXYGEN THERAPY   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT-IN MODEL (RETIRED) renamed from IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT-IN MODEL   Changed Description, status to Retired, Name
INDEPENDENT MENTAL CAPACITY ADVOCATE   Changed Description
INDEPENDENT MENTAL HEALTH ADVOCATE   Changed Description
INDEPENDENT PROVIDER   Changed Description
INDEPENDENT SECTOR HEALTHCARE PROVIDER   Changed Description
INTEGRATED IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES LONG TERM CONDITION SERVICE   Changed Description
INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUPING SYSTEM   Changed Description
INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA   Changed Description
INTERNATIONAL COMMISSION ON RADIATION UNITS AND MEASUREMENTS   Changed Description
INTERNATIONAL FEDERATION OF GYNECOLOGY AND OBSTETRICS   Changed Description
INTERNATIONAL NEUROBLASTOMA RISK GROUP STAGING SYSTEM   Changed Description
INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY   Changed Description
INTER-PROVIDER TRANSFER ADMINISTRATIVE MINIMUM DATA SET OVERVIEW   Changed Description
INTRAOPERATIVE ULTRASOUND   Changed Description
JUSTICE ORGANISATION   Changed Description
LOCAL AUTHORITY   Changed Description
LOCAL HEALTH BOARD (WALES)   Changed Description
LOCAL HEALTHWATCH   Changed Description
LONG TERM PHYSICAL HEALTH CONDITION   Changed Description
LOOKED AFTER CHILD   Changed Description
LOWER LAYER SUPER OUTPUT AREA   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE   Changed Description
MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY   Changed Description
MENTAL HEALTH SERVICE   Changed Description
MENTAL HEALTH SERVICES DATA SET OVERVIEW   Changed Description
META MODEL INTRODUCTION   Changed Description
MICROWAVE ABLATION   Changed Description
MIDDLE LAYER SUPER OUTPUT AREA   Changed Description
MRI SCAN   Changed Description
NATIONAL CANCER REGISTRATION AND ANALYSIS SERVICE   Changed Description
NATIONAL CANCER WAITING TIMES MONITORING DATA SET SCENARIOS   Changed Description
NATIONAL CENTRE FOR SMOKING CESSATION AND TRAINING   Changed Description
NATIONAL CONTACT POINT   Changed Description
NATIONAL INFORMATION BOARD   Changed Description
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE   Changed Description
NATIONAL JOINT REGISTRY   Changed Description
NATIONAL KIDNEY FEDERATION   Changed Description
NATIONAL NEONATAL DATA SET OVERVIEW   Changed Description
NATIONAL WORKFORCE DATA SET OVERVIEW   Changed Description
NEONATAL DATA ANALYSIS UNIT   Changed Description
NEONATE   Changed Description
NEUROPSYCHOLOGIST   Changed Description
NHS ALLIED HEALTH PROFESSIONAL SERVICE (REFERRAL TO TREATMENT MEASUREMENT)   Changed Description
NHS BLOOD AND TRANSPLANT   Changed Description
NHS BUSINESS SERVICES AUTHORITY   Changed Description
NHS CONTINUING HEALTHCARE ELIGIBILITY START DATE FOLLOWING INDEPENDENT REVIEW   Changed Description
NHS CONTINUING HEALTHCARE PATIENT LEVEL DATA SET OVERVIEW   Changed Description
NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE   Changed Description
NHS DENTAL SERVICES   Changed Description
NHS DIGITAL   Changed Description
NHS ENGLAND   Changed Description
NHS FOUNDATION TRUST   Changed Description
NHS IMPROVEMENT   Changed Description
NHS NATIONAL CHLAMYDIA SCREENING PROGRAMME   Changed Description
NHS NEWBORN AND INFANT PHYSICAL EXAMINATION PROGRAMME   Changed Description
NHS PRESCRIPTION SERVICES   Changed Description
NHS SUPPLY CHAIN   Changed Description
NHS TRUST   Changed Description
NHS WALES INFORMATICS SERVICE   Changed Description
NON-CONSULTANT LED ACTIVITY   Changed Description
NORTHERN IRELAND LOCAL COMMISSIONING GROUP   Changed Description
NOTTINGHAM PROGNOSTIC INDEX   Changed Description
NURSE (LEVEL ONE)   Changed Description
NURSE (LEVEL TWO)   Changed Description
NURSING AND MIDWIFERY COUNCIL REGISTER   Changed Description
OCCUPATIONAL PSYCHOLOGIST   Changed Description
OFFICE FOR NATIONAL STATISTICS   Changed Description
OFSTED   Changed Description
OPCS CLASSIFICATION OF INTERVENTIONS AND PROCEDURES   Changed Description
OPTICAL HEADQUARTERS   Changed Description
OPTICAL SITE   Changed Description
ORGANISATION (RETIRED) renamed from ORGANISATION   Changed Description, status to Retired, Name
ORGANISATION DATA SERVICE   Changed Description
ORGANISATION DATA SERVICE DEFAULT CODES   Changed Description
ORGANISATION MERGERS   Changed Description
ORGANISATIONS INTRODUCTION   Changed Description
ORGANISATION SITE (RETIRED) renamed from ORGANISATION SITE   Changed Description, status to Retired, Name
ORTHODONTIC THERAPIST   Changed Description
OSTEOPATH   Changed Description
OTHER STATUTORY AUTHORITY   Changed Description
OUTPUT AREA   Changed Description
OXFORD ORTHOPAEDIC QUESTIONNAIRE   Changed Description
PACKAGE OF CARE   Changed Description
PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
PET SCAN   Changed Description
PHARMACY PREMISES   Changed Description
PHYSICAL ACTIVITY VITAL SIGN   Changed Description
POINT OF DELIVERY   Changed Description
POSTNATAL   Changed Description
POSTPARTUM   Changed Description
PRACTITIONER PSYCHOLOGIST   Changed Description
PRIMARY CARE TRUST   Changed Description
PRIMARY HEALTHCARE DIRECTORATE (ISLE OF MAN)   Changed Description
PRINCIPAL TREATMENT CENTRE (CHILDREN TEENAGERS AND YOUNG ADULTS)   Changed Description
PRISON   Changed Description
PROVISIONAL REPLACEMENT CERTIFICATE (RETIRED) renamed from PROVISIONAL REPLACEMENT CERTIFICATE   Changed Description, status to Retired, Name
PSYCHOTROPIC MEDICATION   Changed Description
PUBLIC HEALTH ENGLAND   Changed Description
RADIOFREQUENCY ABLATION   Changed Description
RADIOTHERAPY TREATMENT COURSE   Changed Description
REFERENCED ORGANISATIONS INTRODUCTION   Changed Description
REFERRAL TO TREATMENT CLOCK STOP ADMINISTRATIVE EVENT   Changed Description
REFERRAL TO TREATMENT PERIOD EXCLUDED FROM TARGET   Changed Description
REFERRAL TO TREATMENT PERIOD INCLUDED IN REFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES MEASUREMENT   Changed Description
REGULATORY BODY   Changed Description
RELIGION   Changed Description
RELIGIOUS AFFILIATION   Changed Description
RENAL ASSOCIATION   Changed Description
RESPONSIBLE PRIMARY CARE TRUST (RETIRED) renamed from RESPONSIBLE PRIMARY CARE TRUST   Changed Description, status to Retired, Name
RESTRICTIVE INTERVENTION POST INCIDENT REVIEW   Changed Description
ROYAL COLLEGE OF ANAESTHETISTS   Changed Description
ROYAL COLLEGE OF EMERGENCY MEDICINE   Changed Description
ROYAL COLLEGE OF GENERAL PRACTITIONERS   Changed Description
ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS   Changed Description
ROYAL COLLEGE OF PATHOLOGISTS   Changed Description
ROYAL COLLEGE OF PSYCHIATRISTS   Changed Description
ROYAL MARSDEN   Changed Description
ROYAL PHARMACEUTICAL SOCIETY   Changed Description
SCOTTISH HEALTH BOARD   Changed Description
SCREENING POPULATION   Changed Description
SECURITY ISSUES AND PATIENT CONFIDENTIALITY   Changed Description
SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW   Changed Description
SEXUAL AND REPRODUCTIVE HEALTH CLINIC   Changed Description
SEXUAL ASSAULT REFERRAL CENTRE   Changed Description
SNOMED INTERNATIONAL   Changed Description
SOCIETY OF RADIOGRAPHERS   Changed Description
SPECIAL HEALTH AUTHORITY   Changed Description
SPECIALISED COMMISSIONING HUB   Changed Description
SPORT AND EXERCISE PSYCHOLOGIST   Changed Description
STAFF GROUP   Changed Description
ST JUDE SYSTEM   Changed Description
STRATEGIC HEALTH AUTHORITY   Changed Description
SUSTAINABILITY AND TRANSFORMATION PARTNERSHIP   Changed Description
SUSTAINABLE DEVELOPMENT UNIT   Changed Description
TEACHER AND RESEARCHER IN PSYCHOLOGY   Changed Description
TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT   Changed Description
UK NATIONAL SCREENING COMMITTEE   Changed Description
UK RENAL REGISTRY   Changed Description
ULTRASOUND SCAN   Changed Description
UNION FOR INTERNATIONAL CANCER CONTROL   Changed Description
UNITED KINGDOM AND IRELAND ASSOCIATION OF CANCER REGISTRIES   Changed Description
UNITED KINGDOM MODEL FOR END-STAGE LIVER DISEASE   Changed Description
URGENT TREATMENT CENTRE   Changed Description
WELL BABY   Changed Description
WORLD HEALTH ORGANISATION   Changed Description
YOUTH DETENTION ACCOMMODATION   Changed Description
YOUTH JUSTICE BOARD   Changed Description
 
Class Definitions
ADDRESS   Changed Description
ADDRESS ASSOCIATION   Changed Description
APPOINTMENT   Changed Description
CARE PROFESSIONAL ORGANISATION   Changed Description
CARE PROFESSIONAL TEAM   Changed Description
CLINIC OR FACILITY   Changed Description
COMMUNICATION CONTACT METHOD   Changed Description
EMPLOYEE   Changed Description
EMPLOYEE PLAN   Changed Description
EMPLOYMENT CONTRACT   Changed Description
GENERAL PRACTITIONER   Changed Description
LOCATION   Changed Description
MAIN SPECIALTY   Changed Description
META ORGANISATION SITE   Changed Description
NHS SERVICE AGREEMENT   Changed Description
OPHTHALMIC MEDICAL PRACTITIONER   Changed Description
ORGANISATION   Changed Attributes, Description
ORGANISATION SITE   New Class
PATIENT ORGANISATION   Changed Description
PLANNED ACTIVITY   Changed Description
POSITION   Changed Description
POSITION VACANCY   Changed Description
PROFESSIONAL REGISTRATION BODY   Changed Description
PROVIDER IN SERVICE AGREEMENT   Changed Description
QUALIFICATION   Changed Description
REFERRAL REQUEST   Changed Description
REGISTER   Changed Description
RIGHT OF ADMISSION   Changed Description
SERVICE   Changed Description
WAITING LIST   Changed Description
 
Attribute Definitions
ACTIVITY DATE TYPE   Changed Description
ACTIVITY IDENTIFIER   Changed Description
ADDRESS   Changed Description
ADDRESS ASSOCIATION END DATE   Changed Description
ADDRESS ASSOCIATION START DATE   Changed Description
ASSIGNMENT LAST WORKING DATE   Changed Description
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS   Changed Description
CARE PLAN AGREED BY   Changed Description
CDS INTERCHANGE SENDER IDENTITY   Changed Description
COMMUNICATION CONTACT METHOD   Changed Description
CRITICAL CARE ADMISSION SOURCE   Changed Description
CRITICAL CARE DISCHARGE DESTINATION   Changed Description
DEATH LOCATION TYPE CODE   Changed Description
DISCHARGE DESTINATION FROM NEONATAL CRITICAL CARE   Changed Description
DISCHARGE PLAN AGREED BY   Changed Description
DOCTOR INDEX NUMBER   Changed Description
EMPLOYEE ABSENCE OCCURRENCE TOTAL IN REPORTING PERIOD   Changed Description
EMPLOYEE ABSENCE RATE IN REPORTING PERIOD   Changed Description
EMPLOYEE LENGTH OF TIME IN POSITION   Changed Description
EMPLOYEE LOCAL IDENTIFIER   Changed Description
EMPLOYEE ORGANISATION LENGTH OF SERVICE   Changed Description
EMPLOYMENT CONTRACT END DATE   Changed Description
EMPLOYMENT CONTRACT START DATE   Changed Description
EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE   Changed Description
EMPLOYMENT HISTORY EXIT INTERVIEW INDICATOR   Changed Description
EMPLOYMENT HISTORY EXIT QUESTIONNAIRE INDICATOR   Changed Description
EMPLOYMENT HISTORY LEAVING DESTINATION   Changed Description
EMPLOYMENT HISTORY LEAVING REASON   Changed Description
EMPLOYMENT HISTORY NHS JOINING DATE   Changed Description
EMPLOYMENT HISTORY ORGANISATION JOINING DATE   Changed Description
EMPLOYMENT HISTORY RECRUITMENT SOURCE   Changed Description
FETAL ORDER   Changed Description
GS1 APPLICATION IDENTIFIER (INTERNAL)   Changed Description
GS1 GLOBAL LOCATION NUMBER   Changed Description
GS1 UNIQUE ORGANISATION PREFIX NUMBER   Changed Description
HEADCOUNT ORGANISATION CURRENT   Changed Description
HEADCOUNT POSITION ASSIGNMENT CURRENT   Changed Description
HEADCOUNT STABILITY RATE JOB ROLE IN REPORTING PERIOD   Changed Description
HEADCOUNT STABILITY RATE ORGANISATION IN REPORTING PERIOD   Changed Description
HEADCOUNT STABILITY RATE STAFF GROUP IN REPORTING PERIOD   Changed Description
HEADCOUNT TURNOVER RATE FTE IN REPORTING PERIOD   Changed Description
HEADCOUNT TURNOVER RATE ORGANISATION IN REPORTING PERIOD   Changed Description
LOCAL CARE PROFESSIONAL IDENTIFIER   Changed Description
MAIN SPECIALTY CODE   Changed Description
MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE   Changed Description
MULTIDISCIPLINARY TEAM MEETING TYPE FOR CANCER   Changed Description
NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR   Changed Description
NHS NUMBER   Changed Description
NHS SERVICE AGREEMENT NUMBER   Changed Description
NUMBER OF COMMISSIONED WEEKLY HOURS OF CARE FOR NHS CONTINUING HEALTHCARE   Changed Description
NUMBER OF FETUSES   Changed Description
ONS ORGANISATION IDENTIFIER   Changed Description
ONWARD REFERRAL REASON   Changed Description
ORGANISATION CODE   Changed Description
ORGANISATION IDENTIFIER   Changed Description
ORGANISATION IDENTIFIER FOR NATIONAL BREAST SCREENING PROGRAMME   Changed Description
ORGANISATION NAME   Changed Description
ORGANISATION SITE CODE   Changed Description
ORGANISATION SITE IDENTIFIER   New Attribute
ORGANISATION SITE NAME   Changed Description
PATIENT PATHWAY IDENTIFIER   Changed Description
POSITION IDENTIFIER   Changed Description
POSITION VACANCY END DATE   Changed Description
POSITION VACANCY IDENTIFIER   Changed Description
POSITION VACANCY START DATE   Changed Description
PRESENTATION OF FETUS   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER   Changed Description
REASON FOR OUT OF AREA REFERRAL FOR ADULT ACUTE MENTAL HEALTH   Changed Description
REFERRAL TO TREATMENT PERIOD START DATE   Changed Description
REFERRED OUT OF AREA REASON FOR ADULT ACUTE MENTAL HEALTH   Changed Description
REGISTER NAME   Changed Description
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE   Changed Description
RELATIONSHIP TO PERSON FOR COMMUNITY   Changed Description
SERVICE TYPE   Changed Description
SOURCE OF REFERRAL FOR FEMALE GENITAL MUTILATION   Changed Description
STEROIDS GIVEN DURING PREGNANCY TO MATURE FETAL LUNGS INDICATOR   Changed Description
TRANSFERRED FOR FURTHER CARE TYPE FOR NATIONAL NEONATAL DATA SET   Changed Description
TREATMENT FUNCTION CODE   Changed Description
 
Data Elements
CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER)   Changed Description
CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER)   Changed Description
CDS COPY RECIPIENT IDENTITY   Changed Description
CDS INTERCHANGE SENDER IDENTITY   Changed Description
CDS PRIME RECIPIENT IDENTITY   Changed Description
CDS SENDER IDENTITY   Changed Description
CLINICAL TRIAL IDENTIFIER   Changed Description
CONTACT EMAIL ADDRESS (REFERRING ORGANISATION)   Changed Description
CONTACT TELEPHONE NUMBER (REFERRING ORGANISATION)   Changed Description
DATE TIME OF BIRTH (BABY)   Changed Description
DECISION TO REFER DATE (INTER-PROVIDER TRANSFER)   Changed Description
DECISION TO REFER DATE (ONWARD REFERRAL)   Changed Description
DECISION TO REFER TIME (ONWARD REFERRAL)   Changed Description
DISEASE OUTBREAK NOTIFICATION   Changed Description
EMPLOYEE LOCAL IDENTIFIER   Changed Description
EMPLOYMENT HISTORY NHS LEAVING DATE (LATEST)   Changed Description
FTE STABILITY RATE (JOB ROLE IN REPORTING PERIOD)   Changed Description
FTE STABILITY RATE (ORGANISATION IN REPORTING PERIOD)   Changed Description
FTE STABILITY RATE (STAFF GROUP IN REPORTING PERIOD)   Changed Description
INTENDED SITE CODE (OF TREATMENT)   Changed Description
LOCAL FETAL IDENTIFIER   Changed Description
NHS CONTINUING HEALTHCARE INCOMPLETE REFERRALS (EXCEEDING 28 DAYS AT REPORTING PERIOD END STANDARD)   Changed Description
NHS CONTINUING HEALTHCARE REFERRALS   Changed Description
NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED (WITHIN 28 DAYS STANDARD)   Changed Description
ONWARD REFERRAL DATE   Changed Description
ONWARD REFERRAL TIME   Changed Description
ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT)   Changed Description
ORGANISATION CODE (CODE OF COMMISSIONER)   Changed Description
ORGANISATION CODE (CODE OF PROVIDER)   Changed Description
ORGANISATION CODE (CODE OF SUBMITTING ORGANISATION)   Changed Description
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))   Changed Description
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))   Changed Description
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)   Changed Description
ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)   Changed Description
ORGANISATION CODE (OF ADMITTING NEONATAL UNIT)   Changed Description
ORGANISATION CODE (OF INTENDED PLACE OF DELIVERY)   Changed Description
ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)   Changed Description
ORGANISATION CODE (ON PATHWAY)   Changed Description
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)   Changed Description
ORGANISATION CODE (PROVIDER OF CHLAMYDIA TEST)   Changed Description
ORGANISATION CODE (RECEIVING)   Changed Description
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION CODE (RESPONSIBLE PCT)   Changed Description
ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)   Changed Description
ORGANISATION IDENTIFIER (CODE OF PROVIDER)   Changed Description
ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)   Changed Description
ORGANISATION IDENTIFIER (EMPLOYER)   Changed Description
ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION)   Changed Description
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY))   Changed Description
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER))   Changed Description
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)   Changed Description
ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)   Changed Description
ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN)   Changed Description
ORGANISATION IDENTIFIER (OF LABORATORY RESULT)   Changed Description
ORGANISATION IDENTIFIER (OF SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION)   Changed Description
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)   Changed Description
ORGANISATION IDENTIFIER (POSITION NON-NHS FUNDER)   Changed Description
ORGANISATION IDENTIFIER (POSTNATAL PATHWAY LEAD PROVIDER)   Changed Description
ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)   Changed Description
ORGANISATION IDENTIFIER (RECEIVING)   Changed Description
ORGANISATION IDENTIFIER (REFERRING)   Changed Description
ORGANISATION IDENTIFIER (REPORTING LABORATORY)   Changed Description
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION NAME (EMPLOYER)   Changed Description
ORGANISATION NAME (HEALTH CARE PROVIDER)   Changed Description
ORGANISATION NAME (RECEIVING)   Changed Description
ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF IMAGING)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)   Changed Description, linked Attribute
ORGANISATION SITE IDENTIFIER (OF TREATMENT)   Changed Description, linked Attribute
ORGANISATION SITE NAME (EMPLOYING ORGANISATION)   Changed Description
PERSON FULL NAME (REFERRER CONTACT)   Changed Description
POSITION VACANCY LENGTH OF TIME UNFILLED   Changed Description
POSTCODE OF HEALTH CARE PROVIDER   Changed Description
POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (CANCER FIRST SEEN)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MULTIDISCIPLINARY TEAM LEAD)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE SURGEON)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (TREATMENT)   Changed Description
REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER)   Changed Description
REFERRER CODE   Changed Description
REFERRING ORGANISATION CODE   Changed Description
SAFEGUARDING CONCERN (SNOMED CT)   Changed Description
SITE CODE (ADMITTED FROM TO NEONATAL UNIT)   Changed Description
SITE CODE (OF ACTUAL PLACE OF DELIVERY)   Changed Description
SITE CODE (OF INTENDED PLACE OF DELIVERY)   Changed Description
SITE CODE (OF PREVIOUS HIV CARE)   Changed Description
SITE CODE (OF TREATMENT)   Changed Description
SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)   Changed Description
SITE CODE (PROVIDER OF CHLAMYDIA TEST)   Changed Description
SITE CODE (RECEIVING)   Changed Description
SITE CODE (REFERRED TO FOR SHARED HIV CARE)   Changed Description
SITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)   Changed Description
UK TELEPHONE NUMBER   Changed Description
 

Date:6 August 2020
Sponsor:Nicholas Oughtibridge, Head of Clinical Data Architecture, NHS Digital

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

Click here for a printer friendly view of this page.


