NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1827
Version No:1.0
Subject:Commissioning Data Set Preparatory Items and Updates
Effective Date:Immediate
Reason for Change:Patch
Publication Date:4 May 2021

Background:

The following preparatory items have been created for development of Commissioning Data Set Version 6-3:

The patch also updates the Format/Length of Data Elements to ensure correct recording of items.

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:

Supporting Information
ORGANISATION CODING FRAMES   Changed Description
 
Data Elements
CRITICAL CARE DISCHARGE DESTINATION   Changed Description
GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)   New Data Element
GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER)   New Data Element
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER))   Changed Description
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)   Changed Description
GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)   Changed Description
GENERAL MEDICAL PRACTITIONER PRACTICE (PATIENT ANTENATAL CARE)   New Data Element
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)   Changed Description
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)   Changed Description
 
XML Schema Constraint
COMMISSIONING DATA SET VERSION 6-2 XML SCHEMA CONSTRAINTS   Changed Description
 

Date:4 May 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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ORGANISATION CODING FRAMES

Change to Supporting Information: Changed Description

For further information, see the attribute ORGANISATION CODE.

ORGANISATION CODING FRAMES

  • All NHS ORGANISATIONS are coded using coding frames, as shown in the tables below:

Character
Position

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

Format

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

A Frame

 

Organisation
Type Identifier

 

Organisation Identifier

 
   

B Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

C Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

D Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

E Frame

 

Organisation Identifier

 
       

F Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
    

G Frame

 

Organisation Type Identifier

 

Practice Identifier

 
  

H Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

I Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

K Frame

 

Organisation Identifier

 
     

 L Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

Organisation Type Identifier

 
   

M Frame

 

Organisation and Organisation Type Identifier

 
     

N Frame

 

Organisation Type Identifier

 

Organisation Identifier

 


A Frame:

Example
Non NHS Organisation (Independent Provider) e.g. 8HA03

  • 8 = Organisation Type Identifier
  • Remainder = Organisation Identifier

B Frame:

Example
Local Service Provider e.g. LSP01

  • LSP = Organisation Type Identifier
  • 01 = Organisation Identifier

Also:

Application Service Providere.g. YGM01
Education Establishmente.g. YDF01
NHS Support Agencye.g. YDD01



C Frame:

Example
School e.g. EE134290

  • EE = Organisation Type Identifier
  • Remainder = Organisation Identifier

D Frame:

Example
Care Trust e.g. TAK

  • T = Organisation Type Identifier
  • AK = Organisation Identifier

Also:

Commissioning Support Unit (CSU) / 
Data Services for Commissioners Regional Office (DSCRO)
e.g. 0AA
High Level Health Geography, e.g. Sustainability and Transformation Partnershipe.g. QJK
Local Health Board (Wales)e.g. 7A1
NHS Truste.g. RH8
Justice Organisatione.g. VAA



E Frame:

Example
Government Office Region (GOR) e.g. K

  • K = Organisation Identifier

Note: Government Office Region (GOR) is identified by a one character code; no other one character code exists.


F Frame:

Example
Pharmacy Headquarters e.g. P001

  • P = Organisation Type Identifier
  • 001 = Organisation Identifier

Also:

Care Home Headquarterse.g.CA0A
Optical Headquarters e.g.T1A1



G Frame:

Example
GP Practices in England and Wales e.g. Y00001

  • Y = Organisation Type Identifier
  • 00001 = Practice Identifier

Also:

Dental Practicee.g.V20052



H Frame:

Example
Cancer Network e.g. N01

  • N0 (where the 2nd character is numeric and not alpha) = Organisation Type Identifier
  • 1 = Organisation Identifier

Also:

Booking Management System (BMS) Call Centre Establishmente.g. YF1
Government Departmente.g. XDA
Independent Sector Healthcare Provider (ISHP) (where the 2nd character is alpha)e.g. NV7
National Application Service Providere.g. YEA
Other Statutory Authority (OSA)e.g. X16



I Frame:

Example
Special Health Authority (SpHA) e.g. T1150

  • T1 = Organisation Type Identifier
  • 150 = Organisation Identifier

K Frame:

