| Type: | Patch |
| Reference: | 1825 |
| Version No: | 1.0 |
| Subject: | Preparatory Item: Organisation Identifier (Referring Organisation) and html fixes |
| Effective Date: | Immediate |
| Reason for Change: | Patch |
| Publication Date: | 26 April 2021 |
Background:
The Organisation Data Service (ODS) newsletter issued in November 2020 stated that "ODS will be introducing a new 7-character code for all new Dental practices from February 2021."
The current Data Elements ORGANISATION IDENTIFIER (REFERRING ORGANISATION) and REFERRING ORGANISATION CODE have the Format / Length of min an3 max an6.
This patch introduces a new preparatory Item: ORGANISATION IDENTIFIER (REFERRING ORGANISATION) with the Format / Length of min an3 max an8 to ensure data sets can flow the correct information.
The patch also:
- Fixes html in the Data Element OVERSEAS VISITOR CHARGING CATEGORY which is causing issues with the Extract Tool output
- Removes font html in items which is not required.
A short demonstration is available which describes "How to Read an NHS Data Model and Dictionary Change Request", in an easy to understand screen capture including a voice over and readable captions. This demonstration can be viewed at: https://datadictionary.nhs.uk/elearning/Change_Request/index.html.
Note: if the web page does not open, please copy the link and paste into the web browser. A guide to how to use the demonstration can be found at: Demonstrations.
Summary of changes:
| Date: | 26 April 2021 |
| 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.
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Change to Data Set: Changed Description
| SUBMISSION IDENTIFIER |
|---|
| To carry the details of the providing organisation and reporting period. One occurrence of this group is required. | |
| M | Data Set Data Elements |
| M | ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) |
| M | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) |
| M | REPORTING PERIOD START DATE |
| M | REPORTING PERIOD END DATE |
| PRIMARY IMMUNISATIONS 12 MONTH COHORT |
|---|
| To carry details of completed primary immunisations at 12 months. Multiple occurrences of this group are permitted, one for each Childhood Immunisation Type reported. | |
| M | Data Set Data Elements |
| M | CHILDHOOD IMMUNISATION TYPE (COVER) or CHILDHOOD IMMUNISATION TYPE COMBINED (COVER) |
| M | ELIGIBLE POPULATION TOTAL (COVER) |
| M | ELIGIBLE POPULATION IMMUNISED PERCENTAGE (COVER) |
| PRIMARY IMMUNISATIONS 24 MONTH COHORT |
|---|
| To carry details of completed primary immunisations at 24 months. Multiple occurrences of this group are permitted, one for each Childhood Immunisation Type reported. | |
| M | Data Set Data Elements |
| M | CHILDHOOD IMMUNISATION TYPE (COVER) or CHILDHOOD IMMUNISATION TYPE COMBINED (COVER) |
| M | ELIGIBLE POPULATION TOTAL (COVER) |
| M | ELIGIBLE POPULATION IMMUNISED PERCENTAGE (COVER) |
| PRIMARY IMMUNISATIONS and BOOSTERS 5 YEAR COHORT |
|---|
| To carry details of completed primary immunisations and boosters at 5 years. Multiple occurrences of this group are permitted, one for each Childhood Immunisation Type reported. | |
| M | Data Set Data Elements |
| M | CHILDHOOD IMMUNISATION TYPE (COVER) or CHILDHOOD IMMUNISATION TYPE COMBINED (COVER) |
| M | ELIGIBLE POPULATION TOTAL (COVER) |
| M | ELIGIBLE POPULATION IMMUNISED PERCENTAGE (COVER) |
| HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHERS 12 MONTH COHORT |
|---|
| To carry details of Neonatal Hepatitis B coverage at 12 months. Multiple occurrences of this group are permitted, one for each Childhood Immunisation Type reported. | |
| M | Data Set Data Elements |
| M | CHILDHOOD IMMUNISATION TYPE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) or CHILDHOOD IMMUNISATION TYPE COMBINED (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) |
| M | ELIGIBLE POPULATION TOTAL (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) |
| M | ELIGIBLE POPULATION IMMUNISED PERCENTAGE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) |
| HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHERS 24 MONTH COHORT |
|---|
| To carry details of Neonatal Hepatitis B coverage at 24 months. Multiple occurrences of this group are permitted, one for each Childhood Immunisation Type reported. | |
| M | Data Set Data Elements |
| M | CHILDHOOD IMMUNISATION TYPE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) or CHILDHOOD IMMUNISATION TYPE COMBINED (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) |
| M | ELIGIBLE POPULATION TOTAL (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) |
| M | ELIGIBLE POPULATION IMMUNISED PERCENTAGE (COVER HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER) |
Change to Supporting Information: Changed Description
XML Schema Download:- XML Schema Download:
- XML Schema TRUD Download
XML Schema Constraints:XML Schema Constraints:- Cancer Outcomes and Services Data Set XML Schema Constraints
- Diagnostic Imaging Data Set XML Schema Constraints
- HIV and AIDS Reporting Data Set XML Schema Constraints
Data Set Constraints:Data Set Constraints:- Community Services Data Set Constraints
- Improving Access to Psychological Therapies Data Set Constraints
- Mental Health Services Data Set Constraints
- National Neonatal Data Set Constraints
- Systemic Anti-Cancer Therapy Data Set Constraints
Change to Supporting Information: Changed Description
The purpose of the Supporting Data Sets is to provide a standardised set of data to support the National Tariff Payment System, Healthcare Resource Groups, Patient Level Information Costing and Resource Management, Commissioning and national policy.
