Defines individual ACTIVITY DATE and ACTIVITY TIME types.

ACTIVITY DATE TYPE, ACTIVITY TIME TYPE and ACTIVITY DATE AND TIME TYPE provide lists of ACTIVITY DATE TIMES.

The date, month, year and century, or any combination of these elements, that is of relevance to an ACTIVITY.

The specific nature of the ACTIVITY DATE will be identified by the ACTIVITY DATE TYPE.

An ACTIVITY may have many dates associated with it but may only have one date of a particular type.This item has been retired from the NHS Data Model and Dictionary.

National Codes:The last live version of this item is available in the August 2021 release of the NHS Data Model and Dictionary.

ACUTE ONCOLOGY ASSESSMENT COMPLETED DATE is the date an Acute Oncology Assessment was completed during a Cancer Care Spell.ACUTE ONCOLOGY ASSESSMENT COMPLETED DATE is the Care Contact Date when an Acute Oncology Assessment was completed during a Cancer Care Spell.

ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS END DATE is the date the ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS for a PATIENT ended.ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS END DATE is the End Date of the ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS for a PATIENT.

ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS START DATE is the date the ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS for a PATIENT started.ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS START DATE is the Start Date of the ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS for a PATIENT.

APPOINTMENT DATE (FORMAL ANTENATAL BOOKING) is the date of the Formal Antenatal Booking Appointment, i.e. the date of the first official Antenatal Booking Appointment at which the assessment for health and social care needs is carried out and Antenatal care arrangements for the Maternity Episode are made.APPOINTMENT DATE (FORMAL ANTENATAL BOOKING) is the Care Contact Date of the Formal Antenatal Booking Appointment, i.e. the date of the first official Antenatal Booking Appointment at which the assessment for health and social care needs is carried out and Antenatal care arrangements for the Maternity Episode are made.

ATTENDANCE DATE is the date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Emergency Care Department or by a Ward Attender.ATTENDANCE DATE is the Care Contact Date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Emergency Care Department or by a Ward Attender.

CANCER DENTAL ASSESSMENT DATE is the date of the first dental assessment by a GENERAL DENTAL PRACTITIONER, which contributes to preparation for treatment, during a Head and Neck Cancer Care Spell.CANCER DENTAL ASSESSMENT DATE is the Clinical Intervention Date of the first dental assessment by a GENERAL DENTAL PRACTITIONER, which contributes to preparation for treatment, during a Head and Neck Cancer Care Spell.

CANCER FASTER DIAGNOSIS PATHWAY END DATE is either the date when the PATIENT:CANCER FASTER DIAGNOSIS PATHWAY END DATE is either the End Date when the PATIENT:

• is informed of the CANCER FASTER DIAGNOSIS PATHWAY END REASON, where the National Code is either 'Diagnosis of cancer' or 'Ruling out of cancer'
• is informed of the CANCER FASTER DIAGNOSIS PATHWAY END REASON, where the National Code is either 'Diagnosis of cancer' or 'Ruling out of cancer' OR
• is excluded from the Cancer Faster Diagnosis Pathway, where the CANCER FASTER DIAGNOSIS PATHWAY END REASON is National Code is 'Excluded from the Cancer Faster Diagnosis Pathway'.

Note: where a Decision To Treat is made before the CANCER FASTER DIAGNOSIS PATHWAY END REASON is recorded, then the end of the Cancer Faster Diagnosis Pathway is the DECISION TO TREAT DATE.

CANCER REFERRAL TO TREATMENT PERIOD START DATE is the Start Date of the Cancer Referral To Treatment Period.

A CANCER REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:

• The REFERRAL REQUEST RECEIVED DATE of the SERVICE REQUEST:
  • to secondary care by a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER where the PRIORITY TYPE is National Code 'Two Week Wait' *
  • to secondary care where the PATIENT was subsequently upgraded onto a Cancer Pathway. The CONSULTANT UPGRADE DATE will also be recorded, as this is the date used to calculate the start of the two month (62 day) waiting time target for PATIENTS who have been upgraded to a Cancer Pathway
  • into secondary care when the PATIENT was referred urgently for 'breast symptoms', where the PRIORITY TYPE is National Code 'Two Week Wait' *
  • to an Assessment Clinic following the identification of an abnormality by an NHS Cancer Screening Service, where the PRIORITY TYPE is National Code 'Urgent' *
• The ORIGINAL REFERRAL REQUEST RECEIVED DATE for the initial SERVICE REQUEST to secondary care by an NHS Cancer Screening Service, where the PRIORITY TYPE is National Code 'Routine', and where the PATIENT was subsequently upgraded onto a Cancer Pathway. The CONSULTANT UPGRADE DATE will also be recorded.

