Change Request: CP922

Change Request

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference:	Change Request 922
Version No:	1.0
Subject:	Change of name for the Information Standards Board
Effective Date:	Immediate
Reason for Change:	Change to Data Standards
Publication Date:	28 January 2009

Background:

The Information Standards Board has changed it's name to the Information Standards Board for Health and Social Care.

Organisations, including the Information Standards Board for Health and Social Care, which are referenced in the NHS Data Model and Dictionary are being included in the NHS Data Model and Dictionary.

This Data Set Change Notice:

adds a new NHS Business Definition for the Information Standards Board for Health and Social Care;
adds links to existing references to the Information Standards Board in the NHS Data Model and Dictionary
adds Information Standards Board for Health and Social Care to the Organisations menu

This Data Set Change Notice also:

adds missing "links" to existing information where required and
removes all unnecessary abbreviations

Summary of changes:

Data Set
CDS V6 TYPE 010	Changed Description
CDS V6 TYPE 020	Changed Description
CDS V6 TYPE 021	Changed Description
CDS V6 TYPE 030	Changed Description
CDS V6 TYPE 040	Changed Description
CDS V6 TYPE 050	Changed Description
CDS V6 TYPE 060	Changed Description
CDS V6 TYPE 070	Changed Description
CDS V6 TYPE 080	Changed Description
CDS V6 TYPE 090	Changed Description
CDS V6 TYPE 100	Changed Description
CDS V6 TYPE 110	Changed Description
CDS V6 TYPE 120	Changed Description
CDS V6 TYPE 130	Changed Description
CDS V6 TYPE 140	Changed Description
CDS V6 TYPE 150	Changed Description
CDS V6 TYPE 160	Changed Description
CDS V6 TYPE 170	Changed Description
CDS V6 TYPE 180	Changed Description
CDS V6 TYPE 190	Changed Description
CDS V6 TYPE 200	Changed Description

Supporting Information
ATTRIBUTE DEFINITIONS INTRO	Changed Aliases
CENTRAL RETURN FORMS INTRODUCTION renamed from CENTRAL RETURNS INTRODUCTION	Changed Name, Description, Aliases
DATA ELEMENTS INTRO	Changed Aliases
INDEX	Changed Description
INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE	New Supporting Information
INTRODUCTION	Changed Description
NHS BUSINESS DEFINITIONS	Changed Aliases
ORGANISATIONS MENU	Changed Description
PUBLICATION INFORMATION CONTACT DETAILS	Changed Description
THE NHS DATA MODEL & DICTIONARY ELEMENTS	Changed Description

Date:	28 January 2009
Sponsor:	Ken Lunn, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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CDS V6 TYPE 010

Change to Data Set: Changed Description

CDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDS

This Commissioning Data Set carries the data for an Accident and Emergency Attendance Episode and consists of the following Commissioning Data Set Data Groups:

INTERCHANGE, MESSAGE and COMMISSIONING DATA SET TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
GENERAL PRACTITIONER REGISTRATION
ATTENDANCE OCCURRENCE - Activity Characteristics
ATTENDANCE OCCURRENCE - Service Agreement Details
ATTENDANCE OCCURRENCE - Person Group (A And E Consultant)
ATTENDANCE OCCURRENCE - Clinical Information (Diagnosis)
ATTENDANCE OCCURRENCE - Clinical Information (Investigation)
ATTENDANCE OCCURRENCE - Clinical Information (Treatment)
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDS

COMMISSIONING DATA SET DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (not defined or approved by the Information Standards Board for Health and Social Care)

COMMISSIONING DATA SET DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	Commissioning Data Set Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
O	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)

Note:
For reasons of confidentiality, the PATIENT's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all PATIENT identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in PATIENT Characteristics data group below).

COMMISSIONING DATA SET DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	Commissioning Data Set Data Element
M	PERSON BIRTH DATE
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

COMMISSIONING DATA SET DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics: To carry the details of the Accident and Emergency attendance.
M	A and E ATTENDANCE NUMBER
M	A and E ARRIVAL MODE
M	A and E ATTENDANCE CATEGORY
M	A and E ATTENDANCE DISPOSAL
M	A and E INCIDENT LOCATION TYPE
M	A and E PATIENT GROUP
M	SOURCE OF REFERRAL FOR A and E
M	A and E DEPARTMENT TYPE
M	ARRIVAL DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE
M	ARRIVAL TIME
M	AGE AT CDS ACTIVITY DATE
M	A and E INITIAL ASSESSMENT TIME (first and unplanned follow-up attendances only)
M	A and E TIME SEEN FOR TREATMENT
M	A and E ATTENDANCE CONCLUSION TIME
M	A and E DEPARTURE TIME

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Accident and Emergency Attendance. One occurrence of this Data Group is permitted.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
O	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Person Group (A + E Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	A and E STAFF MEMBER CODE

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE -Clinical Diagnosis Details - ICD: To carry the details of the Diagnosis Code Scheme and the Diagnoses. One occurrence of this Group is permitted.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (ICD)
O	SECONDARY DIAGNOSIS (ICD) Multiple Secondary Diagnoses may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - READ: To carry the details of the Diagnosis Code Scheme and the Diagnoses. One occurrence of this Group is permitted.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) Multiple Secondary Diagnoses may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - A + E Coded: To carry the details of the Diagnosis Code Scheme and the Diagnoses. One occurrence of this Group is permitted.
M	DIAGNOSIS SCHEME IN USE
M	ACCIDENT AND EMERGENCY DIAGNOSIS - FIRST
M	ACCIDENT AND EMERGENCY DIAGNOSIS - SECOND Multiple Secondary Diagnoses may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Investigation Details - A + E: To carry the details of the Investigation Code Scheme and the Investigations undertaken. Multiple occurrences of this Group are permitted.
M	INVESTIGATION SCHEME IN USE
M	ACCIDENT AND EMERGENCY INVESTIGATION - FIRST
M	ACCIDENT AND EMERGENCY INVESTIGATION - SECOND Multiple Secondary Investigations may be recorded.

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (OPCS): To carry the details of the OPCS coded Clinical Activities and Treatments undertaken. One occurrence of this Group is permitted.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (READ): To carry the details of the READ coded Clinical Activities and Treatments undertaken. One occurrence of this Group is permitted.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (A + E): To carry the details of the A + E coded Clinical Activities and Treatments undertaken. One occurrence of this Group is permitted.
M	PROCEDURE SCHEME IN USE
M M	ACCIDENT AND EMERGENCY TREATMENT - FIRST PROCEDURE DATE (of First Treatment)
M M	(Multiple occurrences of this sub-group may be recorded) ACCIDENT AND EMERGENCY TREATMENT - SECOND PROCEDURE DATE (of Subsequent Treatments)

COMMISSIONING DATA SET DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group.
M	HEALTHCARE RESOURCE GROUP CODE
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

COMMISSIONING DATA SET DATA GROUP: Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the Healthcare Resource Group Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to Healthcare Resource Group Dominant Grouping Variable - Procedure should be omitted.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Note:
In addition, Accident and Emergency reference costs are mandated and collected via a direct data flow between Providers and the Department of Health.

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CDS V6 TYPE 020

Change to Data Set: Changed Description

CDS V6 TYPE 020 - OUTPATIENT CDS

The Outpatient CDS carries the data for a Care Activity or a cancelled / missed Care Appointment. The data set applies for Consultant, Nurse, Midwife, and other CARE PROFESSIONALS attendances and appointments, including Ward Attendances for nursing care.

This CDS Type must not be used for "Future Outpatients" - for this CDS TYPE 021 must be used.

The CDS consists of the following CDS Data Groups:

INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
CARE EPISODE
ATTENDANCE OCCURRENCE
GP REGISTRATION
REFERRAL
MISSED APPOINTMENT OCCURRENCE
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 020 - THE OUTPATIENT CDS (Known in the Schema as the Care Activity CDS)

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)

Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE), and PERSON BIRTH DATE (in Patient Characteristics data group below).

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: CARE EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (ICD)
O	SECONDARY DIAGNOSIS (ICD) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics: To carry the details of the Care Attendance or cancelled appointment.
M	ATTENDANCE IDENTIFIER
M	ADMINISTRATIVE CATEGORY
M	ATTENDED OR DID NOT ATTEND
M	FIRST ATTENDANCE
M	MEDICAL STAFF TYPE SEEING PATIENT
M	OPERATION STATUS (per attendance)
M	OUTCOME OF ATTENDANCE
M	APPOINTMENT DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
M	AGE AT CDS ACTIVITY DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Location Group of Care Attendance: To carry the details of the location and Site Code of Treatment. One occurrence of this Group is permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list currently under review

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL - Activity Characteristics: To carry the details of the referral. One occurrence of this Group is permitted.
M	PRIORITY TYPE
M	SERVICE TYPE REQUESTED
M	SOURCE OF REFERRAL FOR OUT-PATIENTS
M	REFERRAL REQUEST RECEIVED DATE

CDS DATA GROUP: REFERRAL - Person Group (Referrer): To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: MISSED APPOINTMENT - Occurrence: To carry the details of a missed appointment. One occurrence of this Group is permitted.
M	LAST DNA OR PATIENT CANCELLED DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Note:
HRG Dominant Grouping Variable does not apply to Care Attendances but the data structure is retained for documentation purposes.

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CDS V6 TYPE 021

Change to Data Set: Changed Description

CDS V6 TYPE 021 - FUTURE OUTPATIENT CDS

The Future Outpatient CDS carries the data for a forthcoming Care Activity, future or planned Care Appointment. The data set applies for Consultant, Nurse and Midwife attendances and appointments including Ward Attendances for nursing care.

The CDS TYPE 021 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
CARE EPISODE
ATTENDANCE OCCURRENCE
GP REGISTRATION
REFERRAL
HEALTHCARE RESOURCE GROUP

~~Note: Each CDS must contain a valid~~ ~~CDS ACTIVITY DATE~~ ~~and when using the CDS BULK REPLACEMENT UPDATE MECHANISM this date must also be compatible with the~~ ~~CDS REPORT PERIOD START DATE~~ ~~and the~~ ~~CDS REPORT PERIOD END DATE~~ ~~specified as part of the CDS EXCHANGE PROTOCOL.~~Note: Each Commissioning Data Set must contain a valid CDS ACTIVITY DATE and when using the CDS BULK REPLACEMENT UPDATE MECHANISM this date must also be compatible with the CDS REPORT PERIOD START DATE and the CDS REPORT PERIOD END DATE specified as part of the CDS EXCHANGE PROTOCOL.

The CDS ACTIVITY DATE has an "originating date" held within the CDS data and for the Future Outpatient CDS Type this is the APPOINTMENT DATE held in the Attendance Occurrence-Activity Characteristics data structure.The CDS ACTIVITY DATE has an "originating date" held within the Commissioning Data Set data and for the Future Outpatient CDS Type this is the APPOINTMENT DATE held in the Attendance Occurrence-Activity Characteristics data structure.

Where the source application system cannot provide a valid date, the default value may be applied, see APPOINTMENT DATE.

CDS V6 TYPE 021 - THE FUTURE OUTPATIENT CDS (Known in the Schema as Future Care Activity CDS)

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated appointment)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)

Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: CARE EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (ICD): To carry the details of the ICD Diagnosis Scheme and the provisional Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (ICD)
O	SECONDARY DIAGNOSIS (ICD) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (READ): To carry the details of the READ Diagnosis Scheme and the provisional Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) Multiple Secondary Diagnoses may be recorded.

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics: To carry the details of the Future Care Attendance or cancelled future appointment.
O	ATTENDANCE IDENTIFIER
M	ADMINISTRATIVE CATEGORY
O	ATTENDED OR DID NOT ATTEND
M	FIRST ATTENDANCE
O	MEDICAL STAFF TYPE SEEING PATIENT
O	OPERATION STATUS (per attendance)
O	OUTCOME OF ATTENDANCE
M	APPOINTMENT DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
M	AGE AT CDS ACTIVITY DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Future Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities to be undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities to be undertaken.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: ATTENDANCE OCCURRENCE - Location Group of the Future Care Attendance: To carry the details of the location and Site Code of Treatment. One occurrence of this Group is permitted.
O	LOCATION CLASS
O	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list currently under review

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL - Activity Characteristics: To carry the details of the referral. One occurrence of this Group is permitted.
M	PRIORITY TYPE
M	SERVICE TYPE REQUESTED
M	SOURCE OF REFERRAL FOR OUT-PATIENTS
M	REFERRAL REQUEST RECEIVED DATE

CDS DATA GROUP: REFERRAL - Person Group (Referrer): To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: MISSED APPOINTMENT - Occurrence: To carry the details of a missed appointment. One occurrence of this Group is permitted.
O	LAST DNA OR PATIENT CANCELLED DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the anticipated Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the anticipated HRG Dominant Grouping Variable - Procedure.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Note:
HRG Dominant Grouping Variable does not apply to Care Attendances but the data structure is retained for documentation purposes.

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CDS V6 TYPE 030

Change to Data Set: Changed Description

CDS V6 TYPE 030 - EAL - END OF PERIOD CENSUS STANDARD CDS

The Elective Admission List CDSs consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

~~The End Of Period Census CDSs carry details for all booked, planned and waiting list admissions consisting of records of patients waiting for elective admission at a specified date.~~The End Of Period Census Commissioning Data Sets carry details for all booked, planned and waiting list admissions consisting of records of patients waiting for elective admission at a specified date. These should be sent within one month of the end of the period to which they relate unless a shorter time-scale has been agreed with the recipient.

Three derivations are permitted:
1) CDS Type 030 - The End Of Period Census (STANDARD)
2) CDS Type 040 - The End Of Period Census (OLD)
3) CDS Type 050 - The End Of Period Census (NEW)

This derivation, CDS Type = 030 - The End Of Period Census (STANDARD), is the simplest variation and, with one exception detailed below, all Providers must be able to create it as defined and all Commissioners must be able to process it.

The exception as identified above is for an Elective Admission List Removal. Some providers send a final EAL-End Of Period Census CDS after the patient has been removed from the list to identify when and why this took place. ~~Commissioners who do not wish to receive such final EAL-End Of Period Census CDSs should ignore them.~~ Commissioners who do not wish to receive such final EAL-End Of Period Census Commissioning Data Sets should ignore them.

The CDS TYPE 030 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
EAL ENTRY REMOVAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 030 - THE ELECTIVE ADMISSION LIST END OF PERIOD CENSUS - STANDARD CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient's Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: (PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
O	NHS SERVICE AGREEMENT CHANGE DATE

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the EAL ENTRY Occurrence.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE (for this provider) This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: EAL ENTRY REMOVAL: To carry the details of the removal from the EAL. One occurrence of this Group is permitted.
O	ELECTIVE ADMISSION LIST REMOVAL REASON
O	ELECTIVE ADMISSION LIST REMOVAL DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

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CDS V6 TYPE 040

Change to Data Set: Changed Description

CDS V6 TYPE 040 - EAL - END OF PERIOD CENSUS OLD CDS

The Elective Admission List CDSs consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

Three derivations are permitted:
1) CDS Type 030 - The End Of Period Census (STANDARD)
2) CDS Type 040 - The End Of Period Census (OLD)
3) CDS Type 050 - The End Of Period Census (NEW)

This derivation, CDS Type = 040 - The End Of Period Census (OLD), is used to report to the previous (old) Commissioner that the EAL Entry is now the responsibility of another Commissioner.

The CDS TYPE 040 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
COMMISSIONING OCCURRENCE

CDS V6 TYPE 040 - THE ELECTIVE ADMISSION LIST END OF PERIOD CENSUS - OLD CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	REFERRAL TO TREATMENT STATUS
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE

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CDS V6 TYPE 050

Change to Data Set: Changed Description

CDS V6 TYPE 050 - EAL - END OF PERIOD CENSUS NEW CDS

~~The Elective Admission List CDSs consist of two distinct types of data sets:~~The Elective Admission List Commissioning Data Sets consist of two distinct types of data sets:
EAL - End Of Period Census CDS Types, and
EAL - Event During Period CDS Types.