ACTIVITY DIAGRAM

Change to Diagram: Changed Diagram

top


ADDRESS DIAGRAM

Change to Diagram: Changed Diagram

top


APPOINTMENT DIAGRAM

Change to Diagram: Changed Diagram

top


CANCER OUTCOMES AND SERVICES DIAGRAM

Change to Diagram: Changed Diagram

top


CARE PROFESSIONAL DIAGRAM

Change to Diagram: Changed Diagram

top


COMMUNITY SERVICES DIAGRAM

Change to Diagram: Changed Diagram

top


DIAGNOSTIC IMAGING DIAGRAM

Change to Diagram: Changed Diagram

top


HIV AND AIDS DIAGRAM

Change to Diagram: Changed Diagram

top


IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM

Change to Diagram: Changed Diagram

top


MATERNITY SERVICES DIAGRAM

Change to Diagram: Changed Diagram

top


NATIONAL JOINT REGISTRY DIAGRAM

Change to Diagram: Changed Diagram

top


NATIONAL WORKFORCE DIAGRAM

Change to Diagram: Changed Diagram

top


ORGANISATION DIAGRAM

Change to Diagram: Changed Diagram

top


PATIENT PATHWAY DIAGRAM

Change to Diagram: Changed Diagram

top


RADIOTHERAPY DIAGRAM

Change to Diagram: Changed Diagram

top


SERVICE REQUEST DIAGRAM

Change to Diagram: Changed Diagram

top


SYSTEMIC ANTI-CANCER THERAPY DIAGRAM

Change to Diagram: Changed Diagram

top


MENTAL HEALTH SERVICES DATA SET

Change to Data Set: Changed Description

Mental Health Services Data Set Overview

For a "Full Screen" view, click Mental Health Services Data Set.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

The Mandatory, Required, Optional or Pilot (M/R/O/P) column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes
  • P = Pilot: this data element is for piloting use only.

Note: items in the M/R/O/P column which are shown with notation P have not been approved by the Data Coordination Board and are included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Mental Health Services Data Set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless Organisations are engaged in piloting activities relating to these items, they should NOT submit any data item marked P. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

For guidance on the Data Set constraints, see the Mental Health Services Data Set Constraints.

HEADER

Header:
To carry header details for the submission.
One occurrence of this group is required.
M/R/O/PData Set Data Elements
MDATA SET VERSION NUMBER
MORGANISATION IDENTIFIER (CODE OF PROVIDER)
MORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
MPRIMARY DATA COLLECTION SYSTEM IN USE
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MDATE AND TIME DATA SET CREATED

PATIENT DEMOGRAPHICS

Master Patient Index:
To carry personal details of the patient.
One occurrence of this group is required.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
RORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)
RORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT)
RNHS NUMBER
RNHS NUMBER STATUS INDICATOR CODE
RPERSON BIRTH DATE
RPOSTCODE OF USUAL ADDRESS
RPERSON STATED GENDER CODE
RPERSON MARITAL STATUS
RETHNIC CATEGORY
RLANGUAGE CODE (PREFERRED)
RPERSON DEATH DATE

GP Practice Registration:
To carry details of the GP Practice Registration of the patient.
One occurrence of this group is required for each change of GP Practice Registration.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RSTART DATE (GMP PATIENT REGISTRATION)
REND DATE (GMP PATIENT REGISTRATION)
RORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Accommodation Status:
To carry accommodation details of the patient.
One occurrence of this group is permitted for each accommodation status.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MACCOMMODATION STATUS CODE
RSETTLED ACCOMMODATION INDICATOR
RACCOMMODATION STATUS RECORDED DATE
RSECURE CHILDRENS HOME PLACEMENT TYPE

Employment Status:
To carry details of the employment status of the patient.
One occurrence of this group is permitted for each employment status.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MEMPLOYMENT STATUS
REMPLOYMENT STATUS RECORDED DATE
RWEEKLY HOURS WORKED

Patient Indicators:
To carry details of specific indicators relating to a patient.
One occurrence of this group is permitted containing the current or most recently recorded status of indicator and psychosis information.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
RCONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR
RPARENTAL RESPONSIBILITIES INDICATOR
RYOUNG CARER INDICATOR
RLOOKED AFTER CHILD INDICATOR
RCHILD PROTECTION PLAN INDICATION CODE
REX-BRITISH ARMED FORCES INDICATOR
ROFFENCE HISTORY INDICATION CODE
RPRODROME PSYCHOSIS DATE
REMERGENT PSYCHOSIS DATE
RMANIFEST PSYCHOSIS DATE
RFIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
RPSYCHOSIS FIRST TREATMENT START DATE

Mental Health Care Coordinator:
To carry details of the Mental Health Care Coordinator assigned to a patient.
One occurrence of this group is permitted for each Mental Health Care Coordinator assignment.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSTART DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
RCARE PROFESSIONAL LOCAL IDENTIFIER
REND DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
RCARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH)

Disability Type:
To carry details of the type of disability affecting a patient, based on their perception or the perception of a patient proxy.
One occurrence of this group is permitted for each disability identified.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MDISABILITY CODE
RDISABILITY IMPACT PERCEPTION

Care Plan Type:
To carry details of Care Plans created for a patient by the organisation.
One occurrence of this group is permitted for each Care Plan created for the patient.
M/R/O/PData Set Data Elements
MCARE PLAN IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MCARE PLAN TYPE (MENTAL HEALTH)
MCARE PLAN CREATION DATE
RCARE PLAN CREATION TIME
RCARE PLAN LAST UPDATED DATE
RCARE PLAN LAST UPDATED TIME
RCARE PLAN IMPLEMENTATION DATE

Care Plan Agreement:
To carry details of any agreements to a Care Plan by a person, team or organisation.
One occurrence of this group is permitted for each agreement of a Care Plan.
M/R/O/PData Set Data Elements
MCARE PLAN IDENTIFIER
MCARE PLAN AGREED BY
RCARE PLAN AGREED DATE
RCARE PLAN AGREED TIME

Assistive Technology to Support Disability Type:
To carry details of when assistive technology is used to support a disabled patient.
One occurrence of this group is permitted for each assistive technology type.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MASSISTIVE TECHNOLOGY FINDING (SNOMED CT)
RPRESCRIPTION DATE (ASSISTIVE TECHNOLOGY)

Social and Personal Circumstances:
To carry details of social and personal circumstances of a patient.
One occurrence of this group is permitted for each social and personal circumstance recorded.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
RSOCIAL AND PERSONAL CIRCUMSTANCE RECORDED DATE

Overseas Visitor Charging Category
To carry details of the Overseas Visitor Charging Category of the patient.
Multiple occurrences of this group are permitted, one for each Overseas Visitor Charging Category recorded for the patient.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MOVERSEAS VISITOR CHARGING CATEGORY
ROVERSEAS VISITOR CHARGING CATEGORY APPLICABLE DATE

REFERRALS

Service or Team Referral:
To carry details of the Service or Team referral that the patient is subject to.
One occurrence of this group is permitted for each referral.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MREFERRAL REQUEST RECEIVED DATE
RREFERRAL REQUEST RECEIVED TIME
RNHS SERVICE AGREEMENT LINE NUMBER
RSPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
RSOURCE OF REFERRAL FOR MENTAL HEALTH
RORGANISATION IDENTIFIER (REFERRING)
RREFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH AND COMMUNITY CARE)
RCLINICAL RESPONSE PRIORITY TYPE
RPRIMARY REASON FOR REFERRAL (MENTAL HEALTH)
RREASON FOR OUT OF AREA REFERRAL (ADULT ACUTE MENTAL HEALTH)
RDISCHARGE PLAN CREATION DATE
RDISCHARGE PLAN CREATION TIME
RDISCHARGE PLAN LAST UPDATED DATE
RDISCHARGE PLAN LAST UPDATED TIME
RSERVICE DISCHARGE DATE
RSERVICE DISCHARGE TIME
RDISCHARGE LETTER ISSUED DATE (MENTAL HEALTH AND COMMUNITY CARE)

Other Reason for Referral:
To carry details of additional reasons why a patient has been referred to a specific service.
One occurrence of this group is permitted for each additional referral reason.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MOTHER REASON FOR REFERRAL (MENTAL HEALTH)

Service or Team Type Referred To:
To carry details of the service or team that a patient is referred to.
One occurrence of this group is permitted for each service or team that a patient has been referred to.
M/R/O/PData Set Data Elements
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MSERVICE REQUEST IDENTIFIER
MSERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
RREFERRAL CLOSURE DATE
RREFERRAL CLOSURE TIME
RREFERRAL REJECTION DATE
RREFERRAL REJECTION TIME
RREFERRAL CLOSURE REASON
RREFERRAL REJECTION REASON

Referral to Treatment (RTT):
To carry Referral to Treatment details for the patient's referral.
One occurrence of this group is permitted for each change in Referral To Treatment Period Status.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RPATIENT PATHWAY IDENTIFIER
RORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)
MWAITING TIME MEASUREMENT TYPE
RREFERRAL TO TREATMENT PERIOD START DATE
RREFERRAL TO TREATMENT PERIOD END DATE
RREFERRAL TO TREATMENT PERIOD STATUS

Onward Referral:
To carry details of any onward referral of the patient which has taken place.
One occurrence of this group is permitted for each onward referral.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RDECISION TO REFER DATE (ONWARD REFERRAL)
RDECISION TO REFER TIME (ONWARD REFERRAL)
MONWARD REFERRAL DATE
RONWARD REFERRAL TIME
RONWARD REFERRAL REASON
RREFERRED OUT OF AREA REASON (ADULT ACUTE MENTAL HEALTH)
RORGANISATION IDENTIFIER (RECEIVING)

Discharge Plan Agreement:
To carry details of any agreements to a Discharge Plan by a person, team or organisation.
One occurrence of this group is permitted for each agreement of a Discharge Plan.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDISCHARGE PLAN AGREED BY
RDISCHARGE PLAN AGREED DATE
RDISCHARGE PLAN AGREED TIME

Medication Prescription:
To carry details of each Prescription of Medication for the patient.
One occurrence of this group is permitted for each Prescription.
M/R/O/PData Set Data Elements
PSERVICE REQUEST IDENTIFIER
PPRESCRIPTION IDENTIFIER
PPRESCRIPTION DATE (MEDICATION)
PPRESCRIPTION TIME (MEDICATION)

CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES

Care Contact:
To carry details of any contacts with a patient which have taken place as part of a referral.
One occurrence of this group is permitted for each Care Contact.
M/R/O/PData Set Data Elements
MCARE CONTACT IDENTIFIER
MSERVICE REQUEST IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MCARE CONTACT DATE
RCARE CONTACT TIME
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RADMINISTRATIVE CATEGORY CODE
RSPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
RCLINICAL CONTACT DURATION OF CARE CONTACT
RCONSULTATION TYPE
RCARE CONTACT SUBJECT
RCONSULTATION MEDIUM USED
RACTIVITY LOCATION TYPE CODE
RPLACE OF SAFETY INDICATOR
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RGROUP THERAPY INDICATOR
RATTENDED OR DID NOT ATTEND CODE
REARLIEST REASONABLE OFFER DATE
REARLIEST CLINICALLY APPROPRIATE DATE
RCARE CONTACT CANCELLATION DATE
RCARE CONTACT CANCELLATION REASON
RREPLACEMENT APPOINTMENT DATE OFFERED
RREPLACEMENT APPOINTMENT BOOKED DATE

Care Activity:
To carry details of any Care Activity undertaken at a Care Contact.
One occurrence of this group is permitted for each Care Activity.
M/R/O/PData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MCARE CONTACT IDENTIFIER
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCLINICAL CONTACT DURATION OF CARE ACTIVITY
RCODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
RCODED OBSERVATION (SNOMED CT)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT

Other in Attendance:
To carry details of any other people in attendance at a Care Contact.
One occurrence of this group is permitted for each other patient in attendance at a Care Contact.
M/R/O/PData Set Data Elements
MCARE CONTACT IDENTIFIER
MOTHER PERSON IN ATTENDANCE AT CARE CONTACT

Indirect Activity:
To carry details of indirect activity which takes place as a result of the referral.
One occurrence of this group is permitted for each instance of indirect activity taking place.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MINDIRECT ACTIVITY DATE
RINDIRECT ACTIVITY TIME
RDURATION OF INDIRECT ACTIVITY
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)

GROUP SESSIONS

Group Session:
To carry details of any group sessions which have been provided to a group of patients.
One occurrence of this group is permitted for each Group Session activity.
M/R/O/PData Set Data Elements
MGROUP SESSION IDENTIFIER
MGROUP SESSION DATE
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RCLINICAL CONTACT DURATION OF GROUP SESSION
RGROUP SESSION TYPE (MENTAL HEALTH)
RNUMBER OF GROUP SESSION PARTICIPANTS
RACTIVITY LOCATION TYPE CODE
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RCARE PROFESSIONAL LOCAL IDENTIFIER
RSERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
RNHS SERVICE AGREEMENT LINE NUMBER

MENTAL HEALTH ACT (MHA) EPISODES

Mental Health Act Legal Status Classification Assignment Period:
To carry details of Mental Health Act Legal Status Classification Assignment Periods for patients formally detained under the Mental Health Act 1983 or other Acts.
One occurrence of this group is permitted for each Mental Health Act Legal Status Classification Assignment Period identified.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSTART DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
MSTART TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START REASON
REXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
REND TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD END REASON
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
RMENTAL HEALTH ACT 2007 MENTAL CATEGORY

Mental Health Responsible Clinician Assignment:
To carry details of the assignment of a Mental Health Responsible Clinician to the patient.
One occurrence of this group is permitted for each assigned Mental Health Responsible Clinician to the Mental Health Act Legal Status Classification Assignment Period.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD)
MCARE PROFESSIONAL LOCAL IDENTIFIER
REND DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD)

Conditional Discharge:
To carry details of each separate period of conditional discharge for the patient.
One occurrence of this group is permitted for each conditional discharge.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
REND DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
RMENTAL HEALTH CONDITIONAL DISCHARGE END REASON
RMENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY

Community Treatment Order:
To carry details of each separate period of a Community Treatment Order under section 17a of the Mental Health Act 1983 for the patient.
One occurrence of this group is permitted whenever a patient on Community Treatment Order occurs.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (COMMUNITY TREATMENT ORDER)
REXPIRY DATE (COMMUNITY TREATMENT ORDER)
REND DATE (COMMUNITY TREATMENT ORDER)
RCOMMUNITY TREATMENT ORDER END REASON

Community Treatment Order Recall:
To carry details of each separate period of of a recall into hospital for a patient on a Community Treatment Order under section 17a of the Mental Health Act 1983.
One occurrence of this group is permitted whenever a patient on a Community Treatment Order occurs.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (COMMUNITY TREATMENT ORDER RECALL)
MSTART TIME (COMMUNITY TREATMENT ORDER RECALL)
REND DATE (COMMUNITY TREATMENT ORDER RECALL)
REND TIME (COMMUNITY TREATMENT ORDER RECALL)

HOSPITAL PROVIDER SPELLS

Hospital Provider Spell:
To carry details of each Hospital Provider Spell for a patient.
One occurrence of this group is permitted for each Hospital Provider Spell.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MSERVICE REQUEST IDENTIFIER
MSTART DATE (HOSPITAL PROVIDER SPELL)
RSTART TIME (HOSPITAL PROVIDER SPELL)
RSOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)
RADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)
RPOSTCODE OF MAIN VISITOR
RESTIMATED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RPLANNED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RPLANNED DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE TIME (HOSPITAL PROVIDER SPELL)
RDISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)
RPOSTCODE OF DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) 

Ward Stay:
To carry details of Ward Stays which occurred during a Hospital Provider Spell for the patient.
One occurrence of this group is permitted for each Ward Stay.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MHOSPITAL PROVIDER SPELL NUMBER
MSTART DATE (WARD STAY)
RSTART TIME (WARD STAY)
REND DATE (MENTAL HEALTH TRIAL LEAVE)
REND DATE (WARD STAY)
REND TIME (WARD STAY)
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RWARD SETTING TYPE (MENTAL HEALTH)
RINTENDED AGE GROUP (MENTAL HEALTH)
RSEX OF PATIENTS CODE
RINTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
RWARD SECURITY LEVEL
RLOCKED WARD INDICATOR
RMENTAL HEALTH ADMITTED PATIENT CLASSIFICATION
RSPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
OWARD CODE

Assigned Care Professional:
To carry details of the Care Professional assigned responsibility for the care of the patient.
One occurrence of this group is permitted for each Care Professional Admitted Care Episode.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MCARE PROFESSIONAL LOCAL IDENTIFIER
MSTART DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
REND DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
RTREATMENT FUNCTION CODE (MENTAL HEALTH)

Mental Health Delayed Discharge:
To carry details of the patient's Mental Health Delayed Discharge Periods which occurred during a Hospital Provider Spell.
One occurrence of this group is permitted whenever a patient is subject to a Mental Health Delayed Discharge Period.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MSTART DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
REND DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
RMENTAL HEALTH DELAYED DISCHARGE REASON
RMENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE
RORGANISATION IDENTIFIER (RESPONSIBLE LOCAL AUTHORITY MENTAL HEALTH DELAYED DISCHARGE)

Restrictive Intervention:
To carry details of each separate reported incident of a Restrictive Intervention of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment during a Hospital Provider Spell.
One occurrence of this group is permitted whenever a Restrictive Intervention is carried out.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (RESTRICTIVE INTERVENTION)
RSTART TIME (RESTRICTIVE INTERVENTION)
RRESTRICTIVE INTERVENTION TYPE
REND DATE (RESTRICTIVE INTERVENTION)
REND TIME (RESTRICTIVE INTERVENTION)
RRESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT)
RRESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL) 
RRESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON)
RRESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT)
RRESTRICTIVE INTERVENTION POST-INCIDENT REVIEW NOT HELD REASON (PATIENT)
RRESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL)

Assault:
To carry details of each separate reported incident of assault on a patient by another patient during a Hospital Provider Spell.
One occurrence of this group is permitted whenever an assault on the patient occurs.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MDATE OF ASSAULT ON PATIENT

Self-Harm:
To carry details of each separate reported incident of self-harm by the patient during a Hospital Provider Spell.
One occurrence of this group is permitted whenever an incident of self-harm is reported.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MDATE OF SELF-HARM

Home Leave:
To carry details of each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on a Community Treatment Order.
One occurrence of this group is permitted whenever a period of home leave takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (HOME LEAVE)
RSTART TIME (HOME LEAVE)
REND DATE (HOME LEAVE)
REND TIME (HOME LEAVE)