Notes:

• * The start of the Cancer Faster Diagnosis Pathway will be the CANCER REFERRAL TO TREATMENT PERIOD START DATE for the items annotated.
• For a SERVICE REQUEST received from the Choose and Book system, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first Out-Patient Appointment slot (i.e. converted). See REFERRAL REQUEST RECEIVED DATE.

CANCER TREATMENT PERIOD START DATE is the Start Date of the Cancer Treatment Period.

A CANCER TREATMENT PERIOD START DATE will be either:

• the DECISION TO TREAT DATE
  • the date that a PATIENT agrees a treatment plan for either first or subsequent treatments within a Cancer Care Plan.  An individual PATIENT may have multiple DECISION TO TREAT DATES or
• the EARLIEST CLINICALLY APPROPRIATE DATE
  • where there is no new DECISION TO TREAT DATE, but there has been a previously agreed and clinically appropriate period of delay. In this case the subsequent ACTIVITY may not be the final treatment, but could be the next APPOINTMENT which deals with the planning of subsequent treatments.

CARE CONTACT DATE (DIETITIAN INITIAL) is the date of the Initial Contact with a Dietitian.CARE CONTACT DATE (DIETITIAN INITIAL) is the Care Contact Date of the Initial Contact with a Dietitian.

CARE CONTACT DATE (MENTAL HEALTH DROP IN CONTACT) is the date of the Mental Health Drop In Contact.CARE CONTACT DATE (MENTAL HEALTH DROP IN CONTACT) is the Care Contact Date of the Mental Health Drop In Contact.

CARE CONTACT DATE (SPEECH AND LANGUAGE THERAPIST INITIAL) is the date of the Initial Contact with a Speech and Language Therapist.CARE CONTACT DATE (SPEECH AND LANGUAGE THERAPIST INITIAL) is the Care Contact Date of the Initial Contact with a Speech and Language Therapist.

CARE PACKAGE END DATE (NHS CONTINUING HEALTHCARE) is the date the care package for NHS Continuing Healthcare for a PATIENT ended.CARE PACKAGE END DATE (NHS CONTINUING HEALTHCARE) is the End Date of the care package for NHS Continuing Healthcare for a PATIENT.

CARE PACKAGE START DATE (NHS CONTINUING HEALTHCARE) is the date the care package for NHS Continuing Healthcare for a PATIENT started.CARE PACKAGE START DATE (NHS CONTINUING HEALTHCARE) is the Start Date of the care package for NHS Continuing Healthcare for a PATIENT.

CARE PLAN AGREED DATE will be replaced with CARE PLAN CONTENT AGREED DATE, which is the most recent approved national information standard to describe the required definition.

CARE PLAN AGREED DATE will be replaced with CARE PLAN CONTENT AGREED DATE, which is the most recent approved national information standard to describe the required definition.This item is being used for development purposes and has not yet been approved.

For the Community Services Data Set and Mental Health Services Data Set, where the CARE PLAN has not been updated since its creation, the CARE PLAN LAST UPDATED DATE will be the same as CARE PLAN CREATION DATE.

CARE PROGRAMME APPROACH REVIEW DATE is the date of the Care Programme Approach Review.CARE PROGRAMME APPROACH REVIEW DATE is the Care Contact Date of the Care Programme Approach Review.

CHILD PROTECTION PLAN END DATE is the date on which a Child or Young Person is removed from a Child Protection Plan.CHILD PROTECTION PLAN END DATE is the End Date on which a Child or Young Person is removed from a Child Protection Plan.

CHILD PROTECTION PLAN START DATE is the date on which a Child or Young Person is placed on a Child Protection Plan.CHILD PROTECTION PLAN START DATE is the Start Date on which a Child or Young Person is placed on a Child Protection Plan.

CLINICAL INTERVENTION DATE (DRUG DISPENSED) is the date that a drug was dispensed to the PATIENT.CLINICAL INTERVENTION DATE (DRUG DISPENSED) is the Clinical Intervention Date that a drug was dispensed to the PATIENT.