Three derivations are permitted:
1) CDS Type 030 - The End Of Period Census (STANDARD)
2) CDS Type 040 - The End Of Period Census (OLD)
3) CDS Type 050 - The End Of Period Census (NEW)

This derivation, CDS Type = 050 - The End Of Period Census (NEW), may be used to report to a new Commissioner an EAL Entry that had previously been the responsibility of another Commissioner.

The CDS TYPE 050 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
EAL ENTRY REMOVAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 050 - THE ELECTIVE ADMISSION LIST END OF PERIOD CENSUS - NEW CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)

Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the Care Attendance or missed appointment.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE (for this provider)
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the referral. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: EAL ENTRY REMOVAL: To carry the details of the removal from the EAL. One occurrence of this Group is permitted.
O	ELECTIVE ADMISSION LIST REMOVAL REASON
O	ELECTIVE ADMISSION LIST REMOVAL DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

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CDS V6 TYPE 060

Change to Data Set: Changed Description

CDS V6 TYPE 060 - EAL - EVENT DURING PERIOD - ADD CDS

~~The Event During Period CDS Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.~~The Event During Period Commissioning Data Set Types carry details for all events - patients added or removed from the Elective Admission List - that have taken place during the period.

~~These CDSs are intended for those Providers and Commissioners who have the capability to implement transaction-based processing.~~These Commissioning Data Sets are intended for those Providers and Commissioners who have the capability to implement transaction-based processing. They should be supplemented where required by an annual EAL End Of Period Census.

Six EAL Event During Period derivations are permitted:
1) CDS Type 060 - The Event During Period (ADD)
2) CDS Type 070 - The Event During Period (REMOVE)
3) CDS Type 080 - The Event During Period (OFFER)
4) CDS Type 090 - The Event During Period (AVAILABLE / UNAVAILABLE)
5) CDS Type 100 - The Event During Period (OLD SERVICE AGREEMENT)
6) CDS Type 110 - The Event During Period (NEW SERVICE AGREEMENT)

This derivation, CDS TYPE = 060, is the Event During Period (ADD) and is used to make an initial report that the EAL entry has been added to the Provider's Elective Admission List.

~~Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.~~Note that for EAL Event During Period Commissioning Data Set Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 060 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 060 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - ADD CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)

Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	ORGANISATION CODE (CODE OF PROVIDER)
O	NHS SERVICE AGREEMENT CHANGE DATE

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the EAL ENTRY Occurrence.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE. for this provider)
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the referral. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

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CDS V6 TYPE 070

Change to Data Set: Changed Description

CDS V6 TYPE 070 - EAL - EVENT DURING PERIOD - REMOVE CDS

This derivation, CDS Type = 070, is the Event During Period (REMOVE) and is used to report that the EAL entry has been removed from the Provider's Elective Admission List.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 070 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
EAL ENTRY REMOVAL

CDS V6 TYPE 070 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - REMOVE CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: EAL ENTRY REMOVAL: To carry the details of the removal from the EAL. One occurrence of this Group is permitted.
M	ELECTIVE ADMISSION LIST REMOVAL REASON
M	ELECTIVE ADMISSION LIST REMOVAL DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

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CDS V6 TYPE 080

Change to Data Set: Changed Description

CDS V6 TYPE 080 - EAL - EVENT DURING PERIOD - OFFER CDS

This derivation, CDS Type = 080, is the Event During Period (OFFER) and is used to report that an offer of admission has been made to the patient.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 080 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
EAL OFFER OF ADMISSION

CDS V6 TYPE 080 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - OFFER CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: EAL OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome. One occurrence of this Group is permitted.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
O	EARLIEST REASONABLE OFFER DATE

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CDS V6 TYPE 090

Change to Data Set: Changed Description

CDS V6 TYPE 090 - EAL - EVENT DURING PERIOD - AVAILABLE / UNAVAILABLE CDS

This derivation, CDS Type = 090, is the Event During Period (AVAILABLE / UNAVAILABLE) and is used to report changes in the patient's availability for treatment.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 090 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
EAL PATIENT SUSPENSION

CDS V6 TYPE 090 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - AVAILABLE / UNAVAILABLE CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: EAL PATIENT SUSPENSION: To carry the details of the patient's unavailability for treatment (Suspension). One occurrence of this Group is permitted.
M	SUSPENSION START DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.
M	SUSPENSION END DATE

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CDS V6 TYPE 100

Change to Data Set: Changed Description

CDS V6 TYPE 100 - EAL - EVENT DURING PERIOD - OLD SERVICE AGREEMENT CDS

This derivation, CDS Type = 100, is the Event During Period (OLD SERVICE AGREEMENT) and is used to report to the previous (OLD) Commissioner that the EAL Entry is now the responsibility of a new Commissioner.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 100 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
COMMISSIONING OCCURRENCE

CDS V6 TYPE 100 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - OLD SERVICE AGREEMENT CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

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CDS V6 TYPE 110

Change to Data Set: Changed Description

CDS V6 TYPE 110 - EAL - NEW SERVICE AGREEMENT CDS

This derivation, CDS TYPE = 110, is the Event During Period (NEW SERVICE AGREEMENT) and is used to make an initial report to a new Commissioner of an EAL entry that had previously been the responsibility of another Commissioner.

Note that for EAL Event During Period CDS Types, the Unique CDS Identifier, as held in the CDS Transaction Header Group, must be completed in order to provide the EAL identity.

The CDS TYPE 110 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
COMMISSIONING OCCURRENCE
EAL ENTRY
GP REGISTRATION
OFFER OF ADMISSION
ORIGINAL EAL ENTRY
REFERRAL
HEALTHCARE RESOURCE GROUP

CDS V6 TYPE 110 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - NEW SERVICE AGREEMENT CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS Data Element
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS (intended status of the anticipated admission)
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR
O	PATIENT NAME
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	ORGANISATION CODE (PCT OF RESIDENCE)

Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the details of the Patient. One occurrence of this Group is permitted.
Opt	CDS Data Element
M	PERSON BIRTH DATE
M	PERSON GENDER CURRENT
O	CARER SUPPORT INDICATOR

CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details: To carry the details of the Service Agreement for the Care Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	NHS SERVICE AGREEMENT CHANGE DATE This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.

CDS DATA GROUP: EAL ENTRY - Activity Characteristics: To carry the details of the EAL ENTRY Occurrence.
M	ELECTIVE ADMISSION LIST ENTRY NUMBER
M	ADMINISTRATIVE CATEGORY
M	COUNT OF DAYS SUSPENDED
M	ELECTIVE ADMISSION LIST STATUS
M	ELECTIVE ADMISSION TYPE
M	INTENDED MANAGEMENT
M	INTENDED PROCEDURE STATUS
M	PRIORITY TYPE
M	DECIDED TO ADMIT DATE (for this provider)
M	AGE AT CDS ACTIVITY DATE
O	GUARANTEED ADMISSION DATE
M	LAST DNA OR PATIENT CANCELLED DATE
O	WAITING LIST ENTRY LAST REVIEWED DATE

CDS DATA GROUP: EAL ENTRY - Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	CONSULTANT CODE
M	MAIN SPECIALTY CODE
M	TREATMENT FUNCTION CODE

CDS DATA GROUP: INTENDED PROCEDURES - OPCS: To carry the details of the Intended OPCS Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (OPCS) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - READ: To carry the details of the Intended READ Procedures.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE (of Primary Procedure)
O O	(Multiple Procedures may be recorded) PROCEDURE (READ) PROCEDURE DATE (of Secondary Procedure)

CDS DATA GROUP: INTENDED PROCEDURES - Location Group: To carry the details of the Intended Location.
O	LOCATION CLASS
O	INTENDED SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CDS DATA GROUP: REFERRAL: To carry the details of the referral. One occurrence of this Group is permitted.
M	REFERRER CODE
M	REFERRING ORGANISATION CODE

CDS DATA GROUP: OFFER OF ADMISSION: To carry the details of the Offer of Admission and the Outcome.
O	ADMISSION OFFER OUTCOME
M	OFFERED FOR ADMISSION DATE
O	EARLIEST REASONABLE OFFER DATE

CDS DATA GROUP: - ORIGINAL EAL ENTRY: To carry the date on which the decision to admit was made.
M	ORIGINAL DECIDED TO ADMIT DATE

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

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CDS V6 TYPE 120

Change to Data Set: Changed Description

CDS V6 TYPE 120 - ADMITTED PATIENT CARE - FINISHED BIRTH EPISODE CDS

The Finished Birth Episode Commissioning Data Set Type carries the data for a Finished Birth Episode which is required when a delivery has resulted in a registrable birth. This may take place in either NHS Hospitals or in non-NHS organisations funded by the NHS. The information is taken from the birth notification for each baby born.

~~In addition to Finished Birth Episodes an Unfinished Birth Episode CDS record is required for all Unfinished Birth Episodes at midnight on 31 March each year.~~In addition to Finished Birth Episodes an Unfinished Birth Episode Commissioning Data Set record is required for all Unfinished Birth Episodes at midnight on 31 March each year.

The CDS TYPE 120 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
PREGNANCY
ANTENATAL CARE
HOSPITAL LABOUR / DELIVERY
BIRTH OCCURRENCE
HEALTHCARE RESOURCE GROUP

The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.

CDS V6 TYPE 120 - THE FINISHED BIRTH EPISODE CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the personal details of the Patient (the BABY). One occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
M	LOCAL PATIENT IDENTIFIER	R	•
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
O	NHS NUMBER	R	•
M	NHS NUMBER STATUS INDICATOR	R	•
O	PATIENT NAME	R

Note:
For reasons of confidentiality, the patient's name must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, and PERSON BIRTH DATE (in Patient Characteristics data group below).
Birth Episodes do not carry address details for a baby.
By local agreement it may be assumed that the baby's address details are those of its mother whose details may be carried in the Birth Occurrence Group - Person Group (Mother) data structure.

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient (the BABY). One occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
M	PERSON BIRTH DATE	R	•
M	PERSON GENDER CURRENT	R	•
O	ETHNIC CATEGORY	R
M	LIVE OR STILL BIRTH	R	•
M	BIRTH WEIGHT	R	•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics: To carry the admission details of the Spell containing the Birth Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBER	R	•
M	ADMINISTRATIVE CATEGORY (ON ADMISSION)	R	•
M	PATIENT CLASSIFICATION	R	•
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R	•
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R	•
M	START DATE (HOSPITAL PROVIDER SPELL)	R	•
M	AGE ON ADMISSION	R	•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics: To carry the discharge details of the Spell containing the Birth Episode. One occurrence of this Group is permitted.
M	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)	•
M	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)	•
O	DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)	•
M	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)	•

CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics: To carry the details of the Birth Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBER	R	•
M	LAST EPISODE IN SPELL INDICATOR	R	•
*	~~ADMINISTRATIVE CATEGORY (AT START OF EPISODE)~~ ~~(Not defined or approved by the Information Standards Board)~~	R	•
*	ADMINISTRATIVE CATEGORY (AT START OF EPISODE) (Not defined or approved by the Information Standards Board for Health and Social Care)	R	•
M	OPERATION STATUS	R	•
O	NEONATAL LEVEL OF CARE	R	•
M	START DATE (EPISODE)	R	•
M	END DATE (EPISODE) This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.		•
M	AGE AT CDS ACTIVITY DATE	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details: To carry the details of the Service Agreement for the Birth Episode.
M	COMMISSIONING SERIAL NUMBER	R	•
O	NHS SERVICE AGREEMENT LINE NUMBER	R
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER	R
M	ORGANISATION CODE (CODE OF PROVIDER)	R	•
M	ORGANISATION CODE (CODE OF COMMISSIONER)	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODE	R	•
M	MAIN SPECIALTY CODE	R	•
M	TREATMENT FUNCTION CODE	R	•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD): To carry the details of the ICD Diagnoses.
M	DIAGNOSIS SCHEME IN USE
M	PRIMARY DIAGNOSIS (ICD)	•
M	SECONDARY DIAGNOSIS (ICD) (Multiple occurrences may be recorded)	•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ): To carry the details of the READ Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities.
M	PROCEDURE SCHEME IN USE
M M	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE	• •
M M	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (OPCS) PROCEDURE DATE	• •

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE
O O	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (READ) PROCEDURE DATE

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode: To carry the details of the location at the start of the Birth Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT)	R	•
*	LOCATION TYPE Definition and value list under review	R
O	INTENDED CLINICAL CARE INTENSITY	R	•
O	AGE GROUP INTENDED	R	•
O	SEX OF PATIENTS	R	•
O	WARD DAY PERIOD AVAILABILITY	R	•
O	WARD NIGHT PERIOD AVAILABILITY	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay: To carry the details of one or more Ward Stays. Up to 97 occurrences of this Group are permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE
O	END DATE

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode: To carry the details of the location at the end of the Birth Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY

CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Neonatal Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Admission Characteristics To carry the details of the Neonatal Critical Care Admission. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
M	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•
M	GESTATION LENGTH (AT DELIVERY)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL DAILY CARE - Activity Characteristics To carry the details of the Neonatal Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported.
M	ACTIVITY DATE (CRITICAL CARE)	R	•
M	PERSON WEIGHT	R	•
M	CRITICAL CARE ACTIVITY CODE (up to 20 codes per daily activity occurrence may be recorded)	R	•
M	HIGH COST DRUGS (OPCS) (up to 20 codes per daily activity occurrence may be recorded)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Discharge Characteristics To carry the details of the Discharge from Neonatal Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•

CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics To carry the details of the Paediatric Critical Care Admission. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
M	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics To carry the details of the Paediatric Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported.
M	ACTIVITY DATE (CRITICAL CARE)	R	•
M	CRITICAL CARE ACTIVITY CODE (up to 20 codes per daily activity occurrence may be recorded)	R	•
M	HIGH COST DRUGS (OPCS) (up to 20 codes per daily activity occurrence may be recorded)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics To carry the details of the Discharge from Paediatric Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•

CDS DATA GROUP: ADULT CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Adult Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics To carry the details of the Admission to Adult Critical Care. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
O	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•
O	CRITICAL CARE UNIT BED CONFIGURATION		•
O	CRITICAL CARE ADMISSION SOURCE		•
O	CRITICAL CARE SOURCE LOCATION		•
O	CRITICAL CARE ADMISSION TYPE		•

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics To carry the details of the Adult Critical Care Activity. One occurrence of this Group is permitted for each Critical Care Period.
M	ADVANCED RESPIRATORY SUPPORT DAYS	•
M	BASIC RESPIRATORY SUPPORT DAYS	•
M	ADVANCED CARDIOVASCULAR SUPPORT DAYS	•
M	BASIC CARDIOVASCULAR SUPPORT DAYS	•
M	RENAL SUPPORT DAYS	•
M	NEUROLOGICAL SUPPORT DAYS	•
O	GASTRO-INTESTINAL SUPPORT DAYS	•
M	DERMATOLOGICAL SUPPORT DAYS	•
M	LIVER SUPPORT DAYS	•
M	ORGAN SUPPORT MAXIMUM	•
M	CRITICAL CARE LEVEL 2 DAYS	•
M	CRITICAL CARE LEVEL 3 DAYS	•

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics To carry the details of the Discharge from Adult Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•
O	CRITICAL CARE DISCHARGE READY DATE	R	•
O	CRITICAL CARE DISCHARGE READY TIME	R	•
O	CRITICAL CARE DISCHARGE STATUS	R	•
O	CRITICAL CARE DISCHARGE DESTINATION	R	•
O	CRITICAL CARE DISCHARGE LOCATION	R	•

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)	R	•
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)	R	•

CDS DATA GROUP: REFERRAL: To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE	R	•
M	REFERRING ORGANISATION CODE	R	•

CDS DATA GROUP: PREGNANCY - Activity Characteristics: To carry the details of the Pregnancy. One occurrence of this Group is permitted.
M	NUMBER OF BABIES	R	•

CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics: To carry the details of the Antenatal Care. One occurrence of this Group is permitted.
M	FIRST ANTENATAL ASSESSMENT DATE	R	•

CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician: To carry the details of the Clinician responsible for the Antenatal Care. One occurrence of this Group is permitted.
M	GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE)	R
O	GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)	R

CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended: To carry the details of the intended delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
*	LOCATION TYPE Definition and value list under review	R
M	DELIVERY PLACE CHANGE REASON	R	•
M	DELIVERY PLACE TYPE (INTENDED)	R	•

CDS DATA GROUP: HOSPITAL LABOUR / DELIVERY - Activity Characteristics: To carry the details of the Labour / Delivery. One occurrence of this Group is permitted.
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R	•
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R	•
O	GESTATION LENGTH (LABOUR ONSET)	R	•
M	LABOUR OR DELIVERY ONSET METHOD	R	•
M	DELIVERY DATE	R	•

CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics: To carry the details of the birth occurrence. One occurrence of this Group is permitted.
M	BIRTH ORDER	R	•
M	DELIVERY METHOD	R	•
M	GESTATION LENGTH (ASSESSMENT)	R	•
M	RESUSCITATION METHOD	R	•
M	STATUS OF PERSON CONDUCTING DELIVERY	R	•

CDS DATA GROUP: BIRTH OCCURRENCE PERSON IDENTITY - (MOTHER): To carry the identity details of the baby's mother. One occurrence of this Group is permitted.
O	LOCAL PATIENT IDENTIFIER (MOTHER)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))	R
O	NHS NUMBER (MOTHER)	R
M	NHS NUMBER STATUS INDICATOR (MOTHER)	R
O	PATIENT USUAL ADDRESS (MOTHER)
M	POSTCODE OF USUAL ADDRESS (MOTHER)	R	•
M	ORGANISATION CODE (PCT OF RESIDENCE (MOTHER))	R	•

Note:
Birth Episodes do not carry address details for a baby.
By local agreement it may be assumed that the baby's address details are those of its mother.

