| CDS V6-3 TYPE 130 - FINISHED GENERAL EPISODE COMMISSIONING DATA SET | |
| FUNCTION: To support the details of a Finished Care Professional Admitted Care General Episode. |
| Notation | DATA GROUP: CDS V6-3 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission. | |
| M | 1..1 | DATA GROUP: CDS V6-3 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6-3 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission. | |
| M | 1..* | DATA GROUP: CDS V6-3 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6-3 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6-3 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6-3 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6-3 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F I2 | |||
| M | 1..1 | ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT PERIOD STATUS | V | |||
| M | 1..1 | WAITING TIME MEASUREMENT TYPE (COMMISSIONING DATA SET) | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules. | |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the Commissioning Data Set record has been anonymised | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR CODE | V | ||
| R | 0..1 | ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) | F | ||
| R | 0..1 | WITHHELD IDENTITY REASON | V | ||
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR CODE National Code = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (EXTENDED) | F S3 | ||
| M | 1..1 | ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR CODE | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| R | 0..1 | ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) | F | ||
| R | 0..1 | PERSON BIRTH DATE | F S3 S12 | ||
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (EXTENDED) | F S3 | ||
| M | 1..1 | ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR CODE | V | ||
| R | 0..1 | Data Element Components | Rules | ||
| M OR O and M and M and O and O | 1..1 OR 0..1 and 1..1 and 1..1 and 0..1 and 0..1 | PATIENT FULL NAME OR PATIENT TITLE and PATIENT GIVEN NAME and PATIENT FAMILY NAME and PATIENT NAME SUFFIX and PATIENT INITIALS | F S3 I4 | ||
| R | 0..1 | Data Element Components | Rules | ||
| M OR M | 1..1 OR 2..5 | PATIENT USUAL ADDRESS (UNSTRUCTURED) OR PATIENT USUAL ADDRESS (STRUCTURED) | F S3 I5 | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| R | 0..1 | ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) | F | ||
| R | 0..1 | PERSON BIRTH DATE | F S3 S12 | ||
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON STATED GENDER CODE | V H4 | ||
| O | 0..1 | CARER SUPPORT INDICATOR | V | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| X | 0..1 | ETHNIC CATEGORY 2021 | N2 | ||
| R | 0..1 | PERSON MARITAL STATUS | V | ||
| R | 0..1 | MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | F | ||
| Notation | DATA GROUP: PATIENT CHARACTERISTICS - SOCIAL AND PERSONAL CIRCUMSTANCES (SNOMED CT) | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the SNOMED CT coded Social and Personal Circumstances for the Patient. |
| M | 1..1 | DATA GROUP: SNOMED CT SOCIAL AND PERSONAL CIRCUMSTANCES | Rules | ||
| M | 1..1 | SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT EXPRESSION) | F | ||
| M | 1..1 | SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP | F | ||
| O | 0..1 | DATA GROUP: DATA ABSENT REASON | Rules | ||
| O | 0..1 | DATA ABSENT REASON (FHIR R4) | F | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Finished General Care Professional Admitted Care Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HOSPITAL PROVIDER SPELL IDENTIFIER | F H4 | ||
| R | 0..1 | ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) | V | ||
| R | 0..1 | PATIENT CLASSIFICATION CODE | V H4 | ||
| R | 0..1 | METHOD OF ADMISSION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | ADMISSION SOURCE (HOSPITAL PROVIDER SPELL) | V H4 | ||