Mental Health Leave of Absence:
To carry details of each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient.
One occurrence of this group is permitted whenever a period of Mental Health Leave of Absence takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (MENTAL HEALTH LEAVE OF ABSENCE)
RSTART TIME (MENTAL HEALTH LEAVE OF ABSENCE)
REND DATE (MENTAL HEALTH LEAVE OF ABSENCE)
REND TIME (MENTAL HEALTH LEAVE OF ABSENCE)
RMENTAL HEALTH LEAVE OF ABSENCE END REASON
RESCORTED MENTAL HEALTH LEAVE OF ABSENCE INDICATOR

Mental Health Absence Without Leave:
To carry details of each separate period of Mental Health Absence Without Leave for the patient under section 18 of the Mental Health Act 1983, as amended by the Mental Health (Patients in the Community) Act 1995.
One occurrence of this group is permitted whenever a period of Mental Health Absence Without Leave takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RSTART TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RMENTAL HEALTH ABSENCE WITHOUT LEAVE END REASON

Mental Health Trial Leave:
To carry details of each separate period of Mental Health Trial Leave for the patient.
One occurrence of this group is permitted whenever a period of Mental Health Trial Leave takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (MENTAL HEALTH TRIAL LEAVE)
RSTART TIME (MENTAL HEALTH TRIAL LEAVE)
REND DATE (MENTAL HEALTH TRIAL LEAVE)
REND TIME (MENTAL HEALTH TRIAL LEAVE)

Hospital Provider Spell Commissioner:
To carry details of each Commissioner Assignment Period during a Hospital Provider Spell.
One occurrence of this group is permitted for each Commissioner Assignment Period.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MSTART DATE (COMMISSIONER ASSIGNMENT PERIOD)
REND DATE (COMMISSIONER ASSIGNMENT PERIOD)

Substance Misuse:
To carry observation details of evidence of substance misuse by a patient within a ward stay.
One occurrence of this group is permitted for each date that evidence was observed.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MOBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)

CLINICALLY CODED TERMINOLOGY

Medical History (Previous Diagnosis):
To carry details of any previous diagnoses for a patient which are stated by the patient or recorded in medical notes. These do not necessarily have been diagnosed by the organisation submitting the data.
One occurrence of this group is permitted for each Previous Diagnosis.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MDIAGNOSIS SCHEME IN USE
MPREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
RDIAGNOSIS DATE

Provisional Diagnosis:
To carry details of a provisional diagnosis recorded for a patient made by the service that the patient was referred or admitted to.
One occurrence of this group is permitted for each Provisional Diagnosis.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MPROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
RPROVISIONAL DIAGNOSIS DATE

Primary Diagnosis:
To carry details of the primary diagnosis recorded for a patient made by the service that the patient was referred or admitted to. This can change during a reporting period.
One occurrence of this group is permitted for the Primary Diagnosis.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MPRIMARY DIAGNOSIS (CODED CLINICAL ENTRY)
RDIAGNOSIS DATE

Secondary Diagnosis:
To carry details of a secondary diagnosis recorded for a patient made by the service that the patient was referred or admitted to.
One occurrence of this group is permitted for each Secondary Diagnosis.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MSECONDARY DIAGNOSIS (CODED CLINICAL ENTRY)
RDIAGNOSIS DATE

Coded Scored Assessment (Referral):
To carry details of scored assessments that are issued and completed as part of a referral to a Mental Health Service, but do not take place at a specific contact.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a Care Contact.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
MASSESSMENT TOOL COMPLETION DATE
RCARE PROFESSIONAL LOCAL IDENTIFIER

Coded Scored Assessment (Care Activity):
To carry details of scored assessments that are issued and completed as part of a specific Care Activity.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a specific Care Activity.
M/R/O/PData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE

ANONYMOUS SELF-ASSESSMENT

Anonymous Self-Assessment:
To carry details of anonymous self-assessments that are issued and completed as part of a referral to a Mental Health Service.
One occurrence of this group is permitted for each coded anonymous self-assessment question or dimension captured.
M/R/O/PData Set Data Elements
MASSESSMENT TOOL COMPLETION DATE
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
RACTIVITY LOCATION TYPE CODE
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

CARE PROGRAMME APPROACH (CPA) CARE EPISODES

Care Programme Approach (CPA) Care Episode:
To carry details of the periods of time the patient spent on Care Programme Approach.
One occurrence of this group is required for each Care Programme Approach (CPA) care episode.
M/R/O/PData Set Data Elements
MCARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSTART DATE (CARE PROGRAMME APPROACH CARE)
REND DATE (CARE PROGRAMME APPROACH CARE)

Care Programme Approach (CPA) Review:
To carry details of Care Programme Approach reviews undertaken for the patient.
One occurrence of this group is permitted for the most recent Care Programme Approach Review that has taken place.
M/R/O/PData Set Data Elements
MCARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
MCARE PROGRAMME APPROACH REVIEW DATE
RCARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
RCARE PROFESSIONAL LOCAL IDENTIFIER

CARE CLUSTERS

Clustering Tool Assessment:
To carry details of clustering tool assessments.
One occurrence of this group is permitted for each Clustering Tool assessment that takes place.
M/R/O/PData Set Data Elements
MCLUSTERING TOOL ASSESSMENT IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MCLUSTERING TOOL ASSESSMENT CATEGORY
MASSESSMENT TOOL COMPLETION DATE
RASSESSMENT TOOL COMPLETION TIME
RCLUSTERING TOOL ASSESSMENT REASON
RMENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
RADULT MENTAL HEALTH CARE CLUSTER CODE (INITIAL)
PLEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)
PFORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)

Coded Scored Assessment (Clustering Tool):
To carry details of scored assessments that are issued and completed as part of a Clustering Tool assessment.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a Clustering Tool assessment.
M/R/O/PData Set Data Elements
MCLUSTERING TOOL ASSESSMENT IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE

Care Cluster:
To carry details of the Care Cluster resulting from a clustering tool assessment.
One occurrence of this group is permitted for each period of time that a patient was allocated to a Care Cluster.
M/R/O/PData Set Data Elements
MCLUSTERING TOOL ASSESSMENT IDENTIFIER
MSTART DATE (CARE CLUSTER ASSIGNMENT PERIOD)
RSTART TIME (CARE CLUSTER ASSIGNMENT PERIOD)
RADULT MENTAL HEALTH CARE CLUSTER CODE (FINAL)
RCHILD AND ADOLESCENT MENTAL HEALTH NEEDS BASED GROUPING CODE
PLEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
RFORENSIC MENTAL HEALTH CARE CLUSTER CODE (FINAL)
PFORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
REND DATE (CARE CLUSTER ASSIGNMENT PERIOD)
REND TIME (CARE CLUSTER ASSIGNMENT PERIOD)

Five Forensic Pathways:
To carry details of the Five Forensic Pathways grouping allocated to the patient during a Five Forensic Pathways assessment.
One occurrence of this group is permitted for each initial assessment or review of the grouping allocation.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MFIVE FORENSIC PATHWAYS ASSESSMENT DATE
RFIVE FORENSIC PATHWAYS ASSESSMENT REASON
MFIVE FORENSIC PATHWAYS CODE

CARE PROFESSIONALS

Care Professionals:
To carry details of the staff involved in providing the patient's care.
One occurrence of this group is permitted for each staff member.
M/R/O/PData Set Data Elements
MCARE PROFESSIONAL LOCAL IDENTIFIER
RPROFESSIONAL REGISTRATION BODY CODE
RPROFESSIONAL REGISTRATION ENTRY IDENTIFIER
RCARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH)
RMAIN SPECIALTY CODE (MENTAL HEALTH)
ROCCUPATION CODE
RCARE PROFESSIONAL (JOB ROLE CODE)

top


NATIONAL NEONATAL DATA SET - EPISODIC AND DAILY CARE

Change to Data Set: Changed Description

National Neonatal Data Set Overview

The Mandatory, Required or Optional (M/R/O) column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes

Note: items in the M/R/O column which are shown with notation P have not been approved by the Information Standards Board for Health and Social Care and are included to facilitate piloting and testing of future Neonatal Data Analysis Unitdata requirements, prior to formal inclusion in later versions of the data set.  These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless Organisations are engaged in piloting activities relating to these items, they should NOT submit any data item marked P. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

DEMOGRAPHICS AND BIRTH INFORMATION (BABY)

One of the following Baby Demographics Data Group Structures must be used:

Baby Demographics (Standard):
To carry the Baby's demographic details where anonymisation of the record is NOT required.
One occurrence of this group is required.
M/R/OData Set Data Elements
RNHS NUMBER (BABY)
MNHS NUMBER STATUS INDICATOR CODE (BABY)
RCOMMUNITY HEALTH INDEX NUMBER (BABY)
RHEALTH AND CARE NUMBER (BABY)
MBABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
RDATE TIME OF BIRTH (BABY)
MSITE CODE (OF ACTUAL PLACE OF DELIVERY)
or
ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
RBIRTH WEIGHT
OBIRTH LENGTH
OBIRTH HEAD CIRCUMFERENCE
OGESTATION LENGTH (AT DELIVERY)
OGESTATION LENGTH (REMAINING DAYS AT DELIVERY)
RPERSON PHENOTYPIC SEX
PPERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)
OBLOOD GROUP (BABY)
ORHESUS GROUP (BABY)
RBASE DEFICIT CONCENTRATION (WORST WITHIN 12 HOURS AFTER BIRTH)

OR

Baby Demographics (Withheld):
To carry the Baby's demographic details where anonymisation of the record IS required.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER STATUS INDICATOR CODE (BABY)
MBABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
RYEAR AND MONTH OF BIRTH (BABY)
MSITE CODE (OF ACTUAL PLACE OF DELIVERY)
or
ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
RBIRTH WEIGHT
OBIRTH LENGTH
OBIRTH HEAD CIRCUMFERENCE
OGESTATION LENGTH (AT DELIVERY)
OGESTATION LENGTH (REMAINING DAYS AT DELIVERY)
RPERSON PHENOTYPIC SEX
PPERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)
OBLOOD GROUP (BABY)
ORHESUS GROUP (BABY)
RBASE DEFICIT CONCENTRATION (WORST WITHIN 12 HOURS AFTER BIRTH)

PARENTS

One of the following Parent's Demographics Data Group Structures should be used:

Parents Demographics (Standard):
To carry the Parent's demographic details where anonymisation of the record is NOT required.
One occurrence of this group is permitted.
RNHS NUMBER (MOTHER)
MNHS NUMBER STATUS INDICATOR CODE (MOTHER)
RCOMMUNITY HEALTH INDEX NUMBER (MOTHER)
RHEALTH AND CARE NUMBER (MOTHER)
RYEAR OF BIRTH (MOTHER)
MPOSTCODE OF USUAL ADDRESS (MOTHER)
PQUALIFICATION ATTAINMENT LEVEL MOTHER (NATIONAL NEONATAL DATA SET)
OOCCUPATION MOTHER (SNOMED CT)
RETHNIC CATEGORY (MOTHER)
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER))
RYEAR OF BIRTH (FATHER)
RETHNIC CATEGORY (FATHER)
RPARENTS CONSANGUINEOUS INDICATOR

OR

Parents Demographics (Withheld):
To carry the Parent's demographic details where anonymisation of the record IS required.
One occurrence of this group is permitted.
MNHS NUMBER STATUS INDICATOR CODE (MOTHER)
RYEAR OF BIRTH (MOTHER)
PQUALIFICATION ATTAINMENT LEVEL MOTHER (NATIONAL NEONATAL DATA SET)
OOCCUPATION MOTHER (SNOMED CT)
RETHNIC CATEGORY (MOTHER)
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER))
RYEAR OF BIRTH (FATHER)
RETHNIC CATEGORY (FATHER)
RPARENTS CONSANGUINEOUS INDICATOR

ANTENATAL

Pregnancy Details:
To carry details of the pregnancy.
One occurrence of this group is required
M/R/OData Set Data Elements
PMOTHER ANTENATALLY BOOKED INDICATOR
MSITE CODE (OF INTENDED PLACE OF DELIVERY)
or
ORGANISATION CODE (OF INTENDED PLACE OF DELIVERY)
RPREGNANCY TOTAL PREVIOUS PREGNANCIES
RMATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (NATIONAL NEONATAL DATA SET)
Multiple occurrences of this item are permitted
PMATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY)
Multiple occurrences of this item are permitted
RMATERNITY MEDICAL DIAGNOSIS TYPE (CURRENT PREGNANCY)
Multiple occurrences of this item are permitted
RBLOOD GROUP (MOTHER)
RRHESUS GROUP (MOTHER)
OHAEMOGLOBINOPATHY INVESTIGATION RESULT CODE FOR NATIONAL NEONATAL DATA SET (MOTHER)
RMOTHER CURRENT SMOKER AT BOOKING INDICATOR
OCIGARETTES PER DAY (MOTHER AT BOOKING)
RSTEROIDS GIVEN DURING PREGNANCY TO MATURE FETAL LUNGS INDICATOR
RANTENATAL STEROID COURSE COMPLETION STATUS
OSTEROID TYPE GIVEN TO MOTHER (SNOMED CT DM+D)
OINVESTIGATION RESULT CODE (MOTHER RUBELLA SCREENING)
RLAST MENSTRUAL PERIOD DATE
or
LAST MENSTRUAL PERIOD YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
MESTIMATED DATE OF DELIVERY (AGREED)
or
ESTIMATED DATE OF DELIVERY (AGREED) YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RMETHOD OF ESTIMATED DATE OF DELIVERY (AGREED)

LABOUR AND DELIVERY

Labour and Delivery Details:
To carry details of the labour and delivery.
One occurrence of this group is required
M/R/OData Set Data Elements
RLABOUR OR DELIVERY ONSET METHOD CODE (NATIONAL NEONATAL DATA SET)
OMECONIUM PRESENT IN LIQUOR INDICATOR
OMEDICATION GIVEN DURING LABOUR (SNOMED CT DM+D)
Multiple occurrences of this item are permitted
RRUPTURE OF MEMBRANES DATE TIME
or
RUPTURE OF MEMBRANES YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
OSIGNIFICANT MATERNAL PYREXIA IN LABOUR INDICATOR
OINTRAPARTUM ANTIBIOTICS GIVEN INDICATOR
RPRESENTATION AT DELIVERY
MMODE OF DELIVERY
PIN LABOUR BEFORE CAESARIAN SECTION INDICATOR
PDELIVERY INSTRUMENT TYPE
Multiple occurrences of this item are permitted
RBIRTH ORDER (MATERNITY SERVICES)
RNUMBER OF FETUSES (NOTED DURING PREGNANCY EPISODE)
OTIME BETWEEN DELIVERY AND SPONTANEOUS RESPIRATION CODE
RAPGAR SCORE (1 MINUTE)
RAPGAR SCORE (5 MINUTES)
RAPGAR SCORE (10 MINUTES)
RNEONATAL RESUSCITATION METHOD (NATIONAL NEONATAL DATA SET)
ONEONATAL RESUSCITATION DRUG (SNOMED CT DM+D)
Multiple occurrences of this item are permitted
PUMBILICAL CORD CLAMPED IMMEDIATELY AFTER BIRTH INDICATOR
PTIME BETWEEN DELIVERY AND UMBILICAL CORD CLAMPING
PUMBILICAL CORD MILKING PERFORMED INDICATOR
OUMBILICAL CORD BLOOD PH LEVEL (ARTERIAL)
OUMBILICAL CORD BLOOD PH LEVEL (VENOUS)
OUMBILICAL CORD BLOOD PARTIAL PRESSURE CARBON DIOXIDE (ARTERIAL)
OUMBILICAL CORD BLOOD PARTIAL PRESSURE CARBON DIOXIDE (VENOUS)
OUMBILICAL CORD BLOOD LACTATE LEVEL
RUMBILICAL CORD BLOOD BASE EXCESS CONCENTRATION (ARTERIAL)
RUMBILICAL CORD BLOOD BASE EXCESS CONCENTRATION (VENOUS)
RSURFACTANT GIVEN INDICATOR (DURING RESUSCITATION)

ADMISSION TO NEONATAL CRITICAL CARE

Admission Details:
To carry details of the admission to Neonatal Critical Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
MCRITICAL CARE START DATE AND TIME
or
CRITICAL CARE START YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
MSITE CODE (OF ADMITTING NEONATAL UNIT)
or
ORGANISATION CODE (OF ADMITTING NEONATAL UNIT)
REPISODE NUMBER (NEONATAL CRITICAL CARE SPELL)
RSITE CODE (ADMITTED FROM TO NEONATAL UNIT)
or
ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT)
OLOCATION IN HOSPITAL TYPE (BABY ADMITTED FROM)
RPRIMARY CATEGORY OF CARE REQUIRED ON ADMISSION TO NEONATAL CRITICAL CARE
MTEMPERATURE RECORDED AFTER ADMISSION TO NEONATAL CRITICAL CARE INDICATOR
MTEMPERATURE (ON ADMISSION TO NEONATAL CRITICAL CARE)
ROBSERVATION DATE AND TIME (TEMPERATURE)
or
OBSERVATION YEAR AND MONTH (TEMPERATURE)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RMEAN ARTERIAL BLOOD PRESSURE (ON ADMISSION TO NEONATAL CRITICAL CARE)
RHEART RATE (ON ADMISSION TO NEONATAL CRITICAL CARE)
ORESPIRATORY RATE (ON ADMISSION TO NEONATAL CRITICAL CARE)
OOXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE)
OBLOOD GLUCOSE CONCENTRATION (ON ADMISSION TO NEONATAL CRITICAL CARE)
RDIAGNOSIS (ICD ON ADMISSION TO NEONATAL CRITICAL CARE)
Multiple occurrences of this item are permitted
and/or
DIAGNOSIS (SNOMED CT ON ADMISSION TO NEONATAL CRITICAL CARE)
Multiple occurrences of this item are permitted
OPARENTAL CONSENT TO ADMINISTER VITAMIN K INDICATOR
OVITAMIN K ADMINISTERED INDICATOR
OVITAMIN K ROUTE OF ADMINISTRATION
OCARE PROFESSIONAL JOB ROLE CODE (COMPLETING NEONATAL INTENSIVE CARE UNIT ADMISSION FORM)
MPARENTS SEEN BY SENIOR STAFF MEMBER WITHIN 24 HOURS OF ADMISSION INDICATOR
MPARENTS SEEN BY SENIOR STAFF MEMBER DATE AND TIME
or
PARENTS SEEN BY SENIOR STAFF MEMBER YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)

DISCHARGE FROM NEONATAL CRITICAL CARE UNIT

Discharge Details:
To carry details of the discharge from the Neonatal Intensive Care Unit.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
MCRITICAL CARE DISCHARGE DATE AND TIME
or
CRITICAL CARE DISCHARGE YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
MDESTINATION ON DISCHARGE FROM NEONATAL CRITICAL CARE
RTRANSFERRED FOR FURTHER CARE TYPE (NATIONAL NEONATAL DATA SET)
OWARD TYPE DISCHARGED TO (NATIONAL NEONATAL DATA SET)
RSITE CODE (RECEIVING)
or
ORGANISATION CODE (RECEIVING)
RPERSON DEATH DATE AND TIME (DURING NEONATAL CRITICAL CARE PERIOD)
or
PERSON DEATH YEAR AND MONTH (DURING NEONATAL CRITICAL CARE PERIOD)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RDEATH CAUSE ICD CODE (DURING NEONATAL CRITICAL CARE PERIOD)
Multiple occurrences of this item are permitted
OPOST MORTEM CARRIED OUT INDICATOR
OPARENTAL CONSENT TO POST MORTEM INDICATOR
OPOST MORTEM CONFIRMED NECROTISING ENTEROCOLITIS DIAGNOSIS INDICATOR
ORECEIVING OXYGEN THERAPY ON DISCHARGE INDICATOR
OSITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)
or
ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)
RDIAGNOSIS (ICD RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)
Multiple occurrences of this item are permitted
and/or
DIAGNOSIS (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)
Multiple occurrences of this item are permitted