CDS DATA GROUP: BIRTH OCCURRENCE PERSON CHARACTERISTICS - (MOTHER): To carry the characteristics of the baby's mother. One occurrence of this Group is permitted.
M	PERSON BIRTH DATE (MOTHER)	R	•

CDS DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP - Delivery Place Actual: To carry the details of the actual delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS
*	LOCATION TYPE Definition and value list under review
M	DELIVERY PLACE TYPE (ACTUAL)	R	•

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP: - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
M	HEALTHCARE RESOURCE GROUP CODE		•
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER		•

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. One Procedure, either OPCS or READ, may be specified.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE		•

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CDS V6 TYPE 130

Change to Data Set: Changed Description

CDS V6 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS

The Admitted Patient Care Finished General Episode Commissioning Data Set Type carries the data for a Finished General Episode.

It covers all NHS and private Admitted Patient Care (day case and inpatient) activity taking place in any acute, community, psychiatric NHS Trust or Primary Care Trust or other NHS hospital under the care of a consultant, midwife or nurse. Additionally, NHS funded Admitted Patient Care taking place in non-NHS hospitals and institutions is required.

~~In addition to Finished General Episodes an Unfinished General Episode CDS record is required for all Unfinished General Episodes at midnight on 31 March each year.~~ Unfinished General Episode CDS records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.In addition to Finished General Episodes an Unfinished General Episode Commissioning Data Set record is required for all Unfinished General Episodes at midnight on 31 March each year. Unfinished General Episode Commissioning Data Set records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.

The CDS TYPE 130 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (shown independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
EAL ENTRY
HEALTHCARE RESOURCE GROUP

The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.

CDS V6 TYPE 130 - THE FINISHED GENERAL EPISODE CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity of the Patient. One occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
M	LOCAL PATIENT IDENTIFIER	R	•
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	NHS NUMBER	R	•
M	NHS NUMBER STATUS INDICATOR	R	•
O	PATIENT NAME	R
O	PATIENT USUAL ADDRESS	R
M	POSTCODE OF USUAL ADDRESS	R	•
M	ORGANISATION CODE (PCT OF RESIDENCE)	R	•

Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
M	PERSON BIRTH DATE	R	•
M	PERSON GENDER CURRENT	R	•
O	CARER SUPPORT INDICATOR	R	•
M	ETHNIC CATEGORY	R	•
M	PERSON MARITAL STATUS (psychiatric patients only)	R	•
M	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) (psychiatric patients only)	R	•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics: To carry the admission details of the Spell containing the Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBER	R	•
M	ADMINISTRATIVE CATEGORY (ON ADMISSION)	R	•
M	PATIENT CLASSIFICATION	R	•
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R	•
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R	•
M	START DATE (HOSPITAL PROVIDER SPELL)	R	•
M	AGE ON ADMISSION	R	•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics: To carry the discharge details of the Spell containing the Episode. One occurrence of this Group is permitted.
M	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)	•
M	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)	•
O	DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)	•
M	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)	•

CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics: To carry the details of the Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBER	R	•
M	LAST EPISODE IN SPELL INDICATOR	R	•
*	~~ADMINISTRATIVE CATEGORY (AT START OF EPISODE)~~ ~~(Not defined or approved by the Information Standards Board)~~	R	•
*	ADMINISTRATIVE CATEGORY (AT START OF EPISODE) (Not defined or approved by the Information Standards Board for Health and Social Care)	R	•
M	OPERATION STATUS	R	•
O	NEONATAL LEVEL OF CARE	R	•
O	FIRST REGULAR DAY OR NIGHT ADMISSION	R	•
M	PSYCHIATRIC PATIENT STATUS	R	•
*	~~LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)~~ ~~(Not defined or approved by the Information Standards Board)~~ ~~(psychiatric patients only)~~	R	•
*	LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) (Not defined or approved by the Information Standards Board for Health and Social Care) (psychiatric patients only)	R	•
M	START DATE (EPISODE)	R	•
M	END DATE (EPISODE) This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE.		•
M	AGE AT CDS ACTIVITY DATE	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details: To carry the details of the Service Agreement for the Episode.
M	COMMISSIONING SERIAL NUMBER	R	•
O	NHS SERVICE AGREEMENT LINE NUMBER	R
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER	R
M	ORGANISATION CODE (CODE OF PROVIDER)	R	•
M	ORGANISATION CODE (CODE OF COMMISSIONER)	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODE	R	•
M	MAIN SPECIALTY CODE	R	•
M	TREATMENT FUNCTION CODE	R	•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD): To carry the details of the ICD Diagnoses.
M	DIAGNOSIS SCHEME IN USE
M	PRIMARY DIAGNOSIS (ICD)	•
M	SECONDARY DIAGNOSIS (ICD) (Multiple occurrences may be recorded)	•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ): To carry the details of the READ Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities.
M	PROCEDURE SCHEME IN USE
M M	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE	• •
M M	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (OPCS) PROCEDURE DATE	• •

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE
O O	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (READ) PROCEDURE DATE

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode: To carry the details of the location at the start of the Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT)	R	•
*	LOCATION TYPE Definition and value list under review	R
O	INTENDED CLINICAL CARE INTENSITY	R	•
O	AGE GROUP INTENDED	R	•
O	SEX OF PATIENTS	R	•
O	WARD DAY PERIOD AVAILABILITY	R	•
O	WARD NIGHT PERIOD AVAILABILITY	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay: To carry the details of one or more Ward Stays. Up to 97 occurrences of this Group are permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE
O	END DATE

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode: To carry the details of the location at the end of the Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY

CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Neonatal Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Admission Characteristics To carry the details of the Neonatal Critical Care Admission. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
M	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•
M	GESTATION LENGTH (AT DELIVERY)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL DAILY CARE - Activity Characteristics To carry the details of the Neonatal Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported.
M	ACTIVITY DATE (CRITICAL CARE)	R	•
M	PERSON WEIGHT	R	•
M	CRITICAL CARE ACTIVITY CODE (up to 20 codes per daily activity occurrence may be recorded)	R	•
M	HIGH COST DRUGS (OPCS) (up to 20 codes per daily activity occurrence may be recorded)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Discharge Characteristics To carry the details of the Discharge from Neonatal Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•

CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics To carry the details of the Paediatric Critical Care Admission. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
M	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics To carry the details of the Paediatric Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported.
M	ACTIVITY DATE (CRITICAL CARE)	R	•
M	CRITICAL CARE ACTIVITY CODE (up to 20 codes per daily activity occurrence may be recorded)	R	•
M	HIGH COST DRUGS (OPCS) (up to 20 codes per daily activity occurrence may be recorded)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics To carry the details of the Discharge from Paediatric Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•

CDS DATA GROUP: ADULT CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Adult Critical Care. See CRITICAL CARE PERIOD The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics To carry the details of the Admission to Adult Critical Care. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
O	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•
O	CRITICAL CARE UNIT BED CONFIGURATION		•
O	CRITICAL CARE ADMISSION SOURCE		•
O	CRITICAL CARE SOURCE LOCATION		•
O	CRITICAL CARE ADMISSION TYPE		•

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics To carry the details of the Adult Critical Care Activity. One occurrence of this data group is supported.
M	ADVANCED RESPIRATORY SUPPORT DAYS	•
M	BASIC RESPIRATORY SUPPORT DAYS	•
M	ADVANCED CARDIOVASCULAR SUPPORT DAYS	•
M	BASIC CARDIOVASCULAR SUPPORT DAYS	•
M	RENAL SUPPORT DAYS	•
M	NEUROLOGICAL SUPPORT DAYS	•
O	GASTRO-INTESTINAL SUPPORT DAYS	•
M	DERMATOLOGICAL SUPPORT DAYS	•
M	LIVER SUPPORT DAYS	•
M	ORGAN SUPPORT MAXIMUM	•
M	CRITICAL CARE LEVEL 2 DAYS	•
M	CRITICAL CARE LEVEL 3 DAYS	•

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics To carry the details of the Discharge from Adult Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•
O	CRITICAL CARE DISCHARGE READY DATE	R	•
O	CRITICAL CARE DISCHARGE READY TIME	R	•
O	CRITICAL CARE DISCHARGE STATUS	R	•
O	CRITICAL CARE DISCHARGE DESTINATION	R	•
O	CRITICAL CARE DISCHARGE LOCATION	R	•

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)	R	•
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)	R	•

CDS DATA GROUP: REFERRAL: To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE	R	•
M	REFERRING ORGANISATION CODE	R	•

CDS DATA GROUP: ELECTIVE ADMISSION LIST ENTRY: To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M	DURATION OF ELECTIVE WAIT	R	•
M	INTENDED MANAGEMENT	R	•
M	DECIDED TO ADMIT DATE	R	•
O	EARLIEST REASONABLE OFFER DATE	R	•

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
M	HEALTHCARE RESOURCE GROUP CODE		•
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER		•

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. One Procedure, either OPCS or READ, may be specified.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE		•

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CDS V6 TYPE 140

Change to Data Set: Changed Description
CDS V6 TYPE 140 - ADMITTED PATIENT CARE - FINISHED DELIVERY EPISODE CDS
The Admitted Patient Care Finished Delivery Episode Commissioning Data Set Type carries the data for a Finished Delivery Episode which is required when a delivery has resulted in a registrable birth. This may take place in either NHS Hospitals or in non-NHS organisations funded by the NHS. The information is taken from the birth notification for each baby born.
~~In addition to Finished Delivery Episodes an Unfinished Delivery Episode CDS record is required for all Unfinished Birth Episodes at midnight on 31 March each year.~~In addition to Finished Delivery Episodes an Unfinished Delivery Episode Commissioning Data Set record is required for all Unfinished Birth Episodes at midnight on 31 March each year.
The CDS TYPE 140 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
PREGNANCY
ANTENATAL CARE
HOSPITAL LABOUR / DELIVERY
BIRTH OCCURRENCE
HEALTHCARE RESOURCE GROUP
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.
CDS V6 TYPE 140 - THE FINISHED DELIVERY EPISODE CDS

CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
Opt CDS data element U/A HES
O UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O PATIENT PATHWAY IDENTIFIER
O ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O REFERRAL TO TREATMENT STATUS
O REFERRAL TO TREATMENT PERIOD START DATE
O REFERRAL TO TREATMENT PERIOD END DATE
* ~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
* LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity details of the Patient (the MOTHER).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LOCAL PATIENT IDENTIFIER R •
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R
M NHS NUMBER R •
M NHS NUMBER STATUS INDICATOR R •
O PATIENT NAME R
O PATIENT USUAL ADDRESS R
M POSTCODE OF USUAL ADDRESS R •
M ORGANISATION CODE (PCT OF RESIDENCE) R •
Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
M PERSON BIRTH DATE R •
M PERSON GENDER CURRENT R •
O CARER SUPPORT INDICATOR R •
M ETHNIC CATEGORY R •
M
PERSON MARITAL STATUS
(psychiatric patients only) R
•

M
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
(psychiatric patients only) R
•

CDS DATA GROUP: DELIVERY CHARACTERISTICS:
To carry the delivery characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
M PREGNANCY TOTAL PREVIOUS PREGNANCIES •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics:
To carry the admission details of the Spell containing the Delivery Episode.
One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBER R •
M ADMINISTRATIVE CATEGORY (ON ADMISSION) R •
M PATIENT CLASSIFICATION R •
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R •
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R •
M START DATE (HOSPITAL PROVIDER SPELL) R •
M AGE ON ADMISSION R •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics:
To carry the discharge details of the Spell containing the Delivery Episode.
One occurrence of this Group is permitted.
M DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) •
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) •
O DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) •
M DISCHARGE DATE (HOSPITAL PROVIDER SPELL) •
CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics:
To carry the details of the Delivery Episode undergone by the Patient.
One occurrence of this Group is permitted.
M EPISODE NUMBER R •
M LAST EPISODE IN SPELL INDICATOR R •
* ~~ADMINISTRATIVE CATEGORY (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~ R •
* ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care) R •
M OPERATION STATUS R •
M PSYCHIATRIC PATIENT STATUS R •
* ~~LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~
~~(psychiatric patients only)~~ R •
* LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care)
(psychiatric patients only) R •
M START DATE (EPISODE) R •
M
END DATE (EPISODE)
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
•

M AGE AT CDS ACTIVITY DATE R •
CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details:
To carry the details of the Service Agreement for the Birth Episode.
M COMMISSIONING SERIAL NUMBER R •
O NHS SERVICE AGREEMENT LINE NUMBER R
O PROVIDER REFERENCE NUMBER
M COMMISSIONER REFERENCE NUMBER R
M ORGANISATION CODE (CODE OF PROVIDER) R •
M ORGANISATION CODE (CODE OF COMMISSIONER) R •
CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant, Midwife or Nurse.
One occurrence of this Group is permitted.
M CONSULTANT CODE R •
M MAIN SPECIALTY CODE R •
M TREATMENT FUNCTION CODE R •
CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD):
To carry the details of the ICD Diagnoses.
M DIAGNOSIS SCHEME IN USE
M PRIMARY DIAGNOSIS (ICD) •
M
SECONDARY DIAGNOSIS (ICD)
(Multiple occurrences may be recorded)
•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ):
To carry the details of the READ Diagnoses.
O DIAGNOSIS SCHEME IN USE
O PRIMARY DIAGNOSIS (READ)
O
SECONDARY DIAGNOSIS (READ)
(Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS):
To carry the details of the OPCS coded Clinical Activities.
M PROCEDURE SCHEME IN USE
M
M PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE •
•

M
M (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (OPCS)
PROCEDURE DATE
•
•
CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ):
To carry the details of the READ coded Clinical Activities.
O PROCEDURE SCHEME IN USE
O
O PRIMARY PROCEDURE (READ)
PROCEDURE DATE

