Maternity Services Data Set

SUBMISSION IDENTIFIER

To carry the submission header details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MDATA SET VERSION NUMBER
MORGANISATION IDENTIFIER (CODE OF PROVIDER)
MORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
MPRIMARY DATA COLLECTION SYSTEM IN USE
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
MDATA SET CREATED DATE
MDATA SET CREATED TIME

MOTHER'S DETAILS

Mother's Demographics:
To carry the demographic details for the mother's Maternity Episode.
One occurrence of this group is required.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (MOTHER))
MORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER))
MPERSON BIRTH DATE (MOTHER)
RORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)
RNHS NUMBER (MOTHER)
RNHS NUMBER STATUS INDICATOR CODE (MOTHER)
RPOSTCODE OF USUAL ADDRESS (MOTHER)
RETHNIC CATEGORY (MOTHER)
RPERSON DEATH DATE (MOTHER)
RPERSON DEATH TIME (MOTHER)

GP Practice Registration:
To carry details of the GP Practice Registration of the mother.
At least one occurrence of this group is required.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (MOTHER))
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER))
RSTART DATE (GMP PATIENT REGISTRATION)
REND DATE (GMP PATIENT REGISTRATION)
RORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Social and Personal Circumstance:
To carry details of the mother's social and personal circumstances.
Multiple occurrences of this group are permitted for each Pregnancy Episode.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (MOTHER))
MSOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
MSOCIAL AND PERSONAL CIRCUMSTANCE RECORDED DATE

Overseas Visitor Charging Category:
To carry details of the Overseas Visitor Charging Category of the mother.
Multiple occurrences of this group are permitted for each pregnancy episode.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (MOTHER))
MOVERSEAS VISITOR CHARGING CATEGORY
ROVERSEAS VISITOR CHARGING CATEGORY APPLICABLE DATE

MOTHER'S BOOKING AND DIAGNOSIS DETAILS

Pregnancy and Booking Details:
To carry the personal, social and other details of the mother at the formal antenatal booking appointment, during the Maternity Episode and at discharge from Maternity Services.
One occurrence of this group is required.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED (MOTHER))
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MAPPOINTMENT DATE (FORMAL ANTENATAL BOOKING)
RPREGNANCY FIRST CONTACT DATE
RESTIMATED DATE OF DELIVERY (AGREED)
RORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)
RMETHOD OF ESTIMATED DATE OF DELIVERY (AGREED)
RSOURCE OF REFERRAL FOR MATERNITY
RORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)
RORGANISATION IDENTIFIER (RECEIVING)
RLATE ANTENATAL BOOKING APPOINTMENT REASON
RCARE PROFESSIONAL TYPE (PREGNANCY FIRST CONTACT)
RLAST MENSTRUAL PERIOD DATE
RDISABILITY INDICATOR (AT ANTENATAL BOOKING)
RLANGUAGE CODE (PREFERRED)
RMENTAL HEALTH PREDICTION AND DETECTION INDICATOR (AT ANTENATAL BOOKING)
RCOMPLEX SOCIAL FACTORS INDICATOR (AT ANTENATAL BOOKING)
REMPLOYMENT STATUS (MOTHER AT ANTENATAL BOOKING)
RSUPPORT STATUS INDICATOR (AT ANTENATAL BOOKING)
REMPLOYMENT STATUS (PARTNER AT ANTENATAL BOOKING)
RPREGNANCY TOTAL PREVIOUS CAESAREAN SECTIONS
RPREGNANCY TOTAL PREVIOUS LIVE BIRTHS
RPREGNANCY TOTAL PREVIOUS STILLBIRTHS
RPREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS
RFOLIC ACID SUPPLEMENT STATUS (AT ANTENATAL BOOKING)
RDISCHARGE DATE (MOTHER MATERNITY SERVICES)
RPRIMARY DISCHARGE REASON (MOTHER MATERNITY SERVICES)

Maternity Care Plan:
To carry details of the Care Plan during the current Maternity Episode.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MMATERNITY CARE PLAN DATE
RMATERNITY CARE PLAN TYPE
RMATERNITY PERSONALISED CARE PLAN INDICATOR
RCONTINUITY OF CARER PATHWAY INDICATOR
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
RORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)
RMATERNITY CARE SETTING (OF PLANNED DELIVERY)
RPLANNED DELIVERY SETTING CHANGE REASON (ANTENATAL)

