Mental Health Services Data Set

HEADER

Header:
To carry header details for the submission.
One occurrence of this group is required.
M/R/O/PData 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
MDATE AND TIME DATA SET CREATED

PATIENT DEMOGRAPHICS

Master Patient Index:
To carry personal details of the patient.
One occurrence of this group is required.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
RORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT)
RNHS NUMBER
RNHS NUMBER STATUS INDICATOR CODE (MENTAL HEALTH AND MATERNITY)
RPERSON BIRTH DATE
RPOSTCODE OF USUAL ADDRESS
RGENDER IDENTITY CODE
RGENDER IDENTITY SAME AT BIRTH INDICATOR
RPERSON STATED GENDER CODE
RPERSON MARITAL STATUS
RETHNIC CATEGORY
PETHNIC CATEGORY 2021
RLANGUAGE CODE (PREFERRED)
RPERSON DEATH DATE

GP Practice Registration:
To carry details of the GP Practice Registration of the patient.
One occurrence of this group is required for each change of GP Practice Registration.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RSTART DATE (GMP PATIENT REGISTRATION)
REND DATE (GMP PATIENT REGISTRATION)

Accommodation Status:
To carry accommodation details of the patient.
One occurrence of this group is permitted for each accommodation type.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MACCOMMODATION TYPE
RSETTLED ACCOMMODATION INDICATOR
RACCOMMODATION TYPE RECORDED DATE
RSECURE CHILDRENS HOME PLACEMENT TYPE
RACCOMMODATION TYPE START DATE
RACCOMMODATION TYPE END DATE

Employment Status:
To carry details of the employment status of the patient.
One occurrence of this group is permitted for each employment status.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MEMPLOYMENT STATUS
REMPLOYMENT STATUS START DATE
REMPLOYMENT STATUS END DATE
REMPLOYMENT STATUS RECORDED DATE
RWEEKLY HOURS WORKED

Patient Indicators:
To carry details of specific indicators relating to a patient.
One occurrence of this group is permitted containing the current or most recently recorded status or indicators and psychosis information.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
RCONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR
RPARENTAL RESPONSIBILITIES INDICATOR
RYOUNG CARER INDICATOR
RLOOKED AFTER CHILD INDICATOR
RLOOKED AFTER CHILD LEGAL STATUS
REDUCATIONAL ASSESSMENT OUTCOME
RCHILD PROTECTION PLAN INDICATION CODE
REX-BRITISH ARMED FORCES INDICATOR
ROFFENCE HISTORY INDICATION CODE
RPRODROME PSYCHOSIS DATE
REMERGENT PSYCHOSIS DATE
RMANIFEST PSYCHOSIS DATE
RFIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
RPSYCHOSIS FIRST TREATMENT START DATE
RREASONABLE ADJUSTMENT REQUIRED INDICATOR

Mental Health Care Coordinator:
To carry details of the Mental Health Care Coordinator assigned to a patient.
One occurrence of this group is permitted for each Mental Health Care Coordinator assignment.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSTART DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
RCARE PROFESSIONAL LOCAL IDENTIFIER
REND DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
RCARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH)

Disability Type:
To carry details of the type of disability affecting a patient, based on their perception or the perception of a patient proxy.
One occurrence of this group is permitted for each disability identified.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MDISABILITY CODE
RDISABILITY IMPACT PERCEPTION

Care Plan Type:
To carry details of Care Plans created for a patient by the organisation.
One occurrence of this group is permitted for each Care Plan created for the patient.
M/R/O/PData Set Data Elements
MCARE PLAN IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MCARE PLAN TYPE (MENTAL HEALTH)
MCARE PLAN CREATION DATE
RCARE PLAN CREATION TIME
RCARE PLAN LAST UPDATED DATE
RCARE PLAN LAST UPDATED TIME
RCARE PLAN IMPLEMENTATION DATE