O
O (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (READ)
PROCEDURE DATE
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode:
To carry the details of the location at the start of the Delivery Episode.
One occurrence of this Group is permitted.
M LOCATION CLASS R
M SITE CODE (OF TREATMENT) R •
* LOCATION TYPE
Definition and value list under review R
O INTENDED CLINICAL CARE INTENSITY R •
O AGE GROUP INTENDED R •
O SEX OF PATIENTS R •
O WARD DAY PERIOD AVAILABILITY R •
O WARD NIGHT PERIOD AVAILABILITY R •
CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay:
To carry the details of one or more Ward Stays.
Up to 97 occurrences of this Group are permitted.
O LOCATION CLASS
O SITE CODE (OF TREATMENT)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
O START DATE
O END DATE
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode:
To carry the details of the location at the end of the Delivery Episode.
One occurrence of this Group is permitted.
O LOCATION CLASS
O SITE CODE (OF TREATMENT)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care.
See CRITICAL CARE ACTIVITY
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics
To carry the details of the Paediatric Critical Care Admission.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
M CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics
To carry the details of the Paediatric Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
M ACTIVITY DATE (CRITICAL CARE) R •
M
CRITICAL CARE ACTIVITY CODE
(up to 20 codes per daily activity occurrence may be recorded) R
•

M
HIGH COST DRUGS (OPCS)
(up to 20 codes per daily activity occurrence may be recorded) R
•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics
To carry the details of the Discharge from Paediatric Critical Care.
One occurrence of this Group is permitted for each Critical Care Period.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
CDS DATA GROUP: ADULT CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Adult Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics
To carry the details of the Admission to Adult Critical Care.
One occurrence of this Group per Critical Care Period is permitted.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
O CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
O CRITICAL CARE UNIT BED CONFIGURATION •
O CRITICAL CARE ADMISSION SOURCE •
O CRITICAL CARE SOURCE LOCATION •
O CRITICAL CARE ADMISSION TYPE •
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics
To carry the details of the Adult Critical Care Activity.
One occurrence of this Group per Critical Care Period is permitted.
M ADVANCED RESPIRATORY SUPPORT DAYS •
M BASIC RESPIRATORY SUPPORT DAYS •
M ADVANCED CARDIOVASCULAR SUPPORT DAYS •
M BASIC CARDIOVASCULAR SUPPORT DAYS •
M RENAL SUPPORT DAYS •
M NEUROLOGICAL SUPPORT DAYS •
O GASTRO-INTESTINAL SUPPORT DAYS •
M DERMATOLOGICAL SUPPORT DAYS •
M LIVER SUPPORT DAYS •
M ORGAN SUPPORT MAXIMUM •
M CRITICAL CARE LEVEL 2 DAYS •
M CRITICAL CARE LEVEL 3 DAYS •
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics
To carry the details of the Discharge from Adult Critical Care.
One occurrence of this Group per Critical Care Period is permitted.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
O CRITICAL CARE DISCHARGE READY DATE R •
O CRITICAL CARE DISCHARGE READY TIME R •
O CRITICAL CARE DISCHARGE STATUS R •
O CRITICAL CARE DISCHARGE DESTINATION R •
O CRITICAL CARE DISCHARGE LOCATION R •
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
O GENERAL MEDICAL PRACTITIONER (SPECIFIED) R •
M GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) R •
CDS DATA GROUP: REFERRAL:
To carry the details of the referrer.
One occurrence of this Group is permitted.
M REFERRER CODE R •
M REFERRING ORGANISATION CODE R •
CDS DATA GROUP: PREGNANCY - Activity Characteristics:
To carry the details of the Pregnancy.
One occurrence of this Group is permitted.
M NUMBER OF BABIES R •
CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics:
To carry the details of the Antenatal Care.
One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATE R •
CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician:
To carry the details of the Clinician responsible for the Antenatal Care.
One occurrence of this Group is permitted.
M GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) R
O GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) R
CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended:
To carry the details of the intended delivery place.
One occurrence of this Group is permitted.
M LOCATION CLASS R
* LOCATION TYPE
Definition and value list under review R
M DELIVERY PLACE CHANGE REASON R •
M DELIVERY PLACE TYPE (INTENDED) R •
CDS DATA GROUP: HOSPITAL LABOUR / DELIVERY - Activity Characteristics:
To carry the details of the Labour / Delivery.
One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY R •
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY R •
O GESTATION LENGTH (LABOUR ONSET) R
M LABOUR OR DELIVERY ONSET METHOD R •
M DELIVERY DATE R
CDS DATA GROUP: BIRTH OCCURRENCE GROUP
To carry the details up to 9 Birth Occurrences.
Each Data Group consists of the following Sub-Groups:
ACTIVITY CHARACTERISTICS (max 1 per Baby)
PERSON GROUP (BABY) (max 1 per Baby)
LOCATION GROUP (max 1 per Baby)
CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics:
To carry the details of the birth occurrence(s).
One occurrence of this Group is permitted for each Birth Occurrence Group, one per baby.
M BIRTH ORDER R •
M DELIVERY METHOD R •
M GESTATION LENGTH (ASSESSMENT) R •
M RESUSCITATION METHOD R •
M STATUS OF PERSON CONDUCTING DELIVERY R •
CDS DATA GROUP: BIRTH OCCURRENCE - PERSON PATIENT IDENTITY (BABY):
To carry the personal details of the baby.
One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
O LOCAL PATIENT IDENTIFIER (BABY) R
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) R
O NHS NUMBER (BABY) R
M NHS NUMBER STATUS INDICATOR (BABY) R
CDS DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS - (BABY):
To carry the characteristics of the baby.
One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
M PERSON BIRTH DATE (BABY) R •
M PERSON GENDER CURRENT (BABY) R •
M LIVE OR STILL BIRTH R •
M BIRTH WEIGHT R •
CDS DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP:
To carry the details of the Actual delivery Place.
One occurrence of this Group is permitted for each Baby.
M LOCATION CLASS R
* LOCATION TYPE
Definition and value list under review R
M DELIVERY PLACE TYPE (ACTUAL) R •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP: - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
M HEALTHCARE RESOURCE GROUP CODE •
M HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted.
One Procedure, either OPCS or READ, may be specified.
O PROCEDURE SCHEME IN USE
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE •

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CDS V6 TYPE 150

Change to Data Set: Changed Description
CDS V6 TYPE 150 - ADMITTED PATIENT CARE - OTHER BIRTH EVENT CDS
The Admitted Patient Care Other Birth CDS Type carries the data for an Other Birth.
~~This CDS Type applies to:~~This Commissioning Data Set Type applies to:
(i) NHS funded home births, and
(ii) all other birth events which are not NHS-funded, either directly or under an NHS service agreement.
Maternity events, taking place in either NHS hospitals or in non-NHS hospitals funded by the NHS, will be recorded as ordinary Delivery and Birth episodes. The data in these records come from birth notification records and require only a limited data set to be completed.
The CDS TYPE 150 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
GP REGISTRATION
PREGNANCY
ANTENATAL CARE
OTHER LABOUR / DELIVERY
BIRTH OCCURRENCE
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross reference Tables show these derivations.
CDS V6 TYPE 150 - THE OTHER BIRTH EVENT CDS

CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
Opt CDS data element U/A HES
O UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O PATIENT PATHWAY IDENTIFIER
O ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O REFERRAL TO TREATMENT STATUS
O REFERRAL TO TREATMENT PERIOD START DATE
O REFERRAL TO TREATMENT PERIOD END DATE
* ~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
* LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity details of the Patient (the BABY).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LOCAL PATIENT IDENTIFIER •
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
O NHS NUMBER •
M NHS NUMBER STATUS INDICATOR •
O PATIENT NAME
Note:
For reasons of confidentiality, the patient's name must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, and PERSON BIRTH DATE (in Patient Characteristics data group below).
Birth Episodes do not carry address details for a baby.
By local agreement it may be assumed that the baby's address details are those of its mother whose details may be carried in the Birth Occurrence Group - Person Group (Mother) data structure.
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient (the BABY).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M PERSON BIRTH DATE •
M PERSON GENDER CURRENT •
O ETHNIC CATEGORY
M LIVE OR STILL BIRTH •
M BIRTH WEIGHT •
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
O GENERAL MEDICAL PRACTITIONER (SPECIFIED) •
M GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) •
CDS DATA GROUP: PREGNANCY - Activity Characteristics:
To carry the details of the Pregnancy.
One occurrence of this Group is permitted.
M NUMBER OF BABIES •
CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics:
To carry the details of the Antenatal Care.
One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATE •
CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician:
To carry the details of the Clinician responsible for the Antenatal Care.
One occurrence of this Group is permitted.
M GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE)
O GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)
CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended:
To carry the details of the intended delivery place.
One occurrence of this Group is permitted.
M LOCATION CLASS
* LOCATION TYPE
Definition and value list under review
M DELIVERY PLACE CHANGE REASON •
M DELIVERY PLACE TYPE (INTENDED) •
CDS DATA GROUP: OTHER LABOUR / DELIVERY - Activity Characteristics:
To carry the details of the Labour / Delivery.
One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY •
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY •
O GESTATION LENGTH (LABOUR ONSET)
M LABOUR OR DELIVERY ONSET METHOD •
M
DELIVERY DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.

M AGE AT CDS ACTIVITY DATE •
CDS DATA GROUP: OTHER LABOUR / DELIVERY - Service Agreement Details:
To carry the details of the Service Agreement for the Birth Episode.
M COMMISSIONING SERIAL NUMBER •
O NHS SERVICE AGREEMENT LINE NUMBER
O PROVIDER REFERENCE NUMBER
M COMMISSIONER REFERENCE NUMBER
M ORGANISATION CODE (CODE OF PROVIDER) •
M ORGANISATION CODE (CODE OF COMMISSIONER) •
CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics:
To carry the details of the birth occurrence.
One occurrence of this Group is permitted.
M BIRTH ORDER •
M DELIVERY METHOD •
M GESTATION LENGTH (ASSESSMENT) •
M RESUSCITATION METHOD •
M STATUS OF PERSON CONDUCTING DELIVERY •
CDS DATA GROUP: BIRTH OCCURRENCE PERSON IDENTITY (MOTHER):
To carry the identity of the baby's mother.
One occurrence of this Group is permitted.
O LOCAL PATIENT IDENTIFIER (MOTHER)
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))
O NHS NUMBER (MOTHER)
M NHS NUMBER STATUS INDICATOR (MOTHER)
O PATIENT USUAL ADDRESS (MOTHER)
M POSTCODE OF USUAL ADDRESS (MOTHER) •
M ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) •
Note:
Birth Episodes do not carry address details for a baby.
By local agreement it may be assumed that the baby's address details are those of its mother.
CDS DATA GROUP: BIRTH OCCURRENCE PERSON CHARACTERISTICS (MOTHER):
To carry the characteristics of the baby's mother.
One occurrence of this Group is permitted.
M PERSON BIRTH DATE (MOTHER) •
CDS DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP:
To carry the details of the Actual delivery Place.
One occurrence of this Group is permitted for each Baby.
M LOCATION CLASS
* LOCATION TYPE
Definition and value list under review
M DELIVERY PLACE TYPE (ACTUAL) •

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CDS V6 TYPE 160

Change to Data Set: Changed Description
CDS V6 TYPE 160 - ADMITTED PATIENT CARE - OTHER DELIVERY EVENT CDS
~~The Admitted Patient Care Other Delivery CDS Type carries the data for an Other Delivery.~~The Admitted Patient Care Other Delivery Commissioning Data Set Type carries the data for an Other Delivery.
~~This CDS Type applies to:~~This Commissioning Data Set Type applies to:
(i) NHS funded home deliveries, and
(ii) all other delivery events which are not NHS-funded, either directly or under an NHS service agreement.
Maternity events, taking place in either NHS hospitals or in non-NHS hospitals funded by the NHS, will be recorded as ordinary Delivery and Birth episodes. The data in these records come from birth notification records and require only a limited data set to be completed.
The CDS TYPE 160 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
GP REGISTRATION
PREGNANCY
ANTENATAL CARE
OTHER LABOUR / DELIVERY
BIRTH OCCURRENCE (max of 9 Babies)
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.
CDS V6 TYPE 160 - THE OTHER DELIVERY EVENT CDS

CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
Opt CDS data element U/A HES
O UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O PATIENT PATHWAY IDENTIFIER
O ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O REFERRAL TO TREATMENT STATUS
O REFERRAL TO TREATMENT PERIOD START DATE
O REFERRAL TO TREATMENT PERIOD END DATE
* ~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
* LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity of the Patient (the MOTHER).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LOCAL PATIENT IDENTIFIER •
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M NHS NUMBER •
M NHS NUMBER STATUS INDICATOR •
O PATIENT NAME
O PATIENT USUAL ADDRESS
M POSTCODE OF USUAL ADDRESS •
M ORGANISATION CODE (PCT OF RESIDENCE) •
Note:
For reasons of confidentiality, the patient's preferred name and address (not including the POSTCODE OF USUAL ADDRESS ) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M PERSON BIRTH DATE •
M PERSON GENDER CURRENT •
O CARER SUPPORT INDICATOR •
M ETHNIC CATEGORY •
M PERSON MARITAL STATUS (psychiatric patients only) •
CDS DATA GROUP: DELIVERY CHARACTERISTICS:
To carry the delivery characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M PREGNANCY TOTAL PREVIOUS PREGNANCIES •
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
O GENERAL MEDICAL PRACTITIONER (SPECIFIED) •
M GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) •
CDS DATA GROUP: PREGNANCY - Activity Characteristics:
To carry the details of the Pregnancy.
One occurrence of this Group is permitted.
M NUMBER OF BABIES •
CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics:
To carry the details of the Antenatal Care.
One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATE •
CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician:
To carry the details of the Clinician responsible for the Antenatal Care.
One occurrence of this Group is permitted.
M GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE)
O GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)
CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended:
To carry the details of the intended delivery place.
One occurrence of this Group is permitted.
M LOCATION CLASS
* LOCATION TYPE
Definition and value list under review
M DELIVERY PLACE CHANGE REASON •
M DELIVERY PLACE TYPE (INTENDED) •
CDS DATA GROUP: OTHER LABOUR / DELIVERY - Activity Characteristics:
To carry the details of the Labour / Delivery.
One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY •
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY •
O GESTATION LENGTH (LABOUR ONSET)
M LABOUR OR DELIVERY ONSET METHOD •
M
DELIVERY DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.