Dating Scan Procedure:
To carry details of the first ultrasound (dating) scan during the current Maternity Episode.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MACTIVITY OFFER DATE (DATING ULTRASOUND SCAN)
ROFFER STATUS (DATING ULTRASOUND SCAN)
RPROCEDURE DATE (DATING ULTRASOUND SCAN)
RGESTATION LENGTH (DATING ULTRASOUND SCAN)
RNUMBER OF FETUSES (DATING ULTRASOUND SCAN)
RLOCAL FETAL IDENTIFIER
RFETAL ORDER
RABNORMALITY DETECTED INDICATOR (DATING ULTRASOUND SCAN)
RORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN)

Coded Scored Assessment (Pregnancy):
To carry details of coded scored assessments that are issued and completed as part of a Maternity Episode outside of a contact.
One occurrence of this group is permitted for each coded scored assessment question or dimension.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
RASSESSMENT TOOL COMPLETION DATE

Provisional Diagnosis (Pregnancy):
To carry details of a provisional diagnosis for a mother made by the Maternity Service.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MPROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
RPROVISIONAL DIAGNOSIS DATE
RLOCAL FETAL IDENTIFIER
RFETAL ORDER

Diagnosis (Pregnancy):
To carry details of a diagnosis for a mother made by the Maternity Service.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MDIAGNOSIS (CODED CLINICAL ENTRY)
RMATERNITY COMPLICATING DIAGNOSIS INDICATOR
RDIAGNOSIS DATE
RLOCAL FETAL IDENTIFIER
RFETAL ORDER

Medical History (Previous Diagnosis):
To carry details of any previous diagnoses for a mother, which are stated by the mother or mother's proxy or recorded in medical notes.
These do not have to have been diagnosed by the organisation submitting the data.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MDIAGNOSIS SCHEME IN USE
MPREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
RDIAGNOSIS DATE

Family History at Booking:
To carry details of any family history of medical and obstetric conditions at booking.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
MSITUATION SCHEME IN USE
MCODED SITUATION (CLINICAL TERMINOLOGY)

Finding and Observation (Mother):
To carry details of findings and observations of a mother which have taken place during a Maternity Episode.
Multiple occurrences of this group are permitted when findings and observations are recorded.
M/R/OData Set Data Elements
MPREGNANCY IDENTIFIER
RLOCAL FETAL IDENTIFIER
RFETAL ORDER
RFINDING DATE
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
ROBSERVATION DATE
ROBSERVATION SCHEME IN USE
RCODED OBSERVATION (CLINICAL TERMINOLOGY)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT

CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES

Care Contact (Pregnancy):
To carry details of any contacts with a mother which have taken place as part of a Maternity Episode.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MCARE CONTACT IDENTIFIER
MPREGNANCY IDENTIFIER
MCARE CONTACT DATE
RCARE CONTACT TIME
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RADMINISTRATIVE CATEGORY CODE
RCLINICAL CONTACT DURATION OF CARE CONTACT
RCONSULTATION TYPE
RCARE CONTACT SUBJECT
RCONSULTATION MEDIUM USED
RACTIVITY LOCATION TYPE CODE
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RGROUP THERAPY INDICATOR
RATTENDED OR DID NOT ATTEND CODE
RCARE CONTACT CANCELLATION DATE
RCARE CONTACT CANCELLATION REASON
RREPLACEMENT APPOINTMENT DATE OFFERED
RREPLACEMENT APPOINTMENT BOOKED DATE

Care Activity (Pregnancy):
To carry details of any activities which have taken place as part of a contact with a mother during a Maternity Episode.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER (MOTHER)
MCARE CONTACT IDENTIFIER
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
RCLINICAL CONTACT DURATION OF CARE ACTIVITY
RLOCAL FETAL IDENTIFIER
RFETAL ORDER
RPROCEDURE SCHEME IN USE
RCODED PROCEDURE AND PROCEDURE STATUS (CODED CLINICAL ENTRY)
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
ROBSERVATION SCHEME IN USE
RCODED OBSERVATION (CLINICAL TERMINOLOGY)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT

Coded Scored Assessment (Contact):
To carry details of scored assessments that are issued and completed as part of a specific contact during a Maternity Episode.
One occurrence of this group is permitted for each coded scored assessment question or dimension.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER (MOTHER)
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE

Labour and Delivery:
To carry details of events during labour and delivery.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MLABOUR AND DELIVERY IDENTIFIER
MPREGNANCY IDENTIFIER
RORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)
RMATERNITY CARE SETTING (AT START OF INTRAPARTUM CARE)
RPLANNED DELIVERY SETTING CHANGE REASON (LABOUR)
RLABOUR OR DELIVERY ONSET METHOD CODE
RONSET OF ESTABLISHED LABOUR DATE
RONSET OF ESTABLISHED LABOUR TIME
RPROCEDURE DATE (CAESAREAN SECTION)
RPROCEDURE TIME (CAESAREAN SECTION)
RSTART DATE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)
RSTART TIME (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)
RDECISION TO DELIVER DATE
RDECISION TO DELIVER TIME
RADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)
RDISCHARGE DATE (MOTHER POST LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)
RDISCHARGE TIME (MOTHER POST LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)
RDISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL)
RDISCHARGE DESTINATION CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL)
RORGANISATION IDENTIFIER (POSTNATAL PATHWAY LEAD PROVIDER)

Care Activity (Labour and Delivery):
To carry details of any activities which have taken place during labour and delivery.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MLABOUR AND DELIVERY IDENTIFIER
MCLINICAL INTERVENTION DATE (MOTHER)
RCLINICAL INTERVENTION TIME (MOTHER)
MCLINICAL CONTACT DURATION OF CARE ACTIVITY
MCARE PROFESSIONAL LOCAL IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
RLOCAL FETAL IDENTIFIER
RFETAL ORDER
RMATERNAL CRITICAL INCIDENT INDICATOR
RPROCEDURE SCHEME IN USE
RCODED PROCEDURE AND PROCEDURE STATUS (CODED CLINICAL ENTRY)
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
ROBSERVATION SCHEME IN USE
RCODED OBSERVATION (CLINICAL TERMINOLOGY)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT

BABY'S DETAILS

Baby's Demographic and Birth Details:
To carry details of the baby's demographics and birth.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (BABY))
MLABOUR AND DELIVERY IDENTIFIER
MORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY))
MPERSON BIRTH DATE (BABY)
MPERSON BIRTH TIME (BABY)
MPREGNANCY OUTCOME
MPERSON PHENOTYPIC SEX
RETHNIC CATEGORY (BABY)
RNHS NUMBER (BABY)
RNHS NUMBER STATUS INDICATOR CODE (BABY)
RLOCAL FETAL IDENTIFIER
RBIRTH ORDER (MATERNITY SERVICES)
RPERSON DEATH DATE (BABY)
RPERSON DEATH TIME (BABY)
RPRESENTATION OF FETUS AT ONSET OF LABOUR OR DELIVERY
RGESTATION LENGTH (AT BIRTH) 
RDELIVERY METHOD CODE
RDELIVERED IN WATER INDICATOR
RORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)
RCARE PROFESSIONAL LOCAL IDENTIFIER (DELIVERING BABY)
RMATERNITY CARE SETTING (ACTUAL PLACE OF BIRTH)
RBABY FIRST FEED DATE
RBABY FIRST FEED TIME
RBABY FIRST FEED BREAST MILK INDICATION CODE
RSKIN TO SKIN CONTACT INDICATOR (WITHIN ONE HOUR)
RDISCHARGE DATE (BABY POST DELIVERY HOSPITAL PROVIDER SPELL)
RDISCHARGE TIME (BABY POST DELIVERY HOSPITAL PROVIDER SPELL)

Neonatal Admission:
To carry details of neonatal admissions.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (BABY))
MTRANSFER START DATE (NEONATAL UNIT)
RTRANSFER START TIME (NEONATAL UNIT)
RORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)
RNEONATAL CRITICAL CARE ADMISSION INDICATOR

Provisional Diagnosis (Neonatal):
To carry details of provisional diagnoses made for the baby.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (BABY))
MDIAGNOSIS SCHEME IN USE
MPROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
RPROVISIONAL DIAGNOSIS DATE

Diagnosis (Neonatal):
To carry details of diagnoses made for the baby.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED (BABY))
MDIAGNOSIS SCHEME IN USE
MDIAGNOSIS (CODED CLINICAL ENTRY)
MDIAGNOSIS DATE