Procedures Recorded At Discharge:
To carry details of procedures recorded at discharge.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RPROCEDURE (OPCS RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)
and/or
PROCEDURE (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)
RPROCEDURE DATE AND TIME (DURING NEONATAL CRITICAL CARE PERIOD)
or
PROCEDURE YEAR AND MONTH (DURING NEONATAL CRITICAL CARE PERIOD)
and
NUMBER OF MINUTES (BIRTH TO EVENT)

CLINICAL TRIALS (EPISODIC)

Clinical Trials Details:
To carry details of Clinical Trial enrolment at any time during the Neonatal Critical Care Period.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
OCLINICAL TRIAL NAME
OCLINICAL TRIAL MEDICATION ADMINISTERED NAME
Multiple occurrences of this item are permitted

INFECTION CULTURES (EPISODIC)

Infection Culture Indicators:
To carry indicators relating to Infection Cultures undertaken at any time during the Neonatal Critical Care Period.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
PINFECTION CULTURE TEST INDICATOR (BLOOD)
PINFECTION CULTURE TEST INDICATOR (CEREBROSPINAL FLUID)
PINFECTION CULTURE TEST INDICATOR (URINE)

Infection Cultures:
To carry information relating to Infection Cultures at any time during the Neonatal Critical Care Period.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RSAMPLE COLLECTION DATE AND TIME
or
SAMPLE COLLECTION YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RSAMPLE TYPE (NATIONAL NEONATAL DATA SET)
RCLINICAL SIGN OBSERVED AT SAMPLE COLLECTION
Multiple occurrences of this item are permitted
RSAMPLE TEST RESULT ORGANISM TYPE (SNOMED CT)
Multiple occurrences of this item are permitted
OSAMPLE ANTIBIOTIC SENSITIVITY RESULT (SNOMED CT DM+D)
Multiple occurrences of this item are permitted

ABDOMINAL X-RAYS (EPISODIC)

Abdominal X-Ray Indicator:
To carry an indicator relating to Abdominal X-Rays undertaken at any time during the Neonatal Critical Care Period.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
PABDOMINAL X-RAY PERFORMED INDICATOR

Abdominal X-Rays:
To carry information relating to Abdominal X-Rays at any time during the Neonatal Critical Care Period.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RPROCEDURE DATE AND TIME (ABDOMINAL X-RAY)
or
PROCEDURE YEAR AND MONTH (ABDOMINAL X-RAY)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RABDOMINAL X-RAY PERFORMED TO INVESTIGATE ABDOMINAL SIGNS INDICATOR
RCONDITION SEEN IN ABDOMEN DURING X-RAY
Multiple occurrences of this item are permitted
RABDOMINAL X-RAY PERFORMED REASON
Multiple occurrences of this item are permitted
RTRANSFERRED FROM NEONATAL INTENSIVE CARE UNIT FOR NECROTISING ENTEROCOLITIS MANAGEMENT INDICATOR
RLAPAROTOMY FOR NECROTISING ENTEROCOLITIS INDICATION CODE
RVISUAL INSPECTION CONFIRMED NECROTISING ENTEROCOLITIS DURING LAPAROTOMY INDICATOR
RHISTOLOGY CONFIRMED NECROTISING ENTEROCOLITIS FOLLOWING LAPAROTOMY INDICATOR
RPERITONEAL DRAIN INSERTED FOLLOWING ABDOMINAL X-RAY INDICATOR

RETINOPATHY OF PREMATURITY SCREENING (EPISODIC)

Retinopathy of Prematurity Screening Indicator:
To carry an indicator relating to Retinopathy of Prematurity Screening undertaken at any time during the Neonatal Critical Care Period.
One occurrence of this group is required.
M/R/OData Set Data Elements
MRETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR

Retinopathy of Prematurity Screening:
To carry information relating to Retinopathy of Prematurity Screening at any time during the Neonatal Critical Care Period.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RPROCEDURE DATE AND TIME (RETINOPATHY OF PREMATURITY SCREENING)
or
PROCEDURE YEAR AND MONTH (RETINOPATHY OF PREMATURITY SCREENING)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RSITE CODE (OF RETINOPATHY OF PREMATURITY SCREENING)
or
ORGANISATION CODE (OF RETINOPATHY OF PREMATURITY SCREENING)
RRETINOPATHY OF PREMATURITY STAGE (LEFT EYE)
RRETINOPATHY OF PREMATURITY STAGE (RIGHT EYE)
RRETINOPATHY OF PREMATURITY CLOCK HOURS MAXIMUM STAGE (LEFT EYE)
RRETINOPATHY OF PREMATURITY CLOCK HOURS MAXIMUM STAGE (RIGHT EYE)
RRETINOPATHY OF PREMATURITY MAXIMUM ZONE (LEFT EYE)
RRETINOPATHY OF PREMATURITY MAXIMUM ZONE (RIGHT EYE)
RRETINOPATHY OF PREMATURITY PLUS DISEASE STATUS (LEFT EYE)
RRETINOPATHY OF PREMATURITY PLUS DISEASE STATUS (RIGHT EYE)
RRETINOPATHY OF PREMATURITY SCREENING OUTCOME STATUS CODE

CRANIAL ULTRASOUND SCANS (EPISODIC)

Cranial Ultrasound Scan Indicator:
To carry an indicator relating to Cranial Ultrasound Scans undertaken at any time during the Neonatal Critical Care Period.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
PCRANIAL ULTRASOUND SCAN PERFORMED INDICATOR

Cranial Ultrasound Scan:
To carry information relating to Cranial Ultrasound Scans at any time during the Neonatal Critical Care Period.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RPROCEDURE DATE AND TIME (CRANIAL ULTRASOUND SCAN)
or
PROCEDURE YEAR AND MONTH (CRANIAL ULTRASOUND SCAN)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
OINTRAVENTRICULAR HAEMORRHAGE GRADE (LEFT SIDE)
OPORENCEPHALIC CYST VISIBLE DURING CRANIAL ULTRASOUND SCAN INDICATOR (LEFT SIDE)
OVENTRICULAR DILATION DIAGNOSED DURING CRANIAL ULTRASOUND SCAN INDICATOR (LEFT SIDE)
OINTRAVENTRICULAR HAEMORRHAGE GRADE (RIGHT SIDE)
OPORENCEPHALIC CYST VISIBLE DURING CRANIAL ULTRASOUND SCAN INDICATOR (RIGHT SIDE)
OVENTRICULAR DILATION DIAGNOSED DURING CRANIAL ULTRASOUND SCAN INDICATOR (RIGHT SIDE)
OCYSTIC PERIVENTRICULAR LEUKOMALACIA OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR
OPOST HAEMORRHAGIC HYDROCEPHALUS OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR

NEWBORN BLOOD SPOT BIOCHEMICAL SCREENING (EPISODIC)

Newborn Blood Spot Test Indicator:
To carry an indicator relating to Newborn Blood Spot Tests undertaken at any time during the Neonatal Critical Care Period.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNEWBORN BLOOD SPOT TEST PERFORMED INDICATOR

Newborn Blood Spot Screening:
To carry details of Newborn Blood Spot Biochemical Screening undertaken at any time in the Neonatal Critical Care Period.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RBLOOD SPOT CARD COMPLETION DATE
or
BLOOD SPOT CARD COMPLETION YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)

NEWBORN HEARING SCREENING (EPISODIC)

Newborn Hearing Screening Indicator:
To carry an indicator relating to Newborn Hearing Screening undertaken at any time during the Neonatal Critical Care Period.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
PNEWBORN HEARING SCREENING PERFORMED INDICATOR

Newborn Hearing Screening:
To carry information relating to Newborn Hearing Screening at any time during the Neonatal Critical Care Period.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RPROCEDURE DATE AND TIME (NEWBORN HEARING SCREENING)
or
PROCEDURE YEAR AND MONTH (NEWBORN HEARING SCREENING)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
ONEWBORN HEARING SCREENING OUTCOME LEFT EAR (NATIONAL NEONATAL DATA SET)
ONEWBORN HEARING SCREENING OUTCOME RIGHT EAR (NATIONAL NEONATAL DATA SET)
ONEWBORN HEARING SCREENING TEST TYPE

DAILY CARE INFORMATION

Daily Care General Information:
To carry General Information relating to Daily Care.
Multiple occurrences of this group are permitted (at least one occurrence is required).
M/R/OData Set Data Elements
MNEONATAL CRITICAL CARE DAILY CARE DATE
or
NEONATAL CRITICAL CARE DAILY CARE YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RPERSON WEIGHT IN GRAMS
OHEAD CIRCUMFERENCE IN CENTIMETRES
OPERSON LENGTH IN CENTIMETRES
RLOCATION OF HIGHEST LEVEL OF CARE
RPATIENT RECEIVING ONE TO ONE NURSING CARE INDICATOR
RCARER RESIDENT INDICATION CODE (NATIONAL NEONATAL DATA SET)
RDIAGNOSIS (ICD ON NEONATAL CRITICAL CARE DAILY CARE DATE)
Multiple occurrences of this item are permitted
and/or
DIAGNOSIS (SNOMED CT ON NEONATAL CRITICAL CARE DAILY CARE DATE)
Multiple occurrences of this item are permitted
RPROCEDURE (OPCS ON NEONATAL CRITICAL CARE DAILY CARE DATE)
Multiple occurrences of this item are permitted
and/or
PROCEDURE (SNOMED CT ON NEONATAL CRITICAL CARE DAILY CARE DATE)
Multiple occurrences of this item are permitted
RPERSON ACCOMPANYING TRANSPORTED PATIENT
Multiple occurrences of this item are permitted

Daily Care Respiratory:
To carry Respiratory information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
PRESPIRATORY SUPPORT DEVICE TYPE (NATIONAL NEONATAL DATA SET)
Multiple occurrences of this item are permitted
PRESPIRATORY SUPPORT MODE (NATIONAL NEONATAL DATA SET)
Multiple occurrences of this item are permitted
RNITRIC OXIDE GIVEN INDICATOR
RCHEST DRAIN IN SITU INDICATOR
RTRACHEOSTOMY TUBE IN SITU INDICATOR
RREPLOGLE TUBE IN SITU INDICATOR
RSURFACTANT GIVEN INDICATOR (ON NEONATAL CRITICAL CARE DAILY CARE DATE)
PFRACTION OF INSPIRED OXYGEN PERCENTAGE

Daily Care Cardiovascular:
To carry Cardiovascular information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
RCONTINUOUS INFUSION OF PULMONARY VASODILATOR RECEIVED INDICATOR
RINOTROPE INFUSION RECEIVED INDICATOR
RPROSTAGLANDIN INFUSION RECEIVED INDICATOR
RTREATMENT TYPE FOR PATENT DUCTUS ARTERIOSUS
Multiple occurrences of this item are permitted

Daily Care Gastrointestinal:
To carry Gastrointestinal information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
RPERITONEAL DIALYSIS RECEIVED INDICATOR
RHAEMOFILTRATION RECEIVED INDICATOR
RTREATMENT TYPE FOR NECROTISING ENTEROCOLITIS
RMORE THAN THREE RECTAL WASHOUTS RECEIVED INDICATOR
RSTOMA PRESENT INDICATOR

Daily Care Blood Transfusion:
To carry Blood Transfusion information relating to Daily Care.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
RBLOOD TRANSFUSION TYPE
RBLOOD TRANSFUSION PRODUCT TYPE
Multiple occurrences of this item are permitted

Daily Care Neurology:
To carry Neurology information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
RCENTRAL TONE STATUS
RNEONATAL CONSCIOUSNESS STATUS
RSEIZURE OCCURRED INDICATOR
RNEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR
RBRAIN ACTIVITY SCAN PERFORMED INDICATOR
RTHERAPEUTIC HYPOTHERMIA INDUCED INDICATOR
RHYPOXIC ISCHEMIC ENCEPHALOPATHY GRADE (HIGHEST ON NEONATAL CRITICAL CARE DAILY CARE DATE)

Daily Care Retinopathy of Prematurity Screening:
To carry Retinopathy of Prematurity information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
RRETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR

Daily Care Fluids and Feeding:
To carry Fluids and Feeding information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
RVASCULAR LINE TYPE IN SITU
Multiple occurrences of this item are permitted
RPARENTERAL NUTRITION RECEIVED INDICATOR
RINTRAVENOUS INFUSION OF GLUCOSE AND ELECTROLYTE SOLUTION RECEIVED INDICATOR
RENTERAL FEED TYPE GIVEN
Multiple occurrences of this item are permitted
RFORMULA MILK OR MILK FORTIFIER TYPE
Multiple occurrences of this item are permitted
or
FORMULA MILK OR MILK FORTIFIER TYPE (SNOMED CT DM+D)
Multiple occurrences of this item are permitted
RTOTAL VOLUME OF MILK RECEIVED
OENTERAL FEEDING METHOD
Multiple occurrences of this item are permitted

Daily Care Infections:
To carry Infection information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
RSEPSIS SUSPECTED INDICATOR

Daily Care Jaundice:
To carry Jaundice information relating to Daily Care.
One occurrence of this group is required.
M/R/OData Set Data Elements
RPHOTOTHERAPY RECEIVED INDICATOR

Daily Care Medication:
To carry Medication Administered information relating to Daily Care.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RMEDICATION GIVEN DURING NEONATAL CRITICAL CARE DAILY CARE DATE (SNOMED CT DM+D)
Multiple occurrences of this item are permitted

top


NATIONAL NEONATAL DATA SET - TWO YEAR NEONATAL OUTCOMES ASSESSMENT

Change to Data Set: Changed Description

National Neonatal Data Set Overview

The Mandatory, Required or Optional (M/R/O) column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

Note: items in the M/R/O column which are shown with notation P have not been approved by the Information Standards Board for Health and Social Care and are included to facilitate piloting and testing of future Neonatal Data Analysis Unitdata requirements, prior to formal inclusion in later versions of the data set.  These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless Organisations are engaged in piloting activities relating to these items, they should NOT submit any data item marked P. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

TWO YEAR NEONATAL OUTCOMES ASSESSMENT

One of the following Child Demographics Data Group Structures must be used:

Child Demographics (Standard):
To carry the Child's demographic details where anonymisation of the record is NOT required.
One occurrence of this group is required.
M/R/OData Set Data Elements
RNHS NUMBER
MNHS NUMBER STATUS INDICATOR CODE
RCOMMUNITY HEALTH INDEX NUMBER
RHEALTH AND CARE NUMBER
MBABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
RDATE TIME OF BIRTH
MSITE CODE (OF ACTUAL PLACE OF DELIVERY)
or
ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
OGESTATION LENGTH (AT DELIVERY)
OGESTATION LENGTH (REMAINING DAYS AT DELIVERY)
RPERSON PHENOTYPIC SEX
or
PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)

OR

Child's Demographics (Withheld):
To carry the Child's demographic details where anonymisation of the record IS required.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER STATUS INDICATOR CODE
MBABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
RYEAR AND MONTH OF BIRTH
MSITE CODE (OF ACTUAL PLACE OF DELIVERY)
or
ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
OGESTATION LENGTH (AT DELIVERY)
OGESTATION LENGTH (REMAINING DAYS AT DELIVERY)
RPERSON PHENOTYPIC SEX
or
PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)


One of the following Two Year Assessment Administration Data Group Structures must be used:

Two Year Assessment Administration (Standard):
To carry administrative information relating to the Two Year Neonatal Outcomes Assessment where anonymisation of the record is NOT required.
One occurrence of this group is required
.
M/R/OData Set Data Elements
MTWO YEAR NEONATAL OUTCOMES ASSESSMENT DATE
OCARE PROFESSIONAL JOB ROLE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
RPOSTCODE OF USUAL ADDRESS (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
MSITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
or
ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
RTWO YEAR NEONATAL OUTCOMES ASSESSMENT NOT CARRIED OUT REASON
RPERSON DEATH DATE (POST DISCHARGE FROM NEONATAL CRITICAL CARE)

OR

Two Year Administration (Withheld):
To carry administrative information relating to the Two Year Neonatal Outcomes Assessment where anonymisation of the record IS required.
One occurrence of this group is required
.
M/R/OData Set Data Elements
RTWO YEAR NEONATAL OUTCOMES ASSESSMENT YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
OCARE PROFESSIONAL JOB ROLE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
RSITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
or
ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
RTWO YEAR NEONATAL OUTCOMES ASSESSMENT NOT CARRIED OUT REASON
RPERSON DEATH YEAR AND MONTH (POST DISCHARGE FROM NEONATAL CRITICAL CARE)
and
NUMBER OF MINUTES (BIRTH TO EVENT)

Two Year TPRG-SEND - Neuromotor:
To carry information relating to TPRG-SEND Neuromotor at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION B)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION C)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION D)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION E)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION F)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION G)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION H)

Two Year TPRG-SEND - Malformations:
To carry information relating to TPRG-SEND Malformations at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (MALFORMATIONS QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (MALFORMATIONS QUESTION B)

Two Year TPRG-SEND - Respiratory and Cardiovascular:
To carry information relating to TPRG-SEND Respiratory and Cardiovascular System at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RESPIRATORY AND CARDIOVASCULAR SYSTEM QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RESPIRATORY AND CARDIOVASCULAR SYSTEM QUESTION B)

Two Year TPRG-SEND - Gastrointestinal Tract:
To carry information relating to TPRG-SEND Gastrointestinal Tract at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (GASTRO-INTESTINAL TRACT QUESTION A)
RSPECIAL DIET DESCRIPTION
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (GASTRO-INTESTINAL TRACT QUESTION B)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (GASTRO-INTESTINAL TRACT QUESTION C)

Two Year TPRG-SEND - Renal:
To carry information relating to TPRG-SEND Renal at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RENAL QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RENAL QUESTION B)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RENAL QUESTION C)

Two Year TPRG-SEND - Neurology:
To carry information relating to TPRG-SEND Neurology at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION B)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION C)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION D)

Two Year TPRG-SEND - Growth:
To carry information relating to TPRG-SEND Growth at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RPERSON WEIGHT (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
POBSERVATION DATE (WEIGHT)
or
OBSERVATION YEAR AND MONTH (WEIGHT)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RPERSON HEIGHT IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
POBSERVATION DATE (HEIGHT)
or
OBSERVATION YEAR AND MONTH (HEIGHT)
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RHEAD CIRCUMFERENCE IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
POBSERVATION DATE (HEAD CIRCUMFERENCE)
or
OBSERVATION YEAR AND MONTH (HEAD CIRCUMFERENCE)
and
NUMBER OF MINUTES (BIRTH TO EVENT)

Two Year TPRG-SEND - Development:
To carry information relating to TPRG-SEND Development at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT ADDITIONAL QUESTION FOR NATIONAL NEONATAL DATA SET)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION B)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION C)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION D)
RNEURODEVELOPMENTAL ASSESSMENT ALREADY TAKEN INDICATOR
RNEURODEVELOPMENTAL ASSESSMENT TEST NAME

Two Year TPRG-SEND - Neurosensory:
To carry information relating to TPRG-SEND Neurosensory at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION B)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION C)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION D)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION E)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION F)

Two Year TPRG-SEND - Communication:
To carry information relating to TPRG-SEND Communication at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION B)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION C)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION D)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION E)

Two Year TPRG-SEND - Special Questions:
To carry information relating to TPRG-SEND Special Questions at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (SPECIAL QUESTIONS QUESTION A)
RTPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (SPECIAL QUESTIONS QUESTION B)
RCHILD DIFFICULT TO TEST REASON CODE
Multiple occurrences of this item are permitted

Two Year TPRG-SEND - Neurological Diagnosis:
To carry information relating to TPRG-SEND Neurological Diagnosis at the Two Year Neonatal Outcomes Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RPATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY)
RCEREBRAL PALSY TYPE CODE (NATIONAL NEONATAL DATA SET)
RDIAGNOSIS (ICD NEUROLOGICAL)
Multiple occurrences of this item are permitted

Two Year Bayley III Assessment:
To carry information relating to the Bayley III Assessment.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
PASSESSMENT TOOL COMPLETION DATE
or
ASSESSMENT TOOL COMPLETION YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)

Two Year Bayley III - Cognitive:
To carry information relating to the Bayley III Cognitive sub-scale.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RBAYLEY III COGNITIVE TOTAL RAW SCORE
RBAYLEY III COGNITIVE SCALE SCORE
RBAYLEY III COGNITIVE DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III COGNITIVE COMPOSITE SCORE