Example
Digital Health and Care Wales e.g. W00

  • W00 = Organisation Identifier

L Frame:

Example
Northern Ireland Local Commissioning Group e.g. ZC010

  • Characters 1-3 (ZC0) AND character 5 (0) = Organisation Type Identifier
  • Character 4 = Organisation Identifier

Note: this is a 5 character method of displaying Northern Ireland Local Commissioning Group identifiers.
Characters 3 and 5 are ‘fillers’. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory) zeros can be omitted, e.g. ZC1.
The 3 character method of displaying the Northern Ireland Local Commissioning Group identifiers fit under the H Frame.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009.


M Frame:

Example
Clinical Commissioning Group (CCG) e.g. 12A

  • 12A = Organisation and Organisation Type Identifier

Also:

Local Authoritye.g.000



N Frame:

Example
GP Abeyance and Dispersal GP Practice e.g. G7817414

  • G78 = Organisation Type Identifier
  • 17414 = Organisation Identifier

The structure and format of ORGANISATION CODES maintained by the Organisation Data Service, NHS Prescription Services, NHS Dental Services and other agencies are detailed in the tables below.

ORGANISATION CODES TABLES

Table 1: CODING FORMATS FOR ORGANISATIONS IN ENGLAND AND WALES

Organisation Type

Frame Type

Character Position

Code allocated by:

Notes/Comments

 

See Coding Frames Table

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 
  

Application Service Provider

 

B

 

Y

 

G

 

M

 

A-9

 

A-9

 
   

ODS 

 

e.g. YGM01

 

Booking Management System (BMS) Call Centre Establishment

 

H

 

Y

 

F

 

A-9

 
     

ODS

 

e.g. YF1

 

Cancer Network

 

H

 

N

 

0-9

 

A-9

 
     

ODS

 

e.g. N01

 

Cancer Registry

A

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. Y0401

All Cancer Registries in England are now part of the National Cancer Registration and Analysis Service

Care Home Headquarters

 

F

 

A, C or D

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. CA0A

 

Care Trust (CT)

 

D

 

T

 

A-Y

 

A-Y

 
     

ODS

 

e.g. TAK

 

Clinical Commissioning Group (CCG

M

 

0-9

 

0-9

 

A-Y

 
     

ODS

 

e.g. 12A

 

Clinical Network

B

 

Y

 

D

 

G

 

A-9

 

A-9

 
   

ODS

 

e.g. YDG01

 

Commissioning Support Unit (CSU) / Data Services for Commissioners Regional Office (DSCRO)

D

 

0

 

A-Y

 

A-Y

 
     

ODS

 

e.g. 0AA

 

Dental Practice - England and Wales

 

G

 

V

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Dental Services

 

e.g. V20052

 

Digital Health and Care Wales (DHCW)

 

K

 

W

 

0

 

0

 
     

ODS

 

Only one organisation of this type exists for Wales

e.g. W00

Digital Health and Care Wales replaced NHS Wales Informatics Service on 1 April 2021 

Education Establishment

 

B

 

Y

 

D

 

F

 

A-9

 

A-9

 
   

ODS

 

e.g. YDF01

 

Executive Agency

 

N/A

See Note 1 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X09

 

Executive Agency Programme

 

N/A

See Note 1 

X

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

ODS

 

First three characters denote Executive Agency

e.g. X09001

 

Government Department

 

H

 

X

 

A-Y

 

A-Y

 
     

ODS

 

e.g. XDA

 

Government Office Region (GOR)

 

E

A-Y

 
       

ONS

 

e.g. K

Government Office Regions (GORs) closed 31 March 2011 - from 1 April 2011 referred to as Regions

 

GP Abeyance and Dispersal GP Practice

 

N

G

 

7

 

8

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

ODS

 

e.g. G7817414

 

GP Practices in England and Wales

G

 

A-H,
J-N,
P,
W &
Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Prescription Services

 

Char 1 = W for Welsh GP Practice.

All other values represent GP Practices in England.

