CDS COPY RECIPIENT IDENTITY is the NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) for an ORGANISATION indicated as a CDS COPY RECIPIENT IDENTITY of the Commissioning data.

Usage:
A Recipient may be an agency or SERVICE provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple recipients for Commissioning data.

Organisation Data Service Default Codes for CDS COPY RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid.

Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

CDS COPY RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), when it has been approved for use in national information standards.

CDS PRIME RECIPIENT IDENTITY is the mandatory NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) representing the ORGANISATION determined to be the Commissioning Data Set Prime Recipient of the Commissioning Data Set Message as indicated in the Commissioning Data Set Addressing Grid.

Usage:
The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS Type for a PATIENT and must not change even if the ADDRESS or ORGANISATION CODE (RESIDENCE RESPONSIBILITY) of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.

CDS PRIME RECIPIENT IDENTITY is a mandatory data item crucial for the correct indexing of the database and must not be changed during the life of the associated Commissioning Data Set. It does not identify the first or most important recipient of data, i.e. there is no inference of primacy of one recipient over another.

Organisation Data Service Default Codes for CDS PRIME RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid. 

Please note that the following Organisation Data Service Default Codes must not be used in the Commissioning Data Set (CDS) header because they are not default Commissioner codes:

• Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
  • for the CDS PRIME RECIPIENT IDENTITY, a valid ORGANISATION CODE (RESIDENCE RESPONSIBILITY) must be reported
• X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
  • for the CDS PRIME RECIPIENT IDENTITY, the Commissioning Data Set Addressing Grid confirms the correct code that should be reported for Overseas Visitors who are exempt from charges.

CDS PRIME RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), when it has been approved for use in national information standards.

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

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

The data for GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) is supplied by the NHS Prescription Services.

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

Use of Organisation Data Service Default Codes

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

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

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

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

Ministry of Defence Doctors:

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

The data for GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) is supplied by the NHS Prescription Services.

GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) is the ORGANISATION CODE for the General Medical Practitioner Practice responsible for the PATIENT's antenatal care.

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

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

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

The document includes information on the following:

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

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

Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

ORGANISATION CODE (CODE OF COMMISSIONER) will be replaced with ORGANISATION IDENTIFIER (CODE OF COMMISSIONER), when it has been approved for use in national information standards.

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

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

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

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

ORGANISATION CODE (CODE OF PROVIDER) will be replaced with ORGANISATION IDENTIFIER (CODE OF PROVIDER), when it has been approved for use in national information standards.

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

• Clinical Commissioning Group
• Care Trust
• Local Health Board (Wales)
• Scottish Health Board
• Northern Ireland Local Commissioning Group: Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009
• Primary Healthcare Directorate (Isle of Man)
• Local Authority.

ORGANISATION CODES can be downloaded from Technology Reference Data Update Distribution (TRUD). For further information, see Organisation Data Service.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (RESIDENCE RESPONSIBILITY).

The Organisation Data Service provides postcode files which link postcodes to the Clinical Commissioning Group. See NHS Postcode Directory.

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) will be replaced with ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY), when it has been approved for use in national information standards.

ORGANISATION CODE (RESPONSIBLE PCT) is the ORGANISATION CODE of the Responsible Primary Care Trust.

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

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

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

The document includes information on the following:

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

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

Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION IDENTIFIERS should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

ORGANISATION CODE (CODE OF COMMISSIONER) will be replaced with ORGANISATION IDENTIFIER (CODE OF COMMISSIONER), when it has been approved for use in national information standards.

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

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

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

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

ORGANISATION CODE (CODE OF PROVIDER) will be replaced with ORGANISATION IDENTIFIER (CODE OF PROVIDER), when it has been approved for use in national information standards.

ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the ORGANISATION IDENTIFIER of the ORGANISATION responsible for the GP Practice where the PATIENT is registered, irrespective of whether they reside within the boundary of the Clinical Commissioning Group.

ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN) is the ORGANISATION IDENTIFIER of the ORGANISATION that performed the Dating Ultrasound Scan.

ORGANISATION IDENTIFIER (OF LABORATORY RESULT) is the ORGANISATION IDENTIFIER of the ORGANISATION where the Laboratory result was processed.

This could be a SAMPLE of blood, other fluid SAMPLE etc.

ORGANISATION IDENTIFIER (REFERRING) is the ORGANISATION IDENTIFIER of the ORGANISATION from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust.