The Supporting Data Sets are made up of the following data sets:
Contract Monitoring:
- Contract Monitoring:
- Aggregate Contract Monitoring
- Devices Patient Level Contract Monitoring
- Drugs Patient Level Contract Monitoring
- Patient Level Contract Monitoring
Critical Care:
- Critical Care:
Other:
- Other:
Patient Level Information Costing:
- Patient Level Information Costing:
Change to Supporting Information: Changed Description
XML Schema Download:- XML Schema Download:
- XML Schema TRUD Download
Data Set Constraints:Data Set Constraints:- Devices Patient Level Contract Monitoring Data Set Constraints
- Drugs Patient Level Contract Monitoring Data Set Constraints
- Patient Level Contract Monitoring Data Set Constraints
- PLICS Acute Admitted Patient Care Data Set Constraints
- PLICS Acute Emergency Care Data Set Constraints
- PLICS Acute Out-Patient Care Data Set Constraints
- PLICS Reconciliation Data Set Constraints
- PLICS Acute Specialist Ward Care Data Set Constraints
- PLICS Acute Supplementary Information Data Set Constraints
- PLICS Ambulance Data Set Constraints
- PLICS Mental Health Admitted Patient Care Data Set Constraints
- PLICS Mental Health Care Contacts Data Set Constraints
Change to Class: Changed Description
A written plan related to the POSITION or personal development of an EMPLOYEE as agreed with their employing ORGANISATION.
The type of plan is recorded by EMPLOYEE PLAN TYPE.
Each EMPLOYEE PLAN should be reviewed at least annually, but may be reviewed more frequently. Each review should be recorded by an Appraisal Review with the APPRAISAL REVIEW PLANNED DATE indicating when the review should take place.
There should be only one EMPLOYEE PLAN of each EMPLOYEE PLAN TYPE active within an ORGANISATION any one time. For an EMPLOYEE who has an EMPLOYMENT CONTRACT within more than one ORGANISATION at the same time then they can have an EMPLOYEE PLAN active for each ORGANISATION. For an EMPLOYEE who has an EMPLOYMENT CONTRACT within more than one ORGANISATION at the same time then they can have an EMPLOYEE PLAN active for each ORGANISATION.
Change to Attribute: Changed Description
Note:
- National Code 160 'Emergency Care Attendance' is only valid for:
- National Code 140 'Accident and Emergency Attendance' will no longer be accepted from 01 November 2020.
National Codes:
| 010 | Finished General, Delivery and Birth Episodes |
| 020 | Unfinished General, Delivery and Birth Episodes |
| 030 | Other Delivery |
| 040 | Other Birth |
| 050 | Detained and/or Long Term Psychiatric Census |
| 060 | Outpatient |
| 070 | Standard variation of Elective Admission List End Of Period Census |
| 080 | New and Old variations of Elective Admission List End Of Period Census |
| 090 | Add variation of Elective Admission List Event During Period |
| 100 | Remove variation of Elective Admission List Event During Period |
| 110 | Offer variation of Elective Admission List Event During Period |
| 120 | Available/Unavailable variation of Elective Admission List Event During Period |
| 130 | New and Old variations of Elective Admission List Event During Period |
| 140 | Accident and Emergency Attendance |
| 150 | Future Outpatient |
| 160 | Emergency Care Attendance |
Change to Attribute: Changed Description
A code to identify the specific type of Commissioning Data Set data.
Note:
- National Code 011 'Emergency Care Attendance' is only valid for:
Note:
- CDS Type 010 'Accident and Emergency Attendance' will no longer be accepted from 01 November 2020.