Note: from 2003, ALL newly allocated Practice Codes in England begin with a Y

e.g. Y00001

 
Justice Organisation

D

 

V or W

 

A-Y

 

A-9

 

 

 

 

 

 

 

 

 

 

 

ODS

 

e.g. VAA

 

High Level Health Geography, e.g. Sustainability and Transformation Partnership 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. QJK

 

Independent Sector Healthcare Provider (ISHP)

H

 

A, B, D, G, I, K, L, M , N, O, S, U, V, W

 

A-Y

 

A-Y, 0-9

 
     

ODS

 

e.g. NV7

 

Local Authority (LA)

 

M

 

0-9

 

0-9

 

0-9

 
     

ODS

 

e.g. 000

 

Local Health Board (Wales)

 

B

 

7

 

A-9

 

A-9

 
     

ODS 

 

e.g. 7A1 

 

Local Service Provider (LSP)

 

B

 

L

 

S

 

P

 

0-9

 

0-9

 
   

ODS

 

e.g. LSP01

 

Military Hospital

B

 

X

 

M

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g.XMDA1

 

National Application Service Provider

H

 

Y

 

E

 

A-9

 
     

ODS

 

e.g. YEA

 

National Groupings (England) 

H

Y

 

5

 

0-9

 
     

ODS

 

e.g. Y51

 

NHS Support Agency 

B

 

Y

 

D

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g. YDD01

 

NHS Trust

 

D

 

R

 

A-9

 

A-9

 
     

ODS

 

e.g. RH8

 

Non NHS Organisation (Independent Provider)

 

A

 

8

 

A-Y

 

A-9

 

0-9

 

0-9

 
   

ODS

 

e.g. 8HA03

 

Northern Ireland Health & Social Care Board

N/A

 

Z

 

B

 

0

 

0

 

1

 
   

ODS

 

e.g. ZB001

 

Northern Ireland Health & Social Care Trust

 

I

 

Z

 

T

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. ZT001

 

Northern Ireland Local Commissioning Group

 

L

 

Z

 

C

 

0

 

0-9

 

0

 
   

Department for Health, Social Services and Public Safety (DHSSPS), Northern Ireland

 

e.g. ZC010

Note that characters 3 and 5 are ‘fillers’ to create a 5 character code. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory), zeros can be omitted and fits under the H frame: e.g. ZC1.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009. 

 

Optical Headquarters

 

 

 

0-9

 

A-9

 

A-9

 
    

ODS 

 

e.g. T1A1 

 

Other Statutory Authority (OSA)

 

H

 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X16

 

Pharmacy

 

A

 

F

 

A-Y

 

A-9

 

A-9

 

A-9

 
   

ODS

 

e.g. FA002

 

Pharmacy Headquarters

 

F

 

P

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. P001

 

Primary Care Trust (PCT)

 

D

 

5

 

A-9

 

A-9

 
     

ODS

 

e.g. 5CT

All Primary Care Trusts closed 31 March 2013

Prison Health Service

B

 

Y

 

D

 

E

 

A-9

 

A-9

 
   

ODS

 

e.g. YDE01

 

School

 

C

 

E

 

E

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

Department for Education and ODS

 

e.g. EE134290

 

Special Health Authority (SpHA)

 

I

 

T

 

1

 

0-9

 

0-9

 

0

 
   

ODS

 

e.g. T1150

 

Strategic Health Authority (SHA)

 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. Q30

All Strategic Health Authorities in England closed 31 March 2013

Welsh Assembly

 

D

 

W

 

0-9

 

0-9

 

 

 

 
   

ODS

 

e.g. W01

 

Welsh Health Commission 

A

 

W

 

0-9

 

0-9

 

A-Y

 

A-Y

 
   

ODS

 

e.g. W01HC

 


Notes:

  • Codes for Executive Agency, Executive Agency Programme, Executive Agency Site and Executive Agency Programme Department do not easily fit into the coding frames as shown above and are therefore not included. This is due to their unusual structure in that there are more hierarchical 'tiers' than with other organisations.