Care Plan Agreement:
To carry details of any agreements to a Care Plan by a person, team or organisation.
One occurrence of this group is permitted for each agreement of a Care Plan.
M/R/O/PData Set Data Elements
MCARE PLAN IDENTIFIER
MFAMILY INVOLVED IN CARE PLAN INDICATOR
MFAMILY NOT INVOLVED IN CARE PLAN REASON
MCARE PLAN CONTENT AGREED BY
RCARE PLAN CONTENT AGREED DATE
RCARE PLAN CONTENT AGREED TIME

Assistive Technology to Support Disability Type:
To carry details of when assistive technology is used to support a disabled patient.
One occurrence of this group is permitted for each assistive technology type.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MASSISTIVE TECHNOLOGY FINDING (SNOMED CT)
RPRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY)

Social and Personal Circumstances:
To carry details of social and personal circumstances of a patient.
One occurrence of this group is permitted for each social and personal circumstance recorded.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
RSOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP

Overseas Visitor Charging Category:
To carry details of the Overseas Visitor Charging Category of the patient.
Multiple occurrences of this group are permitted, one for each Overseas Visitor Charging Category recorded for the patient.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MOVERSEAS VISITOR CHARGING CATEGORY
ROVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE
ROVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE

Mental Health Currency Model:
To carry details of the Mental Health Currency Model.
One occurrence of this group is permitted for each Mental Health Resource Group recorded.
M/R/O/PData Set Data Elements
PLOCAL PATIENT IDENTIFIER (EXTENDED)
PMENTAL HEALTH RESOURCE GROUP TYPE (SNOMED CT)
PSTART DATE (MENTAL HEALTH RESOURCE GROUP)
PEND DATE (MENTAL HEALTH RESOURCE GROUP)

REFERRALS

Service or Team Referral:
To carry details of the Service or Team referral that the patient is subject to.
One occurrence of this group is permitted for each referral.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MREFERRAL REQUEST RECEIVED DATE
RREFERRAL REQUEST RECEIVED TIME
RNHS SERVICE AGREEMENT LINE NUMBER
RSPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
RSOURCE OF REFERRAL FOR MENTAL HEALTH SERVICES DATA SET
RORGANISATION IDENTIFIER (REFERRING)
RREFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH)
RCLINICAL RESPONSE PRIORITY TYPE
RPRIMARY REASON FOR REFERRAL (MENTAL HEALTH)
RREASON FOR OUT OF AREA REFERRAL (ADULT ACUTE MENTAL HEALTH)
RDECISION TO TREAT DATE (MENTAL HEALTH HOME TREATMENT)
RDECISION TO TREAT TIME (MENTAL HEALTH HOME TREATMENT)
RDISCHARGE PLAN CREATION DATE
RDISCHARGE PLAN CREATION TIME
RDISCHARGE PLAN LAST UPDATED DATE
RDISCHARGE PLAN LAST UPDATED TIME
RSERVICE DISCHARGE DATE
RSERVICE DISCHARGE TIME

Other Reason for Referral:
To carry details of additional reasons why a patient has been referred to a specific service.
One occurrence of this group is permitted for each additional referral reason.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MOTHER REASON FOR REFERRAL (MENTAL HEALTH)

Service or Team Type Referred To:
To carry details of the service or team that a patient is referred to.
One occurrence of this group is permitted for each service or team that a patient has been referred to.
M/R/O/PData Set Data Elements
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MSERVICE REQUEST IDENTIFIER
MSERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
RREFERRAL CLOSURE DATE
RREFERRAL CLOSURE TIME
RREFERRAL REJECTION DATE
RREFERRAL REJECTION TIME
RREFERRAL CLOSURE REASON
RREFERRAL REJECTION REASON