M AGE AT CDS ACTIVITY DATE •
CDS DATA GROUP: OTHER LABOUR / DELIVERY - Service Agreement Details:
To carry the details of the Service Agreement for the Delivery Episode.
M COMMISSIONING SERIAL NUMBER •
O NHS SERVICE AGREEMENT LINE NUMBER
O PROVIDER REFERENCE NUMBER
M COMMISSIONER REFERENCE NUMBER
M ORGANISATION CODE (CODE OF PROVIDER) •
M ORGANISATION CODE (CODE OF COMMISSIONER) •
CDS DATA GROUP: BIRTH OCCURRENCE GROUP
To carry the details of the birth occurrence(s).
Up to 9 Birth Occurrence Data Groups are permitted.
Each Data Group consists of the following Sub-Groups:
ACTIVITY CHARACTERISTICS (max 1)
PERSON GROUP (BABY) (max 1)
LOCATION GROUP (max 1)
CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics:
To carry the details of the birth occurrence.
One occurrence of this Group is permitted for each baby.
M BIRTH ORDER •
M DELIVERY METHOD •
M GESTATION LENGTH (ASSESSMENT) •
M RESUSCITATION METHOD •
M STATUS OF PERSON CONDUCTING DELIVERY •
CDS DATA GROUP: BIRTH OCCURRENCE PERSON IDENTITY - BABY:
To carry the identity details of each baby.
One occurrence of this Group is permitted for each baby.
O LOCAL PATIENT IDENTIFIER (BABY)
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))
O NHS NUMBER (BABY)
M NHS NUMBER STATUS INDICATOR (BABY)
CDS DATA GROUP: BIRTH OCCURRENCE PERSON CHARACTERISTICS - BABY:
To carry the birth characteristics details of each baby.
One occurrence of this Group is permitted for each baby.
M PERSON BIRTH DATE (BABY) •
M PERSON GENDER CURRENT (BABY) •
M LIVE OR STILL BIRTH •
M BIRTH WEIGHT •
CDS DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP:
To carry the details of the Actual delivery Place.
One occurrence of this Group is permitted for each Baby.
M LOCATION CLASS
* LOCATION TYPE
Definition and value list under review
M DELIVERY PLACE TYPE (ACTUAL) •

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CDS V6 TYPE 170

Change to Data Set: Changed Description
CDS V6 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS
~~The Detained and/or Long Term Psychiatric CDS Type carries the data for the Psychiatric Census.~~The Detained and/or Long Term Psychiatric Commissioning Data Set Type carries the data for the Psychiatric Census.
~~The~~ ~~Health and Social Care Information Centre~~ require a record for every patient admitted as at 31 March each year for which the patient is detained or the Episode is part of a Hospital Provider Spell which has lasted longer then one year and for which the majority of time has been spent under the care of a Consultant in one of the psychiatric specialties.The Health and Social Care Information Centre require a record for every patient admitted as at 31 March each year for which the patient is detained or the Episode is part of a Hospital Provider Spell which has lasted longer then one year and for which the majority of time has been spent under the care of a Consultant in one of the psychiatric specialties.
In the case of Trust mergers and demergers occurring, where the Hospital provider Spell would have lasted longer then one year except for the merger / demerger, patients should be included. The Organisation Code (Code of Provider) will be that of the organisation in existence as at the 31 March Census Date.
Organisations may, by local agreement make submissions of the Psychiatric Census other than at 31st March each year. Care must be taken to ensure that the CDS ACTIVITY DATE chosen is compatible with the CDS Submission Protocol used.
The CDS TYPE 170 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (shown independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
PATIENT PSYCHIATRIC CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
GP REGISTRATION
REFERRAL
EAL ENTRY
HEALTHCARE RESOURCE GROUP
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode records and in End of Year Census records.
An entry in the column headed HES indicates that the data element is extracted from the Secondary Uses Service database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The Hospital Episode Statistics Cross Reference Tables show these derivations.
CDS V6 TYPE 170 - THE DETAINED and/or LONG TERM PSYCHIATRIC CDS

CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
Opt CDS data element U/A HES
O UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O PATIENT PATHWAY IDENTIFIER
O ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O REFERRAL TO TREATMENT STATUS
O REFERRAL TO TREATMENT PERIOD START DATE
O REFERRAL TO TREATMENT PERIOD END DATE
* ~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
* LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)
CDS DATA GROUP: PATIENT IDENTITY:
To carry the Identity details of the Patient.
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LOCAL PATIENT IDENTIFIER •
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M NHS NUMBER •
M NHS NUMBER STATUS INDICATOR •
O PATIENT NAME
O PATIENT USUAL ADDRESS
M POSTCODE OF USUAL ADDRESS •
M ORGANISATION CODE (PCT OF RESIDENCE) •
Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the Characteristics of the Patient.
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M PERSON BIRTH DATE •
M PERSON GENDER CURRENT •
O CARER SUPPORT INDICATOR •
M ETHNIC CATEGORY •
M PERSON MARITAL STATUS •
M LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) •
CDS DATA GROUP: PSYCHIATRIC PATIENT CHARACTERISTICS:
To carry the Psychiatric Characteristics of the Patient.
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) •
M DATE DETENTION COMMENCED •
M AGE AT CENSUS •
M DURATION OF CARE TO PSYCHIATRIC CENSUS DATE •
M DURATION OF DETENTION •
M MENTAL CATEGORY •
M STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Activity Characteristics:
To carry the details of the Spell containing the Consultant Episode.
One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBER R •
M ADMINISTRATIVE CATEGORY (ON ADMISSION) R •
M PATIENT CLASSIFICATION R •
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R •
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R •
M START DATE (HOSPITAL PROVIDER SPELL) R •
M AGE ON ADMISSION R •
CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics:
To carry the details of the Consultant Episode on the Census Date.
One occurrence of this Group is permitted.
M EPISODE NUMBER R •
* ~~ADMINISTRATIVE CATEGORY (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~ R •
* ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care) R •
M PSYCHIATRIC PATIENT STATUS R •
M START DATE (EPISODE) R •
M
DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE
From CDS Version 6 onwards this is the mandatory date used to derive the mandatory CDS ACTIVITY DATE. R
•

CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details:
To carry the details of the Service Agreement for the Consultant Episode on the Census Date.
M COMMISSIONING SERIAL NUMBER R •
O NHS SERVICE AGREEMENT LINE NUMBER R
O PROVIDER REFERENCE NUMBER
M COMMISSIONER REFERENCE NUMBER
M ORGANISATION CODE (CODE OF PROVIDER) R •
M ORGANISATION CODE (CODE OF COMMISSIONER) R •
CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant on the Census Date.
One occurrence of this Group is permitted.
M CONSULTANT CODE R •
M MAIN SPECIALTY CODE R •
M TREATMENT FUNCTION CODE R •
CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD):
To carry the details of the ICD Diagnoses.
M DIAGNOSIS SCHEME IN USE
M PRIMARY DIAGNOSIS (ICD) •
M
SECONDARY DIAGNOSIS (ICD)
(Multiple occurrences may be recorded)
•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ):
To carry the details of the READ Diagnoses.
O DIAGNOSIS SCHEME IN USE
O PRIMARY DIAGNOSIS (READ)
O
SECONDARY DIAGNOSIS (READ)
(Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode:
To carry the details of the location at the start of the Consultant Episode.
One occurrence of this Group is permitted.
M LOCATION CLASS
M SITE CODE (OF TREATMENT) (at Start of Episode) •
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY •
O AGE GROUP INTENDED •
O SEX OF PATIENTS •
O WARD DAY PERIOD AVAILABILITY •
O WARD NIGHT PERIOD AVAILABILITY •
CDS DATA GROUP: CONSULTANT EPISODE - Location Group - Ward Stay At Census Date:
To carry the details of the location of the Consultant Episode at the Census Date.
One occurrence of this Group is permitted.
M LOCATION CLASS
M SITE CODE (OF TREATMENT) (at Census Date) •
* LOCATION TYPE
Definition and value list under review
M INTENDED CLINICAL CARE INTENSITY •
M AGE GROUP INTENDED •
M SEX OF PATIENTS •
M WARD DAY PERIOD AVAILABILITY •
M WARD NIGHT PERIOD AVAILABILITY •
O

DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE
(From CDS version 6 onwards, use of this date in this position is optional as the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE must be carried in the Episode Characteristics.)

•

CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
O GENERAL MEDICAL PRACTITIONER (SPECIFIED) R •
M GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) R •
CDS DATA GROUP: REFERRAL:
To carry the details of the referrer.
One occurrence of this Group is permitted.
M REFERRER CODE R •
M REFERRING ORGANISATION CODE R •
CDS DATA GROUP: ELECTIVE ADMISSION LIST ENTRY:
To carry the details of the Elective Admission List Entry.
One occurrence of this Group is permitted.
M DURATION OF ELECTIVE WAIT R •
M INTENDED MANAGEMENT R •
M DECIDED TO ADMIT DATE (for this provider) R •
O EARLIEST REASONABLE OFFER DATE R •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
O HEALTHCARE RESOURCE GROUP CODE •
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted.
One Procedure, either OPCS or READ, may be specified.
O PROCEDURE SCHEME IN USE
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE •

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CDS V6 TYPE 180

Change to Data Set: Changed Description
CDS V6 TYPE 180 - ADMITTED PATIENT CARE - UNFINISHED BIRTH EPISODE CDS
The Unfinished Birth Episode Commissioning Data Set carries the data for an Unfinished Birth Episode which is required when a delivery has resulted in a registrable birth. This may take place in either NHS Hospitals or in non-NHS organisations funded by the NHS. The information is taken from the birth notification for each baby born.
~~An Unfinished Birth Episode CDS record is required for all Unfinished Birth Episodes at midnight on 31 March each year.~~An Unfinished Birth Episode Commissioning Data Set record is required for all Unfinished Birth Episodes at midnight on 31 March each year.
The CDS TYPE 180 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
PREGNANCY
ANTENATAL CARE
HOSPITAL LABOUR / DELIVERY
BIRTH OCCURRENCE
HEALTHCARE RESOURCE GROUP
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.
CDS V6 TYPE 180 - THE UNFINISHED BIRTH EPISODE CDS

CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
Opt CDS data element U/A HES
O UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O PATIENT PATHWAY IDENTIFIER
O ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O REFERRAL TO TREATMENT STATUS
O REFERRAL TO TREATMENT PERIOD START DATE
O REFERRAL TO TREATMENT PERIOD END DATE
* ~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
* LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity of the Patient (the BABY).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LOCAL PATIENT IDENTIFIER R •
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R
O NHS NUMBER R •
M NHS NUMBER STATUS INDICATOR R •
O PATIENT NAME R
Note:
For reasons of confidentiality, the patient's name must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, and PERSON BIRTH DATE (in Patient Characteristics data group below).
Birth Episodes do not carry address details for a baby.
By local agreement it may be assumed that the baby's address details are those of its mother whose details may be carried in the Birth Occurrence Group - Person Group (Mother) data structure.
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient (the BABY).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M PERSON BIRTH DATE R •
M PERSON GENDER CURRENT R •
O ETHNIC CATEGORY R
M LIVE OR STILL BIRTH R •
M BIRTH WEIGHT R •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics:
To carry the Admission details of the Spell containing the Birth Episode.
One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBER R •
M ADMINISTRATIVE CATEGORY (ON ADMISSION) R •
M PATIENT CLASSIFICATION R •
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R •
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R •
M START DATE (HOSPITAL PROVIDER SPELL) R •
M AGE ON ADMISSION R •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics:
To carry the Discharge details of the Spell containing the Birth Episode.
One occurrence of this Group is permitted.
M DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) •
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) •
O DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) •
M DISCHARGE DATE (HOSPITAL PROVIDER SPELL) •
CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics:
To carry the details of the Birth Episode undergone by the Patient.
One occurrence of this Group is permitted.
M EPISODE NUMBER R •
M LAST EPISODE IN SPELL INDICATOR R •
* ~~ADMINISTRATIVE CATEGORY (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~ R •
* ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care) R •
M OPERATION STATUS R •
O NEONATAL LEVEL OF CARE R •
M
START DATE (EPISODE)
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE R
•

M END DATE (EPISODE) •
M AGE AT CDS ACTIVITY DATE R •
CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details:
To carry the details of the Service Agreement for the Birth Episode.
M COMMISSIONING SERIAL NUMBER R •
O NHS SERVICE AGREEMENT LINE NUMBER R
O PROVIDER REFERENCE NUMBER
M COMMISSIONER REFERENCE NUMBER R
M ORGANISATION CODE (CODE OF PROVIDER) R •
M ORGANISATION CODE (CODE OF COMMISSIONER) R •
CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant, Midwife or Nurse.
One occurrence of this Group is permitted.
M CONSULTANT CODE R •
M MAIN SPECIALTY CODE R •
M TREATMENT FUNCTION CODE R •
CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD):
To carry the details of the ICD Diagnoses.
M DIAGNOSIS SCHEME IN USE
M PRIMARY DIAGNOSIS (ICD) •
M
SECONDARY DIAGNOSIS (ICD)
(Multiple occurrences may be recorded)
•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ):
To carry the details of the READ Diagnoses.
O DIAGNOSIS SCHEME IN USE
O PRIMARY DIAGNOSIS (READ)
O
SECONDARY DIAGNOSIS (READ)
(Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS):
To carry the details of the OPCS coded Clinical Activities.
M PROCEDURE SCHEME IN USE
M
M PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE •
•

M
M (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (OPCS)
PROCEDURE DATE
•
•
CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ):
To carry the details of the READ coded Clinical Activities.
O PROCEDURE SCHEME IN USE
O
O PRIMARY PROCEDURE (READ)
PROCEDURE DATE