| M | 1..1 | START DATE (HOSPITAL PROVIDER SPELL) | F H4 S13 | ||
| O | 0..1 | START TIME (HOSPITAL PROVIDER SPELL) | F S14 | ||
| M | 1..1 | AGE ON ADMISSION | F H4 | ||
| R | 0..1 | AMBULANCE CALL IDENTIFIER | F | ||
| R | 0..1 | ORGANISATION IDENTIFIER (CONVEYING AMBULANCE TRUST) | F | ||
| R | 0..1 | CARE CONTACT IDENTIFIER (AMBULANCE SERVICE) | F | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Finished General Care Professional Admitted Care Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| R | 0..1 | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| O | 0..1 | DISCHARGE TIME (HOSPITAL PROVIDER SPELL) | F S14 | ||
| R | 0..1 | DISCHARGED TO NHS AT HOME SERVICE INDICATOR | V | ||
| Notation | DATA GROUP: CARE EPISODE - ACTIVITY CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Patient's Finished General Care Professional Admitted Care Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EPISODE NUMBER | F H4 | ||
| R | 0..1 | LAST EPISODE IN SPELL INDICATOR CODE | V | ||
| R | 0..1 | NEONATAL LEVEL OF CARE CODE | V H4 | ||
| O | 0..1 | FIRST REGULAR DAY OR NIGHT ADMISSION CODE | V | ||
| R | 0..1 | PSYCHIATRIC PATIENT STATUS CODE | V | ||
| M | 1..1 | START DATE (EPISODE) | F H4 S13 | ||
| O | 0..1 | START TIME (EPISODE) | F S14 | ||
| M | 1..1 | END DATE (EPISODE) | F H4 S1 S13 | ||
| O | 0..1 | END TIME (EPISODE) | F S14 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 S8 | ||
| O | 0..1 | REHABILITATION ASSESSMENT TEAM TYPE | V N3 | ||
| Notation | DATA GROUP: CARE EPISODE - LENGTH OF STAY ADJUSTMENT | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry details of length of stay adjustments to the Finished General Care Professional Admitted Care Episode . |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LENGTH OF STAY ADJUSTMENT (REHABILITATION) | F H4 | ||
| R | 0..1 | LENGTH OF STAY ADJUSTMENT (SPECIALIST PALLIATIVE CARE) | F H4 | ||
| Notation | DATA GROUP: CARE EPISODE - OVERSEAS VISITOR CHARGING CATEGORY | ||
| Group Status R | Group Repeats 0..5 | FUNCTION: To carry the details of the Overseas Visitor Charging Categories of the Patient during the Finished General Care Professional Admitted Care Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | OVERSEAS VISITOR CHARGING CATEGORY | V | ||
| M | 1..1 | OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE | F S13 | ||
| R | 0..1 | OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE | F S13 | ||
| Notation | DATA GROUP: CARE EPISODE - SERVICE AGREEMENT DETAILS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Provider, Commissioners and Service Agreements. | |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | ORGANISATION IDENTIFIER (CODE OF PROVIDER) | F H4 | ||
| M | 1..* | DATA GROUP: COMMISSIONERS | Rules | ||
| M | 1..1 | ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) | F | ||
| R | 0..1 | START DATE (COMMISSIONER ASSIGNMENT PERIOD) | F S13 | ||
| R | 0..1 | END DATE (COMMISSIONER ASSIGNMENT PERIOD) | F S13 | ||
| R | 0..1 | NHS SERVICE AGREEMENT IDENTIFIER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE IDENTIFIER | F | ||
| O | 0..1 | PROVIDER REFERENCE IDENTIFIER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE IDENTIFIER | F | ||
| R | 0..1 | SERVICE CODE | F | ||
| Notation | DATA GROUP: CARE EPISODE - PERSON GROUP (CARE PROFESSIONAL) | ||
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the Care Professionals active during the Finished General Care Professional Admitted Care Episode. | |
| Notation | DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses for the Patient. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE (COMMISSIONING DATA SET) | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| O | 0..1 | PRESENT ON ADMISSION INDICATOR | V | ||
| R | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
| O | 0..1 | PRESENT ON ADMISSION INDICATOR | V | ||