Referral to Treatment (RTT):
To carry Referral to Treatment details for the patient's referral.
One occurrence of this group is permitted for each change in Referral To Treatment Period Status.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RPATIENT PATHWAY IDENTIFIER
RORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)
MWAITING TIME MEASUREMENT TYPE (MENTAL HEALTH)
RREFERRAL TO TREATMENT PERIOD START DATE
RREFERRAL TO TREATMENT PERIOD END DATE
RREFERRAL TO TREATMENT PERIOD STATUS

Onward Referral:
To carry details of any onward referral of the patient which has taken place.
One occurrence of this group is permitted for each onward referral.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RDECISION TO REFER DATE (ONWARD REFERRAL)
RDECISION TO REFER TIME (ONWARD REFERRAL)
MONWARD REFERRAL DATE
RONWARD REFERRAL TIME
RONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET)
RREFERRED OUT OF AREA REASON (ADULT ACUTE MENTAL HEALTH)
RORGANISATION IDENTIFIER (RECEIVING)
RCODED REFERRAL PROCEDURE AND PROCEDURE STATUS (SNOMED CT)

Discharge Plan Agreement:
To carry details of any agreements to a Discharge Plan by a person, team or organisation.
One occurrence of this group is permitted for each agreement of a Discharge Plan.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDISCHARGE PLAN CONTENT AGREED BY
RDISCHARGE PLAN CONTENT AGREED DATE
RDISCHARGE PLAN CONTENT AGREED TIME

Medication Prescription:
To carry details of each Prescription of Medication for the patient.
One occurrence of this group is permitted for each Prescription.
M/R/O/PData Set Data Elements
PSERVICE REQUEST IDENTIFIER
PPRESCRIPTION IDENTIFIER
PPRESCRIPTION DATE (MEDICATION)
PPRESCRIPTION TIME (MEDICATION)

CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES

Care Contact:
To carry details of any contacts with a patient which have taken place as part of a referral.
One occurrence of this group is permitted for each Care Contact.
M/R/O/PData Set Data Elements
MCARE CONTACT IDENTIFIER
MSERVICE REQUEST IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MCARE CONTACT DATE
RCARE CONTACT TIME
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RADMINISTRATIVE CATEGORY CODE
RSPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
RCLINICAL CONTACT DURATION OF CARE CONTACT
RCONSULTATION TYPE
RCARE CONTACT SUBJECT
RCONSULTATION MECHANISM (MENTAL HEALTH)
RACTIVITY LOCATION TYPE CODE
RPLACE OF SAFETY INDICATOR
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RCOMMUNITY PERINATAL MENTAL HEALTH PARTNER ASSESSMENT OFFER INDICATOR
RPLANNED CARE CONTACT INDICATOR
RCARE CONTACT PATIENT THERAPY MODE
RATTENDED OR DID NOT ATTEND CODE
REARLIEST REASONABLE OFFER DATE
REARLIEST CLINICALLY APPROPRIATE DATE
RCARE CONTACT CANCELLATION DATE
RCARE CONTACT CANCELLATION REASON
RREASONABLE ADJUSTMENT MADE INDICATOR

Care Activity:
To carry details of any Care Activity undertaken at a Care Contact.
One occurrence of this group is permitted for each Care Activity.
M/R/O/PData Set Data Elements
MCARE ACTIVITY IDENTIFIER
MCARE CONTACT IDENTIFIER
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCLINICAL CONTACT DURATION OF CARE ACTIVITY
RCODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
RFINDING SCHEME IN USE (MENTAL HEALTH)
RCODED FINDING (CODED CLINICAL ENTRY)
RCODED OBSERVATION (SNOMED CT)
ROBSERVATION VALUE
RUCUM UNIT OF MEASUREMENT

Other in Attendance:
To carry details of any other people in attendance at a Care Contact.
One occurrence of this group is permitted for each other patient in attendance at a Care Contact.
M/R/O/PData Set Data Elements
MCARE CONTACT IDENTIFIER
MOTHER PERSON IN ATTENDANCE AT CARE CONTACT
RREASON PATIENT DOES NOT HAVE INDEPENDENT MENTAL CAPACITY ADVOCATE
RREASON PATIENT DOES NOT HAVE INDEPENDENT MENTAL HEALTH ADVOCATE