CLINICAL INTERVENTION DATE (MEDICAL DEVICE IMPLEMENTATION) is the date when the MEDICAL DEVICE was inserted in or provided to the PATIENT.CLINICAL INTERVENTION DATE (MEDICAL DEVICE IMPLEMENTATION) is the Clinical Intervention Date when the MEDICAL DEVICE was inserted in or provided to the PATIENT. 

CLINICAL STATUS ASSESSMENT DATE (CANCER) is the date on which a clinical status assessment was performed during a Head and Neck Cancer Care Spell.CLINICAL STATUS ASSESSMENT DATE (CANCER) is the Clinical Intervention Date on which a clinical status assessment was performed during a Head and Neck Cancer Care Spell.

For the Cancer Outcomes and Services Data Set, if the PATIENT enters into more than one CLINICAL TRIAL, CLINICAL TRIAL DECISION DATE should be recorded for each CLINICAL TRIAL.

CODED PROCEDURE TIMESTAMP is the date, time and time zone that the Patient Procedure was performed by a CARE PROFESSIONAL.

A Timestamp is represented with the components of date, time and either the number of hours offset (plus or minus) from Greenwich Mean Time, or the letter Z to signify that it is the same as Greenwich Mean Time.

In most cases offset time is restricted to:

• +01:00
• +00:00
• -00:00

Examples of valid formats are:

• 2020-08-21T10:15:20+01:00 British Summer Time (GMT + 1 Hour)
• 2020-08-21T10:15:20+00:00 Greenwich Mean Time
• 2020-08-21T10:15:20-00:00 Greenwich Mean Time
• 2020-08-21T09:18:00Z Greenwich Mean Time.

CRITICAL CARE DISCHARGE DATE is the End Date of the CRITICAL CARE PERIOD.

CRITICAL CARE DISCHARGE DATE may be the:

• date the PATIENT is discharged from the critical care unit
• date the PATIENT died or
• date of declaration of brainstem death.

CRITICAL CARE DISCHARGE 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.

CRITICAL CARE START DATE is the Start Date of the CRITICAL CARE PERIOD.

CRITICAL CARE START 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.

DATE FIRST SEEN is the date that the PATIENT is first seen in the Trust that receives the first referral.DATE FIRST SEEN is the Care Contact Date that the PATIENT is first seen in the Trust that receives the first referral.

DATE FIRST SEEN will be one of the following, whichever is the earliest SERVICE relating to the REFERRAL REQUEST:

• first Out-Patient Appointment; this is the ATTENDANCE DATE of the first Out-Patient Attendance Consultant
• first diagnostic procedure if this precedes the first Out-Patient Appointment; this is the first Clinical Intervention Date of the Imaging or Radiodiagnostic Event or CLINICAL INTERVENTION
• first seen as an emergency; this is the Start Date of the Hospital Provider Spell or the Emergency Care Arrival Date of the Emergency Care Attendance
• the date the PATIENT was first seen following referral (or recall) from (or by) a Screening Unit.

DATE FIRST SEEN for the:

• National Cancer Waiting Times Monitoring Data Set is:
  • the date when the PATIENT is seen for the first time by a CONSULTANT (or member of their team) or in a clinic following receipt of the REFERRAL REQUEST.
• HIV and AIDS Reporting Data Set is:
  • the date the PATIENT was first seen for Human Immunodeficiency Virus (HIV) care at a HIV Clinic Attendance at the current Health Care Provider.

DATE FIRST SEEN (CANCER SPECIALIST) is the Care Contact Date that the PATIENT is first seen by the appropriate specialist for cancer care within a Cancer Care Spell.

This is the PERSON or PERSONS who are most able to progress the diagnosis of the primary Tumour.

DATE FIRST SEEN (CANCER SPECIALIST) will be one of the following, whichever is the earlier ACTIVITY related to the Cancer Care Spell where the PATIENT saw an appropriate specialist for cancer care:

• first Out-Patient Appointment with an appropriate cancer specialist; this is the first attendance of the Out-Patient Attendance Consultant
• first diagnostic procedure if this precedes the first Out-Patient Appointment; this is the first Clinical Intervention Date (i.e. date of the Imaging or Radiodiagnostic Event)
• first seen as an emergency; this is the START DATE (HOSPITAL PROVIDER SPELL) or EMERGENCY CARE ARRIVAL DATE
• first seen following recall by screening unit; this is the SCREENING TEST DATE.