| Notation | DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (SNOMED CT) | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the SNOMED CT coded Clinical Diagnoses for the Patient. |
| M | 1..1 | DATA GROUP: SNOMED CT DIAGNOSIS | Rules | ||
| M | 1..1 | DIAGNOSIS (SNOMED CT EXPRESSION) | F | ||
| M | 1..1 | CODED CLINICAL ENTRY SEQUENCE NUMBER | F | ||
| M | 1..1 | CODED DIAGNOSIS TIMESTAMP | F | ||
| O | 0..1 | DATA GROUP: DATA ABSENT REASON | Rules | ||
| O | 0..1 | DATA ABSENT REASON (FHIR R4) | F | ||
| Notation | DATA GROUP: CARE EPISODE - COMORBIDITY (SNOMED CT) | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the SNOMED CT coded Comorbidities for the Patient. |
| M | 1..1 | DATA GROUP: SNOMED CT COMORBIDITY | Rules | ||
| M | 1..1 | COMORBIDITY (SNOMED CT EXPRESSION) | F | ||
| O | 0..1 | DATA GROUP: DATA ABSENT REASON | Rules | ||
| O | 0..1 | DATA ABSENT REASON (FHIR R4) | F | ||
| Notation | DATA GROUP: CARE EPISODE - EMED3 FIT NOTE | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the EMED3 Fit Note issued. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EMED3 FIT NOTE ASSESSMENT DATE | F S13 | ||
| R | 0..1 | EMED3 FIT NOTE CONDITION (SNOMED CT EXPRESSION) | F | ||
| R | 0..1 | EMED3 FIT NOTE DIAGNOSIS (ICD) | F | ||
| R | 0..1 | EMED3 FIT NOTE START DATE | F S13 | ||
| R | 0..1 | EMED3 FIT NOTE END DATE | F S13 | ||
| R | 0..1 | EMED3 FIT NOTE DURATION | F | ||
| R | 0..1 | EMED3 FIT NOTE RECORDED DATE | F S13 | ||
| R | 0..1 | EMED3 FIT NOTE FOLLOW UP ASSESSMENT REQUIRED INDICATOR | V | ||
| X | 0..1 | EMED3 FIT NOTE ISSUER | N2 | ||
| Notation | DATA GROUP: CARE EPISODE - PROCEDURE GROUP (OPCS) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the OPCS coded Procedures for the Patient. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE (COMMISSIONING DATA SET) | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..1 | DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONAL | Rules | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ISSUER CODE | V | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) | F | ||
| O | 0..1 | DATA GROUP: RESPONSIBLE ANAESTHETIST | Rules | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ISSUER CODE | V | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) | F | ||
| R | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..1 | DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONAL | Rules | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ISSUER CODE | V | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) | F | ||
| O | 0..1 | DATA GROUP: RESPONSIBLE ANAESTHETIST | Rules | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ISSUER CODE | V | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) | F | ||
| Notation | DATA GROUP: CARE EPISODE - PROCEDURE GROUP (SNOMED CT) | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the SNOMED CT coded Procedures for the Patient. |
| M | 1..1 | DATA GROUP: SNOMED CT PROCEDURE | Rules | ||
| M | 1..1 | PROCEDURE (SNOMED CT EXPRESSION) | F | ||
| M | 1..1 | CODED CLINICAL ENTRY SEQUENCE NUMBER | F | ||
| M | 1..1 | CODED PROCEDURE TIMESTAMP | F | ||
| O | 0..1 | DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONAL | Rules | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ISSUER CODE | V | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) | F | ||
| O | 0..1 | DATA GROUP: RESPONSIBLE ANAESTHETIST | Rules | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ISSUER CODE | V | ||
| M | 1..1 | PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) | F | ||
| O | 0..1 | DATA GROUP: DATA ABSENT REASON | Rules | ||
| O | 0..1 | DATA ABSENT REASON (FHIR R4) | F | ||
| Notation | DATA GROUP: CARE EPISODE - OBSERVATION GROUP (SNOMED CT) | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the SNOMED CT coded Clinical Observations for the Patient. |