Indirect Activity:
To carry details of indirect activity which takes place as a result of the referral.
One occurrence of this group is permitted for each instance of indirect activity taking place.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
RCARE PROFESSIONAL TEAM LOCAL IDENTIFIER
MINDIRECT ACTIVITY DATE
RINDIRECT ACTIVITY TIME
RDURATION OF INDIRECT ACTIVITY
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RCARE PROFESSIONAL LOCAL IDENTIFIER
RCODED INDIRECT ACTIVITY PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
RFINDING SCHEME IN USE (MENTAL HEALTH)
RCODED FINDING (CODED CLINICAL ENTRY)

GROUP SESSIONS

Group Session:
To carry details of any group sessions which have been provided to a group of patients.
One occurrence of this group is permitted for each Group Session activity.
M/R/O/PData Set Data Elements
MGROUP SESSION IDENTIFIER
MGROUP SESSION DATE
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
RCLINICAL CONTACT DURATION OF GROUP SESSION
RGROUP SESSION TYPE (MENTAL HEALTH)
RNUMBER OF GROUP SESSION PARTICIPANTS
RACTIVITY LOCATION TYPE CODE
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RCARE PROFESSIONAL LOCAL IDENTIFIER
RSERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
RNHS SERVICE AGREEMENT LINE NUMBER

Mental Health Drop In Contact:
To carry details of any Mental Health drop in contacts which have been provided to a patient.
One occurrence of this group is permitted for each Mental Health Drop In Contact activity.
M/R/O/PData Set Data Elements
MMENTAL HEALTH DROP IN CONTACT IDENTIFIER
MCARE CONTACT DATE (MENTAL HEALTH DROP IN CONTACT)
RMENTAL HEALTH DROP IN CONTACT SERVICE TYPE
RSTART TIME (MENTAL HEALTH DROP IN CONTACT)
REND TIME (MENTAL HEALTH DROP IN CONTACT)
RLOCAL PATIENT IDENTIFIER (EXTENDED)
RNHS NUMBER
RPERSON BIRTH DATE
RGENDER IDENTITY CODE
RGENDER IDENTITY SAME AT BIRTH INDICATOR
RETHNIC CATEGORY
PETHNIC CATEGORY 2021
RCONSULTATION MECHANISM (MENTAL HEALTH)
RCARE PROFESSIONAL LOCAL IDENTIFIER
RMENTAL HEALTH DROP IN CONTACT OUTCOME
RORGANISATION IDENTIFIER (RECEIVING)

MENTAL HEALTH ACT (MHA) EPISODES

Mental Health Act Legal Status Classification Assignment Period:
To carry details of Mental Health Act Legal Status Classification Assignment Periods for the patient.
One occurrence of this group is permitted for each assigned Mental Health Responsible Clinician to the Mental Health Act Legal Status Classification Assignment Period.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSTART DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
MSTART TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START REASON
REXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
REND TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD END REASON
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
RMENTAL HEALTH ACT 2007 MENTAL CATEGORY

Mental Health Responsible Clinician Assignment Period:
To carry details of the assignment of a Mental Health Responsible Clinician to the patient.
One occurrence of this group is permitted for each assigned Mental Health Responsible Clinician to the Mental Health Act Legal Status Classification Assignment Period.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD)
MCARE PROFESSIONAL LOCAL IDENTIFIER
REND DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD)

Conditional Discharge:
To carry details of each separate period of conditional discharge for the patient.
One occurrence of this group is permitted for each conditional discharge.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
REND DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
RMENTAL HEALTH CONDITIONAL DISCHARGE END REASON
RMENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY

Community Treatment Order:
To carry details of each separate period of a Community Treatment Order under section 17a of the Mental Health Act 1983 for the patient.
One occurrence of this group is permitted whenever a patient on Community Treatment Order occurs.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (COMMUNITY TREATMENT ORDER)
REXPIRY DATE (COMMUNITY TREATMENT ORDER)
REND DATE (COMMUNITY TREATMENT ORDER)
RCOMMUNITY TREATMENT ORDER END REASON

Community Treatment Order Recall:
To carry details of each separate period of a recall into hospital for a patient on a Community Treatment Order under section 17a of the Mental Health Act 1983.
One occurrence of this group is permitted whenever a patient on a Community Treatment Order occurs.
M/R/O/PData Set Data Elements
MMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
MSTART DATE (COMMUNITY TREATMENT ORDER RECALL)
MSTART TIME (COMMUNITY TREATMENT ORDER RECALL)
REND DATE (COMMUNITY TREATMENT ORDER RECALL)
REND TIME (COMMUNITY TREATMENT ORDER RECALL)

HOSPITAL PROVIDER SPELLS

Hospital Provider Spell:
To carry details of each Hospital Provider Spell for a patient.
One occurrence of this group is permitted for each Hospital Provider Spell.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL IDENTIFIER
MSERVICE REQUEST IDENTIFIER
RDECIDED TO ADMIT DATE
RDECIDED TO ADMIT TIME
MSTART DATE (HOSPITAL PROVIDER SPELL)
RSTART TIME (HOSPITAL PROVIDER SPELL)
RADMISSION SOURCE (MENTAL HEALTH HOSPITAL PROVIDER SPELL)
RMETHOD OF ADMISSION (MENTAL HEALTH HOSPITAL PROVIDER SPELL)
RPOSTCODE OF MAIN VISITOR
RESTIMATED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RPLANNED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RPLANNED DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE TIME (HOSPITAL PROVIDER SPELL)
RMETHOD OF DISCHARGE (MENTAL HEALTH HOSPITAL PROVIDER SPELL)
RDESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL)
RPOSTCODE OF DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) 
RTRANSFORMING CARE INDICATOR
RTRANSFORMING CARE CATEGORY

Ward Stay:
To carry details of Ward Stays which occurred during a Hospital Provider Spell for the patient.
One occurrence of this group is permitted for each Ward Stay.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MHOSPITAL PROVIDER SPELL IDENTIFIER
MSTART DATE (WARD STAY)
RSTART TIME (WARD STAY)
REND DATE (MENTAL HEALTH TRIAL LEAVE)
REND DATE (WARD STAY)
REND TIME (WARD STAY)
RORGANISATION SITE IDENTIFIER (OF TREATMENT)
RWARD SETTING TYPE (MENTAL HEALTH)
RINTENDED AGE GROUP (MENTAL HEALTH)
RSEX OF PATIENTS CODE (MENTAL HEALTH)
RINTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
RWARD SECURITY LEVEL
RLOCKED WARD INDICATOR
RMENTAL HEALTH ADMITTED PATIENT CLASSIFICATION
RSPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
RWARD CODE

Assigned Care Professional:
To carry details of the Care Professional assigned responsibility for the care of the patient.
One occurrence of this group is permitted for each Care Professional Admitted Care Episode.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL IDENTIFIER
MCARE PROFESSIONAL LOCAL IDENTIFIER
MSTART DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
REND DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
RTREATMENT FUNCTION CODE (MENTAL HEALTH)

Mental Health Delayed Discharge:
To carry details of the patient's Mental Health Delayed Discharge Periods which occurred during a Hospital Provider Spell.
One occurrence of this group is permitted whenever a patient is subject to a Mental Health Delayed Discharge Period.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL IDENTIFIER
MSTART DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
REND DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
RMENTAL HEALTH DELAYED DISCHARGE REASON
RMENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE
RORGANISATION IDENTIFIER (RESPONSIBLE LOCAL AUTHORITY MENTAL HEALTH DELAYED DISCHARGE)