National Codes:
| 010 | Accident and Emergency Attendance |
| 011 | Emergency Care Attendance |
| 020 | Outpatient May also be used to submit a Referral To Treatment Clock Stop Administrative Event |
| 021 | Future Outpatient |
| 030 | Elective Admission List End of Period Census (Standard) |
| 040 | Elective Admission List End of Period Census (Old) |
| 050 | Elective Admission List End of Period Census (New) |
| 060 | Elective Admission List Event During Period (Add) |
| 070 | Elective Admission List Event During Period (Remove) |
| 080 | Elective Admission List Event During Period (Offer) |
| 090 | Elective Admission List Event During Period (Available/Unavailable) |
| 100 | Elective Admission List Event During Period (Old Service Agreement) |
| 110 | Elective Admission List Event During Period (New Service Agreement) |
| 120 | Finished Birth Episode |
| 130 | Finished General Episode |
| 140 | Finished Delivery Episode |
| 150 | Other Birth |
| 160 | Other Delivery |
| 170 | Detained and/or Long-Term Psychiatric Census |
| 180 | Unfinished Birth Episode |
| 190 | Unfinished General Episode |
| 200 | Unfinished Delivery Episode |
Change to Attribute: Changed Description
National Codes:
| 01 | Fully ready for discharge |
| 02 | Discharge for Palliative Care |
| 03 | Early discharge due to shortage of critical care beds |
| 04 | Delayed discharge due to shortage of other WARD beds |
| 05 | Current level of care continuing in another LOCATION |
| 06 | More specialised care in another LOCATION |
| 07 | Self discharge against medical advice |
| 08 | PATIENT died (no organs donated) |
| 09 | PATIENT died (heart beating solid organ donor) |
| 10 | PATIENT died (cadaveric TISSUE donor) |
| 11 | PATIENT died (non heart beating solid organ donor) |
Change to Data Element: Changed Description
| Format/Length: | max an3 |
| National Codes: | |
| Default Codes: | 999 - Not known i.e. date of birth not known and age cannot be estimated |
Notes:
AGE AT CDS ACTIVITY DATE is the same as attribute PERSON AGE.
AGE AT CDS ACTIVITY DATE is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the CDS ACTIVITY DATE.
AGE AT CDS ACTIVITY DATE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.
For further information, please refer to the NHS Digital website at: Payment by Results Guidance.For further information, please refer to the NHS Digital website at: Payment by Results Guidance.
Note: the Format/Length has been updated in Data Dictionary Change Notice 1808 "Correction of Format/Length Data Elements". The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
Change to Data Element: Changed Description
| Format/Length: | an10 CCYY-MM-DD |
| National Codes: | |
| Default Codes: |
Notes:
For Commissioning data, every CDS Type has a "CDS Originating Date" contained within the Commissioning Data Set data that must be used to populate the CDS ACTIVITY DATE.
The CDS ACTIVITY DATE is held in the Commissioning Data Set Transaction Header Group and is a mandatory data element for all uses of the Commissioning Data Set for both Bulk Update and Net Change Protocols, see the Commissioning Data Set Submission Protocol supporting information.
For Bulk Update use, see:
For Net Change Use, see:
Note:
CDS Type 010 'Accident and Emergency Attendance' will no longer be accepted from 01 November 2020.
The CDS ACTIVITY DATE has an associated "CDS Originating Date" specifically identified for each CDS Type as follows:
| CDS TYPE | DESCRIPTION | CDS ORIGINATING DATE (used to populate the CDS ACTIVITY DATE) |
| 010 | Accident and Emergency Attendance | |
| 011 | Emergency Care Attendance | EMERGENCY CARE ARRIVAL DATE, EMERGENCY CARE ARRIVAL TIME |
| 020 | Outpatient (known in the Schema as Care Activity) | APPOINTMENT DATE |
| 021 | Future Outpatient (known in the Schema as Future Care Activity) | APPOINTMENT DATE |
| 030 | EAL End Of Period Census - STANDARD | DECIDED TO ADMIT DATE |
| 040 | EAL End Of Period Census - OLD | NHS SERVICE AGREEMENT CHANGE DATE |
| 050 | EAL End Of Period Census - NEW | NHS SERVICE AGREEMENT CHANGE DATE |
| 060 | EAL Event During Period - ADD | DECIDED TO ADMIT DATE |
| 070 | EAL Event During Period - REMOVE | ELECTIVE ADMISSION LIST REMOVAL DATE |
| 080 | EAL Event During Period - OFFER | OFFERED FOR ADMISSION DATE |
| 090 | EAL Event During Period - AVAILABLE / UNAVAILABLE | SUSPENSION START DATE |
| 100 | EAL Event During Period - OLD SERVICE AGREEMENT | NHS SERVICE AGREEMENT CHANGE DATE |
| 110 | EAL Event During Period - NEW SERVICE AGREEMENT | NHS SERVICE AGREEMENT CHANGE DATE |
| 120 | Finished Birth Episode | END DATE (EPISODE) |
| 130 | Finished General Episode | END DATE (EPISODE) |
| 140 | Finished Delivery Episode | END DATE (EPISODE) |
| 150 | Other Birth | DELIVERY DATE |
| 160 | Other Delivery | DELIVERY DATE |
| 170 | Detained and/or Long-Term Psychiatric Census | DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE |
| 180 | Unfinished Birth Episode | START DATE (EPISODE) |
| 190 | Unfinished General Episode | START DATE (EPISODE) |
| 200 | Unfinished Delivery Episode | START DATE (EPISODE) |
Usage:
The CDS ACTIVITY DATE is validated by the Secondary Uses Service and Commissioning Data Set Interchanges are rejected if the date is not present, invalid or not compatible with the Commissioning Data Set Submission Protocol controls being used.