Executive Agency and Executive Agency Programme are both considered Organisation level entities, although each Programme does have a relationship to an Executive Agency. Executive Agency codes are three characters long. Executive Agency Programme codes are six, and their first three characters are the same as the Executive Agency they are associated to.

Department codes of eight characters long can then be allocated underneath a Programme code (sharing the first six characters). Executive Agency Site codes of five characters long can be allocated under an Executive Agency code (and share the first three characters).

 

Table 2: CODING FORMATS FOR ORGANISATIONS IN SCOTLAND

Scottish ORGANISATION CODES are supplied by the Information Standards Directorate (ISD) from NHS Scotland and published by the Organisation Data Service.

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Scotland 

S

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS

 
 

Scottish GP Fundholder

 

S

 

A-Z

 

B

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the GPFH reports to.
3rd character (always B) shows GPFH status.

 

Scottish Health Agency

 

S

 

D

 

0-9

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character (D) identifies Scottish Office agencies

 

Scottish Health Board

 

S

 

A-Z

 

9

 

9

 

9

 
 

 ISD, Scotland

 

 

Scottish Provider

 

S

 

A-Z

 

A,C,D

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the organisation reports to.
3rd character identifies the organisation type:
A= Health Unit
C = Hospital Trust
D = Nursing Home

 


Table 3: CODING FORMATS for ORGANISATIONS in OTHER HOME COUNTRIES

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Alderney

 

A

 

L

 

D

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Guernsey

 

G

 

U

 

E

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Isle of Man (IOM)

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Jersey

 

J

 

E

 

R

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

Primary Healthcare Directorate (Isle of Man)

 

Y

 

K

 

A-9

 
   

ODS

 

e.g. YK1

 


Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity).

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CRITICAL CARE DISCHARGE DESTINATION

Change to Data Element: Changed Description

Format/Length:an3
Format/Length:an2
National Codes:See CRITICAL CARE DISCHARGE DESTINATION
Default Codes: 

Notes:
CRITICAL CARE DISCHARGE DESTINATION is the same as attribute CRITICAL CARE DISCHARGE DESTINATION.

Note: the Format/Length has been updated. 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.

 

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GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)

Change to Data Element: New Data Element

Format/Length:min an6 max an8
National Codes: 
Default Codes:V81997 - No Registered GP Practice 
 V81998 - GP Practice Code not applicable
 V81999 - GP Practice Code not known

Notes:
GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION) is the same as attribute ORGANISATION CODE.

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

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

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).

GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) will be replaced with GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION), when it has been approved for use in national information standards.

 

This data element is also known by these names:
ContextAlias
pluralGENERAL MEDICAL PRACTICES (PATIENT REGISTRATION)

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GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)

Change to Data Element: New Data Element

GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)
 
Attribute:
ORGANISATION CODE

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GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER)

Change to Data Element: New Data Element

Format/Length:min an6 max an8
National Codes: 
Default Codes:V81997 - No Registered GP Practice 
 V81998 - GP Practice Code not applicable
 V81999 - GP Practice Code not known

Notes:
GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER) is the same as attribute ORGANISATION CODE.

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

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

GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER)) will be replaced with GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER), when it has been approved for use in national information standards.

 

This data element is also known by these names:
ContextAlias
pluralGENERAL MEDICAL PRACTICES (PATIENT REGISTRATION MOTHER)

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GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER)

Change to Data Element: New Data Element

GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER)
 
Attribute:
ORGANISATION CODE

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GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER))

Change to Data Element: Changed Description

Format/Length:See GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
National Codes: 
Default Codes:V81997 - No Registered GP Practice 
 V81998 - GP Practice Code not applicable
 V81999 - GP Practice Code not known

Notes:
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER)) is the same as the data element GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) for the mother.

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

 GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER)) will be replaced with GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER), when it has been approved for use in national information standards.

 

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GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

Change to Data Element: Changed Description

Format/Length:an6
National Codes: 
Default Codes:V81997 - No Registered GP Practice 
 V81998 - GP Practice Code not applicable
 V81999 - GP Practice Code not known

Notes:
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) is the same as attribute ORGANISATION CODE.