Two Year Bayley III - Communication:
To carry information relating to the Bayley III Communication sub-scales.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RBAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) TOTAL RAW SCORE
RBAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) SCALE SCORE
RBAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) COMPOSITE SCORE
RBAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) TOTAL RAW SCORE
RBAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) SCALE SCORE
RBAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE
RBAYLEY III COMMUNICATION SUM TOTAL RAW SCORE
RBAYLEY III COMMUNICATION SUM TOTAL SCALE SCORE
RBAYLEY III COMMUNICATION SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III COMMUNICATION SUM TOTAL COMPOSITE SCORE

Two Year Bayley III - Neuromotor:
To carry information relating to the Bayley III Neuromotor sub-scales.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RBAYLEY III NEUROMOTOR (FINE MOTOR) TOTAL RAW SCORE
RBAYLEY III NEUROMOTOR (FINE MOTOR) SCALE SCORE
RBAYLEY III NEUROMOTOR (FINE MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III NEUROMOTOR (FINE MOTOR) COMPOSITE SCORE
RBAYLEY III NEUROMOTOR (GROSS MOTOR) TOTAL RAW SCORE
RBAYLEY III NEUROMOTOR (GROSS MOTOR) SCALE SCORE
RBAYLEY III NEUROMOTOR (GROSS MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III NEUROMOTOR (GROSS MOTOR) COMPOSITE SCORE
RBAYLEY III NEUROMOTOR SUM TOTAL RAW SCORE
RBAYLEY III NEUROMOTOR SUM TOTAL SCALE SCORE
RBAYLEY III NEUROMOTOR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III NEUROMOTOR SUM TOTAL COMPOSITE SCORE

Two Year Bayley III - Social-Emotional:
To carry information relating to the Bayley III Social-Emotional sub-scale.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RBAYLEY III SOCIAL-EMOTIONAL TOTAL RAW SCORE
RBAYLEY III SOCIAL-EMOTIONAL SCALE SCORE
RBAYLEY III SOCIAL-EMOTIONAL DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III SOCIAL-EMOTIONAL COMPOSITE SCORE

Two Year Bayley III - Adaptive Behaviour:
To carry information relating to the Bayley III Adaptive Behaviour sub-scales.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
RBAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL RAW SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL SCALE SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE
RBAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL COMPOSITE SCORE

Two Year Griffiths:
To carry information relating to Griffiths Scale of Infant Development.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
PASSESSMENT TOOL COMPLETION DATE
or
ASSESSMENT TOOL COMPLETION YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RGRIFFITHS LOCOMOTOR SCALE SCORE
RGRIFFITHS PERSONAL-SOCIAL SCALE SCORE
RGRIFFITHS LANGUAGE SCALE SCORE
RGRIFFITHS EYE AND HAND CO-ORDINATION SCALE SCORE
RGRIFFITHS PERFORMANCE SCALE SCORE
RGRIFFITHS PRACTICAL REASONING SCALE SCORE

Two Year Schedule of Growing:
To carry information relating to Schedule of Growing Skills.
One occurrence of this group is permitted
.
M/R/OData Set Data Elements
PASSESSMENT TOOL COMPLETION DATE
or
ASSESSMENT TOOL COMPLETION YEAR AND MONTH
and
NUMBER OF MINUTES (BIRTH TO EVENT)
RSCHEDULE OF GROWING SKILLS (PASSIVE POSTURE) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (ACTIVE POSTURE) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (LOCOMOTOR) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (MANIPULATIVE) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (VISUAL) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (HEARING AND LANGUAGE) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (SPEECH AND LANGUAGE) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (INTERACTIVE SOCIAL) SCALE SCORE
RSCHEDULE OF GROWING SKILLS (SELF-CARE SOCIAL) SCALE SCORE

top


ABBREVIATED MENTAL TEST SCORE

Change to Supporting Information: Changed Description

The Abbreviated Mental Test Score (AMTS) is an ASSESSMENT TOOL.The Abbreviated Mental Test Score is an ASSESSMENT TOOL.

The Abbreviated Mental Test Score is used to quickly assess elderly patients for the possibility of dementia.The Abbreviated Mental Test Score (AMTS) is used to quickly assess elderly patients for the possibility of dementia.

For further information on the Abbreviated Mental Test Score, see Abbreviated Mental Test Score.

 

top


ACTIVITY END DATE (CONTRACT MONITORING)

Change to Supporting Information: Changed Description

An Activity End Date (Contract Monitoring) is an ACTIVITY DATE TIME.

An Activity End Date (Contract Monitoring) is the date on which a commissioned ACTIVITY is deemed to have ended, for the purposes of Contract Monitoring.

The Activity End Date (Contract Monitoring) for:

 

top


ACTIVITY START DATE (CONTRACT MONITORING)

Change to Supporting Information: Changed Description

An Activity Start Date (Contract Monitoring) is an ACTIVITY DATE TIME.

An Activity Start Date (Contract Monitoring) is the date on which a commissioned ACTIVITY is deemed to have occurred, for the purposes of Contract Monitoring.

The Activity Start Date (Contract Monitoring) for:

 

top


ADULT COMORBIDITY EVALUATION - 27

Change to Supporting Information: Changed Description

The Adult Comorbidity Evaluation - 27 (ACE-27) is an ASSESSMENT TOOL.The Adult Comorbidity Evaluation - 27 is an ASSESSMENT TOOL.

The Adult Comorbidity Evaluation - 27 is a 27-item comorbidity index for PATIENTS with cancer.The Adult Comorbidity Evaluation - 27 (ACE-27) is a 27-item comorbidity index for PATIENTS with cancer.  It Identifies the important medical comorbidities and grade severity using the index.

For further information on the Adult Comorbidity Evaluation - 27, see Adult Comorbidity Evaluation-27. 

 

top


ADULT IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES PROGRAMME

Change to Supporting Information: Changed Description

top


AGGREGATE CONTRACT MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Aggregate Contract Monitoring Data Set is to enable the interchange, in a uniform and consistent format, of monthly aggregate Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning Organisations. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

Submission of the Aggregate Contract Monitoring Data Set is a contractual requirement and a recognised monthly reconciliation statement. It demonstrates the aggregated cost of commissioned clinical care provided to PATIENTS as well as financial adjustments not attributed directly to clinical care. The totality of expenditure documented in the Aggregate Contract Monitoring Data Set must be equivalent to the monetary value of the invoice raised by the Health Care Provider and presented to the commissioner.

Scope

The scope of the Aggregate Contract Monitoring Data Set is all NHS-funded clinical care provided (including drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS as well as financial adjustments not attributed directly to clinical care, for all commissioners. This covers:

The Aggregate Contract Monitoring Data Set is an aggregation of the three separate patient-level Contract Monitoring data set flows:

Submission

The Aggregate Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Aggregate Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).

For further information on the Aggregate Contract Monitoring Data Set, see the NHS England website at: Specialised Services Reporting Requirements.

top


ALLRED SCORE

Change to Supporting Information: Changed Description

The Allred Score is a PERSON SCORE.The Allred Score is a PERSON SCORE.

The Allred Score is used for PATIENTS with breast cancer during a Cancer Care Spell.

There are two types of Allred Score:

  1. Estrogen Receptor (ER)
  2. Progesterone Receptor (PR).
 

top


AMBULANCE SERVICE

Change to Supporting Information: Changed Description

An Ambulance Service is a SERVICE.

An Ambulance Service is a SERVICE provided by an Organisation for the provision of PATIENT transport services.An Ambulance Service is a SERVICE provided by an ORGANISATION for the provision of PATIENT transport services.

 

top


AMERICAN JOINT COMMITTEE ON CANCER

Change to Supporting Information: Changed Description

top


AMERICAN SOCIETY OF ANESTHESIOLOGISTS

Change to Supporting Information: Changed Description

The American Society of Anesthesiologists (ASA) is an Organisation.The American Society of Anesthesiologists is an ORGANISATION.

The American Society of Anesthesiologists is an educational, research and scientific association of physicians organised to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the PATIENT.The American Society of Anesthesiologists (ASA) is an educational, research and scientific association of physicians organised to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the PATIENT.

For further information on the American Society of Anesthesiologists, see the American Society of Anesthesiologists website at: About ASA.

 

top


ANTENATAL

Change to Supporting Information: Changed Description

Antenatal is an ACTIVITY GROUP.

Antenatal is the period of time from conception to before birth.

 

top


ANTIRETROVIRAL THERAPY

Change to Supporting Information: Changed Description

Antiretroviral Therapy (ART) is a CLINICAL INTERVENTION.Antiretroviral Therapy is a CLINICAL INTERVENTION.

Antiretroviral Therapy is the treatment of people infected with human immunodeficiency virus (HIV) using antiretroviral drugs.Antiretroviral Therapy (ART) is the treatment of people infected with human immunodeficiency virus (HIV) using antiretroviral drugs.

For further information on Antiretroviral Therapy, see the World Health Organisation website at: Antiretroviral Therapy.

 

top


APPOINTMENT REQUEST

Change to Supporting Information: Changed Description

An Appointment Request is a type of SERVICE REQUEST for an APPOINTMENT.

Each originating request may result in one or more APPOINTMENT OFFERS.

The originating request may be from:

Each Appointment Request should be reviewed by the receiving CARE PROFESSIONAL, Organisation or SERVICE to decide whether an offer of an APPOINTMENT should be made.Each Appointment Request should be reviewed by the receiving CARE PROFESSIONAL, ORGANISATION or SERVICE to decide whether an offer of an APPOINTMENT should be made.

It is on this date it is considered that the PATIENT has been added to the Out-Patient Waiting List for the APPOINTMENT with the expectation that it will take place.

When it is decided that an offer of an APPOINTMENT should be made then one or more APPOINTMENT OFFER should be offered each of which will record a separate and different APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED to the PATIENT.

The APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED of the APPOINTMENT OFFER equate to the allocated APPOINTMENT SLOT.

When more than one date is offered for the same Appointment Request, the PATIENT can choose which date and time to accept. APPOINTMENT ACCEPTED DATE records the date that the offer is accepted. When multiple dates are offered, the PATIENT should only be allowed to select one of them.

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

 

top


APPRAISAL REVIEW

Change to Supporting Information: Changed Description

An Appraisal Review is a review of an EMPLOYEE PLAN.

An Appraisal Review or performance review of personal development of an EMPLOYEE as agreed with their employing Organisation.  This will normally be based upon the setting of, or review of an EMPLOYEE PLAN.An Appraisal Review or performance review of personal development of an EMPLOYEE as agreed with their employing ORGANISATION. This will normally be based upon the setting of, or review of an EMPLOYEE PLAN.

An EMPLOYEE may have one or more written EMPLOYEE PLAN each of which should be reviewed at least annually, but may be reviewed more frequently.  Each review should be recorded by an Appraisal Review.

 

top


APPROVED MENTAL HEALTH PROFESSIONAL

Change to Supporting Information: Changed Description

An Approved Mental Health Professional is a CARE PROFESSIONAL.

An Approved Mental Health Professional is a CARE PROFESSIONAL approved by Local Social Services Authorities as trained to deal with PERSONS suffering from a mental disorder.

The Approved Mental Health Professional is responsible for co-ordinating the preliminary examination process and for providing a non-medical view when considering, with her/his colleagues, whether a PATIENT meets the conditions for treatment under the Mental Health Act 1983 as amended by the Mental Health Act 2007. Other duties include: registering PATIENTS, taking PATIENTS to hospital and taking PATIENTS who abscond or who are Absent Without Leave into custody.

 

top


ASSOCIATION OF EARLY PREGNANCY UNITS

Change to Supporting Information: Changed Description

The Association of Early Pregnancy Units (AEPU) is an Organisation.The Association of Early Pregnancy Units is an ORGANISATION.

The aim of the Association of Early Pregnancy Units is to provide support and resources to help PATIENT choice and maintain standards in Early Pregnancy Units.The aim of the Association of Early Pregnancy Units (AEPU) is to provide support and resources to help PATIENT choice and maintain standards in Early Pregnancy Units.

For further information on the Association of Early Pregnancy Units, see the Association of Early Pregnancy Units website at: Early Pregnancy Information Centre.

 

top


BACKGROUND

Change to Supporting Information: Changed Description



The NHS Data Model and Dictionary provides a reference point for approved Information Standards and Collections (including Extractions) within the NHS in England and is maintained by the NHS Data Model and Dictionary Service.

It contains Data Collections and associated definitions which have been approved by the Information Standards Board for Health and Social CareStandardisation Committee for Care Information or Data Coordination Board. The information will be of interest to professionals and Organisations that work within Health and Social Care, along with suppliers of electronic systems and services.

Note: The NHS Data Model and Dictionary does not contain all national data collections.


What would you like to do next?

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.


The NHS Data Model and Dictionary provides a reference point for approved Information Standards and Collections (including Extractions) within the NHS in England and is maintained by the NHS Data Model and Dictionary Service.

It contains Data Collections and associated definitions which have been approved by the Information Standards Board for Health and Social CareStandardisation Committee for Care Information or Data Coordination Board. The information will be of interest to professionals and ORGANISATIONS that work within Health and Social Care, along with suppliers of electronic systems and services.

Note: The NHS Data Model and Dictionary does not contain all national data collections.


What would you like to do next?

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

top


BODY MASS INDEX

Change to Supporting Information: Changed Description

Body Mass Index (BMI) is a CLINICAL INVESTIGATION RESULT ITEM.Body Mass Index is a CLINICAL INVESTIGATION RESULT ITEM.

Body Mass Index is a measure of body fat based on Height and Weight.Body Mass Index (BMI) is a measure of body fat based on Height and Weight.

For further information on Body Mass Index, see the NHS website at: Healthy weight.

 

top


BREAST SCREENING UNIT

Change to Supporting Information: Changed Description

A Breast Screening Unit is an Organisation in England.A Breast Screening Unit is an ORGANISATION in England.

Breast Screening Units are responsible for the delivery of NHS Breast Screening Programmes locally to a defined population.

For further details, see the NHS website at: Find Breast screening services.

 

top


BRITISH ASSOCIATION FOR PAEDIATRIC NEPHROLOGY

Change to Supporting Information: Changed Description

The British Association for Paediatric Nephrology is an Organisation.The British Association for Paediatric Nephrology is an ORGANISATION.

The aims of the British Association for Paediatric Nephrology are to set and to improve the standard of medical care of children with renal disease. This is facilitated through continuing professional development of paediatricians with responsibility for children with renal disease, collaborative research and audit and to formulate and express opinions on policy concerning the care of children with renal disease.

For further information on the British Association for Paediatric Nephrology see the British Association for Paediatric Nephrology website at: Welcome to the British Association for Paediatric Nephrology.

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

top


BRITISH HIV ASSOCIATION

Change to Supporting Information: Changed Description

The British HIV Association (BHIVA) is an Organisation.The British HIV Association is an ORGANISATION.

The British HIV Association:The British HIV Association (BHIVA):

  • is the leading UK association representing professionals in Human Immunodeficiency Virus (HIV) care
  • is committed to providing excellent care for people living with and affected by HIV
  • is a national advisory body on all aspects of HIV care
  • provides a national platform for HIV care issues.

For further information on the British HIV Association, see the British HIV Association website at: About BHIVA. 

 

top


BRITISH PSYCHOLOGICAL SOCIETY

Change to Supporting Information: Changed Description

The British Psychological Society is an Organisation.The British Psychological Society is an ORGANISATION. 

The British Psychological Society is the learned society and professional representative body for Psychologists in the United Kingdom. It is a registered charity in the United Kingdom and is charged with overseeing psychology and psychologists. It has responsibility for the development, promotion and application of pure and applied psychology for the public good.

The British Psychological Society recognises the following as the main types of psychologists:

For further information on the British Psychological Society, see the British Psychological Society website at: The British Psychological Society.

Note: Eight of the above areas of psychology are also regulated by the Health and Care Professions Council. It is necessary to be registered with the Health and Care Professions Council to practise in the UK under any of these titles: Clinical Psychologist, Counselling Psychologist, Educational Psychologist, Forensic Psychologist, Health Psychologist, Occupational Psychologist, Sport and Exercise Psychologist and Practitioner Psychologist.

 

top


BRITISH TRANSPLANTATION SOCIETY

Change to Supporting Information: Changed Description

The British Transplantation Society is an Organisation.The British Transplantation Society is an ORGANISATION.

The British Transplantation Society is the national professional voice of transplantation, representing all the disciplines of the transplantation community and developing scientific, clinical and ethical practice for the benefit of PATIENTS.

The society advances the study of the biological and clinical problems of TISSUE and organ transplantation and to facilitate contact between PERSONS interested in transplantation.

For further information on the British Transplantation Society, see the British Transplantation Society website at: About the BTS.

 

top


CANCER END OF TREATMENT SUMMARY PLAN

Change to Supporting Information: Changed Description

An Cancer End of Treatment Summary Plan (EOTS) is a CARE PLAN.A Cancer End of Treatment Summary Plan is a CARE PLAN.

An Cancer End of Treatment Summary Plan is a document produced by secondary cancer CARE PROFESSIONALS at the end of treatment and sent to the PATIENT’s GENERAL PRACTITIONER.A Cancer End of Treatment Summary Plan (EOTS) is a document produced by secondary cancer CARE PROFESSIONALS at the end of treatment and sent to the PATIENT’s GENERAL PRACTITIONER.

An Cancer End of Treatment Summary Plan provides important information for GENERAL PRACTITIONERS, including possible treatment toxicities, information about side effects and/or consequences of treatment, signs and symptoms of a Cancer Recurrence and any actions for the GENERAL PRACTITIONER.A Cancer End of Treatment Summary Plan provides important information for GENERAL PRACTITIONERS, including possible treatment toxicities, information about side effects and/or consequences of treatment, signs and symptoms of a Cancer Recurrence and any actions for the GENERAL PRACTITIONER.

For further information on Cancer End of Treatment Summary Plans, see the National Institute for Health and Care Excellence website at:  Quality statement 4: End-of-treatment summary plan.

 

top


CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Cancer Outcomes and Services Data Set is a compiled data set which provides the standard for secondary uses information required to support national cancer registration and associated analysis (at local, regional, national and international level), as well as other national cancer audit programmes

The standard and XML Schema consists of:

  • a set of individual data items, with their definitions
  • the assemblage of data items into discrete data sets
  • the means of flowing the data items
  • compilation of the data items into a reconciled and verified data set.

Additionally, the output supports commissioning and service development through provision of relevant information on service delivery and outcomes.

All PATIENTS diagnosed with or receiving cancer treatment in or funded by the NHS in England are covered by the standard. This includes adult and paediatric cancer PATIENTS. The standard applies to all Organisations providing Cancer Services within secondary care. It does not apply to general practice Organisations. The standard applies to all ORGANISATIONS providing Cancer Services within secondary care. It does not apply to general practice ORGANISATIONS.

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom and Ireland Association of Cancer Registries (UKIACR) as described in the User Guide at Appendix A and B.

Unless otherwise specified, the term cancer is used throughout the standard and related documents to cover all conditions registerable by the United Kingdom and Ireland Association of Cancer Registries.

Submission Information:

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set.

The Cancer Outcomes and Services Data Set is submitted to the National Cancer Registration and Analysis Service (NCRAS) using the COSDS XML Schema.

While the core and cancer site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS XML Schema integrates each core and cancer site specific set of data elements. Documentation provided on the Technology Reference Data Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification.

For all diagnoses not covered by a cancer site specific data set, only the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Registration and Analysis Service User Guide.

Pathology:

From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.

This replaced the current reporting to the National Cancer Registration and Analysis Service of electronic pathology reports which were then transcribed by the National Cancer Registration and Analysis Service into the Cancer Registration Reports. This also prevented Cancer Service teams, for example, Multidisciplinary Teams, Pathway Co-ordinators, duplicating the work, which had been happening as part of their data collection process.

From April 2020, the pathology data can only be collected and submitted using the separate Pathology Data Set and Pathology XML Schema. Pathology data items have been removed from the main Cancer Outcomes and Services Data Set.

This allows the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set and the Pathologists to collect and report the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Cancer Registration and Analysis Service.

There will be no requirement for Pathology Laboratories to double report. Once their Laboratory Information Management Systems (LIMS) are updated to report in the COSDS XML Schema, all other pathology reporting can cease.