| M | 1..1 | DATA GROUP: SNOMED CT OBSERVATION | Rules | ||
| M | 1..1 | OBSERVATION (SNOMED CT EXPRESSION) | F | ||
| R | 0..1 | OBSERVATION VALUE | F | ||
| R | 0..1 | UCUM UNIT OF MEASUREMENT | F | ||
| M | 1..1 | CODED OBSERVATION TIMESTAMP | F | ||
| O | 0..1 | DATA GROUP: DATA ABSENT REASON | Rules | ||
| O | 0..1 | DATA ABSENT REASON (FHIR R4) | F | ||
| Notation | DATA GROUP: CARE EPISODE - FINDING GROUP (SNOMED CT) | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the SNOMED CT coded Clinical Findings for the Patient. |
| M | 0..1 | DATA GROUP: SNOMED CT FINDING | Rules | ||
| M | 1..1 | FINDING (SNOMED CT EXPRESSION) | F | ||
| M | 1..1 | CODED FINDING TIMESTAMP | F | ||
| O | 0..1 | DATA GROUP: DATA ABSENT REASON | Rules | ||
| O | 0..1 | DATA ABSENT REASON (FHIR R4) | F | ||
| Notation | DATA GROUP: CARE EPISODE - ASSESSMENT TOOL GROUP (SNOMED CT) | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of the SNOMED CT coded Assessment Tools for the Patient. |
| M | 1..1 | DATA GROUP: SNOMED CT ASSESSMENT TOOL | Rules | ||
| M | 1..1 | ASSESSMENT TOOL (SNOMED CT EXPRESSION) | F | ||
| M | 1..1 | PERSON SCORE | F | ||
| M | 1..1 | ASSESSMENT TOOL COMPLETION TIMESTAMP | F | ||
| O | 0..1 | DATA GROUP: DATA ABSENT REASON | Rules | ||
| O | 0..1 | DATA ABSENT REASON (FHIR R4) | F | ||
| Notation | DATA GROUP: LOCATION GROUP (AT START OF CARE EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the Start of the Finished General Care Professional Admitted Care Episode. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ORGANISATION SITE IDENTIFIER (OF TREATMENT) | F | ||
| R | 0..1 | ACTIVITY LOCATION TYPE CODE | F | ||
| O | 0..1 | WARD INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | WARD INTENDED AGE GROUP | V | ||
| O | 0..1 | WARD INTENDED SEX OF PATIENTS | V | ||
| O | 0..1 | WARD INTENDED DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD INTENDED NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD SECURITY LEVEL | V | ||
| O | 0..1 | WARD CODE | F | ||
| Notation | DATA GROUP: LOCATION GROUP (AT WARD STAY) | |
| Group Status R | Group Repeats 0..97 | FUNCTION: To carry the details of one or more Ward Stays during the Finished General Care Professional Admitted Care Episode. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ORGANISATION SITE IDENTIFIER (OF TREATMENT) | F | ||
| R | 0..1 | ACTIVITY LOCATION TYPE CODE | F | ||
| O | 0..1 | WARD INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | WARD INTENDED AGE GROUP | V | ||
| O | 0..1 | WARD INTENDED SEX OF PATIENTS | V | ||
| O | 0..1 | WARD INTENDED DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD INTENDED NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | START DATE (WARD STAY) | F S13 | ||
| O | 0..1 | START TIME (WARD STAY) | F S14 | ||
| O | 0..1 | END DATE (WARD STAY) | F S13 | ||
| O | 0..1 | END TIME (WARD STAY) | F S14 | ||
| O | 0..1 | WARD SECURITY LEVEL | V | ||
| O | 0..1 | WARD CODE | F | ||
| Notation | DATA GROUP: LOCATION GROUP (AT END OF CARE EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the End of the Finished General Care Professional Admitted Care Episode. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ORGANISATION SITE IDENTIFIER (OF TREATMENT) | F | ||
| R | 0..1 | ACTIVITY LOCATION TYPE CODE | F | ||
| O | 0..1 | WARD INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | WARD INTENDED AGE GROUP | V | ||
| O | 0..1 | WARD INTENDED SEX OF PATIENTS | V | ||
| O | 0..1 | WARD INTENDED DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD INTENDED NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD SECURITY LEVEL | V | ||
| O | 0..1 | WARD CODE | F | ||
| Notation | DATA GROUP: LOCATION GROUP - HOME LEAVE | |
| Group Status R | Group Repeats 0..* | FUNCTION: To carry the details of each separate period of Home Leave within the Finished General Care Professional Admitted Care Episode. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | START DATE (HOME LEAVE) | F S13 | ||