O
O (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (READ)
PROCEDURE DATE
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode:
To carry the details of the location at the start of the Birth Episode.
One occurrence of this Group is permitted.
M LOCATION CLASS R
M SITE CODE (OF TREATMENT) R •
* LOCATION TYPE
Definition and value list under review R
O INTENDED CLINICAL CARE INTENSITY R •
O AGE GROUP INTENDED R •
O SEX OF PATIENTS R •
O WARD DAY PERIOD AVAILABILITY R •
O WARD NIGHT PERIOD AVAILABILITY R •
CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay:
To carry the details of one or more Ward Stays.
Up to 97 occurrences of this Group are permitted.
M LOCATION CLASS
M SITE CODE (OF TREATMENT)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
O START DATE (at Start of Ward Stay)
O END DATE (at End of Ward Stay)
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode:
To carry the details of the location at the end of the Birth Episode.
One occurrence of this Group is permitted.
M LOCATION CLASS
M SITE CODE (OF TREATMENT)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Neonatal Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD: Admission Characteristics
To carry the details of the Neonatal Critical Care Admission.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
M CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
M GESTATION LENGTH (AT DELIVERY) R •
CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD: Care Activity Characteristics
To carry the daily occurrence details of the Neonatal Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
M ACTIVITY DATE (CRITICAL CARE) R •
M PERSON WEIGHT R •
M
CRITICAL CARE ACTIVITY CODE
(up to 20 Codes per daily occurrence may be recorded) R
•
M
HIGH COST DRUGS (OPCS)
(up to 20 Codes per daily occurrence may be recorded) R
•
CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD: Discharge Characteristics
To carry the details of the Discharge from Neonatal Critical Care.
One occurrence of this Group is permitted per Critical Care Period.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD: Admission Characteristics
To carry the details of the Paediatric Critical Care Admission.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
M CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD: Care Activity Characteristics
To carry the daily occurrence details of the Paediatric Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
M ACTIVITY DATE (CRITICAL CARE) R •
M
CRITICAL CARE ACTIVITY CODE
(up to 20 Codes per daily occurrence may be recorded) R
•
M
HIGH COST DRUGS (OPCS)
(up to 20 Codes per daily occurrence may be recorded) R
•
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD: Discharge Characteristics
To carry the details of the Discharge from Paediatric Critical Care.
One occurrence of this Group per Critical Care Period is permitted.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
CDS DATA GROUP: ADULT CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Adult Critical Care.
See CRITICAL CARE PERIOD
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: ADULT CRITICAL CARE PERIOD: Admission Characteristics
To carry the details of the Adult Critical Care Admission.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
O CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
O CRITICAL CARE UNIT BED CONFIGURATION
O CRITICAL CARE ADMISSION SOURCE
O CRITICAL CARE SOURCE LOCATION
O CRITICAL CARE ADMISSION TYPE
CDS DATA GROUP: ADULT CRITICAL CARE PERIOD: Care Activity Characteristics
To carry the details of the Adult Critical Care Activity.
One occurrence per Critical Care Period is supported.
M ADVANCED RESPIRATORY SUPPORT DAYS •
M BASIC RESPIRATORY SUPPORT DAYS •
M ADVANCED CARDIOVASCULAR SUPPORT DAYS •
M BASIC CARDIOVASCULAR SUPPORT DAYS •
M RENAL SUPPORT DAYS •
M NEUROLOGICAL SUPPORT DAYS •
O GASTRO-INTESTINAL SUPPORT DAYS •
M DERMATOLOGICAL SUPPORT DAYS •
M LIVER SUPPORT DAYS •
M ORGAN SUPPORT MAXIMUM •
M CRITICAL CARE LEVEL 2 DAYS •
M CRITICAL CARE LEVEL 3 DAYS •
CDS DATA GROUP: ADULT CRITICAL CARE PERIOD: Discharge Characteristics
To carry the details of the Discharge from Adult Critical Care.
One occurrence of this Group is permitted.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
O CRITICAL CARE DISCHARGE READY DATE
O CRITICAL CARE DISCHARGE READY TIME
O CRITICAL CARE DISCHARGE STATUS
O CRITICAL CARE DISCHARGE DESTINATION
O CRITICAL CARE DISCHARGE LOCATION
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
O GENERAL MEDICAL PRACTITIONER (SPECIFIED) R •
M GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) R •
CDS DATA GROUP: REFERRAL:
To carry the details of the referrer.
One occurrence of this Group is permitted.
M REFERRER CODE R •
M REFERRING ORGANISATION CODE R •
CDS DATA GROUP: PREGNANCY - Activity Characteristics:
To carry the details of the Pregnancy.
One occurrence of this Group is permitted.
M NUMBER OF BABIES R •
CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics:
To carry the details of the Antenatal Care.
One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATE R •
CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician:
To carry the details of the Clinician responsible for the Antenatal Care.
One occurrence of this Group is permitted.
M GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) R
O GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) R
CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended:
To carry the details of the intended delivery place.
One occurrence of this Group is permitted.
M LOCATION CLASS R
* LOCATION TYPE
Definition and value list under review R
M DELIVERY PLACE CHANGE REASON R •
M DELIVERY PLACE TYPE (INTENDED) R •
CDS DATA GROUP: HOSPITAL LABOUR / DELIVERY - Activity Characteristics:
To carry the details of the Labour / Delivery.
One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY R •
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY R •
O GESTATION LENGTH (LABOUR ONSET) R •
M LABOUR OR DELIVERY ONSET METHOD R •
M DELIVERY DATE R •
CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics:
To carry the details of the birth occurrence.
One occurrence of this Group is permitted.
M BIRTH ORDER R •
M DELIVERY METHOD R •
M GESTATION LENGTH (ASSESSMENT) R •
M RESUSCITATION METHOD R •
M STATUS OF PERSON CONDUCTING DELIVERY R •
CDS DATA GROUP: BIRTH OCCURRENCE PERSON GROUP - (MOTHER):
To carry the identity of the baby's mother.
One occurrence of this Group is permitted.
O LOCAL PATIENT IDENTIFIER (MOTHER) R
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) R
O NHS NUMBER (MOTHER) R
M NHS NUMBER STATUS INDICATOR (MOTHER) R
O PATIENT USUAL ADDRESS (MOTHER)
M POSTCODE OF USUAL ADDRESS (MOTHER) R •
M ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) R •
Note:
Birth Episodes do not carry address details for a baby.
By local agreement it may be assumed that the baby's address details are those of its mother.
CDS DATA GROUP: BIRTH OCCURRENCE PERSON CHARACTERISTICS - (MOTHER):
To carry the characteristics of the baby's mother.
One occurrence of this Group is permitted.
M PERSON BIRTH DATE (MOTHER) R •
CDS DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP - Delivery Place Actual:
To carry the details of the actual delivery place.
One occurrence of this Group is permitted.
M LOCATION CLASS
* LOCATION TYPE
Definition and value list under review
M DELIVERY PLACE TYPE (ACTUAL) R •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP: - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
O HEALTHCARE RESOURCE GROUP CODE •
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted.
One Procedure, either OPCS or READ, may be specified.
O PROCEDURE SCHEME IN USE
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE •

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CDS V6 TYPE 190

Change to Data Set: Changed Description
CDS V6 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS
The Admitted Patient Care Unfinished General Episode Commissioning Data Set Type carries the data for an Unfinished General Consultant/ Midwife/ Nurse Episode.
It covers all NHS and private Admitted Patient Care (day case and inpatient) activity taking place in any acute, community, psychiatric NHS Trust or Primary Care Trust or other NHS hospital under the care of a consultant, midwife or nurse. Additionally, NHS funded Admitted Patient Care taking place in non-NHS hospitals and institutions is required.
~~An Unfinished General Episode CDS record is required for all Unfinished General Episodes at midnight on 31 March each year.~~ Unfinished General Episode CDS records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.An Unfinished General Episode Commissioning Data Set record is required for all Unfinished General Episodes at midnight on 31 March each year. Unfinished General Episode Commissioning Data Set records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.
The CDS TYPE 190 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (shown independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
EAL ENTRY
HEALTHCARE RESOURCE GROUP
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.
CDS V6 TYPE 190 - THE UNFINISHED GENERAL EPISODE CDS

CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
Opt CDS data element U/A HES
O UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O PATIENT PATHWAY IDENTIFIER
O ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O REFERRAL TO TREATMENT STATUS
O REFERRAL TO TREATMENT PERIOD START DATE
O REFERRAL TO TREATMENT PERIOD END DATE
* ~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
* LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity details of the Patient.
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LOCAL PATIENT IDENTIFIER R •
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R
M NHS NUMBER R •
M NHS NUMBER STATUS INDICATOR R •
O PATIENT NAME R
O PATIENT USUAL ADDRESS R
M POSTCODE OF USUAL ADDRESS R •
M ORGANISATION CODE (PCT OF RESIDENCE) R •
Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient.
One occurrence of this Group is permitted.
M PERSON BIRTH DATE R •
M PERSON GENDER CURRENT R •
O CARER SUPPORT INDICATOR R •
M ETHNIC CATEGORY R •
M
MARITAL STATUS
(psychiatric patients only) R
•

M
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
(psychiatric patients only) R
•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics:
To carry the details of the Spell containing the Episode.
One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBER R •
M ADMINISTRATIVE CATEGORY (ON ADMISSION) R •
M PATIENT CLASSIFICATION R •
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R •
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R •
M START DATE (HOSPITAL PROVIDER SPELL) R •
M AGE ON ADMISSION R •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics:
To carry the discharge details of the Spell containing the Episode.
One occurrence of this Group is permitted.
M DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) •
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) •
O DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) •
M DISCHARGE DATE (HOSPITAL PROVIDER SPELL) •
CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics:
To carry the details of the Episode undergone by the Patient.
One occurrence of this Group is permitted.
M EPISODE NUMBER R •
M LAST EPISODE IN SPELL INDICATOR R •
* ~~ADMINISTRATIVE CATEGORY (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~ R •
* ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care) R •
M OPERATION STATUS R •
O NEONATAL LEVEL OF CARE R •
O FIRST REGULAR DAY OR NIGHT ADMISSION R •
M PSYCHIATRIC PATIENT STATUS R •
* ~~LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~
~~(psychiatric patients only)~~ R •
* LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care)
(psychiatric patients only) R •
M

START DATE (EPISODE)
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE R

•

M END DATE (EPISODE) •
M AGE AT CDS ACTIVITY DATE •
CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details:
To carry the details of the Service Agreement for the Episode.
M COMMISSIONING SERIAL NUMBER R •
O NHS SERVICE AGREEMENT LINE NUMBER R
O PROVIDER REFERENCE NUMBER
M COMMISSIONER REFERENCE NUMBER R
M ORGANISATION CODE (CODE OF PROVIDER) R •
M ORGANISATION CODE (CODE OF COMMISSIONER) R •
CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant, Midwife or Nurse.
One occurrence of this Group is permitted.
M CONSULTANT CODE R •
M MAIN SPECIALTY CODE R •
M TREATMENT FUNCTION CODE R •
CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD):
To carry the details of the ICD Diagnoses.
M DIAGNOSIS SCHEME IN USE
M PRIMARY DIAGNOSIS (ICD) •
M
SECONDARY DIAGNOSIS (ICD)
(Multiple occurrences may be recorded)
•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ):
To carry the details of the READ Diagnoses.
O DIAGNOSIS SCHEME IN USE
O PRIMARY DIAGNOSIS (READ)
O
SECONDARY DIAGNOSIS (READ)
(Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS):
To carry the details of the OPCS coded Clinical Activities.
M PROCEDURE SCHEME IN USE
M
M PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE •
•

M
M (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (OPCS)
PROCEDURE DATE
•
•
CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ):
To carry the details of the READ coded Clinical Activities.
O PROCEDURE SCHEME IN USE
O
O PRIMARY PROCEDURE (READ)
PROCEDURE DATE

O
O (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (READ)
PROCEDURE DATE
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode:
To carry the details of the location at the start of the Episode.
One occurrence of this Group is permitted.
M LOCATION CLASS R
M SITE CODE (OF TREATMENT) R •
O LOCATION TYPE
This is currently for piloting purposes R
O INTENDED CLINICAL CARE INTENSITY R •
O AGE GROUP INTENDED R •
O SEX OF PATIENTS R •
O WARD DAY PERIOD AVAILABILITY R •
O WARD NIGHT PERIOD AVAILABILITY R •
CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay:
To carry the details of one or more Ward Stays.
Up to 97 occurrences of this Group are permitted.
M LOCATION CLASS
M SITE CODE (OF TREATMENT)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
O START DATE
O END DATE
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode:
To carry the details of the location at the end of the Episode.
One occurrence of this Group is permitted.
M LOCATION CLASS
M SITE CODE (OF TREATMENT)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Neonatal Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Admission Characteristics
To carry the details of the Admission to Adult Neonatal Care.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
M CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
M GESTATION LENGTH (AT DELIVERY) •
CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL DAILY CARE - Activity Characteristics
To carry the details of the Neonatal Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
M ACTIVITY DATE (CRITICAL CARE) R •
O PERSON WEIGHT R •
M
CRITICAL CARE ACTIVITY CODE
(up to 20 Codes may be recorded per daily occurrence) R
•

M
HIGH COST DRUGS (OPCS)
(up to 20 Codes may be recorded per daily occurrence) R
•

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Discharge Characteristics
To carry the details of the Discharge from Neonatal Critical Care.
One occurrence of this Group is permitted.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics
To carry the details of the Admission to Paediatric Critical Care.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
M CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics
To carry the details of the Paediatric Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
M ACTIVITY DATE (CRITICAL CARE) R •
M
CRITICAL CARE ACTIVITY CODE
(up to 20 Codes may be recorded per daily occurrence) R
•

M
HIGH COST DRUGS (OPCS)
(up to 20 Codes may be recorded per daily occurrence) R
•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics
To carry the details of the Discharge from Paediatric Critical Care.
One occurrence of this Group is permitted for each Critical Care Period.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE:
To carry the details of the first 9 Critical Care Periods for Adult Critical Care.
See CRITICAL CARE PERIOD
Where there are multiple Critical Care Periods within the Consultant Episode then only the first 9 Critical Care Periods should be included.
The Critical Care Period may overlap Consultant/ Midwife/ Nurse Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Consultant/ Midwife/ Nurse Episode.
CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present. Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics
To carry the details of the Admission to Adult Critical Care.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
O CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
O CRITICAL CARE UNIT BED CONFIGURATION •
O CRITICAL CARE ADMISSION SOURCE •
O CRITICAL CARE SOURCE LOCATION •
O CRITICAL CARE ADMISSION TYPE •
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics
To carry the details of the Adult Critical Care Activity.
Up to 9 occurrences are supported.
M ADVANCED RESPIRATORY SUPPORT DAYS •
M BASIC RESPIRATORY SUPPORT DAYS •
M ADVANCED CARDIOVASCULAR SUPPORT DAYS •
M BASIC CARDIOVASCULAR SUPPORT DAYS •
M RENAL SUPPORT DAYS •
M NEUROLOGICAL SUPPORT DAYS •
O GASTRO-INTESTINAL SUPPORT DAYS •
M DERMATOLOGICAL SUPPORT DAYS •
M LIVER SUPPORT DAYS •
M ORGAN SUPPORT MAXIMUM •
M CRITICAL CARE LEVEL 2 DAYS •
M CRITICAL CARE LEVEL 3 DAYS •
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics
To carry the details of the Discharge from Adult Critical Care.
One occurrence of this Group is permitted.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
O CRITICAL CARE DISCHARGE READY DATE R •
O CRITICAL CARE DISCHARGE READY TIME R •
O CRITICAL CARE DISCHARGE STATUS R •
O CRITICAL CARE DISCHARGE DESTINATION R •
O CRITICAL CARE DISCHARGE LOCATION R •
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
O GENERAL MEDICAL PRACTITIONER (SPECIFIED) R •
M GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) R •
CDS DATA GROUP: REFERRAL:
To carry the details of the referrer.
One occurrence of this Group is permitted.
M REFERRER CODE R •
M REFERRING ORGANISATION CODE R •
CDS DATA GROUP: ELECTIVE ADMISSION LIST:
To carry the details of the Elective Admission List Entry.
One occurrence of this Group is permitted.
M DURATION OF ELECTIVE WAIT R •
M INTENDED MANAGEMENT R •
M DECIDED TO ADMIT DATE R •
O EARLIEST REASONABLE OFFER DATE R •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
O HEALTHCARE RESOURCE GROUP CODE •
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted.
One Procedure, either OPCS or READ, may be specified.
O PROCEDURE SCHEME IN USE
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE •

top

CDS V6 TYPE 200

Change to Data Set: Changed Description
CDS V6 TYPE 200 - ADMITTED PATIENT CARE - UNFINISHED DELIVERY EPISODE CDS
The Admitted Patient Care Unfinished Delivery Episode Commissioning Data Set Type carries the data for an Unfinished Delivery Episode. This may take place in either NHS Hospitals or in non-NHS organisations funded by the NHS. The information is taken from the birth notification for each baby born.
~~An Unfinished Delivery Episode CDS record is required for all Unfinished Birth Episodes at midnight on 31 March each year.~~An Unfinished Delivery Episode Commissioning Data Set record is required for all Unfinished Birth Episodes at midnight on 31 March each year.
The CDS TYPE 200 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
PATIENT DELIVERY CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
PREGNANCY
ANTENATAL CARE
HOSPITAL LABOUR / DELIVERY
BIRTH OCCURRENCE
HEALTHCARE RESOURCE GROUP
The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.
CDS V6 TYPE 200 - THE UNFINISHED DELIVERY EPISODE CDS

CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
Opt CDS data element U/A HES
O UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O PATIENT PATHWAY IDENTIFIER
O ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O REFERRAL TO TREATMENT STATUS
O REFERRAL TO TREATMENT PERIOD START DATE
O REFERRAL TO TREATMENT PERIOD END DATE
* ~~LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)~~
* LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)
CDS DATA GROUP: PATIENT IDENTITY:
To carry Identity details of the Patient (the MOTHER).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M LOCAL PATIENT IDENTIFIER R •
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R
M NHS NUMBER R •
M NHS NUMBER STATUS INDICATOR R •
O PATIENT NAME R
O PATIENT USUAL ADDRESS R
M POSTCODE OF USUAL ADDRESS R •
M ORGANISATION CODE (PCT OF RESIDENCE) R •
Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. For patients with sensitive conditions (as defined in DSCN 41/98/P26), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, ORGANISATION CODE (LOCAL PATIENT IDENTIFIER), NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, ORGANISATION CODE (PCT OF RESIDENCE) and PERSON BIRTH DATE (in Patient Characteristics data group below).
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry Characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M PERSON BIRTH DATE R •
M PERSON GENDER CURRENT R •
O CARER SUPPORT INDICATOR R •
M ETHNIC CATEGORY R •
M
PERSON MARITAL STATUS
(psychiatric patients only) R
•

M
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
(psychiatric patients only) R
•

