Change Request

NHS Information Authority

Data Standards Programme

Reference:	Change Request 241
Version No:	1.2
Subject:	DSCN 15/2002
Type of Change:
Effective Date:	1 March 2002
Reason for Change:	Unclear definition

Background:

There has been confusion as to which classification of ADMISSION METHOD applies in the case where an admitted patient at Trust A is transferred in an emergency to Trust B.

The classification and code which should be used is '28 - Other means, including admitted from the ACCIDENT AND EMERGENCY DEPARTMENT of another provider where they had not been admitted', and not '81 - Transfer of any admitted PATIENT from other HOSPITAL PROVIDER other than in an emergency'.

The description has been reordered to make this clear.

Summary of changes:


Attribute Definitions
ADMISSION METHOD	Change to description

Name:	Barbara Forgarty
Date:	15 November 2002
Sponsor:

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.

ADMISSION METHOD

Change to Attribute: change to description

The method of admission to a HOSPITAL PROVIDER SPELL. A detailed definition of elective admission is given in ELECTIVE ADMISSION TYPE.

National Codes:
Elective admission, when the decision to admit could be separated in time from the actual admission:
11 Waiting list
12 Booked
13 Planned
Note that this does not include a transfer from another HOSPITAL PROVIDER (see 81 below).

Emergency admission, when admission is unpredictable and at short notice because of clinical need:
21 Accident and emergency or dental casualty department of the HEALTH CARE PROVIDER
22 General practitioner: after a request for immediate admission has been made direct to a HOSPITAL PROVIDER, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23 Bed bureau
24 Consultant clinic, of this or another HEALTH CARE PROVIDER
28 ~~Other means, including admitted from the ACCIDENT AND EMERGENCY DEPARTMENT of another provider where they had not been admitted~~
28 Other means, examples are:
- admitted from the ACCIDENT AND EMERGENCY DEPARTMENT of another provider where they had not been admitted
- transfer of an admitted PATIENT from another HOSPITAL PROVIDER in an emergency
- baby born at home as intended

Maternity admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy
31 Admitted ante-partum
32 Admitted post-partum

Other admission
82 The birth of a baby in this HEALTH CARE PROVIDER
83 Baby born outside the HEALTH CARE PROVIDER except when born at home as intended.*
83 Baby born outside the HEALTH CARE PROVIDER except when born at home as intended.
81 Transfer of any admitted PATIENT from other HOSPITAL PROVIDER other than in an emergency
* In this case the baby is an emergency admission

Note: The classification has been listed in logical sequence rather than alphanumeric order.

This attribute is also known by these names:
Context Alias
plural ADMISSION METHODS

Context	Alias
plural	ADMISSION METHODS

top

Elective admission, when the decision to admit could be separated in time from the actual admission:
11	Waiting list
12	Booked
13	Planned
Note that this does not include a transfer from another HOSPITAL PROVIDER (see 81 below).
Emergency admission, when admission is unpredictable and at short notice because of clinical need:
21	Accident and emergency or dental casualty department of the HEALTH CARE PROVIDER
22	General practitioner: after a request for immediate admission has been made direct to a HOSPITAL PROVIDER, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23	Bed bureau
24	Consultant clinic, of this or another HEALTH CARE PROVIDER
28	~~Other means, including admitted from the ACCIDENT AND EMERGENCY DEPARTMENT of another provider where they had not been admitted~~
28	Other means, examples are: - admitted from the ACCIDENT AND EMERGENCY DEPARTMENT of another provider where they had not been admitted - transfer of an admitted PATIENT from another HOSPITAL PROVIDER in an emergency - baby born at home as intended
Maternity admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy
31	Admitted ante-partum
32	Admitted post-partum
Other admission
82	The birth of a baby in this HEALTH CARE PROVIDER
83	Baby born outside the HEALTH CARE PROVIDER except when born at home as intended.*
83	Baby born outside the HEALTH CARE PROVIDER except when born at home as intended.
81	Transfer of any admitted PATIENT from other HOSPITAL PROVIDER other than in an emergency
* In this case the baby is an emergency admission