Care Activity (Baby):
To carry details of any activities for the baby which have taken place prior to discharge from Maternity Services.
Multiple occurrences of this group are permitted.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER (BABY)
MLOCAL PATIENT IDENTIFIER (EXTENDED (BABY))
MCLINICAL INTERVENTION DATE (BABY)
RCLINICAL INTERVENTION TIME (BABY)
RCLINICAL CONTACT DURATION OF CARE ACTIVITY
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
RNEONATAL CRITICAL INCIDENT INDICATOR
RPROCEDURE SCHEME IN USE
RCODED PROCEDURE AND PROCEDURE STATUS (CODED CLINICAL ENTRY)
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
ROBSERVATION SCHEME IN USE
RCODED OBSERVATION (CLINICAL TERMINOLOGY)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT
ORGANISATION IDENTIFIER (NEWBORN BLOOD SPOT SCREENING LABORATORY)

Coded Scored Assessment (Baby):
To carry details of coded scored assessments that are completed for the baby prior to discharge from Maternity Services.
One occurrence of this group is permitted for each coded scored observation question or dimension.
M/R/OData Set Data Elements
MCARE ACTIVITY IDENTIFIER (BABY)
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE

HOSPITAL PROVIDER SPELLS

Hospital Provider Spell:
To carry details of each Hospital Provider Spell for the mother. This includes any hospital admissions for the mother during the Maternity Episode, but does not include admission for labour and delivery.
One occurrence of this group is permitted for each Hospital Provider Spell.
M/R/OData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MPREGNANCY IDENTIFIER
MSTART DATE (HOSPITAL PROVIDER SPELL)
RSTART TIME (HOSPITAL PROVIDER SPELL)
RSOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)
RPATIENT CLASSIFICATION CODE
RADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE TIME (HOSPITAL PROVIDER SPELL)
RDISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)

Hospital Spell Commissioner:
To carry details of each commissioner assignment for the mother.
One occurrence of this group is permitted for each commissioner assignment.
M/R/OData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MSTART DATE (COMMISSIONER ASSIGNMENT PERIOD)
REND DATE (COMMISSIONER ASSIGNMENT PERIOD)

Ward Stay:
To carry details of Ward Stays which occurred during a Hospital Provider Spell for the mother.
One occurrence of this group is permitted for each Ward Stay.
M/R/OData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MSTART DATE (WARD STAY)
RSTART TIME (WARD STAY)
REND DATE (WARD STAY)
REND TIME (WARD STAY)
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
OWARD CODE

Assigned Care Professional:
To carry details of the Care Professional Admitted Care Episodes during a Hospital Provider Spell for the mother.
One occurrence of this group is permitted for each Care Professional Admitted Care Episode.
M/R/OData Set Data Elements
MHOSPITAL PROVIDER SPELL NUMBER
MCARE PROFESSIONAL LOCAL IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MSTART DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
REND DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
RTREATMENT FUNCTION CODE (MATERNITY)

ANONYMOUS SELF-ASSESSMENT

Anonymous Self-Assessment:
To carry details of anonymous self-assessments that are issued by Maternity Services.
One occurrence of this group is permitted when an anonymous self-assessment is received from a mother.
M/R/OData Set Data Elements
MASSESSMENT TOOL COMPLETION DATE
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
RACTIVITY LOCATION TYPE CODE
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

Anonymous Findings:
To carry details of anonymous findings that are recorded by Maternity Services.
One occurrence of this group is permitted when an anonymous finding is recorded for a mother.
M/R/OData Set Data Elements
MCLINICAL INTERVENTION DATE
RFINDING SCHEME IN USE
RCODED FINDING (CODED CLINICAL ENTRY)
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

STAFF DETAILS

Staff Details:
To carry details of the staff involved in the treatment of a mother.
One occurrence of this group is permitted for each staff member.
M/R/OData Set Data Elements
MCARE PROFESSIONAL LOCAL IDENTIFIER
RPROFESSIONAL REGISTRATION BODY CODE
RPROFESSIONAL REGISTRATION ENTRY IDENTIFIER
RCARE PROFESSIONAL STAFF GROUP (MATERNITY)
ROCCUPATION CODE
RCARE PROFESSIONAL (JOB ROLE CODE)
ISO 9001 CERTIFICATION EUROPE