This information is essential for managing service agreements which are based on patterns of referral.

REFERRING ORGANISATION CODE will be replaced with ORGANISATION IDENTIFIER (REFERRING), when it has been approved for use in national information standards.

ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the ORGANISATION IDENTIFIER derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

• Clinical Commissioning Group
• Care Trust
• Local Health Board (Wales)
• Scottish Health Board
• Northern Ireland Local Commissioning Group: Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009
• Primary Healthcare Directorate (Isle of Man)
• Local Authority.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY).

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) will be replaced with ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY), when it has been approved for use in national information standards.

ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE to which a PATIENT is discharged following an Emergency Care Attendance.

ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE from which a PATIENT arrived at an Emergency Care Department.

ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)   is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the employing ORGANISATION where the EMPLOYEE is employed or based from.

ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Acute Oncology Assessment was carried out during a Cancer Care Spell.

ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE acting as Health Care Provider where the CANCER FASTER DIAGNOSIS PATHWAY END DATE is recorded.

ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Health Care Provider where the cancer site specific stage was carried out.

ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the PATIENT DIAGNOSIS took place.

ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Diagnostic Procedure took place.

ORGANISATION SITE IDENTIFIER (OF IMAGING) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Diagnostic Imaging took place.

SITE CODE (OF IMAGING) will be replaced with ORGANISATION SITE IDENTIFIER (OF IMAGING), when it has been approved for use in national information standards.

ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Multidisciplinary Team Meeting took place.

ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE at which the CARE PROFESSIONAL who requested the DIAGNOSTIC TEST REQUEST for suspected cancer, is based.

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE acting as Health Care Provider where the decision to treat the PATIENT was made which initiated a Cancer Care Plan with one or more Planned Cancer Treatments.

The Planned Cancer Treatment may be planned and provided by a different Health Care Provider.

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the TREATMENT START DATE (CANCER) is recorded.

ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE acting as Health Care Provider when a decision is made to upgrade the PATIENT to an urgent Cancer PATIENT PATHWAY.

The decision to upgrade must be made by a CONSULTANT or an authorised member of the CONSULTANTS team (subject to local agreement).

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the PATIENT is first seen by an appropriate cancer specialist on the DATE FIRST SEEN (CANCER SPECIALIST).

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Health Care Provider at the first contact with the PATIENT.

For the National Cancer Waiting Times Monitoring Data Set this may be the:

• Out-Patient Attendance Consultant
• Imaging or Radiodiagnostic Event
• CLINICAL INTERVENTION
• Hospital Provider Spell
• Emergency Care Attendance or
• Screening Test

whichever is the earlier SERVICE related to the initial REFERRAL REQUEST.

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) may be the same Health Care Provider as for ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST) if the PATIENT was first seen by the appropriate specialist for cancer.

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Health Care Provider at the first contact with the PATIENT during a Non Primary Cancer Pathway.

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Multidisciplinary Team who agreed the TNM STAGE GROUPING (FINAL PRETREATMENT) for a cancer PATIENT.

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Multidisciplinary Team treating the PATIENT post surgery, where the surgery was the first treatment agreed for TNM STAGE GROUPING (INTEGRATED).

ORGANISATION SITE IDENTIFIER (OF TREATMENT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the PATIENT was treated, i.e. it should enable the treating ORGANISATION to be identified.

ORGANISATION SITE IDENTIFIER (OF TREATMENT) identifies the ORGANISATION SITE within the ORGANISATION on which the PATIENT was treated, since facilities may vary on different hospital sites.

The code recorded should always be the national code; if the treatment is sub-commissioned to another NHS Health Care Provider or an independent UK provider, the ORGANISATION SITE IDENTIFIER (OF TREATMENT) used should be the ORGANISATION SITE IDENTIFIER of the Health Care Provider actually carrying out the work.

Where treatment is sub-commissioned to an overseas provider the Organisation Data Service Default Code 89997 'Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued' is applicable.

Each ORGANISATION has a unique ORGANISATION SITE IDENTIFIER. However, where an ORGANISATION has more than one site from which it provides SERVICES, then each site is uniquely identified. These sites are ORGANISATION SITES and are uniquely identified by an ORGANISATION SITE IDENTIFIER.

