Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1038
Version No:
Subject:DD Patch
Effective Date:Immediate
Reason for Change:NHS Data Dictionary Patch
Publication Date:18 November 2008

Background:

This patch makes the following corrections to the NHS Data Dictionary:

Commissioning Data Set Message Schema Versions

The contact telephone number for the Exeter Helpdesk has been corrected in Publication Information Contact Details.

CDS V6 TYPE 130  - incorrect reference to 'discharge' amended to 'admission'
HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1 - incorrect reference to Organisation Code corrected to Organisation Code (PCT of Residence)

HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2 - incorrect reference to Organisation Code corrected to Organisation Code (PCT of Residence)   
MENTAL HEALTH MINIMUM DATA SET - incorrect reference to attribute Settled Accomodation Indicator corrected to data element Settled Accomodation Indicator (Mental Health)    
NATIONAL CANCER DATA SET  - Extra row removed in Radiotherapy (Brachytherapy) group
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET  - Contextual Overview moved to overview page for PCCMDS, this is consistent with the other Critical Care Minimum Data Sets

The default codes for the MARITAL STATUS data element have been added to the PERSON MARITAL STATUS data element.

An annotation in the A & E Diagnosis Table has been corrected.

The What's New page has been edited to reflect the November 2008 release.

The guidance text for the following collections has been corrected to remove erratic numbering with bullets:

Central Returns: COVER, KA34 and KC50

Central Return Data Sets: Admitted Patient Flows, Admitted Patient Stocks, Bookings Admitted Patient and Out-Patient Provider

Supporting Information: Security Issues and Patient Confidentiality

Typing/Hyperlink errors in the following defintions have been corrected - National Cancer Data Set Overview, Appointment Booking Type, Appointment Date.

The hyperlink to Unify2 has been corrected in the Central Return Data Sets Introduction.

The abbreviation COVER has been expanded in the Centrral Return Form navigation for Community returns.

The index page has been amended to highlight coloured text (and link to What's New: November 2008 added).

The following A & E attributes have been renamed from 'A and E' to 'A AND E' for consistency with existing A & E Definitions:

Summary of changes:

Data Set
CDS V6 TYPE 130   Changed Description
HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2   Changed Description
HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1   Changed Description
MENTAL HEALTH MINIMUM DATA SET   Changed Description
NATIONAL CANCER DATA SET   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET   Changed Description
 
Central Return Forms
COVER 1   Changed Description, Aliases
COVER 2   Changed Description
KA34 1   Changed Description
KA34 2   Changed Description
KC50 1   Changed Description
KC50 2   Changed Description
 
Supporting Information
ACCIDENT & EMERGENCY DIAGNOSIS TABLES   Changed Description
ADMITTED PATIENT FLOWS DATA SET OVERVIEW   Changed Description
ADMITTED PATIENT STOCKS DATA SET OVERVIEW   Changed Description
BOOKINGS ADMITTED PATIENT AND OUT-PATIENT PROVIDER DATA SET OVERVIEW   Changed Description
CENTRAL RETURN DATA SETS INTRODUCTION   Changed Description
COMMISSIONING DATA SET MESSAGE SCHEMA VERSIONS   Changed Description
COMMISSIONING DATA SET OVERVIEW   Changed Description
COMMUNITY   Changed Description
INDEX   Changed Description
MAIN MENU   Changed Description
NATIONAL CANCER DATA SET OVERVIEW   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
PUBLICATION INFORMATION CONTACT DETAILS   Changed Description
SECURITY ISSUES AND PATIENT CONFIDENTIALITY   Changed Description
WHAT'S NEW: NOVEMBER 2008 renamed from WHAT'S NEW: AUGUST 2008   Changed Description, Name
 
Attribute Definitions
A AND E ARRIVAL MODE renamed from A AND E ARRIVAL MODE   Changed Name
A AND E ATTENDANCE CATEGORY renamed from A AND E ATTENDANCE CATEGORY   Changed Name
A AND E ATTENDANCE DISPOSAL renamed from A AND E ATTENDANCE DISPOSAL   Changed Name
A AND E INCIDENT LOCATION TYPE renamed from A AND E INCIDENT LOCATION TYPE   Changed Name
A AND E INITIAL ASSESSMENT TRIAGE CATEGORY renamed from A AND E INITIAL ASSESSMENT TRIAGE CATEGORY   Changed Name
A AND E PATIENT GROUP renamed from A AND E PATIENT GROUP   Changed Name
A AND E STREAM renamed from A AND E STREAM   Changed Name
APPOINTMENT BOOKING TYPE   Changed Description
 
Data Elements
APPOINTMENT DATE   Changed Description
PERSON MARITAL STATUS   Changed Description
 

Date:18 November 2008
Sponsor:Richard Kavanagh, Head of Interoperability Specifications, Data Standards and Products

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 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.