Restrictive Intervention Incident:
To carry details of each separate reported incident of a Restrictive Intervention of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment during a Hospital Provider Spell.
One occurrence of this group is permitted whenever a Restrictive Intervention is carried out.
M/R/O/PData Set Data Elements
MRESTRICTIVE INTERVENTION INCIDENT IDENTIFIER
MHOSPITAL PROVIDER SPELL IDENTIFIER
MSTART DATE (RESTRICTIVE INTERVENTION INCIDENT)
RSTART TIME (RESTRICTIVE INTERVENTION INCIDENT)
REND DATE (RESTRICTIVE INTERVENTION INCIDENT)
REND TIME (RESTRICTIVE INTERVENTION INCIDENT)
RRESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT)
RRESTRICTIVE INTERVENTION POST-INCIDENT REVIEW NOT HELD REASON (PATIENT)
RRESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL)
RRESTRICTIVE INTERVENTION REASON

Restrictive Intervention Type:
To carry details of each separate reported type of a Restrictive Intervention used, as part of a Restrictive Intervention Incident, of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment during a Hospital Provider Spell.
One occurrence of this group is permitted for each Restrictive Intervention carried out as part of a Restrictive Intervention Incident.
M/R/O/PData Set Data Elements
MRESTRICTIVE INTERVENTION INCIDENT IDENTIFIER
MRESTRICTIVE INTERVENTION TYPE IDENTIFIER
MSTART DATE (RESTRICTIVE INTERVENTION TYPE)
RSTART TIME (RESTRICTIVE INTERVENTION TYPE)
RRESTRICTIVE INTERVENTION TYPE
REND DATE (RESTRICTIVE INTERVENTION TYPE)
REND TIME (RESTRICTIVE INTERVENTION TYPE)
RRESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT)
RRESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL) 
RRESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON)

Police Assistance Request:
To carry details of each separate reported police assistance request during a Ward Stay.
One occurrence of this group is permitted for each police assistance request.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MPOLICE ASSISTANCE REQUEST DATE
RPOLICE ASSISTANCE REQUEST TIME
RPOLICE ASSISTANCE ARRIVAL DATE
RPOLICE ASSISTANCE ARRIVAL TIME
RPOLICE RESTRAINT OR FORCE USED INDICATOR

Assault:
To carry details of each separate reported incident of assault on a patient by another patient during a Hospital Provider Spell.
One occurrence of this group is permitted whenever an assault on the patient occurs.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MDATE OF ASSAULT ON PATIENT

Self-Harm:
To carry details of each separate reported incident of self-harm by the patient during a Hospital Provider Spell.
One occurrence of this group is permitted whenever an incident of self-harm is reported.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MDATE OF SELF-HARM

Substance Misuse:
To carry observation details of evidence of substance misuse by a patient within a Ward Stay.
One occurrence of this group is permitted for each evidence that Substance Misuse was observed.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MOBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)

Home Leave:
To carry details of each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on a Community Treatment Order.
One occurrence of this group is permitted whenever a period of home leave takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (HOME LEAVE)
RSTART TIME (HOME LEAVE)
REND DATE (HOME LEAVE)
REND TIME (HOME LEAVE)

Mental Health Leave of Absence:
To carry details of each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient.
One occurrence of this group is permitted whenever a period of Mental Health Leave of Absence takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (MENTAL HEALTH LEAVE OF ABSENCE)
RSTART TIME (MENTAL HEALTH LEAVE OF ABSENCE)
REND DATE (MENTAL HEALTH LEAVE OF ABSENCE)
REND TIME (MENTAL HEALTH LEAVE OF ABSENCE)
RMENTAL HEALTH LEAVE OF ABSENCE END REASON
RESCORTED MENTAL HEALTH LEAVE OF ABSENCE INDICATOR