For out-patients, ACTIVITY may take place outside the hospital, such as in the PATIENT'S home; in such cases, raising a site code is impractical. Therefore, code R9998 'Not a hospital site' would be used in these circumstances.
Note: LOCATION CLASS is used in the Commissioning Data Set (CDS) message to indicate the physical LOCATION within which the ACTIVITY occurred. 

Use in the Future Outpatient CDS:
If the INTENDED SITE CODE (OF TREATMENT) is not known, this data element should be omitted.

SITE CODE (OF TREATMENT) will be replaced with ORGANISATION SITE IDENTIFIER (OF TREATMENT), when it has been approved for use in national information standards.

REFERRER CODE is the code of the PERSON making the REFERRAL REQUEST. This will normally be a CARE PROFESSIONAL, GENERAL MEDICAL PRACTITIONER or CONSULTANT.

The intention is for this item to reflect the actual (true) referrer. For example, following a GENERAL MEDICAL PRACTITIONER referral, a CONSULTANT may subsequently refer the PATIENT to another CONSULTANT within the Hospital Provider Spell. The code of the CONSULTANT making the referral and the CONSULTANTS ORGANISATION should be recorded in the Commissioning Data Set (CDS) rather than the code of the GENERAL MEDICAL PRACTITIONER referrer. This also applies where a CONSULTANT refers an NHS PATIENT to another doctor for NHS-commissioned treatment at another NHS / non-NHS provider, or an overseas provider. Where the CONSULTANT CODE is not known, the Organisation Data Service Default Code C9999998 should be used.

In all other cases, the code of the referring GENERAL MEDICAL PRACTITIONER should be recorded, if applicable. When a locum refers, use the GENERAL MEDICAL PRACTITIONER PPD CODE of the GENERAL PRACTITIONER for whom the locum is acting.

See CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER (SPECIFIED) for the codes available for CONSULTANTS and GENERAL MEDICAL PRACTITIONERS and GENERAL DENTAL PRACTITIONERS.

If the REFERRER CODE is not known or not applicable e.g. the PATIENT has self-presented, the Organisation Data Service Default Code (X9999998) should be used.

REFERRING ORGANISATION CODE is the ORGANISATION CODE of the ORGANISATION from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust.

This information is essential for managing service agreements which are based on patterns of referral.

REFERRING ORGANISATION CODE will be replaced with ORGANISATION IDENTIFIER (REFERRING), when it has been approved for use in national information standards.

SITE CODE (OF IMAGING) is the ORGANISATION SITE CODE where the Diagnostic Imaging took place.

SITE CODE (OF IMAGING) will be replaced with ORGANISATION SITE IDENTIFIER (OF IMAGING), when it has been approved for use in national information standards.

SITE CODE (OF TREATMENT) is the ORGANISATION SITE CODE of the ORGANISATION where the PATIENT was treated, i.e. it should enable the treating ORGANISATION to be identified.

This identifies the ORGANISATION SITE within the ORGANISATION on which the PATIENT was treated, since facilities may vary on different hospital sites.

The code recorded should always be the national code; if the treatment is sub-commissioned to another NHS Health Care Provider or an independent UK provider, the SITE CODE (OF TREATMENT) used should be the ORGANISATION SITE CODE of the Health Care Provider actually carrying out the work.

Where treatment is sub-commissioned to an overseas provider the Organisation Data Service Default Code 89997 'Non-UK Provider where no ORGANISATION SITE CODE has been issued' is applicable. 

Each ORGANISATION has a unique ORGANISATION CODE. However, where an ORGANISATION has more than one site from which it provides SERVICES, then each site is uniquely identified. These sites are ORGANISATION SITES and are uniquely identified by ORGANISATION SITE CODE. The ORGANISATION SITE CODE contains the first 3 digits of the ORGANISATION CODE with the last two digits being the site identifier.

Example:

For out-patients, ACTIVITY may take place outside the hospital, such as in the PATIENT'S home; in such cases, raising a site code is impractical. Therefore, code R9998 'Not a hospital site' would be used in these circumstances.
Note: LOCATION CLASS is used in the Commissioning Data Set (CDS) message to indicate the classification of the physical LOCATION within which the ACTIVITY occurred. 

Use in the Future Outpatient CDS:
If the INTENDED SITE CODE (OF TREATMENT) is not known, this data element should be omitted.

SITE CODE (OF TREATMENT) will be replaced with ORGANISATION SITE IDENTIFIER (OF TREATMENT), when it has been approved for use in national information standards.