| R | 0..1 | START TIME (HOME LEAVE) | F S14 | ||
| R | 0..1 | END DATE (HOME LEAVE) | F S13 | ||
| R | 0..1 | END TIME (HOME LEAVE) | F S14 | ||
| Notation | DATA GROUP: CARE EPISODE - NEONATAL CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities. |
| M | 1..1 | DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..1 | GESTATION LENGTH (AT DELIVERY) | V | ||
| M | 1..999 | DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| R | 0..1 | PERSON WEIGHT | F | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | F N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: CARE EPISODE - PAEDIATRIC CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities. |
| M | 1..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..999 | DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | F N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: CARE EPISODE - ADULT CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities. |
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| O | 0..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| O | 0..1 | CRITICAL CARE UNIT BED CONFIGURATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION SOURCE | V | ||
| O | 0..1 | CRITICAL CARE SOURCE LOCATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION TYPE | V | ||
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| R | 0..1 | ADVANCED RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | ADVANCED CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | RENAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | NEUROLOGICAL SUPPORT DAYS | F H4 | ||
| O | 0..1 | GASTRO-INTESTINAL SUPPORT DAYS | F | ||
| R | 0..1 | DERMATOLOGICAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | LIVER SUPPORT DAYS | F H4 | ||
| O | 0..1 | ORGAN SUPPORT MAXIMUM | V | ||
| R | 0..1 | CRITICAL CARE LEVEL 2 DAYS | F H4 | ||
| R | 0..1 | CRITICAL CARE LEVEL 3 DAYS | F H4 | ||
| R | 0..* | DATA GROUP: ADULT CRITICAL CARE - DAILY CARE ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..9 | ORGAN SYSTEM SUPPORTED | V | ||
| M | 1..1 | CRITICAL CARE LEVEL | V | ||
| R | 0..1 | DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY DATE | F S13 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE STATUS | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE DESTINATION | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE LOCATION | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. |
| M | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: REFERRER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Referrer. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | REFERRER CODE | F | ||
| R | 0..1 | ORGANISATION IDENTIFIER (REFERRING ORGANISATION) | F | ||
| Notation | DATA GROUP: REFERRAL | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Referral. |
| M | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | DIRECT ACCESS REFERRAL INDICATOR | V | ||
| Notation | DATA GROUP: ELECTIVE ADMISSION LIST ENTRY | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Elective Admission List Entry. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | DURATION OF ELECTIVE WAIT | F | ||
| R | 0..1 | INTENDED MANAGEMENT CODE | V | ||
| R | 0..1 | DECIDED TO ADMIT DATE | F S13 | ||
| R | 0..1 | EARLIEST REASONABLE OFFER DATE | F S13 | ||
| R | 0..1 | EARLIEST CLINICALLY APPROPRIATE DATE | F S13 | ||
| R | 0..1 | LATEST CLINICALLY APPROPRIATE DATE | F S13 | ||
| Notation | DATA GROUP: CDS V6-3 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission. | |
| M | 1..* | DATA GROUP: CDS V6-3 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6-3 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission. | |
| M | 1..1 | DATA GROUP: CDS V6-3 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