CDS DATA GROUP: PATIENT CHARACTERISTICS - DELIVERY:
To carry the Characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
Opt CDS data element U/A HES
M PREGNANCY TOTAL PREVIOUS PREGNANCIES R •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics:
To carry the Admission details of the Spell containing the Delivery Episode.
One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBER R •
M ADMINISTRATIVE CATEGORY (ON ADMISSION) R •
M PATIENT CLASSIFICATION R •
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R •
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R •
M START DATE (HOSPITAL PROVIDER SPELL) R •
M AGE ON ADMISSION R •
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics:
To carry the Discharge details of the Spell containing the Delivery Episode.
One occurrence of this Group is permitted.
M DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) •
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) •
O DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) •
M DISCHARGE DATE (HOSPITAL PROVIDER SPELL) •
CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics:
To carry the details of the Delivery Episode undergone by the Patient.
One occurrence of this Group is permitted.
M EPISODE NUMBER R •
M LAST EPISODE IN SPELL INDICATOR R •
* ~~ADMINISTRATIVE CATEGORY (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~ R •
* ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care) R •
M OPERATION STATUS R •
M PSYCHIATRIC PATIENT STATUS R •
*
~~LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)~~
~~(Not defined or approved by the Information Standards Board)~~
~~(psychiatric patients only)~~ R
•

*
LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care)
(psychiatric patients only) R
•

M

START DATE (EPISODE)
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE R

•

M END DATE (EPISODE) •
M AGE AT CDS ACTIVITY DATE •
CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details:
To carry the details of the Service Agreement for the Birth Episode.
M COMMISSIONING SERIAL NUMBER R •
O NHS SERVICE AGREEMENT LINE NUMBER R
O PROVIDER REFERENCE NUMBER
M COMMISSIONER REFERENCE NUMBER R
M ORGANISATION CODE (CODE OF PROVIDER) R •
M ORGANISATION CODE (CODE OF COMMISSIONER) R •
CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant, Midwife or Nurse.
One occurrence of this Group is permitted.
M CONSULTANT CODE R •
M MAIN SPECIALTY CODE R •
M TREATMENT FUNCTION CODE R •
CDS DATA GROUP: CONSULTANT EPISODE - Clinical Diagnosis Group (ICD):
To carry the details of the ICD Diagnoses.
M DIAGNOSIS SCHEME IN USE
M PRIMARY DIAGNOSIS (ICD) •
M
SECONDARY DIAGNOSIS (ICD)
(Multiple occurrences may be recorded)
•

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Diagnosis Group (READ):
To carry the details of the READ Diagnoses.
O DIAGNOSIS SCHEME IN USE
O PRIMARY DIAGNOSIS (READ)
O
SECONDARY DIAGNOSIS (READ)
(Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS):
To carry the details of the OPCS coded Clinical Activities.
M PROCEDURE SCHEME IN USE
M
M PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE •
•

M
M (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (OPCS)
PROCEDURE DATE
•
•
CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ):
To carry the details of the READ coded Clinical Activities.
O PROCEDURE SCHEME IN USE
O
O PRIMARY PROCEDURE (READ)
PROCEDURE DATE

O
O (Multiple occurrences of this sub-group may be recorded)
PROCEDURE (READ)
PROCEDURE DATE
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode:
To carry the details of the location at the start of the Delivery Episode.
One occurrence of this Group is permitted.
M LOCATION CLASS R
M SITE CODE (OF TREATMENT) R •
* LOCATION TYPE
Definition and value list under review R
O INTENDED CLINICAL CARE INTENSITY R •
O AGE GROUP INTENDED R •
O SEX OF PATIENTS R •
O WARD DAY PERIOD AVAILABILITY R •
O WARD NIGHT PERIOD AVAILABILITY R •
CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay:
To carry the details of one or more Ward Stays.
Up to 97 occurrences of this Group are permitted.
O LOCATION CLASS
O SITE CODE (OF TREATMENT)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
O START DATE
O END DATE
CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode:
To carry the details of the location at the end of the Delivery Episode.
One occurrence of this Group is permitted.
O LOCATION CLASS
O SITE CODE (OF TREATMENT) (at End of Episode)
* LOCATION TYPE
Definition and value list under review
O INTENDED CLINICAL CARE INTENSITY
O AGE GROUP INTENDED
O SEX OF PATIENTS
O WARD DAY PERIOD AVAILABILITY
O WARD NIGHT PERIOD AVAILABILITY
CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care.
See CRITICAL CARE PERIOD
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics
To carry the details of the Paediatric Critical Care Admission.
One occurrence is permitted for each Critical Care Period recorded.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
M CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics
To carry the details of the Paediatric Critical Care Activity.
Up to 999 daily occurrences per Critical Care Period are supported.
M ACTIVITY DATE (CRITICAL CARE) R •
M
CRITICAL CARE ACTIVITY CODE
(up to 20 codes per daily activity occurrence may be recorded) R
•

M
HIGH COST DRUGS (OPCS)
(up to 20 codes per daily activity occurrence may be recorded) R
•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics
To carry the details of the Discharge from Paediatric Critical Care.
One occurrence of this Group is permitted for each Critical Care Period.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
CDS DATA GROUP: ADULT CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Adult Critical Care.
See CRITICAL CARE PERIOD
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics
To carry the details of the Admission to Adult Critical Care.
One occurrence of this Group is permitted for each Critical Care Period.
M CRITICAL CARE LOCAL IDENTIFIER R •
M CRITICAL CARE START DATE R •
O CRITICAL CARE START TIME R •
M CRITICAL CARE UNIT FUNCTION R •
O CRITICAL CARE UNIT BED CONFIGURATION •
O CRITICAL CARE ADMISSION SOURCE •
O CRITICAL CARE SOURCE LOCATION •
O CRITICAL CARE ADMISSION TYPE •
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics
To carry the details of the Adult Critical Care Activity.
Up to 9 occurrences are supported.
M ADVANCED RESPIRATORY SUPPORT DAYS •
M BASIC RESPIRATORY SUPPORT DAYS •
M ADVANCED CARDIOVASCULAR SUPPORT DAYS •
M BASIC CARDIOVASCULAR SUPPORT DAYS •
M RENAL SUPPORT DAYS •
M NEUROLOGICAL SUPPORT DAYS •
O GASTRO-INTESTINAL SUPPORT DAYS •
M DERMATOLOGICAL SUPPORT DAYS •
M LIVER SUPPORT DAYS •
M ORGAN SUPPORT MAXIMUM •
M CRITICAL CARE LEVEL 2 DAYS •
M CRITICAL CARE LEVEL 3 DAYS •
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics
To carry the details of the Discharge from Adult Critical Care.
One occurrence of this Group is permitted for each Critical Care Period.
M CRITICAL CARE DISCHARGE DATE R •
M CRITICAL CARE DISCHARGE TIME R •
O CRITICAL CARE DISCHARGE READY DATE R •
O CRITICAL CARE DISCHARGE READY TIME R •
O CRITICAL CARE DISCHARGE STATUS R •
O CRITICAL CARE DISCHARGE DESTINATION R •
O CRITICAL CARE DISCHARGE LOCATION R •
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
O GENERAL MEDICAL PRACTITIONER (SPECIFIED) R •
M GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) R •
CDS DATA GROUP: REFERRAL:
To carry the details of the referrer.
One occurrence of this Group is permitted.
M REFERRER CODE R •
M REFERRING ORGANISATION CODE R •
CDS DATA GROUP: PREGNANCY - Activity Characteristics:
To carry the details of the Pregnancy.
One occurrence of this Group is permitted.
M NUMBER OF BABIES R •
CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics:
To carry the details of the Antenatal Care.
One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATE R •
CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician:
To carry the details of the Clinician responsible for the Antenatal Care.
One occurrence of this Group is permitted.
M GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) R
O GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) R
CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended:
To carry the details of the intended delivery place.
One occurrence of this Group is permitted.
M LOCATION CLASS R
* LOCATION TYPE
Definition and value list under review R
M DELIVERY PLACE CHANGE REASON R •
M DELIVERY PLACE TYPE (INTENDED) R •
CDS DATA GROUP: HOSPITAL LABOUR / DELIVERY - Activity Characteristics:
To carry the details of the Labour / Delivery.
One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY R •
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY R •
O GESTATION LENGTH (LABOUR ONSET) R
M LABOUR OR DELIVERY ONSET METHOD R •
M DELIVERY DATE R
CDS DATA GROUP: BIRTH OCCURRENCE GROUP
To carry the details of the birth occurrence(s).
Up to 9 Birth Occurrence Data Groups are permitted.
Each Data Group consists of the following Sub-Groups:
ACTIVITY CHARACTERISTICS
PERSON GROUP (BABY IDENTITY)
PERSON GROUP (BABY CHARACTERISTICS)
LOCATION GROUP
CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics:
To carry the details of the birth occurrence(s).
One occurrence of this Group is permitted for each Birth Occurrence Group.
M BIRTH ORDER R •
M DELIVERY METHOD R •
M GESTATION LENGTH (ASSESSMENT) R •
M RESUSCITATION METHOD R •
M STATUS OF PERSON CONDUCTING DELIVERY R •
CDS DATA GROUP: BIRTH OCCURRENCE - PERSON IDENTITY (BABY):
To carry the Identity details of the baby.
One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
O LOCAL PATIENT IDENTIFIER (BABY) R
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) R
O NHS NUMBER (BABY) R
M NHS NUMBER STATUS INDICATOR (BABY) R
CDS DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS (BABY):
To carry the Characteristics of the baby.
One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
M PERSON BIRTH DATE (BABY) R
M PERSON GENDER CURRENT (BABY) R
M LIVE OR STILL BIRTH R
M BIRTH WEIGHT R
CDS DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP:
To carry the details of the Actual delivery Place.
One occurrence of this Group is permitted for each Baby.
M LOCATION CLASS R
* LOCATION TYPE
Definition and value list under review R
M DELIVERY PLACE TYPE (ACTUAL) R •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP: - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
O HEALTHCARE RESOURCE GROUP CODE •
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER •
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted.
One Procedure, either OPCS or READ, may be specified.
O PROCEDURE SCHEME IN USE
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE •

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ATTRIBUTE DEFINITIONS INTRO

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Name Old Value New Value
fullname Attribute Definitions Introduction
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CENTRAL RETURN FORMS INTRODUCTION renamed from CENTRAL RETURNS INTRODUCTION

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Introduction and Overview
The Department of Health uses the information gathered from Central Returns to monitor service provision at a high level and to support trend analysis for health service activity and health needs assessment.The Department of Health uses the information gathered from Central Return Forms to monitor service provision at a high level and to support trend analysis for health service activity and health needs assessment. In addition, the returns support the monitoring of progress in the achievement of overall objectives for the NHS and contribute towards the development of policy and the process of funding allocation.
~~Each Central Return contained within this publication has an image of the Central Return form itself and provides guidance on its content and completion.~~ ~~The guidance also describes how data items held in the NHS Data Dictionary are used to derive the information required for Central Returns.~~Each Central Return Form contained within this publication has an image of the Central Return Form itself and provides guidance on its content and completion. The guidance also describes how data items held in the NHS Data Model and Dictionary are used to derive the information required for Central Return Forms. Physical definitions of data items, such as the code values, are included.
Important Notes
Some of the Central Returns covered in this publication are under review. Changes arising from these reviews are not covered in this publication as they were not available in time for publishing. Users should therefore use this publication in conjunction with relevant change notifications as they are published. These were issued as ~~Data Set Change Notices (DSCNs)~~ ~~at time of writing, but the NHS Information Standards Board (ISB) may use a different notification system.~~
Not all mandated Central Returns are contained within this publication. For those returns not yet covered, please consult the Notes for Completion provided with the form for detailed information requirements.
Some of the Central Return Forms covered in this publication are under review. Changes arising from these reviews are not covered in this publication as they were not available in time for publishing. Users should therefore use this publication in conjunction with relevant change notifications as they are published. These were issued as Data Set Change Notices (DSCNs) at time of writing, but the Information Standards Board for Health and Social Care may use a different notification system.
Not all mandated Central Return Forms are contained within this publication. For those returns not yet covered, please consult the Notes for Completion provided with the form for detailed information requirements.

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CENTRAL RETURN FORMS INTRODUCTION renamed from CENTRAL RETURNS INTRODUCTION

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Changed Name from Web_Site_Content.Pages.Overviews.Central_Returns_Introduction to Web_Site_Content.Pages.Overviews.Central_Return_Forms_Introduction
Changed Description
Alias Changes
Name Old Value New Value
fullname Central Returns Introduction and Overview Central Return Forms Introduction and Overview
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DATA ELEMENTS INTRO

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Alias Changes
Name Old Value New Value
fullname Data Elements Introduction
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INDEX

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NHS DATA MODEL AND DICTIONARY
Version 3
What's New: December 2008

~~The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England.~~
~~It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.~~
~~The NHS Data Model and Dictionary is maintained and published by the~~ ~~NHS Data Model and Dictionary Service~~ ~~and all changes are assured by the~~ ~~NHS Information Standards Board~~ ~~and published as~~ ~~Data Set Change Notices.~~
~~Classes~~ ~~are shown in~~ ~~Dark Red Text~~, ~~Attributes~~ ~~are shown in~~ ~~Purple~~, ~~Data Elements~~ ~~are shown in~~ ~~Green~~~~, Data Sets are shown in~~ ~~Aqua Blue~~, ~~Central Return Forms~~ ~~are shown in~~ ~~Dark Pink~~ ~~and other pages are shown in~~ ~~Blue~~.
~~About the~~ ~~NHS Data Model and Dictionary Version 3~~ ~~and~~ ~~Meta Model~~
The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England.
It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.
The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the Information Standards Board for Health and Social Care and published as Data Set Change Notices.
Classes are shown in Dark Red Text, Attributes are shown in Purple, Data Elements are shown in Green, Data Sets are shown in Aqua Blue, Central Return Forms are shown in Dark Pink and other pages are shown in Blue.
About the NHS Data Model and Dictionary Version 3 and Meta Model

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INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE

Change to Supporting Information: New Supporting Information
The purpose of the Information Standards Board for Health and Social Care (ISB HaSC) is to provide assurance and approval that information standards, when implemented in the NHS and Social Care, are implementable, interoperable, fit for purpose (as described in the standard's scope and purpose) and safe.
Specifically, the role of the Information Standards Board for Health and Social Care is to:
Approve standards based on the recommendations of independent Appraisal Panels, and decide on their approval status for implementation in the NHS and Social Care.
Communicate details of its activities to the wider NHS, Social Care, system suppliers, and other partner organisations.
Commission, manage, and respond to reviews of existing NHS and Social Care Information Standards and make recommendations on any action needed.
With other parties, identify gaps and contribute to policy and strategy around information standards and make recommendations on the action needed.
For further information on the Information Standards Board for Health and Social Care, see the Information Standards Board for Health and Social Care website.