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).
 GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) will be replaced with GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION), when it has been approved for use in national information standards.

 

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GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)

Change to Data Element: Changed Description

Format/Length:an6
National Codes: 
Default Codes:V81997 - No Registered GP Practice 
 V81998 - GP Practice Code not applicable
 V81999 - GP Practice Code not known

Notes:
GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) is the same as attribute ORGANISATION CODE.

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.

 GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) will be replaced with GENERAL MEDICAL PRACTITIONER PRACTICE (PATIENT ANTENATAL CARE), when it has been approved for use in national information standards.

 

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GENERAL MEDICAL PRACTITIONER PRACTICE (PATIENT ANTENATAL CARE)

Change to Data Element: New Data Element

Format/Length:min an6 max an8
National Codes: 
Default Codes:V81997 - No Registered GP Practice 
 V81998 - GP Practice Code not applicable
 V81999 - GP Practice Code not known

Notes:
GENERAL MEDICAL PRACTITIONER PRACTICE (PATIENT ANTENATAL CARE) is the same as attribute ORGANISATION CODE.

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

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

GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) will be replaced with GENERAL MEDICAL PRACTITIONER PRACTICE (PATIENT ANTENATAL CARE), when it has been approved for use in national information standards.

 

This data element is also known by these names:
ContextAlias
pluralGENERAL MEDICAL PRACTITIONER PRACTICES (PATIENT ANTENATAL CARE)

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GENERAL MEDICAL PRACTITIONER PRACTICE (PATIENT ANTENATAL CARE)

Change to Data Element: New Data Element

GENERAL MEDICAL PRACTITIONER PRACTICE (PATIENT ANTENATAL CARE)
 
Attribute:
ORGANISATION CODE

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ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)

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
Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.

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:

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors)' should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

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.

 

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PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)

Change to Data Element: Changed Description

Format/Length:max an12
Format/Length:max an32
National Codes: 
Default Codes: 

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) is the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the CARE PROFESSIONAL carrying out a Patient Procedure.  Where more than one CARE PROFESSIONAL is involved in the Patient Procedure, the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the main/lead CARE PROFESSIONAL should be recorded.

In Commissioning Data Set version 6-2, PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) must be accompanied by the PROFESSIONAL REGISTRATION ISSUER CODE, which indicates the body which issued the PROFESSIONAL REGISTRATION of the main/lead CARE PROFESSIONAL, where it is one of the following:

Note: the Format/Length has been updated. 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. 

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PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)

Change to Data Element: Changed Description

Format/Length:max an12
Format/Length:max an32
National Codes: 
Default Codes: 

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) is the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the CARE PROFESSIONAL providing anaesthesia during a Patient Procedure.  Where more than one CARE PROFESSIONAL is involved in providing anaesthesia during the Patient Procedure, the PROFESSIONAL REGISTRATION ENTRY IDENTIFIER of the main/lead anaesthetist should be recorded.

In Commissioning Data Set version 6-2, PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) must be accompanied by the PROFESSIONAL REGISTRATION ISSUER CODE, which indicates the body which issued the PROFESSIONAL REGISTRATION of the main/lead anaesthetist, where it is one of the following:

 Note: the Format/Length has been updated. 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.

 

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COMMISSIONING DATA SET VERSION 6-2 XML SCHEMA CONSTRAINTS

Change to XML Schema Constraint: Changed Description

XML Schema constraints applied to the Commissioning Data Sets V6-2.

The "Allowed Values" column indicates the NHS Data Model and Dictionary National Codes and Default Codes present in the XML Schema:

  • None = The National Codes and Default Codes are included in the XML Schema
  • Removed = The National Codes and Default Codes are not included in the XML Schema.