Further Guidance:

Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Cancer Registration and Analysis Service at Cancer Outcomes and Services Dataset.

top


CARDIOPULMONARY EXERCISE TEST

Change to Supporting Information: Changed Description

A Cardiopulmonary Exercise Test (CPET) is a Clinical Investigation.A Cardiopulmonary Exercise Test is a Clinical Investigation.

A Cardiopulmonary Exercise Test is a non-invasive method used to assess the performance of the heart and lungs at rest and during exercise.A Cardiopulmonary Exercise Test (CPET) is a non-invasive method used to assess the performance of the heart and lungs at rest and during exercise.

A Cardiopulmonary Exercise Test is for:

  • Incremental Shuttle Walk Test (ISWT) or
  • Oxygen Consumption (VO2).
 

top


CARE HOME

Change to Supporting Information: Changed Description

A Care Home is an Organisation Site.A Care Home is an ORGANISATION SITE.

A Care Home is a place where personal care and accommodation are provided together.

People may live in a Care Home for short or long periods. For many people, it is their sole place of residence and so it becomes their home, although they do not legally own or rent it. Both the care that people receive and the premises are regulated by the Care Quality Commission.

There are two types of Care Homes:

For further information on Care Homes, see the Care Quality Commission website at: Care Homes.

Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 cannot be a Care Home and is either a NHS hospital or must be registered as an independent hospital.

 

top


CARE HOME STAY (MIDWIFE CARE)

Change to Supporting Information: Changed Description

A Care Home Stay (Midwife Care) is an ACTIVITY GROUP.

A Care Home Stay (Midwife Care) is a period of time that a PATIENT stays in one Care Home with care provided during one or more Midwife Episodes.

Information recorded for a Care Home Stay (Midwife Care) includes:

ADMINISTRATIVE CATEGORY CODE
DISCHARGE DESTINATION   O
SOURCE OF ADMISSION
 

top


CARE HOME STAY (NURSING CARE)

Change to Supporting Information: Changed Description

A Care Home Stay (Nursing Care) is an ACTIVITY GROUP.

A Care Home Stay (Nursing Care) is a period of time that a PATIENT stays in one Care Home with care provided, during that time, during one or more Nursing Episodes.

Information recorded for a Care Home Stay (Nursing Care) includes:

ADMINISTRATIVE CATEGORY CODE
DISCHARGE DESTINATION   O
SOURCE OF ADMISSION
 

top


CARE HOME WITH NURSING

Change to Supporting Information: Changed Description

A Care Home With Nursing is an Organisation Site.A Care Home With Nursing is an ORGANISATION SITE

A Care Home With Nursing is a Care Home where, in addition to personal care and accommodation, is a place where qualified nursing care is provided, to ensure that the full needs of the PERSON are met.

Examples of Care Homes With Nursing include:

  • Nursing home
  • Convalescent home with nursing
  • Respite care with nursing
  • Mental health crisis house with nursing.

Note: the Care Quality Commission definition of nursing care is:

"Nursing care means any SERVICE provided by a NURSE and involves:

  • The provision of care, or
  • The planning, supervision or delegation of the provision of care, other than any SERVICES which, by their nature and the circumstances in which they are provided, do not need to be provided by a NURSE."

For further information on Care Homes, see the Care Quality Commission website at: Care homes.

 

top


CARE HOME WITHOUT NURSING

Change to Supporting Information: Changed Description

A Care Home Without Nursing is an Organisation Site.A Care Home Without Nursing is an ORGANISATION SITE.

A Care Home Without Nursing is a Care Home.

Examples of Care Homes Without Nursing include:

  • Residential home
  • Rest home
  • Convalescent home
  • Respite care
  • Mental health crisis house
  • Therapeutic communities.

For further information on Care Homes, see the Care Quality Commission website at: Care homes.

 

top


CARE PERSONNEL

Change to Supporting Information: Changed Description

Care Personnel are PEOPLE.A Care Personnel is a PERSON.

A Care Personnel is a PERSON employed by or on behalf of a healthcare Organisation, for example, CARE PROFESSIONAL, Health Care Assistant, porter, cleaner etc.A Care Personnel is a PERSON employed by or on behalf of a healthcare ORGANISATION, for example, CARE PROFESSIONAL, Health Care Assistant, porter, cleaner etc.

 

top


CARE QUALITY COMMISSION

Change to Supporting Information: Changed Description

The Care Quality Commission is an Organisation.The Care Quality Commission is an ORGANISATION.

The Care Quality Commission is the independent regulator of all health and adult social care services in England, whether provided by the NHS, Local Authorities, private companies or voluntary Organisations.The Care Quality Commission is the independent regulator of all health and adult social care services in England, whether provided by the NHS, Local Authorities, private companies or voluntary ORGANISATIONS. It also protects the rights of people detained under the Mental Health Act.

The Care Quality Commission makes sure that essential common quality standards are being met where care is provided and works towards the improvement of care services. It promotes the rights and interests of people who use services and has a wide range of enforcement powers to take action on their behalf if services are unacceptably poor.

The Care Quality Commission's work brings together independent regulation of health, mental health and adult social care. Before 1 April 2009, this work was carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. These Organisations no longer exist. These ORGANISATIONS no longer exist.

The Care Quality Commission’s main activities are:

  • Registration of health and social care providers to ensure they are meeting essential common quality standards;
  • Monitoring and inspection of all health and adult social care;
  • Using its enforcement powers, such as fines and public warnings or closures, if standards are not being met;
  • Improving health and social care services by undertaking regular reviews of how well those who arrange and provide services locally are performing and special reviews on particular care services, pathways of care or themes where there are particular concerns about quality;
  • Reporting the outcomes of its work so that people who use services have information about the quality of their local health and adult social care services. It helps those who arrange and provide services to see where improvement is needed and learn from each other about what works best.

For further information on the Care Quality Commission, see the:

 

top


CARE TRUST

Change to Supporting Information: Changed Description

A Care Trust is an Organisation in England and Wales.A Care Trust is an ORGANISATION in England and Wales.

Care Trusts were introduced in 2002 to provide better-integrated health and social care.

Care Trusts are set up when the NHS and Local Authorities formally agree to work closely together, usually where it is felt that a closer relationship between health and social care is needed or would benefit local care services.

Care Trusts may carry out a range of SERVICES, including social care, mental health services or community services.

For further information on Care Trusts, see the legislation.gov.uk website.

 

top


CDS TYPE

Change to Supporting Information: Changed Description

CDS Type is a code to identify the specific type of Commissioning Data Set (CDS).A CDS Type forms part of an ELECTRONIC HEALTH RECORD EXTRACT.

A CDS Type is a code to identify the specific type of Commissioning Data Set (CDS).

The CDS Types are:

010Accident and Emergency Attendance
011Emergency Care Attendance
020Outpatient
(Known in the Schema as Care Activity) 
May also be used to submit a Referral To Treatment Clock Stop Administrative Event
021Future Outpatient
(Known in the Schema as Future Care Activity)
030Elective Admission List End of Period Census (Standard)
040Elective Admission List End of Period Census (Old)
050Elective Admission List End of Period Census (New)
060Elective Admission List Event During Period (Add)
070Elective Admission List Event During Period (Remove)
080Elective Admission List Event During Period (Offer)
090Elective Admission List Event During Period (Available/Unavailable)
100Elective Admission List Event During Period (Old Service Agreement)
110Elective Admission List Event During Period (New Service Agreement)
120Finished Birth Episode
130Finished General Episode
140Finished Delivery Episode
150Other Birth
160Other Delivery
170Detained and/or Long-Term Psychiatric Census
180Unfinished Birth Episode
190Unfinished General Episode
200Unfinished Delivery Episode
 

top


CDS V6-2 TYPE 060 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (ADD) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set is used to make an initial report that an ELECTIVE ADMISSION LIST ENTRY has been added to the Health Care Provider's ELECTIVE ADMISSION LIST.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow.

Elective Admission List Event During Period CDS Types are intended for those Organisations who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.Elective Admission List Event During Period CDS Types are intended for those ORGANISATIONS who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.  They should be supplemented where required by an annual (or other agreed time-cycle) submission of the CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set
 

Where the Care Activity data relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, the CDS DATA GROUP : PATIENT PATHWAY data elements must be completed where appropriate.

Note: for Elective Admission List Event During Period CDS Types, the CDS UNIQUE IDENTIFIER, as held in the Commissioning Data Set Transaction Header Group, must be completed in order to provide the ELECTIVE ADMISSION LIST identity.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 060 - ELECTIVE ADMISSION LIST EVENT DURING PERIOD (ADD) COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To be used to make an initial report that the Elective Admission List Entry has been added to the Provider's Elective Admission List.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: EAL PATIENT CHARACTERISTICS
M1..1DATA GROUP: EAL SERVICE AGREEMENT DETAILS
M1..1DATA GROUP: EAL ENTRY
M1..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (CONSULTANT)
R0..1DATA GROUP: INTENDED PROCEDURES (OPCS)
O0..1DATA GROUP: INTENDED PROCEDURES (READ)
O0..1DATA GROUP: INTENDED PROCEDURES - LOCATION GROUP
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: REFERRER
O0..1DATA GROUP: REFERRAL
R0..1DATA GROUP: OFFER OF ADMISSION
R0..1DATA GROUP: ORIGINAL EAL ENTRY

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 070 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (REMOVE) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set is used to report that the ELECTIVE ADMISSION LIST ENTRY has been removed from the Health Care Provider's ELECTIVE ADMISSION LIST.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists. 

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow.

Elective Admission List Event During Period CDS Types are intended for those Organisations who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.Elective Admission List Event During Period CDS Types are intended for those ORGANISATIONS who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.  They should be supplemented where required by an annual (or other agreed time-cycle) submission of the CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set.

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow.

Where the Care Activity data relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, the CDS DATA GROUP : PATIENT PATHWAY data elements must be completed where appropriate.

Note: for Elective Admission List Event During Period CDS Types, the CDS UNIQUE IDENTIFIER, as held in the Commissioning Data Set Transaction Header Group, must be completed in order to provide the ELECTIVE ADMISSION LIST identity.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 070 - ELECTIVE ADMISSION LIST EVENT DURING PERIOD (REMOVE) COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To be used to report that the EAL entry has been removed from the Provider's Elective Admission List.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: EAL ENTRY REMOVAL

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 080 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (OFFER) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set is used to report that an OFFER OF ADMISSION has been made to the PATIENT.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists. 

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow.

Elective Admission List Event During Period CDS Types are intended for those Organisations who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.Elective Admission List Event During Period CDS Types are intended for those ORGANISATIONS who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.  They should be supplemented where required by an annual (or other agreed time-cycle) submission of the CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set.

Where the Care Activity data relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, the CDS DATA GROUP : PATIENT PATHWAY data elements must be completed where appropriate.

Note: for Elective Admission List Event During Period CDS Types, the CDS UNIQUE IDENTIFIER, as held in the Commissioning Data Set Transaction Header Group, must be completed in order to provide the ELECTIVE ADMISSION LIST identity.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 080 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (OFFER) COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To be used to report that an offer of admission has been made to the patient.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: EAL OFFER OF ADMISSION

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 090 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (AVAILABLE OR UNAVAILABLE) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) Commissioning Data Set is used to report changes in the PATIENT's availability for treatment.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow

Elective Admission List Event During Period CDS Types are intended for those Organisations who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.Elective Admission List Event During Period CDS Types are intended for those ORGANISATIONS who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.  They should be supplemented where required by an annual (or other agreed time-cycle) submission of the CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set.

Note: for Elective Admission List Event During Period CDS Types, the CDS UNIQUE IDENTIFIER, as held in the Commissioning Data Set Transaction Header Group, must be completed in order to provide the ELECTIVE ADMISSION LIST identity.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 090 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (AVAILABLE/UNAVAILABLE ) COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To be used to report changes in the patient's availability for treatment.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: EAL PATIENT SUSPENSION

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 100 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (OLD SERVICE AGREEMENT) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) Commissioning Data Set is used to report to the previous Commissioner that the ELECTIVE ADMISSION LIST ENTRY is now the responsibility of a new Commissioner.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow.

Elective Admission List Event During Period CDS Types are intended for those Organisations who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.Elective Admission List Event During Period CDS Types are intended for those ORGANISATIONS who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.  They should be supplemented where required by an annual (or other agreed time-cycle) submission of the CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set

Note: for Elective Admission List Event During Period CDS Types, the CDS UNIQUE IDENTIFIER, as held in the Commissioning Data Set Transaction Header Group, must be completed in order to provide the ELECTIVE ADMISSION LIST identity.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 100 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (OLD SERVICE AGREEMENT)) COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To be used to report to the previous (OLD) Commissioner that the EAL Entry is now the responsibility of a new Commissioner.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: EAL SERVICE AGREEMENT

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 110 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (NEW SERVICE AGREEMENT) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) Commissioning Data Set used to make an initial report to a new Commissioner of an ELECTIVE ADMISSION LIST ENTRY that had previously been the responsibility of another Commissioner.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow.

Elective Admission List Event During Period CDS Types are intended for those Organisations who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.Elective Admission List Event During Period CDS Types are intended for those ORGANISATIONS who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol.  They should be supplemented where required by an annual (or other agreed time-cycle) submission of the CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set.

Note: for Elective Admission List Event During Period CDS Types, the CDS UNIQUE IDENTIFIER, as held in the Commissioning Data Set Transaction Header Group, must be completed in order to provide the ELECTIVE ADMISSION LIST identity.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 110 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (NEW SERVICE AGREEMENT) COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To be used to make an initial report to a new Commissioner of an EAL entry that had previously been the responsibility of another Commissioner.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: EAL PATIENT CHARACTERISTICS
M1..1DATA GROUP: EAL SERVICE AGREEMENT DETAILS
R0..1DATA GROUP: EAL ENTRY
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (CONSULTANT)
R0..1DATA GROUP: INTENDED PROCEDURES (OPCS)
O0..1DATA GROUP: INTENDED PROCEDURES (READ)
O0..1DATA GROUP: INTENDED PROCEDURES - LOCATION GROUP
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: REFERRER
O0..1DATA GROUP: REFERRAL
R0..1DATA GROUP: OFFER OF ADMISSION
R0..1DATA GROUP: ORIGINAL EAL ENTRY

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 120 - ADMITTED PATIENT CARE - FINISHED BIRTH EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set carries the data for a Finished Birth Episode.

This is required when a delivery has resulted in a REGISTRABLE BIRTH which has taken place in either an NHS Hospital or in an non-NHS Organisation funded by the NHS.This is required when a delivery has resulted in a REGISTRABLE BIRTH which has taken place in either an NHS Hospital or in an non-NHS ORGANISATION funded by the NHS.

The information is taken from the birth notification for each baby born.

In addition to Finished Birth Episodes, Unfinished Birth Episode Commissioning Data Set records are required for all Unfinished Birth Episodes as at midnight on 31st March each year.

CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set should be used for the submission of this Unfinished Birth Episode Commissioning Data Set.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats. 

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 120 - APC-FINISHED BIRTH EPISODE COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of a Finished Birth Episode.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the
Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS
M1..1DATA GROUP: HOSPITAL PROVIDER SPELL
M1..1DATA GROUP: ADMISSION CHARACTERISTICS
R0..1DATA GROUP: DISCHARGE CHARACTERISTICS
M1..1DATA GROUP: BIRTH EPISODE
M1..1DATA GROUP: ACTIVITY CHARACTERISTICS
O0..5DATA GROUP: OVERSEAS VISITOR STATUS
M1..1DATA GROUP: SERVICE AGREEMENT DETAILS
R0..1DATA GROUP: PERSON GROUP (CONSULTANT)
R0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
O0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
R0..1DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
O0..1DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
R0..1DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
O0..97DATA GROUP: LOCATION GROUP (AT WARD STAY)
O0..1DATA GROUP: LOCATION GROUP (AT END OF EPISODE)
R0..1DATA GROUP: CRITICAL CARE PERIOD
R0..9DATA GROUP: NEONATAL CRITICAL CARE PERIOD
R0..9DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
R0..9DATA GROUP: ADULT CRITICAL CARE PERIOD
R0.1DATA GROUP: GP REGISTRATION
R0.1DATA GROUP: REFERRER
R0.1DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: ANTENATAL CARE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)
R0..1DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: DELIVERY OCCURRENCE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON IDENTITY (MOTHER)
R0..1DATA GROUP: PERSON CHARACTERISTICS (MOTHER)
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 140 - ADMITTED PATIENT CARE - FINISHED DELIVERY EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set carries the data for a Finished Delivery Episode which is required when a delivery has resulted in a REGISTRABLE BIRTH.

This may take place in either NHS Hospitals or in non-NHS Organisations funded by the NHS.This may take place in either NHS Hospitals or in non-NHS ORGANISATIONS funded by the NHS. The information is taken from the birth notification for each baby born.

In addition to Finished Delivery Episodes, Unfinished Delivery Episode Commissioning Data Set records are required for all Unfinished Delivery Episodes as at midnight on 31 March each year.

CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set should be used for the submission of this Unfinished Delivery Episode Commissioning Data Set.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats. 

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 140 - APC-FINISHED DELIVERY EPISODE COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of a Finished Delivery Episode.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the
Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS
R0..1DATA GROUP: DELIVERY CHARACTERISTICS
M1..1DATA GROUP: HOSPITAL PROVIDER SPELL
M1..1DATA GROUP: ADMISSION CHARACTERISTICS
R0..1DATA GROUP: DISCHARGE CHARACTERISTICS
M1..1DATA GROUP: CONSULTANT EPISODE
M1..1DATA GROUP: CHARACTERISTICS
O0..5DATA GROUP: OVERSEAS VISITOR STATUS
M1..1DATA GROUP: SERVICE AGREEMENT DETAILS
R0..1DATA GROUP: PERSON GROUP (CONSULTANT)
R0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
O0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
R0..1DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
O0..1DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
R0..1DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
R0..97DATA GROUP: LOCATION GROUP (AT WARD STAY)
R0..1DATA GROUP: LOCATION GROUP (AT END OF EPISODE)
R0..1DATA GROUP: CRITICAL CARE PERIOD
R0..9DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
R0..9DATA GROUP: ADULT CRITICAL CARE PERIOD
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: REFERRER
R0..1DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: ANTENATAL CARE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)
R0..1DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS
R0..9DATA GROUP: BIRTH OCCURRENCE (one for each Baby in the delivery)
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON IDENTITY (BABY)
R0..1DATA GROUP: PERSON CHARACTERISTICS (BABY)
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 150 - ADMITTED PATIENT CARE - OTHER BIRTH EVENT CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event Commissioning Data Set carries the data for an Other Birth.

This CDS Type applies to:
  • NHS funded home births and
  • all other birth events which are not NHS-funded, either directly or under an NHS SERVICE AGREEMENT.

The data in these records originates from birth notification records and requires only a limited data set to be completed.

Maternity events, taking place in either NHS hospitals or in non-NHS Organisations funded by the NHS, will be recorded using CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set and CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set.Maternity events, taking place in either NHS hospitals or in non-NHS ORGANISATIONS funded by the NHS, will be recorded using CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set and CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 150 - OTHER BIRTH EVENT COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of a Finished General Episode.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: ANTENATAL CARE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
R0..1DATA GROUP: LOCATION GROUP - DELIVERY PLACE INTENDED
M1..1DATA GROUP: LABOUR/DELIVERY
M1..1DATA GROUP: ACTIVITY CHARACTERISTICS
M1..1DATA GROUP: SERVICE AGREEMENT DETAILS
R0..1DATA GROUP: BIRTH OCCURRENCE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON IDENTITY (MOTHER)
O0..1DATA GROUP: OVERSEAS VISITOR STATUS AT CDS ACTIVITY DATE
R0..1DATA GROUP: LOCATION GROUP - DELIVERY PLACE ACTUAL

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 160 - ADMITTED PATIENT CARE - OTHER DELIVERY EVENT CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set carries the data for an Other Delivery.

This CDS Type applies to:

  • NHS funded home deliveries and
  • all other delivery events which are not NHS-funded, either directly or under an NHS SERVICE AGREEMENT.

The data in these records originates from birth notification records and requires only a limited data set to be completed.