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INTRODUCTION

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~~Enhancements have been made to the NHS Data Model and Dictionary to allow the publication of XML schemas, once they have received Information Standards Board (ISB) approval.~~Enhancements have been made to the NHS Data Model and Dictionary to allow the publication of XML schemas, once they have received Information Standards Board for Health and Social Care (ISB HaSC) approval. XML schemas are currently in various stages of development and a summary of the position for some of these developments is shown below:
CDS - initial XML schemas have been passed to BT to replace the EDIFACT message, when the initial phase of the Secondary User Service (SUS) goes live.
Cancer Registries - Results from the pilot of the collection of Cancer Registry data using XML is to be reviewed. The initial pilot schemas will be replaced with HL7 developed schemas before a full roll out.
This page will be updated with the latest project news when the NHS Data Model and Dictionary is next updated.
Please keep checking the NHS Data Model and Dictionary Service Website for news on the next release of the NHS Data Model and Dictionary.
http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary

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NHS BUSINESS DEFINITIONS

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Alias Changes
Name Old Value New Value
fullname NHS Business Definitions Introduction
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ORGANISATIONS MENU

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Referenced Organisations:
Department of Health
~~Health and Social Care Information Centre~~
Health and Social Care Information Centre
Health Protection Agency
Healthcare Commission
Information Standards Board for Health and Social Care

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PUBLICATION INFORMATION CONTACT DETAILS

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CONTACT DETAILS
General Enquiries about the NHS Data Model and Dictionary:
NHS Data Model and Dictionary Service
NHS Connecting for Health
Princes Exchange
Princes Square
Leeds
LS1 4HY
Email: datastandards@nhs.net
NHS Data Model and Dictionary Service Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary

~~The NHS Information Standards Board:~~
~~The NHS Information Standards Board~~
~~Princes Exchange~~
~~Princes Square~~
~~Leeds~~
~~LS1 4HY~~
~~Internet:~~ ~~http://www.isb.nhs.uk/~~
Information Standards Board for Health and Social Care:
Information Standards Board for Health and Social Care
Princes Exchange
Princes Square
Leeds
LS1 4HY
Internet: http://www.isb.nhs.uk/
Hospital Episode Statistics (HES):
Website: HES online
Queries: HES queries
Clinical Coding general enquiries:
International Classification of Diseases (ICD-10);
OPCS-4 Classification of Interventions and Procedures;
Clinical Terms (The Read Codes);
SNOMED CT (Systematised Nomenclature of Medicine Clinical Terms)
For all general enquiries, contact:
NHS Connecting for Health
Data Standards and Products Help Desk
E-mail: datastandards@nhs.net
Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/clinicalcoding/
Electronic copies of International Classification of Diseases (ICD-10) Volumes 1, 2 and 3
The ICD-10 metadata file and its specification;
The ICD-10 Codes and Titles (on diskette);
The ICD-10 Tables of Equivalence (on diskette);
OPCS-4 Classification of Interventions and Procedures;
OPCS-4 Codes and Titles;
OPCS-4 metadata file;
OPCS-4 Tables of Coding Equivalence;
Electronic format of Index and Tabular List of OPCS-4;
Clinical Terms (The Read Codes) and SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms) are released to licensees every six months (March and September) via the Terminology Reference Data Update Distribution Service (TRUD).
Information on the Terminology Reference Data Update Distribution Service (TRUD) can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/
Hard copy versions of ICD-10 and the Tabular List of OPCS-4 are available from The Stationery Office (formerly HMSO).
~~Organisation Data Service~~ ~~Queries:~~
~~Organisation Data Service~~
~~Hexagon House~~
~~Pynes Hill~~
~~Rydon Lane~~
~~Exeter~~
~~Devon EX2 5SE~~
~~exeter.helpdesk@nhs.net~~
~~Tel: 01392 251 289~~
~~Link ODS Organisation Data Service website pages:~~
~~NHSnet pages where data is published:~~ ~~http://nww.connectingforhealth.nhs.uk/ods/~~
~~Public domain pages:~~ ~~http://www.nhs.uk/ods/~~
~~Information pages on the NHS Connecting for Health website:~~
~~http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html~~
~~Information on the Terminology Reference Data Update Distribution Service can be found at:~~ ~~https://www.uktcregistration.nss.cfh.nhs.uk/trud/~~
Organisation Data Service Queries:
Organisation Data Service
Hexagon House
Pynes Hill
Rydon Lane
Exeter
Devon EX2 5SE
exeter.helpdesk@nhs.net
Tel: 01392 251 289
Organisation Data Service website pages:
NHSnet pages where data is published: http://nww.connectingforhealth.nhs.uk/ods/
Public domain pages: http://www.nhs.uk/ods/
Information pages on the NHS Connecting for Health website:
http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html
Information on the Terminology Reference Data Update Distribution Service can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/
Postcodes:
Postcode and Geographic Area Queries
All Fields Postcode Directory
Areas of Residence Classification
NHS Organisation Manual
1991 Frozen Postcode File
Communal Establishment File
Office for National Statistics Geography Customer Services Unit
Office for National Statistics
Segensworth Road
Titchfield
Fareham
Hants
PO15 5RR
1991 Frozen Postcode File
Communal Establishment File
Tel: 01329 813243 or 813477
Fax: 01329 813383
e-mail: ons.geography@ons.gov.uk
Internet: http://www.statistics.gov.uk

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THE NHS DATA MODEL & DICTIONARY ELEMENTS

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The NHS Data Dictionary and the NHS Data Manual were originally published separately. The elements of both these publications have been consolidated into one browsable integrated publication called the NHS Data Model and Dictionary.
NHS Data Standards
The NHS Data Model and Dictionary gives common definitions and guidance to support the sharing, exchange and comparison of information across the NHS. The common definitions, known as data standards, are used in commissioning and make up the base currency of Commissioning Data Sets. ~~On the monitoring side, they support comparative data analysis, preparation of performance tables, and data returned to the Department of Health.~~ On the monitoring side, they support comparative data analysis, preparation of performance tables, and data returned to the Department of Health. NHS data standards also support clinical messages, such as those used for pathology and radiology. NHS data standards are presented as a logical data model, ensuring that the standards are consistent and integrated across all NHS business areas.
NHS data standards should not just be seen as supporting the collection of data on a consistent basis throughout the NHS. They also have an important role in supporting the flow and quality of information used in different parts of the NHS so that health care professionals are presented with the relevant information where and when it is required. An example of this is the linking of all records about a patient collected in different parts of the NHS, to be available to a health care professional wherever the patient attends to be seen for treatment, thus facilitating the Electronic Patient Record. ~~Changes to NHS data standards are still being published as Data Set Change Notices (DSCNs) at the time of publication.~~ Changes to NHS data standards are still being published as Data Set Change Notices at the time of publication. The Information Standards Board for Health and Social Care may eventually use a different form of change notification, but the principles of regulated changes will still apply.
~~See the~~ ~~NHS Information Standards Boards website~~ ~~for the latest information relating to the NHS Information Standards Boards.~~See the Information Standards Board for Health and Social Care.
~~The NHS Data Model and Dictionary Elements~~
The NHS Data Model and Dictionary Elements
~~Class Definitions~~ ~~All the classes that appear within the NHS data standards logical data model. Each class contains its nationally agreed definition, all of its attributes, all relationships it has with other classes.~~
~~Class Definitions Intro~~
~~Attribute Definitions~~ All the attributes of the classes that appear within the NHS data standards logical data model. Each attribute contains its nationally agreed definition which may also include its agreed National Codes or classifications and a clickable 'data' tab if a data element also exists for it.
~~Attribute Definitions Intro~~
~~Data Elements~~ Data elements which may be supported by an attribute definition i.e. the data element has the same name as an attribute, be a derived item which is derivable from attributes or only exists as a data element.
Where a data element is supported by an attribute definition, such as the national codes to be used in that data element exist in an attribute, then there will be a link to that attribute through a 'definition' tab.
~~Data elements are used in the completion of Data Sets, Commissioning Data Sets,~~ ~~Hospital Episode Statistics~~ ~~and Central Returns. The data element information comprises format and field length,~~ ~~Hospital Episode Statistics~~ ~~name if applicable, National Codes or classifications and useful notes clarifying the selected data element.~~
~~Data Elements Intro~~
~~NHS Business Definitions~~ ~~These contain the business rules for recording NHS activity and will be of particular relevance to NHS Information Professionals.~~
~~NHS Business Definitions~~
Class Definitions All the classes that appear within the NHS data standards logical data model. Each class contains its nationally agreed definition, all of its attributes, all relationships it has with other classes.
Class Definitions Introduction
Attribute Definitions All the attributes of the classes that appear within the NHS data standards logical data model. Each attribute contains its nationally agreed definition which may also include its agreed National Codes or classifications and a clickable 'data' tab if a data element also exists for it.
Attribute Definitions Introduction
Data Elements Data elements which may be supported by an attribute definition i.e. the data element has the same name as an attribute, be a derived item which is derivable from attributes or only exists as a data element.
Where a data element is supported by an attribute definition, such as the national codes to be used in that data element exist in an attribute, then there will be a link to that attribute through a 'definition' tab.
Data elements are used in the completion of Data Sets, Commissioning Data Sets, Hospital Episode Statistics and Central Returns. The data element information comprises format and field length, Hospital Episode Statistics name if applicable, National Codes or classifications and useful notes clarifying the selected data element.
Data Elements Introduction
NHS Business Definitions These contain the business rules for recording NHS activity and will be of particular relevance to NHS Information Professionals.
NHS Business Definitions Introduction
CDS and HES Hospital Episode Statistics is now extracted automatically from the Secondary Uses Service.
Data Sets The primary purpose of national data sets is to enable the same health information to be generated across the country independent of the organisation or system that captures it.
Data Sets Contextual Overview
~~Central Return Forms~~ ~~Guidance on completion of Central Returns for hospital activity, complaints management process, cervical and breast screening activity, patient transport and some community activity.~~
~~Central Returns Introduction~~
~~Diagrams~~ ~~The new generic dictionary is based on a small set of rationalised diagrams.~~
~~Diagrams Menu~~
Central Return Forms Guidance on completion of Central Returns for hospital activity, complaints management process, cervical and breast screening activity, patient transport and some community activity.
Central Return Forms Introduction
Diagrams The new generic dictionary is based on a small set of rationalised diagrams.
Diagrams Introduction
Supporting Information Supporting information such as clinical coding etc, is provided to help users understand the Commissioning Data Set and Central Returns.
Supporting Information Introduction

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For enquiries about this Data Set Change Notice, please email datastandards@nhs.net

CDS DATA GROUP: BIRTH OCCURRENCE - PERSON PATIENT IDENTITY (BABY): To carry the personal details of the baby. One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
O	LOCAL PATIENT IDENTIFIER (BABY)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))	R
O	NHS NUMBER (BABY)	R
M	NHS NUMBER STATUS INDICATOR (BABY)	R

CDS DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS - (BABY): To carry the characteristics of the baby. One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
M	PERSON BIRTH DATE (BABY)	R	•
M	PERSON GENDER CURRENT (BABY)	R	•
M	LIVE OR STILL BIRTH	R	•
M	BIRTH WEIGHT	R	•

CDS DATA GROUP: DELIVERY CHARACTERISTICS: To carry the delivery characteristics of the Patient (the MOTHER). One occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
M	PREGNANCY TOTAL PREVIOUS PREGNANCIES		•

CDS DATA GROUP: PSYCHIATRIC PATIENT CHARACTERISTICS: To carry the Psychiatric Characteristics of the Patient. One occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
M	LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)		•
M	DATE DETENTION COMMENCED		•
M	AGE AT CENSUS		•
M	DURATION OF CARE TO PSYCHIATRIC CENSUS DATE		•
M	DURATION OF DETENTION		•
M	MENTAL CATEGORY		•
M	STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS		•

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode: To carry the details of the location at the start of the Consultant Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT) (at Start of Episode)	•
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY	•
O	AGE GROUP INTENDED	•
O	SEX OF PATIENTS	•
O	WARD DAY PERIOD AVAILABILITY	•
O	WARD NIGHT PERIOD AVAILABILITY	•

CDS DATA GROUP: CONSULTANT EPISODE - Location Group - Ward Stay At Census Date: To carry the details of the location of the Consultant Episode at the Census Date. One occurrence of this Group is permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT) (at Census Date)	•
*	LOCATION TYPE Definition and value list under review
M	INTENDED CLINICAL CARE INTENSITY	•
M	AGE GROUP INTENDED	•
M	SEX OF PATIENTS	•
M	WARD DAY PERIOD AVAILABILITY	•
M	WARD NIGHT PERIOD AVAILABILITY	•
O	DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE (From CDS version 6 onwards, use of this date in this position is optional as the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE must be carried in the Episode Characteristics.)	•

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode: To carry the details of the location at the start of the Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT)	R	•
O	LOCATION TYPE This is currently for piloting purposes	R
O	INTENDED CLINICAL CARE INTENSITY	R	•
O	AGE GROUP INTENDED	R	•
O	SEX OF PATIENTS	R	•
O	WARD DAY PERIOD AVAILABILITY	R	•
O	WARD NIGHT PERIOD AVAILABILITY	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics To carry the details of the Paediatric Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported.
M	ACTIVITY DATE (CRITICAL CARE)	R	•
M	CRITICAL CARE ACTIVITY CODE (up to 20 Codes may be recorded per daily occurrence)	R	•
M	HIGH COST DRUGS (OPCS) (up to 20 Codes may be recorded per daily occurrence)	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode: To carry the details of the location at the end of the Delivery Episode. One occurrence of this Group is permitted.
O	LOCATION CLASS
O	SITE CODE (OF TREATMENT) (at End of Episode)
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY

Name	Old Value	New Value
fullname		Attribute Definitions Introduction

~~Class Definitions~~	~~All the classes that appear within the NHS data standards logical data model. Each class contains its nationally agreed definition, all of its attributes, all relationships it has with other classes.~~ ~~Class Definitions Intro~~
~~Attribute Definitions~~	All the attributes of the classes that appear within the NHS data standards logical data model. Each attribute contains its nationally agreed definition which may also include its agreed National Codes or classifications and a clickable 'data' tab if a data element also exists for it. ~~Attribute Definitions Intro~~
~~Data Elements~~	Data elements which may be supported by an attribute definition i.e. the data element has the same name as an attribute, be a derived item which is derivable from attributes or only exists as a data element. Where a data element is supported by an attribute definition, such as the national codes to be used in that data element exist in an attribute, then there will be a link to that attribute through a 'definition' tab. ~~Data elements are used in the completion of Data Sets, Commissioning Data Sets,~~ ~~Hospital Episode Statistics~~ ~~and Central Returns. The data element information comprises format and field length,~~ ~~Hospital Episode Statistics~~ ~~name if applicable, National Codes or classifications and useful notes clarifying the selected data element.~~ ~~Data Elements Intro~~
~~NHS Business Definitions~~	~~These contain the business rules for recording NHS activity and will be of particular relevance to NHS Information Professionals.~~ ~~NHS Business Definitions~~
Class Definitions	All the classes that appear within the NHS data standards logical data model. Each class contains its nationally agreed definition, all of its attributes, all relationships it has with other classes. Class Definitions Introduction
Attribute Definitions	All the attributes of the classes that appear within the NHS data standards logical data model. Each attribute contains its nationally agreed definition which may also include its agreed National Codes or classifications and a clickable 'data' tab if a data element also exists for it. Attribute Definitions Introduction
Data Elements	Data elements which may be supported by an attribute definition i.e. the data element has the same name as an attribute, be a derived item which is derivable from attributes or only exists as a data element. Where a data element is supported by an attribute definition, such as the national codes to be used in that data element exist in an attribute, then there will be a link to that attribute through a 'definition' tab. Data elements are used in the completion of Data Sets, Commissioning Data Sets, Hospital Episode Statistics and Central Returns. The data element information comprises format and field length, Hospital Episode Statistics name if applicable, National Codes or classifications and useful notes clarifying the selected data element. Data Elements Introduction
NHS Business Definitions	These contain the business rules for recording NHS activity and will be of particular relevance to NHS Information Professionals. NHS Business Definitions Introduction
CDS and HES	Hospital Episode Statistics is now extracted automatically from the Secondary Uses Service.
Data Sets	The primary purpose of national data sets is to enable the same health information to be generated across the country independent of the organisation or system that captures it. Data Sets Contextual Overview
~~Central Return Forms~~	~~Guidance on completion of Central Returns for hospital activity, complaints management process, cervical and breast screening activity, patient transport and some community activity.~~ ~~Central Returns Introduction~~
~~Diagrams~~	~~The new generic dictionary is based on a small set of rationalised diagrams.~~ ~~Diagrams Menu~~
Central Return Forms	Guidance on completion of Central Returns for hospital activity, complaints management process, cervical and breast screening activity, patient transport and some community activity. Central Return Forms Introduction
Diagrams	The new generic dictionary is based on a small set of rationalised diagrams. Diagrams Introduction
Supporting Information	Supporting information such as clinical coding etc, is provided to help users understand the Commissioning Data Set and Central Returns. Supporting Information Introduction