Note:

Data ElementXML Schema Format/LengthAllowed ValuesRangePattern MatchReason / Comment / XML Choice
ACTIVITY LOCATION TYPE CODENone
A01,A02,A03,A04,B01,B02,C01,C02,C03,D01,D02,D03,
E01,E02,E03,E04,E99,F01,G01,G02,G03,H01,J01,K01,K02,
L01,L02,L03,L04,L05,L06,L99,M01,M02,M03,M04,M05,
N01,N02,N03,N04,N05,X01
None
None
National Code G04 removed (not allowed in XML Schema)
ADVANCED CARDIOVASCULAR SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
ADVANCED RESPIRATORY SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
AGE AT CDS ACTIVITY DATEmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
AGE AT CENSUSmax n3
None
None
None
Existing Format/Length states n3 - XML Schema allows max n3
AGE ON ADMISSIONmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
ATTENDANCE IDENTIFIERmax an12
None
None
None
Existing Format/Length states an12 - XML Schema allows max an12
BASIC CARDIOVASCULAR SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
BASIC RESPIRATORY SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
BIRTH WEIGHTmax n4
None
None
None
Existing Format/Length states max an4 - XML Schema allows max n4
CARE PROFESSIONAL MAIN SPECIALTY CODENone
100,101,110,120,130,140,141,142,143,145,146,147,148,149,
150,160,170,171,180,190,192,300,301,302,303,304,305,310,
311,312,313,314,315,320,321,325,326,330,340,350,352,360,
361,370,371,400,401,410,420,421,430,450,451,460,501,502,
504,560,600,601,700,710,711,712,713,715,800,810,820,821,
822,823,824,830,831,833,834,900,901,902,903,904,950,960,
199,499
None
None
National Code 500 removed (not allowed in XML Schema)
CDS COPY RECIPIENT IDENTITYmin an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
CDS INTERCHANGE APPLICATION REFERENCEmax an14
None
None
None
Existing Format/Length states min an1 max an14 - XML Schema allows max an14
CDS INTERCHANGE RECEIVER IDENTITYmax an15
None
None
None
Existing Format/Length states min an1 max an15 - XML Schema allows max an15
CDS INTERCHANGE SENDER IDENTITYmax an15
None
None
None
Existing Format/Length states min an1 max an15 - XML Schema allows max an15
CDS MESSAGE REFERENCEmax n7
None
None
None
Existing Format/Length states max an7 - XML Schema allows max n14 but SUS accepts max n7
CDS MESSAGE VERSION NUMBERNone
CDS062
None
None
Message version is hard coded in the XML Schema
CDS PRIME RECIPIENT IDENTITYmin an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
CDS RECORD IDENTIFIERmax an35
None
None
None
Existing Format/Length states min an1 max an35 - XML Schema allows max an35
CDS SENDER IDENTITYmin an3 max an12
None
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
CDS UNIQUE IDENTIFIERmax an35
None
None
None
Existing Format/Length states min an1 max an35 - XML Schema allows max an35
CONSULTATION MEDIUM USEDNone
01,02,03,04
None
None
National Codes 05, 06, 07, 08 and 98 are not used in CDS version 6-2
COUNT OF DAYS SUSPENDEDmax n4
None
None
None
Existing Format/Length states n4 - XML Schema allows max n4
CRITICAL CARE ACTIVITY CODENone
01,02,03,04,05,06,07,08,09,10,11,12,13,14,
15,16,21,22,23,24,25,26,27,28,29,50,51,52,
53,55,56,57,58,59,60,61,62,63,64,65,66,67,
68,69,70,71,72,73,74,99
None
None
National Codes 80, 81, 82, 83, 84, 85, 94, 95, 96 and 97 removed (not allowed in the XML Schema)
CRITICAL CARE LEVEL 2 DAYSmax n3
None
National Codes 80, 81, 82, 83, 84, 85, 94, 95, 96 and 97 removed (not allowed in the XML Schema)
CRITICAL CARE DISCHARGE DESTINATIONn2
None
None
None
Existing Format/Length states an2 - XML Schema allows n2
CRITICAL CARE LEVEL 2 DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
CRITICAL CARE LEVEL 3 DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
DERMATOLOGICAL SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)None
1,2,3,4,5,8,9
None
None
National Codes 6 and 7 are not used in CDS version 6-2
DURATION OF CARE TO PSYCHIATRIC CENSUS DATEmax n5
None
None
None
Existing Format/Length states n5 - XML Schema allows max n5
DURATION OF DETENTIONmax n5
None
None
None
Existing Format/Length states n5 - XML Schema allows max n5
DURATION OF ELECTIVE WAITmax n4
None
None
None
Existing Format/Length states max an4 - XML Schema allows max n4
ELECTIVE ADMISSION LIST ENTRY NUMBERmax an12
None
None
None