Maternity events, taking place in either NHS hospitals or in non-NHS Organisations funded by the NHS, will be recorded using CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set and CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set.Maternity events, taking place in either NHS hospitals or in non-NHS ORGANISATIONS funded by the NHS, will be recorded using CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set and CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 160 - OTHER DELIVERY EVENT COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of a Finished General Episode.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS
R0..1DATA GROUP: DELIVERY CHARACTERISTICS
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: ANTENATAL CARE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
R0..1DATA GROUP: LOCATION GROUP - DELIVERY PLACE INTENDED
M1..1DATA GROUP: LABOUR/DELIVERY
M1..1DATA GROUP: ACTIVITY CHARACTERISTICS
M1..1DATA GROUP: SERVICE AGREEMENT DETAILS
R0..9DATA GROUP: BIRTH OCCURRENCE (One for each Baby in the delivery)
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON IDENTITY (BABY)
R0..1DATA GROUP: PERSON CHARACTERISTICS (BABY)
R0..1DATA GROUP: LOCATION GROUP - DELIVERY PLACE ACTUAL

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set carries the data for the Psychiatric Census.

The NHS Digital require a record for every PATIENT admitted as at 31 March each year for which the PATIENT is detained or the Episode is part of a Hospital Provider Spell which has lasted longer than one year and for which the majority of time has been spent under the care of a CONSULTANT in one of the psychiatric specialties.

In the case of Organisation Mergers and demergers occurring, where the Hospital Provider Spell would have lasted longer than one year except for the merger / demerger, PATIENTS should be included. The ORGANISATION CODE (CODE OF PROVIDER) will be that of the Organisation in existence as at the 31 March Census Date. The ORGANISATION CODE (CODE OF PROVIDER) will be that of the ORGANISATION in existence as at the 31 March Census Date.

Organisations may, by local agreement, make submissions of the Psychiatric Census other than at 31st March each year.ORGANISATIONS may, by local agreement, make submissions of the Psychiatric Census other than at 31st March each year. Care must be taken to ensure that the CDS ACTIVITY DATE chosen is compatible with the Commissioning Data Set Submission Protocol used.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 170 - APC-DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of a Finished General Episode.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS
R0..1DATA GROUP: PATIENT CHARACTERISTICS (PSYCHIATRIC CENSUS)
M1..1DATA GROUP: HOSPITAL PROVIDER SPELL
M1..1DATA GROUP: ADMISSION CHARACTERISTICS
M1..1DATA GROUP: CONSULTANT EPISODE
M1..1DATA GROUP: ACTIVITY CHARACTERISTICS
O0..1DATA GROUP: OVERSEAS VISITOR STATUS
M1..1DATA GROUP: SERVICE AGREEMENT DETAILS
R0..1DATA GROUP: PERSON GROUP (CONSULTANT)
R0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
O0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
R0..1DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
R0..1DATA GROUP: LOCATION GROUP (WARD STAY AT PSYCHIATRIC CENSUS DATE)
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: REFERRER
R0..1DATA GROUP: ELECTIVE ADMISSION LIST ENTRY

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 180 - ADMITTED PATIENT CARE - UNFINISHED BIRTH EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set carries the data for an Unfinished Birth Episode.

This is required when a delivery has resulted in a REGISTRABLE BIRTH which has taken place in either an NHS Hospital or in an non-NHS Organisation funded by the NHS.This is required when a delivery has resulted in a REGISTRABLE BIRTH which has taken place in either an NHS Hospital or in an non-NHS ORGANISATION funded by the NHS.

The information is taken from the birth notification for each baby born.

Unfinished Birth Episode Commissioning Data Set records are required for all Unfinished Birth Episodes as at midnight on 31st March each year.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats. 

NotationDATA GROUP OVERVIEW: CDS V6-2 TYPE 180 - APC-UNFINISHED BIRTH EPISODE COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of an Unfinished Birth Episode.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the
Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS
M1..1DATA GROUP: HOSPITAL PROVIDER SPELL
M1..1DATA GROUP: ADMISSION CHARACTERISTICS
R0..1DATA GROUP: DISCHARGE CHARACTERISTICS
M1..1DATA GROUP: CONSULTANT EPISODE
M1..1DATA GROUP: ACTIVITY CHARACTERISTICS
O0..5DATA GROUP: OVERSEAS VISITOR STATUS
M1..1DATA GROUP: SERVICE AGREEMENT DETAILS
R0..1DATA GROUP: PERSON GROUP (CONSULTANT)
R0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
O0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
R0..1DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
O0..1DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
R0..1DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
R0..97DATA GROUP: LOCATION GROUP (AT WARD STAY)
R0..1DATA GROUP: LOCATION GROUP (AT END OF EPISODE)
R0..1DATA GROUP: CRITICAL CARE PERIOD
R0..9DATA GROUP: NEONATAL CRITICAL CARE PERIOD
R0..9DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
R0..9DATA GROUP: ADULT CRITICAL CARE PERIOD 
R0.1DATA GROUP: GP REGISTRATION
R0.1DATA GROUP: REFERRER
R0.1DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: ANTENATAL CARE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)
R0..1DATA GROUP: LABOUR/DELIVERY
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON IDENTITY (MOTHER)
O0..1DATA GROUP: OVERSEAS VISITOR STATUS AT CDS ACTIVITY DATE
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 200 - ADMITTED PATIENT CARE - UNFINISHED DELIVERY EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set carries the data for an Unfinished Delivery Episode.

This may take place in either NHS Hospitals or in non-NHS Organisations funded by the NHS.This may take place in either NHS Hospitals or in non-NHS ORGANISATIONS funded by the NHS. The information is taken from the birth notification for each baby born.

Unfinished Birth and Delivery Episode Commissioning Data Set records are required for all Unfinished Birth and Delivery Episodes as at midnight on 31 March each year.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

NotationDATA GROUP OVERVIEW CDS V6-2 TYPE 200 - APC UNFINISHED DELIVERY EPISODE COMMISSIONING DATA SET
Group
Status
Group
Repeats
FUNCTION:
To support the details of an Unfinished Delivery Episode.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
M1..1DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

O0..1DATA GROUP: PATIENT PATHWAY
M1..1DATA GROUP: PERSON GROUP (PATIENT)
M1..1DATA GROUP: PATIENT IDENTITY
R0..1DATA GROUP: PATIENT CHARACTERISTICS
R0..1DATA GROUP: DELIVERY CHARACTERISTICS
M1..1DATA GROUP: HOSPITAL PROVIDER SPELL
M1..1DATA GROUP: ADMISSION CHARACTERISTICS
R0..1DATA GROUP: DISCHARGE CHARACTERISTICS
M1..1DATA GROUP: CONSULTANT EPISODE
M1..1DATA GROUP: ACTIVITY CHARACTERISTICS
O0..5DATA GROUP: OVERSEAS VISITOR STATUS
M1..1DATA GROUP: SERVICE AGREEMENT DETAILS
R0..1DATA GROUP: PERSON GROUP (CONSULTANT)
R0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
O0..1DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
R0..1DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
O0..1DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
R0..1DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
R0..97DATA GROUP: LOCATION GROUP (AT WARD STAY)
R0..1DATA GROUP: LOCATION GROUP (AT END OF EPISODE)
R0..1DATA GROUP: CRITICAL CARE PERIOD
R0..9DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
R0..9DATA GROUP: ADULT CRITICAL CARE PERIOD
R0..1DATA GROUP: GP REGISTRATION
R0..1DATA GROUP: REFERRER
R0..1DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: ANTENATAL CARE
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)
R0..1DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS
R0..9DATA GROUP: BIRTH OCCURRENCE (one for each Baby in the delivery)
R0..1DATA GROUP: ACTIVITY CHARACTERISTICS
R0..1DATA GROUP: PERSON IDENTITY (BABY)
R0..1DATA GROUP: PERSON CHARACTERISTICS (BABY)
R0..1DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CHILDREN'S CANCER AND LEUKAEMIA GROUP

Change to Supporting Information: Changed Description

The Children's Cancer and Leukaemia Group is an Organisation.The Children's Cancer and Leukaemia Group is an ORGANISATION.

The Children's Cancer and Leukaemia Group is a leading children’s cancer charity and is the United Kingdom and Ireland’s professional association for those involved in the treatment and care of children with cancer.

For further information on the Children's Cancer and Leukaemia Group, see the Children's Cancer and Leukaemia Group website at: About Us.

 

top


CHILDREN'S HOME

Change to Supporting Information: Changed Description

A Children's Home is an Organisation Site.A Children's Home is an ORGANISATION SITE.

A Children's Home is an establishment registered with Ofsted as a Children's Home which provides care and accommodation wholly or mainly for children.

An establishment is not a Children's Home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.

A School may be registered as a Children's Home if accommodation is provided for children at the School for more than 295 days during a twelve month period.

 

top


CHIROPODIST

Change to Supporting Information: Changed Description

A Chiropodist is a CARE PROFESSIONAL.

A Chiropodist, also known as a Podiatrist, is a CARE PROFESSIONAL who is registered with the Health and Care Professions Council.

A Chiropodist diagnoses and treats disorders, diseases and deformities of the feet.

 

top


CLINICAL COMMISSIONING GROUP

Change to Supporting Information: Changed Description

A Clinical Commissioning Group (CCG) is an Organisation.A Clinical Commissioning Group is an ORGANISATION.

Clinical Commissioning Groups are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.Clinical Commissioning Groups (CCG) are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.

Clinical Commissioning Groups are groups of GP Practices that are responsible for commissioning most health and care SERVICES for PATIENTS.

These groups of GP Practices, working with other healthcare professionals and in partnership with local communities and Local Authorities are responsible for commissioning the majority of NHS SERVICES for PATIENTS within their local communities. They have a duty to work with Local Authorities in relation to health and adult social care, early years services, public health etc.

The Clinical Commissioning Groups are not responsible for commissioning all SERVICES. They have the flexibility to decide which commissioning activities they undertake themselves or choose to buy in commissioning support from external Organisations. They have the flexibility to decide which commissioning activities they undertake themselves or choose to buy in commissioning support from external ORGANISATIONS.

NHS England:

Clinical Commissioning Groups hold their constituent GP Practices to account for stewardship of resources and the outcomes they achieve. 

For further information on Clinical Commissioning Groups, see the NHS England website at Clinical Commissioning Groups (CCGs).

 

top


CLINICAL DATA SETS INTRODUCTION

Change to Supporting Information: Changed Description

Clinical Data Sets define a standard set of information that is generated from care records, from any Organisation or system that captures the data.Clinical Data Sets define a standard set of information that is generated from care records, from any ORGANISATION or system that captures the data.

Clinical Data Sets generally relate to a specific area of care, disease, or SERVICE and are at PATIENT level.

top


CLINICAL DENTAL TECHNICIAN

Change to Supporting Information: Changed Description

A Clinical Dental Technician (CDT) is a registered Dental Care Professional who provides complete dentures directly to PATIENTS and other dental devices on prescription from a dentist.A Clinical Dental Technician is a CARE PROFESSIONAL.

A Clinical Dental Technician (CDT) is a registered Dental Care Professional who provides complete dentures directly to PATIENTS and other dental devices on prescription from a dentist

Clinical Dental Technicians are also qualified Dental Technicians.

 

top


CLINICAL FRAILTY SCALE

Change to Supporting Information: Changed Description

top


CLINICAL NURSE SPECIALIST

Change to Supporting Information: Changed Description

A Clinical Nurse Specialist (CNS) is a NURSE.A Clinical Nurse Specialist is a NURSE.

A Clinical Nurse Specialist provides direct care to PATIENTS in one of a range of specialties, such as paediatrics, geriatrics, emergency care and oncology.A Clinical Nurse Specialist (CNS) provides direct care to PATIENTS in one of a range of specialties, such as paediatrics, geriatrics, emergency care and oncology.

 

top


CLINICAL PSYCHOLOGIST

Change to Supporting Information: Changed Description

A Clinical Psychologist is a PERSON.

A Clinical Psychologist is recognised by the British Psychological Society.

Clinical Psychologists use their knowledge of human emotions, thinking and behaviour to assess mental health and social needs, plan care and deliver a range of psychological therapies including Cognitive Behavioural Therapy (CBT).

Clinical Psychologists work across the age range and deliver SERVICES both in hospital and community settings.

 

top


CLINICAL SENATE

Change to Supporting Information: Changed Description

A Clinical Senate is an Organisation.A Clinical Senate is an ORGANISATION.

Clinical Senates aid Clinical Commissioning Groups (CCG), Health and Wellbeing Boards (HWB) and NHS England to make the best decisions about healthcare for the populations they represent by providing advice and leadership at a strategic level.

For further information on Clinical Senates, see the NHS England website at Clinical Senates.

 

top


COMMISSIONING DATA SET ADDRESSING GRID

Change to Supporting Information: Changed Description

This page has been updated in DDCN 1645 (Specialised Commissioning: Removal of Default Code YDD82) to remove the National Commissioning Group, as NHS England became responsible for commissioning all specialised services in April 2013.
The page will be updated as part of an Information Standard to reflect the current arrangements for the Commissioning Data Sets.

The Commissioning Data Set Addressing Grid below illustrates which ORGANISATION CODES should be used to populate the CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY for each PATIENT / NHS SERVICE AGREEMENT.  See the specific ORGANISATION CODE Data Elements for further information on their usage and Organisation Data Service Default Codes etc.

Health Care Providers need to specify the Organisations that have a right to the commissioning data set data as a CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY.Health Care Providers need to specify the ORGANISATIONS that have a right to the commissioning data set data as a CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY. This is so that they can access the data once it has been stored in the Secondary Uses Service.

Please note that payment via the National Tariff Payment System is not determined by the CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY.

Important Notes:


top


COMMISSIONING DATA SET DATA DUPLICATION

Change to Supporting Information: Changed Description

It is acknowledged that the Secondary Uses Service processes can be directed to create duplicate Commissioning Data Set records and on occasion to wrongly delete records. This may occur if data senders do not correctly apply the rules associated with the Commissioning Data Set Submission Protocol such as the protocol dates and the sender and recipient codes applicable to interchanges.

It is not advisable to mix the use of Bulk and Net protocol for Commissioning Data Set submissions for the same sender Organisation and site code as duplication or wrongful record deletion can occur.It is not advisable to mix the use of Bulk and Net protocol for Commissioning Data Set submissions for the same sender ORGANISATION and ORGANISATION SITE as duplication or wrongful record deletion can occur.

Anticipating possible causes of duplication
Data senders can take steps to avoid Commissioning Data Set duplication in the Secondary Uses Service by anticipating situations which could result in changes to the data applied in the Commissioning Data Set Submission Protocols and by taking action to ensure that key data items that need to be retained consistently in the lifetime of the Commissioning Data Set record are not changed.

Data senders should note the following guidance on situations where extra vigilance is needed and action to ensure consistent and correct application of data elements used in net or bulk protocols:

Changes of address in patient demographic data
A change of POSTCODE following a change of PATIENT USUAL ADDRESS can change the CDS PRIME RECIPIENT IDENTITY in bulk update submissions.  Where possible, data senders should monitor changes to postcodes when preparing Commissioning Data Set data for submission in order to help prepare to minimise its impact on the integrity of the Commissioning Data Set data.

New Patient Care or other local systems used in Commissioning Data Set processing
When a new PATIENT care system or other system is implemented or used for preparing the Commissioning Data Set output data, it must be ensured that the Commissioning Data Set is generated to the appropriate specification required. The sender must ensure that any data events that may impact on key fields in the Commissioning Data Set are managed correctly.

For example, if the CDS SENDER IDENTITY is sourced from the new system it is important to check that its format will not be changed (eg from 5 to 3 characters, or inserting site codes in the 4th and 5th characters instead of zeros).

Sub-contracting
If a provider sub-contracts healthcare services and associated Commissioning Data Set submissions to a second provider, both parties need to actively engage in coordinating their arrangements for Commissioning Data Set submissions, ensuring that Commissioning Data Set Submission Protocol rules are applied appropriately to maintain the Commissioning Data Set data integrity in the Secondary Uses Service database.

New XML Schema translation supplier
If a provider changes supplier arrangements for XML Schema translation, it is important that the new supplier is provided with the information required about the Commissioning Data Set Submission Protocols that have been used in previous Commissioning Data Set submissions in order to ensure that data integrity is maintained in the ongoing Commissioning Data Set XML Schema processes and in the Secondary Uses Service database.

top


COMMISSIONING DATA SET NOTATION

Change to Supporting Information: Changed Description

The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures, encompassing Accident and Emergency Attendances, Out-Patient Attendances, Admitted Patient Care and Elective Admission List.

The Commissioning Data Sets have been defined in specific components known as a CDS Type.

Specific notation is used to indicate the requirements of the Commissioning Data Set XML Schema Design conditions for submission of data in the Commissioning Data Sets.

The structure of the Commissioning Data Set XML Schema is shown by the use of Data Groups and Sub Groups within those Data Groups.  For each Data Group, Sub Group and individual Data Element, the allowed cardinality at each level is also shown in the "Status" and "Repeats" columns.

The CDS Type specifications must therefore be read in this hierarchy, using the Status and Repeat conditions within the Data Groups and Sub Groups, to determine the requirements for the individual Data Elements.


Status Column Notation

The Notation used for the "STATUS" column is as follows:

STATUSMEANINGDESCRIPTION
MMANDATORYThis signifies that the collection and submission of this Commissioning Data Set data is deemed MANDATORY and its presence is necessary for the CDS Type to be correctly validated and accepted for processing by the Secondary Uses Service.

If a data item is shown as MANDATORY, this should also be regarded as REQUIRED by the Department of Health and Social Care.

In most instances, data marked as MANDATORY in a Sub Group will result in its parent Data Group also being marked as mandatory, but this is not always the case.

For instance, although the Consultant Episode - Clinical Diagnosis Group (ICD) is marked as R=REQUIRED (and therefore need not actually be populated), if it is used then both the DIAGNOSIS SCHEME IN USE and the PRIMARY DIAGNOSIS (ICD) are marked as M=MANDATORY and must both be present. 

RREQUIREDThis signifies that the collection and submission of this Commissioning Data Set data is deemed REQUIRED by the Department of Health and Social Care to comply with authorised NHS Standards, Policies and Directives. Therefore whenever a Commissioning Data Set is collected and subsequently submitted to the Secondary Uses Service, this data must be supported and populated into the relevant data sets if the data is available.

Note that "temporal" conditions may mean that there are instances where this directive cannot be fulfilled.

For instance in a CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set, ICD and OPCS data elements are marked as "Required" indicating that this data should be included.  However, if at the time of submission to the Secondary Uses Service this data remains incomplete (perhaps awaiting coding in the Organisation), the remaining data in the CDS record should still be submitted. Once the Organisation has updated its systems with the data, the CDS Type relating to that ACTIVITY should then be resubmitted to the Secondary Uses Service

OOPTIONALThis signifies that the collection and submission of this Commissioning Data Set data is OPTIONAL. Its inclusion in the Commissioning Data Set is therefore determined by "local agreement" between the Organisations exchanging the data.

Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected. 

RREQUIREDThis signifies that the collection and submission of this Commissioning Data Set data is deemed REQUIRED by the Department of Health and Social Care to comply with authorised NHS Standards, Policies and Directives. Therefore whenever a Commissioning Data Set is collected and subsequently submitted to the Secondary Uses Service, this data must be supported and populated into the relevant data sets if the data is available.

Note that "temporal" conditions may mean that there are instances where this directive cannot be fulfilled.

For instance in a CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set, ICD and OPCS data elements are marked as "Required" indicating that this data should be included.  However, if at the time of submission to the Secondary Uses Service this data remains incomplete (perhaps awaiting coding in the ORGANISATION), the remaining data in the CDS record should still be submitted. Once the ORGANISATION has updated its systems with the data, the CDS Type relating to that ACTIVITY should then be resubmitted to the Secondary Uses Service

OOPTIONALThis signifies that the collection and submission of this Commissioning Data Set data is OPTIONAL. Its inclusion in the Commissioning Data Set is therefore determined by "local agreement" between the ORGANISATIONS exchanging the data.

Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected. 

XXThis is used where the Data Element name has been included in the Commissioning Data Set design, usually for pilot use, but is not yet authorised for transmission by the wider NHS. The Data Element will be in italics and not linked to the Data Element where one exists.