Mental Health Absence Without Leave:
To carry details of each separate period of Mental Health Absence Without Leave for the patient under section 18 of the Mental Health Act 1983, as amended by the Mental Health (Patients in the Community) Act 1995.
One occurrence of this group is permitted whenever a period of Mental Health Absence Without Leave takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RSTART TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RMENTAL HEALTH ABSENCE WITHOUT LEAVE END REASON

Mental Health Trial Leave:
To carry details of each separate period of Mental Health Trial Leave for the patient.
One occurrence of this group is permitted whenever a period of Mental Health Trial Leave takes place.
M/R/O/PData Set Data Elements
MWARD STAY IDENTIFIER
MSTART DATE (MENTAL HEALTH TRIAL LEAVE)
RSTART TIME (MENTAL HEALTH TRIAL LEAVE)
REND DATE (MENTAL HEALTH TRIAL LEAVE)
REND TIME (MENTAL HEALTH TRIAL LEAVE)

Hospital Provider Spell Commissioner Assignment Period:
To carry details of each Commissioner Assignment Period during a Hospital Provider Spell.
One occurrence of this group is permitted for each Commissioner Assignment Period.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL IDENTIFIER
MORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MSTART DATE (COMMISSIONER ASSIGNMENT PERIOD)
REND DATE (COMMISSIONER ASSIGNMENT PERIOD)

Specialised Mental Health Exceptional Package of Care:
To carry details of Specialised Mental Health Exceptional Packages of Care which occurred during a Hospital Provider Spell for the patient.
One occurrence of this group is permitted per Specialised Mental Health Exceptional Package of Care.
M/R/O/PData Set Data Elements
MHOSPITAL PROVIDER SPELL IDENTIFIER
MSPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE CHARGE
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
MSTART DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE)
REND DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE)

CLINICALLY CODED TERMINOLOGY

Medical History (Previous Diagnosis):
To carry details of any previous diagnoses for a patient which are stated by the patient or recorded in medical notes. These do not necessarily have been diagnosed by the organisation submitting the data.
One occurrence of this group is permitted for each Previous Diagnosis.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MDIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
MPREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
RCODED DIAGNOSIS TIMESTAMP

Provisional Diagnosis:
To carry details of unconfirmed provisional diagnoses recorded for a patient.
One occurrence of this group is permitted for each unconfirmed Provisional Diagnosis.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
MPROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
RCODED PROVISIONAL DIAGNOSIS TIMESTAMP

Primary Diagnosis:
To carry details of the primary diagnosis recorded for a patient.
One occurrence of this group is permitted for the Primary Diagnosis.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
MPRIMARY DIAGNOSIS (CODED CLINICAL ENTRY)
RCODED DIAGNOSIS TIMESTAMP

Secondary Diagnosis:
To carry details of a secondary diagnosis recorded for a patient.
One occurrence of this group is permitted for each Secondary Diagnosis.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MDIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
MSECONDARY DIAGNOSIS (CODED CLINICAL ENTRY)
RCODED DIAGNOSIS TIMESTAMP

Coded Scored Assessment (Referral):
To carry details of scored assessments that are issued and completed as part of a referral to a Mental Health Service, but do not take place at a specific contact.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a Care Contact.
M/R/O/PData Set Data Elements
MSERVICE REQUEST IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
MASSESSMENT TOOL COMPLETION TIMESTAMP
RCARE PROFESSIONAL LOCAL IDENTIFIER

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

ANONYMOUS SELF-ASSESSMENT

Anonymous Self-Assessment:
To carry details of anonymous self-assessments that are issued and completed as part of a referral to a Mental Health Service.
One occurrence of this group is permitted for each coded anonymous self-assessment question or dimension captured.
M/R/O/PData Set Data Elements
MASSESSMENT TOOL COMPLETION TIMESTAMP
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE
RACTIVITY LOCATION TYPE CODE
RORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