DATE FIRST SEEN (CANCER SPECIALIST) may be the same as DATE FIRST SEEN if the initial consultation was with an appropriate cancer specialist in the Trust that receives the first referral.

DECISION TO DELIVER DATE is the date on which the Decision To Deliver was made.DECISION TO DELIVER DATE is the Clinical Intervention Date on which the Decision To Deliver was made.

DIAGNOSTIC TEST DATE is the date the Diagnostic Imaging was performed.DIAGNOSTIC TEST DATE is the Procedure Date of the Diagnostic Imaging.

DISCHARGE DATE (BABY POST DELIVERY HOSPITAL PROVIDER SPELL) is the date the baby was discharged from a Hospital Provider Spell following completion of Delivery.DISCHARGE DATE (BABY POST DELIVERY HOSPITAL PROVIDER SPELL) is the Discharge Date for the baby from a Hospital Provider Spell following completion of Delivery.

DISCHARGE DATE (HOSPITAL PROVIDER SPELL) is the date a PATIENT was discharged from a Hospital Provider Spell.DISCHARGE DATE (HOSPITAL PROVIDER SPELL) is the Discharge Date for a PATIENT from a Hospital Provider Spell.

DISCHARGE DATE (MOTHER MATERNITY SERVICES) is the date on which the mother ceased to be cared for in a Maternity Service.DISCHARGE DATE (MOTHER MATERNITY SERVICES) is the Discharge Date for the mother from a Maternity Service.

DISCHARGE DATE (MOTHER POST LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) is the date the mother was discharged from a Hospital Provider Spell following completion of Labour and Delivery.DISCHARGE DATE (MOTHER POST LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) is the Discharge Date for the mother from a Hospital Provider Spell following completion of Labour and Delivery.

DISCHARGE PLAN CONTENT AGREED DATE is the date on which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy.

DISCHARGE PLAN CREATION DATE is the date that a Discharge Plan was created.DISCHARGE PLAN CREATION DATE is the Care Plan Creation Date for a Discharge Plan.

DISCHARGE PLAN LAST UPDATED DATE is the date that a Discharge Plan was last updated.DISCHARGE PLAN LAST UPDATED DATE is the Care Plan Last Updated Date for a Discharge Plan.

For the Mental Health Services Data Set, where the Discharge Plan has not been updated since its creation, the DISCHARGE PLAN LAST UPDATED DATE will be the same as DISCHARGE PLAN CREATION DATE.

END DATE (EPISODE) is the End Date of an Episode.

END DATE (EPISODE) 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.

END DATE (MENTAL HEALTH RESOURCE GROUP) is the date when the PATIENT either changes their Mental Health Resource Group or leaves the Mental Health Service.END DATE (MENTAL HEALTH RESOURCE GROUP) is the End Date when the PATIENT either changes their Mental Health Resource Group  (MHRG) or leaves the Mental Health Service.

Notes:
END DATE AGREED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TYPE is National Code 'End Date' of the NHS Continuing Healthcare Previously Unassessed Period of Care agreed by the Clinical Commissioning Group.END DATE AGREED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE) is the same as attribute ACTIVITY DATE.

END DATE AGREED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE) is End Date of the NHS Continuing Healthcare Previously Unassessed Period of Care agreed by the Clinical Commissioning Group.

Notes:
END DATE REQUESTED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TYPE is National Code 'End Date' of the NHS Continuing Healthcare Previously Unassessed Period of Care that the Clinical Commissioning Group has been requested to review.END DATE REQUESTED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE) is the same as attribute ACTIVITY DATE.

END DATE REQUESTED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE) is the End Date of the NHS Continuing Healthcare Previously Unassessed Period of Care that the Clinical Commissioning Group has been requested to review.

FITNESS ASSESSMENT FOR OLDER PATIENTS WITH BREAST CANCER COMPLETED DATE is the date the Fitness Assessment for Older Patients with Breast Cancer was completed.FITNESS ASSESSMENT FOR OLDER PATIENTS WITH BREAST CANCER COMPLETED DATE is the Care Contact Date that the Fitness Assessment for Older Patients with Breast Cancer was completed.

FIVE FORENSIC PATHWAYS ASSESSMENT DATE is the date on which a Five Forensic Pathways assessment was completed for a PATIENT.FIVE FORENSIC PATHWAYS ASSESSMENT DATE is the Clinical Intervention Date on which a Five Forensic Pathways assessment was completed for a PATIENT.