Repeats Column Notation

The Notation used for the "REPEATS" column is as follows:

REPEATSDESCRIPTION
0..1This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 1.
0..9This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 9.
0..*This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to an unlimited maximum.
1..1This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 1.
1..97This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 97.
1..*This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to an unlimited maximum.

Rules Column Notation

An entry in the "Rules" column shows that a specific Rule applies to submission of an individual Data Element.

The meaning of these Rules can be found in Commissioning Data Set Business Rules.


Notation Examples

The following are examples of some common scenarios.

EXAMPLE 1:
A MANDATORY Data Group with differing Sub-Groups and component data status conditions.

The following example shows a MANDATORY Data Group - therefore the Data Group must be present for the CDS Type to be validated and accepted for processing by the Secondary Uses Service.

When a Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be present
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted

The following data structure is one of three options when completing the Patient Identity Data Group:

1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the
NHS NUMBER STATUS INDICATOR CODE National Code Value = 01 = Verified
Rules
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURE 
M1..1LOCAL PATIENT IDENTIFIERF
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSS3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY)F
R0..1PERSON BIRTH DATEF
S3
S12

EXPLANATION:

The parent Data Group has a "Status" of M=MANDATORY which indicates that this Data Group must be present in the Commissioning Data Set to ensure correct validation and acceptance when submitted to the Secondary Uses Service.  The parent Data Group "Repeats" = 1..1 indicates that only one occurrence of this Data Group must flow in this particular Commissioning Data Set record.

The Sub Group of "Local Identifier Structure" is marked as R=REQUIRED and therefore must be populated if the data is available. The "Repeats" notation of 0..1 indicates that population of this Sub Group is not necessary to enable the Commissioning Data Set record to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Sub Group may flow in this particular Commissioning Data Set record.
Both Data Elements in the Sub Group are marked M=MANDATORY and must both be correctly populated.

The Sub Group of "Data Element Components" is a "generic" structure and is marked as M=MANDATORY and therefore must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.  All the Data Elements marked with M=MANDATORY must be populated.  PERSON BIRTH DATE however is marked with R=REQUIRED, so must also be completed if the data is available. 


EXAMPLE 2:
A REQUIRED Data Group with differing component data status conditions.

The following example shows a REQUIRED Data Group. This data must be present in the relevant Commissioning Data Set if available.  However, if submitted to the Secondary Uses Service, omission of this REQUIRED Data Group will not cause rejection.

When the Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be utilised
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted
NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORF
O0..*DATA GROUP: SECONDARY DIAGNOSISRules
M1..1SECONDARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORF

EXPLANATION:

The Data Group "Status" of R=Required indicates that this Data Group must be populated in the relevant Commissioning Data Set if the data is available.  The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.

If the Data Group is completed then the Data Element PROCEDURE SCHEME IN USE, marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Data Element PRIMARY DIAGNOSIS (ICD), marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Sub Group "Secondary Diagnoses", marked as O=OPTIONAL, may be omitted, but if populated it must be in the correct format. The "Repeats" notation of 0..* indicates that unlimited occurrences of this Data Element are valid. Each occurrence must contain a valid SECONDARY DIAGNOSIS (ICD). 


EXAMPLE 3:
An OPTIONAL Data Group with differing component data status conditions.

The following example shows an OPTIONAL Data Group. Its inclusion in the Commissioning Data Sets is therefore determined by "local agreement" between Organisations exchanging the data.

When the Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be utilised
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted

The following example shows an OPTIONAL Data Group. Its inclusion in the Commissioning Data Sets is therefore determined by "local agreement" between ORGANISATIONS exchanging the data.

When the Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be utilised
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted
NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status 
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORF
O0..*DATA GROUP: SECONDARY DIAGNOSISRules
M1..1SECONDARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORF

EXPLANATION:

The Data Group "Status" of O=OPTIONAL indicates that this Data Group may be omitted at its inclusion in the Commissioning Data Set is determined by "local agreement" between the Organisations exchanging the data.

Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected.

The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.

If the Data Group is completed then the Data Element DIAGNOSIS SCHEME IN USE, marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Data Element PRIMARY DIAGNOSIS (ICD), marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Sub Group "Secondary Diagnoses", marked as O=OPTIONAL, may be omitted, but if populated it must be in the correct format. The "Repeats" notation of 0..* indicates that unlimited occurrences of this Data Element are valid. Each occurrence must contain a valid SECONDARY DIAGNOSIS (ICD).

EXPLANATION:

The Data Group "Status" of O=OPTIONAL indicates that this Data Group may be omitted at its inclusion in the Commissioning Data Set is determined by "local agreement" between the ORGANISATIONS exchanging the data.

Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected.

The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.

If the Data Group is completed then the Data Element DIAGNOSIS SCHEME IN USE, marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Data Element PRIMARY DIAGNOSIS (ICD), marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Sub Group "Secondary Diagnoses", marked as O=OPTIONAL, may be omitted, but if populated it must be in the correct format. The "Repeats" notation of 0..* indicates that unlimited occurrences of this Data Element are valid. Each occurrence must contain a valid SECONDARY DIAGNOSIS (ICD).

top


COMMISSIONING DATA SETS INTRODUCTION

Change to Supporting Information: Changed Description

The Commissioning Data Sets (CDS) are maintained and developed by the NHS Digital, in accordance with the needs of the NHS and the Department of Health and Social Care.

Commissioning Data Sets form the basis of data on ACTIVITY carried out by Organisations reported centrally for monitoring and payment purposes.Commissioning Data Sets form the basis of data on ACTIVITY carried out by ORGANISATIONS reported centrally for monitoring and payment purposes. They support the current Healthcare Resource Group (HRG) version for calculation of payment to trusts and monitoring of other initiatives.

Requests for changes to the Commissioning Data Sets should be submitted via email to enquiries@nhsdigital.nhs.uk, stating "Commissioning Data Sets" in the subject line.

Current versions of the Commissioning Data Sets can be found at Commissioning Data Set Versions.

For further information on Commissioning Data Sets, see the Commissioning Data Sets Overview.

top


COMMISSIONING DATA SETS OVERVIEW

Change to Supporting Information: Changed Description

The purpose of the Commissioning Data Sets is to enable conformant health ACTIVITY information to be generated, independent of the Organisation or system that maintains it. This enables health CARE PROFESSIONALS to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and Organisations.The purpose of the Commissioning Data Sets is to enable conformant health ACTIVITY information to be generated, independent of the ORGANISATION or system that maintains it. This enables health CARE PROFESSIONALS to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS.

Commissioning Data Sets currently support the following ACTIVITIES:

Information on care provided for all PATIENTS by Health Care Providers (both NHS and Independent Sector Healthcare Providers for NHS PATIENTS only) must be submitted to the Secondary Uses Service according to the Commissioning Data Set Mandated Data Flows guidelines.

Commissioning Organisations need access to data to monitor Non-Contract Activity as part of the management of their NHS SERVICE AGREEMENTS, and to monitor in-year REFERRAL REQUESTS to investigate the sources and reasons for Non-Contract Activity.Commissioning ORGANISATIONS need access to data to monitor Non-Contract Activity as part of the management of their NHS SERVICE AGREEMENTS, and to monitor in-year REFERRAL REQUESTS to investigate the sources and reasons for Non-Contract Activity.

The Department of Health and Social Care requires accurate data for all PATIENTS admitted treated as out-patients or treated as an Accident and Emergency Attendance by Health Care Providers, including PATIENTS receiving private treatment. The Commissioning Data Sets also includes NHS PATIENTS treated electively in the independent sector and overseas.

Referral To Treatment Clock Stop Administrative Events may also flow using the CDS V6-2 Type 020 - Outpatient Commissioning Data Set. This allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of waiting time measurement.

CDS Types

The Commissioning Data Sets are the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures encompassing Accident and Emergency Attendances, Out-Patient Attendances, Future Attendances, Admitted Patient Care and Elective Admission List data.

top


COMMISSIONING DATA SET SUBMISSION AND ORGANISATION MERGERS

Change to Supporting Information: Changed Description

Organisations can function as independent senders of Commissioning Data Sets and have service level agreements with Acute, Community or Mental Health Organisations for the submission of this data.ORGANISATIONS can function as independent senders of Commissioning Data Sets and have service level agreements with Acute, Community or Mental Health ORGANISATIONS for the submission of this data. These agreements usually relate to clinical services that are subcontracted to that provider or where clinical services are facilitated on that site but owned by the commissioner of the agreement.

Organisation mergers do not always result in an immediate merger of IT facilities and their often disparate systems to enable a single flow of commissioning data to the Secondary Uses Service.ORGANISATION mergers do not always result in an immediate merger of IT facilities and their often disparate systems to enable a single flow of commissioning data to the Secondary Uses Service. In this case, data flows to the Secondary Uses Service for multiple sites from multiple senders must be very carefully managed in order to avoid inadvertent deletion or duplication of records in the Secondary Uses Service.

In these cases, Senders are strongly advised to only use the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol as data integrity is more manageable using the Net Change process rather than the Bulk Replacement process.

CDS Net Change
When using the Net Change process, multiple data flows from different sites or systems using the same CDS INTERCHANGE SENDER IDENTITY must ensure that each Commissioning Data Set record has a properly maintained CDS UNIQUE IDENTIFIER.

If not, these submissions will most likely conflict and overwrite each other causing substantial data corruption in the Secondary Uses Service data base. It is recommended that wherever possible, individual sites or systems use a uniquely allocated CDS INTERCHANGE SENDER IDENTITY for submissions to the Secondary Uses Service.

CDS Bulk Replacement
When using the Bulk Replacement process, a sender must not make multiple data flows from different Organisation Sites or systems using the same CDS SENDER IDENTITY and provider site code or the interchanges will conflict and overwrite each other causing substantial data corruption in the Secondary Uses Service data base.When using the Bulk Replacement process, a sender must not make multiple data flows from different ORGANISATION SITES or systems using the same CDS SENDER IDENTITY and provider site code or the interchanges will conflict and overwrite each other causing substantial data corruption in the Secondary Uses Service data base.

To prevent this happening, individual sites and systems within an organisation must use a unique CDS SENDER IDENTITY and provider site code combination for Commissioning Data Set submissions to the Secondary Uses Service.To prevent this happening, individual sites and systems within an ORGANISATION must use a unique CDS SENDER IDENTITY and provider site code combination for Commissioning Data Set submissions to the Secondary Uses Service. This can be achieved by utilising Provider and Site Codes already registered with the Organisation Data Service which will then differentiate multiple Commissioning Data Set flows for the same provider by using the last 2 digits of the ORGANISATION CODE.

End Of Year Considerations
It may be necessary to avoid changes to systems processes for multiple flows at the end of the financial year, and retain the ability to use the previously used Commissioning Data Set Submission Protocol for data submitted earlier in the year, until the organisation has completed any refresh of data for that year.It may be necessary to avoid changes to systems processes for multiple flows at the end of the financial year, and retain the ability to use the previously used Commissioning Data Set Submission Protocol for data submitted earlier in the year, until the ORGANISATION has completed any refresh of data for that year. This would then ensure a complete set of commissioning data for that year for the National Tariff Payment System and Hospital Episode Statistics purposes.

top


COMMISSIONING DATA SET SUBMISSION PROTOCOL

Change to Supporting Information: Changed Description

The Commissioning Data Sets submitted by providers carry information to determine the update method to be used by the Secondary Uses Service in order to update the national database.

These update rules are known as the Commissioning Data Set Submission Protocol and the set of data controls used to indicate this are carried in the Commissioning Data Set Transaction Header Group which must be present and correct in every CDS Type submitted to the Secondary Uses Service.

Two Update Mechanisms are available:

  • Net Change - to support the management of an individual CDS Type in the Secondary Uses Service database and enables Commissioning data to be inserted/ updated or deleted.
    CDS Senders are expected to use the Net Change Update Mechanism wherever possible.

  • Bulk Replacement - to support the management of bulk commissioning data for an identified CDS BULK REPLACEMENT GROUP CODE of data for a specified time period and for a specified CDS PRIME RECIPIENT IDENTITY.
    CDS Senders should only use the Bulk Replacement Update Mechanism in exceptional circumstances.

Net Change:
Net Change processes are managed by specific data settings as defined in the CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:

Each CDS Type must have a CDS UNIQUE IDENTIFIER which must be uniquely maintained for the life of that Commissioning Data Set record. This is a particular consideration where mergers and/or healthcare systems are changed or upgraded, see Commissioning Data Set Submission and Organisation Mergers. Any change to the CDS UNIQUE IDENTIFIER during the "lifetime" of a Commissioning Data Set record will almost certainly result in a duplicate record being lodged in the Secondary Uses Service database.

A Commissioning Data Set record delete transaction must be sent to the Secondary Uses Service database when any previously sent Commissioning Data Set record requires deletion/removal, for example to reflect Commissioner changes etc. 

Where CDS UPDATE TYPE 1 is required (delete/cancellation), an empty XML element called 'Delete Transaction' can be used instead of submitting he original CDS Type record, after the CDS V6-2 Type 005N - CDS Transaction Header Group - Net Change Protocol. See the CDS V6-2- XML Schema Release Notes which can be downloaded via the XML Schema TRUD Download page.

The CDS APPLICABLE DATE and CDS APPLICABLE TIME must be used to ensure that all Commissioning data is updated in the Secondary Uses Service database in the correct chronological order.

The CDS SENDER IDENTITY must not change during the lifetime of the CDS data.
This is particularly significant for multiple and/or merged Organisations, and for those services who submit data on behalf of another NHS TrustNHS Foundation Trust or Independent Sector Healthcare Provider.This is particularly significant for multiple and/or merged ORGANISATIONS, and for those services who submit data on behalf of another NHS TrustNHS Foundation Trust or Independent Sector Healthcare Provider.

Bulk Replacement
Bulk Replacement processes are managed by specific data settings as defined in the CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:

Every CDS Type must be submitted using the correct CDS BULK REPLACEMENT GROUP CODE.

The CDS REPORT PERIOD START DATE and the CDS REPORT PERIOD END DATE, (i.e. the effective date period), must be valid and consistent, and reflect the dates relevant to the Commissioning data contained in the interchange.

The CDS SENDER IDENTITY must not change during the lifetime of the Commissioning Data Set record. This is particularly significant for multiple and/or merged Organisations, and for those services who submit data on behalf of another Organisation. This is particularly significant for multiple and/or merged ORGANISATIONS, and for those services who submit data on behalf of another ORGANISATION.

The CDS PRIME RECIPIENT IDENTITY must be identified in each Commissioning Data Set and must not be changed during the lifetime of the Commissioning Data Set record otherwise the data stored in the Secondary Uses Service database may lose its integrity (e.g. duplicate Commissioning data may be stored).



For this reason it is advised that the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) should always be used to determine the CDS PRIME RECIPIENT IDENTITY as detailed in the Commissioning Data Set Addressing Grid. Senders must also be aware that if the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is itself derived from the PATIENT's POSTCODE OF USUAL ADDRESS then great care must be taken to manage all elements of this relationship.

If it is necessary to change any of this data during the lifetime of a Commissioning Data Set record, then the Secondary Uses Service (SUS) Service Desk should be contacted for advice. See the NHS Digital website at: SUS Guidance.

It is strongly advised that users of the Bulk Replacement Mechanism maintain a correctly generated CDS UNIQUE IDENTIFIER within the Commissioning data. This will establish a migration path towards the use of the Net Change Mechanism and will also then minimise the risk of creating duplicate Commissioning Data Set data.

Sub contracting
If a Health Care Provider sub-contracts healthcare provision and its associated Commissioning Data Set submission to a second Organisation (eg a different Health Care Provider or a Shared Services Organisation), arrangements to submit the Commissioning Data Set data must be made locally to ensure that only one Organisation sends the Commissioning Data Set data to the Secondary Uses Service.If a Health Care Provider sub-contracts healthcare provision and its associated Commissioning Data Set submission to a second ORGANISATION (eg a different Health Care Provider or a Shared Services Organisation), arrangements to submit the Commissioning Data Set data must be made locally to ensure that only one ORGANISATION sends the Commissioning Data Set data to the Secondary Uses Service.

If the second Organisation wishes to add other Commissioning data to the Secondary Uses Service database to that already submitted by the first Organisation, both parties need to ensure that a different CDS SENDER IDENTITY is used.If the second ORGANISATION wishes to add other Commissioning data to the Secondary Uses Service database to that already submitted by the first ORGANISATION, both parties need to ensure that a different CDS SENDER IDENTITY is used. Often this is done by changing the last 2 digits of the 5 digit code (the Site element of the ORGANISATION CODE).

Note: Data sent using the same CDS SENDER IDENTITY by two different parties will most likely overwrite each other's data in the Secondary Uses Service database. Further advice can be obtained from the Secondary Uses Service (SUS) Service Desk, see the NHS Digital website at: SUS Guidance.

Users should be aware of how the 15 character code of their CDS INTERCHANGE SENDER IDENTITY (also known as the EDI Address) is created. This may depend on how their XML interface solution has been set up. It may not be possible to rely on a change to the ORGANISATION CODE (CODE OF PROVIDER) in order to change the CDS INTERCHANGE SENDER IDENTITY should this become necessary.

top


COMMISSIONING SUPPORT UNIT

Change to Supporting Information: Changed Description

A Commissioning Support Unit (CSU) is an Organisation.A Commissioning Support Unit is an ORGANISATION.

Commissioning Support Units provide Clinical Commissioning Groups with external support, specialist skills and knowledge to support them in their role as commissioners, for example by providing:

Commissioning Support Units (CSU) provide Clinical Commissioning Groups with external support, specialist skills and knowledge to support them in their role as commissioners, for example by providing:

  • Business intelligence services
  • Clinical procurement services
  • Business support services such as Human Resources (HR), payroll, procurement of goods and services and some aspects of informatics.

For further information on the Commissioning Support Units, see the NHS England website at Resources for CSUs.

 

top


COMMUNITY HEALTH INDEX (SCOTLAND)

Change to Supporting Information: Changed Description

The Community Health Index (Scotland) is a REGISTER.

The Community Health Index (Scotland) is a population register used for healthcare purposes in Scotland.

For further information on the Community Health Index (Scotland), see the ISD Scotland website.

 

top


COMMUNITY HEALTH PARTNERSHIP (SCOTLAND)

Change to Supporting Information: Changed Description

A Community Health Partnership is an Organisation in Scotland.A Community Health Partnership is an ORGANISATION in Scotland.

Community Health Partnerships have been established in Scotland as key building blocks in the modernisation of the NHS and joint services in Scotland. They have a vital role in partnership, integration and service redesign and are the key mechanism through which all primary and community based services are planned and delivered. They provide an opportunity for partners to work together to improve the lives of the local communities which they serve.

Community Health Partnerships provide a focus for the integration between primary care and specialist services and with social care and ensure that local population health improvement is placed at the heart of service planning and delivery.

For further information on Community Health Partnerships, see the Community Health Partnerships website.

 

top


COMMUNITY SAFETY PARTNERSHIP

Change to Supporting Information: Changed Description

A Community Safety Partnership (CSP) is an Organisation.A Community Safety Partnership is an ORGANISATION.

Community Safety Partnerships (CSP) were set up under Sections 5-7 of the Crime and Disorder Act 1998.

Community Safety Partnerships were set up under Sections 5-7 of the Crime and Disorder Act 1998.

Community Safety Partnerships are made up of representatives from the police, Local Authorities, fire and rescue authorities, health and probation services (the 'responsible authorities').

The responsible authorities work together to protect their local communities from crime and to help people feel safer. They work out how to deal with local issues including antisocial behaviour, drug or alcohol misuse and re-offending. They annually assess local crime priorities and consult partners and the local community about how to deal with them.

Further information on Community Safety Partnerships can be found on the goc.uk website at: Appendix 4: community safety partnerships.

 

top


COUNSELLING PSYCHOLOGIST

Change to Supporting Information: Changed Description

A Counselling Psychologist is a PERSON.

A Counselling Psychologist is recognised by the British Psychological Society.

Counselling Psychologists apply psychological theories to working collaboratively and relationally with individuals across a diverse range. They work with the individual's unique subjective psychological experience to empower their recovery and alleviate distress.

Counselling Psychologists deliver SERVICES in a wide range of health settings and private practice. They also work within research, teaching, supervision and consultancy roles.

&nbs