CARE PROGRAMME APPROACH (CPA) CARE EPISODES

Care Programme Approach (CPA) Care Episode:
To carry details of the periods of time the patient spent on Care Programme Approach.
One occurrence of this group is required for each Care Programme Approach (CPA) care episode.
M/R/O/PData Set Data Elements
MCARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MSTART DATE (CARE PROGRAMME APPROACH CARE)
REND DATE (CARE PROGRAMME APPROACH CARE)

Care Programme Approach (CPA) Review:
To carry details of Care Programme Approach reviews undertaken for the patient.
One occurrence of this group is permitted for the most recent Care Programme Approach Review that has taken place.
M/R/O/PData Set Data Elements
MCARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
MCARE PROGRAMME APPROACH REVIEW DATE
RCARE PROFESSIONAL LOCAL IDENTIFIER

CARE CLUSTERS

Clustering Tool Assessment:
To carry details of clustering tool assessments.
One occurrence of this group is permitted for each Clustering Tool assessment that takes place.
M/R/O/PData Set Data Elements
MCLUSTERING TOOL ASSESSMENT IDENTIFIER
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MCLUSTERING TOOL ASSESSMENT CATEGORY
MASSESSMENT TOOL COMPLETION DATE
RASSESSMENT TOOL COMPLETION TIME
RCLUSTERING TOOL ASSESSMENT REASON
RMENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
RADULT MENTAL HEALTH CARE CLUSTER CODE (INITIAL)
PLEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)
PFORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)

Coded Scored Assessment (Clustering Tool):
To carry details of scored assessments that are issued and completed as part of a Clustering Tool assessment.
One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a Clustering Tool assessment.
M/R/O/PData Set Data Elements
MCLUSTERING TOOL ASSESSMENT IDENTIFIER
MCODED ASSESSMENT TOOL TYPE (SNOMED CT)
MPERSON SCORE

Care Cluster:
To carry details of the Care Cluster resulting from a clustering tool assessment.
One occurrence of this group is permitted for each period of time that a patient was allocated to a Care Cluster.
M/R/O/PData Set Data Elements
MCLUSTERING TOOL ASSESSMENT IDENTIFIER
MSTART DATE (CARE CLUSTER ASSIGNMENT PERIOD)
RSTART TIME (CARE CLUSTER ASSIGNMENT PERIOD)
RADULT MENTAL HEALTH CARE CLUSTER CODE (FINAL)
RCHILD AND ADOLESCENT MENTAL HEALTH NEEDS BASED GROUPING CODE
PLEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
RFORENSIC MENTAL HEALTH CARE CLUSTER CODE (FINAL)
PFORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
REND DATE (CARE CLUSTER ASSIGNMENT PERIOD)
REND TIME (CARE CLUSTER ASSIGNMENT PERIOD)

Five Forensic Pathways:
To carry details of the Five Forensic Pathways grouping allocated to the patient during a Five Forensic Pathways assessment.
One occurrence of this group is permitted for each initial assessment or review of the grouping allocation.
M/R/O/PData Set Data Elements
MLOCAL PATIENT IDENTIFIER (EXTENDED)
MFIVE FORENSIC PATHWAYS ASSESSMENT DATE
RFIVE FORENSIC PATHWAYS ASSESSMENT REASON
MFIVE FORENSIC PATHWAYS CODE

CARE PROFESSIONALS

Staff Details:
To carry details of the staff involved in providing the patient's care.
One occurrence of this group is permitted for each staff member.
M/R/O/PData Set Data Elements
MCARE PROFESSIONAL LOCAL IDENTIFIER
RPROFESSIONAL REGISTRATION BODY CODE
RPROFESSIONAL REGISTRATION ENTRY IDENTIFIER
RCARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH)
RMAIN SPECIALTY CODE (MENTAL HEALTH)
ROCCUPATION CODE
RCARE PROFESSIONAL (JOB ROLE CODE)
ISO 9001 CERTIFICATION EUROPE