Existing Format/Length states an12 - XML Schema allows max an12
ETHNIC CATEGORYmax an2
None
None
None
Existing Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Second character can be for local use.
Format/Length amended to max an2
GASTRO-INTESTINAL SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
GESTATION LENGTH (ASSESSMENT)n2
None
None
None
Existing Format/Length states an2 - XML Schema allows n2
GESTATION LENGTH (AT DELIVERY)n2
None
None
None
Existing Format/Length states an2 - XML Schema allows n2
GESTATION LENGTH (LABOUR ONSET)n2
None
None
None
Existing Format/Length states an2 - XML Schema allows n2
GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE)None
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
GENERAL MEDICAL PRACTITIONER (SPECIFIED)None
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
INTENDED SITE CODE (OF TREATMENT)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
LIVER SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
LOCAL PATIENT IDENTIFIERmax an10
None
None
None
Existing Format/Length states an10 - XML Schema allows max an10
LOCAL PATIENT IDENTIFIER (BABY)max an10
None
None
None
Existing Format/Length states an10 - XML Schema allows max an10
LOCAL PATIENT IDENTIFIER (MOTHER)max an10
None
None
None
Existing Format/Length states an10 - XML Schema allows max an10
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)None
01,02,03,04,05,06,07,08,09,10,11,12,13,14,
15,16,17,18,19,20,31,32,34,35,36,37,38
None
None
Additional National Codes 37 and 38 added
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)None
01,02,03,04,05,06,07,08,09,10,11,12,13,14,
15,16,17,18,19,20,31,32,34,35,36,37,38
None
None
Additional National Codes 37 and 38 added
NEUROLOGICAL SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
ORGAN SUPPORT MAXIMUMn2
None
00-06
None
Existing Format/Length states an2 - XML Schema allows max n2.  Range 00-06 allowed
ORGANISATION CODE (CODE OF COMMISSIONER)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
ORGANISATION CODE (CODE OF PROVIDER)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION SITE CODE changes
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)min an3 max an12
None
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))min an3 max an12
None
None
None
Field size extended to future proof for ODS ORGANISATION SITE CODE changes
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))min an3 max an12
None
None
None
Field size extended to future proof for ODS ORGANISATION SITE CODE changes
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)min an3 max an12
None
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
PERSON WEIGHTn3.n3
None
None
None
Existing Format/Length states max n3.max n3 - XML Schema enforces 3 digits before and after the decimal point - max removed
PRIMARY DIAGNOSIS (READ)max an5
None
None
None
Existing Format/Length allows for all clinical classifications -XML Schema allows max an5
REFERRER CODENone
Removed
Existing Format/Length allows for all clinical classifications -XML Schema allows max an5
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)max an12
None
None
None
Existing Format/Length states max an32 - XML Schema allows max an12
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)max an12
None
None
None
Existing Format/Length states max an32 - XML Schema allows max an12
REFERRER CODENone
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
REFERRING ORGANISATION CODEmin an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
RENAL SUPPORT DAYSmax n3
None
None
None
Existing Format/Length states max an3 - XML Schema allows max n3
SECONDARY DIAGNOSIS (READ)max an5
None
None
None
Existing Format/Length allows for all clinical classifications -XML Schema allows max an5
SITE CODE (OF TREATMENT)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION SITE CODE changes
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)None
19,29,39,49,51,52,53,54,65,66,79,85,87,88
None
None
National Codes 40, 41 and 42 are not used in CDS version 6-2

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For enquiries about this Change Request, please email information.standards@nhs.net

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