In particular, when using the Commissioning Data Set Bulk Replacement Update Mechanism, the CDS ACTIVITY DATE and its "CDS Originating Date" are used by the Secondary Uses Service to validate that the CDS Type date applicability falls within the CDS REPORT PERIOD START DATE and the CDS REPORT PERIOD END DATE.
Change to Data Element: Changed Description
| Format/Length: | an8 |
| National Codes: | |
| Default Codes: | G9999998 - GENERAL MEDICAL PRACTITIONER PPD CODE not known |
| G9999981 - GENERAL MEDICAL PRACTITIONER PPD CODE not applicable |
Notes:
GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) is the GENERAL MEDICAL PRACTITIONER PPD CODE for the GENERAL MEDICAL PRACTITIONER responsible for the PATIENT's antenatal care.
Change to Data Element: Changed Description
| Format/Length: | an10 CCYY-MM-DD |
| National Codes: | |
| Default Codes: |
Notes:NHS CONTINUING HEALTHCARE FAST TRACK PATHWAY TOOL COMPLETED DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'NHS Continuing Healthcare Fast Track Pathway Tool Completed Date'.NHS CONTINUING HEALTHCARE FAST TRACK PATHWAY TOOL COMPLETED DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'NHS Continuing Healthcare Fast Track Pathway Tool Completed Date'.
Change to Data Element: Changed Description
| Format/Length: | min an3 max an5 |
| National Codes: | |
| Default Codes: | Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known |
| X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors) |
Notes:
ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.
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.
Change to Data Element: Changed Description
| Format/Length: | min an3 max an6 |
| National Codes: | |
| Default Codes: | X99998 - Referring ORGANISATION IDENTIFIER not applicable |
| X99999 - Referring ORGANISATION IDENTIFIER not known |
Notes:
ORGANISATION IDENTIFIER (REFERRING) is the same as attribute ORGANISATION IDENTIFIER.
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 (REFERRING) will be replaced with ORGANISATION IDENTIFIER (REFERRING ORGANISATION), when it has been approved for use in national information standards.
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | ORGANISATION IDENTIFIERS (REFERRING ORGANISATION) |
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See OVERSEAS VISITOR CHARGING CATEGORY |
| Default Codes: | 9 - OVERSEAS VISITOR CHARGING CATEGORY Not Known (Not Recorded) |
Notes:
OVERSEAS VISITOR CHARGING CATEGORY is the same as attribute OVERSEAS VISITOR CHARGING CATEGORY.
OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See OVERSEAS VISITOR CHARGING CATEGORY |
| Default Codes: | 9 - OVERSEAS VISITOR CHARGING CATEGORY Not Known (Not Recorded) |
| X - Not Known (Decision pending on OVERSEAS VISITOR CHARGING CATEGORY): only valid for CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set |
Notes:
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE is the same as attribute OVERSEAS VISITOR CHARGING CATEGORY, recorded at the CDS ACTIVITY DATE.
OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See PERFORMANCE STATUS FOR ADULTS |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | max an6 |
| National Codes: | |
| Default Codes: | X99998 - Referring ORGANISATION CODE not applicable |
| X99999 - Referring ORGANISATION CODE not known |
Notes:
REFERRING ORGANISATION CODE is the same as attribute ORGANISATION CODE.
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.REFERRING ORGANISATION CODE will be replaced with ORGANISATION IDENTIFIER (REFERRING ORGANISATION), when it has been approved for use in national information standards.
For enquiries about this Change Request, please email information.standards@nhs.net