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 HES 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.
OptCDS data elementU/AHES
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)   
OPATIENT PATHWAY IDENTIFIER   
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)   
OREFERRAL TO TREATMENT STATUS   
OREFERRAL TO TREATMENT PERIOD START DATE   
OREFERRAL TO TREATMENT PERIOD END DATE   
*LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board)  
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity of the Patient.
One occurrence of this Group is permitted.
OptCDS data elementU/AHES
MLOCAL PATIENT IDENTIFIER R 
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R  
MNHS NUMBER R 
MNHS NUMBER STATUS INDICATOR R 
OPATIENT NAME R 
OPATIENT USUAL ADDRESS R 
MPOSTCODE OF USUAL ADDRESS R 
MORGANISATION 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.
OptCDS data elementU/AHES
MPERSON BIRTH DATE R 
MPERSON GENDER CURRENT R 
OCARER SUPPORT INDICATOR R 
METHNIC 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 discharge details of the Spell containing the Episode.
One occurrence of this Group is permitted.
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.
MHOSPITAL PROVIDER SPELL NUMBER R 
MADMINISTRATIVE CATEGORY (ON ADMISSION) R 
MPATIENT CLASSIFICATION R 
MADMISSION METHOD (HOSPITAL PROVIDER SPELL) R 
MSOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R 
MSTART DATE (HOSPITAL PROVIDER SPELL) R 
MAGE 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.
MDISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)   
MDISCHARGE METHOD (HOSPITAL PROVIDER SPELL)   
ODISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)   
MDISCHARGE 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.
MEPISODE NUMBER R 
MLAST EPISODE IN SPELL INDICATOR R 
*ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board)
R 
MOPERATION STATUS R 
ONEONATAL LEVEL OF CARE R 
OFIRST REGULAR DAY OR NIGHT ADMISSION R 
MPSYCHIATRIC PATIENT STATUS R 
*
 
LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board)
(psychiatric patients only)
R
 

 
MSTART DATE (EPISODE) R 
M
 
END DATE (EPISODE)
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 
 

 
MAGE AT CDS ACTIVITY DATE R 
CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details:
To carry the details of the Service Agreement for the Episode.
MCOMMISSIONING SERIAL NUMBER R 
ONHS SERVICE AGREEMENT LINE NUMBER R 
OPROVIDER REFERENCE NUMBER   
MCOMMISSIONER REFERENCE NUMBER R 
MORGANISATION CODE (CODE OF PROVIDER) R 
MORGANISATION 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.
MCONSULTANT CODE R 
MMAIN SPECIALTY CODE R 
MTREATMENT FUNCTION CODE R 
CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD):
To carry the details of the ICD Diagnoses.
MDIAGNOSIS SCHEME IN USE   
MPRIMARY 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.
ODIAGNOSIS SCHEME IN USE   
OPRIMARY 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.
MPROCEDURE 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.
OPROCEDURE 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.
MLOCATION CLASS R 
MSITE CODE (OF TREATMENT) R 
*LOCATION TYPE
Definition and value list under review
R 
OINTENDED CLINICAL CARE INTENSITY R 
OAGE GROUP INTENDED R 
OSEX OF PATIENTS R 
OWARD DAY PERIOD AVAILABILITY R 
OWARD 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.
MLOCATION CLASS   
MSITE CODE (OF TREATMENT)   
*LOCATION TYPE
Definition and value list under review
  
OINTENDED CLINICAL CARE INTENSITY   
OAGE GROUP INTENDED   
OSEX OF PATIENTS   
OWARD DAY PERIOD AVAILABILITY   
OWARD NIGHT PERIOD AVAILABILITY   
OSTART DATE   
OEND 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.
MLOCATION CLASS   
MSITE CODE (OF TREATMENT)   
*LOCATION TYPE
Definition and value list under review
  
OINTENDED CLINICAL CARE INTENSITY   
OAGE GROUP INTENDED   
OSEX OF PATIENTS   
OWARD DAY PERIOD AVAILABILITY   
OWARD 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.
MCRITICAL CARE LOCAL IDENTIFIER R 
MCRITICAL CARE START DATE R 
MCRITICAL CARE START TIME R 
MCRITICAL CARE UNIT FUNCTION R 
MGESTATION 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.
MACTIVITY DATE (CRITICAL CARE) R 
MPERSON 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.
MCRITICAL CARE DISCHARGE DATE R 
MCRITICAL 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.
MCRITICAL CARE LOCAL IDENTIFIER R 
MCRITICAL CARE START DATE R 
MCRITICAL CARE START TIME R 
MCRITICAL 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.
MACTIVITY 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.
MCRITICAL CARE DISCHARGE DATE R 
MCRITICAL 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.
MCRITICAL CARE LOCAL IDENTIFIER R 
MCRITICAL CARE START DATE R 
OCRITICAL CARE START TIME R 
MCRITICAL CARE UNIT FUNCTION R 
OCRITICAL CARE UNIT BED CONFIGURATION   
OCRITICAL CARE ADMISSION SOURCE   
OCRITICAL CARE SOURCE LOCATION   
OCRITICAL 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.
MADVANCED RESPIRATORY SUPPORT DAYS   
MBASIC RESPIRATORY SUPPORT DAYS   
MADVANCED CARDIOVASCULAR SUPPORT DAYS   
MBASIC CARDIOVASCULAR SUPPORT DAYS   
MRENAL SUPPORT DAYS   
MNEUROLOGICAL SUPPORT DAYS   
OGASTRO-INTESTINAL SUPPORT DAYS   
MDERMATOLOGICAL SUPPORT DAYS   
MLIVER SUPPORT DAYS   
MORGAN SUPPORT MAXIMUM   
MCRITICAL CARE LEVEL 2 DAYS   
MCRITICAL 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.
MCRITICAL CARE DISCHARGE DATE R 
MCRITICAL CARE DISCHARGE TIME R 
OCRITICAL CARE DISCHARGE READY DATE R 
OCRITICAL CARE DISCHARGE READY TIME R 
OCRITICAL CARE DISCHARGE STATUS R 
OCRITICAL CARE DISCHARGE DESTINATION R 
OCRITICAL 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.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED) R 
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) R 
CDS DATA GROUP: REFERRAL:
To carry the details of the referrer.
One occurrence of this Group is permitted.
MREFERRER CODE R 
MREFERRING 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.
MDURATION OF ELECTIVE WAIT R 
MINTENDED MANAGEMENT R 
MDECIDED TO ADMIT DATE R 
OEARLIEST 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.
MHEALTHCARE RESOURCE GROUP CODE   
MHEALTHCARE 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.
OPROCEDURE SCHEME IN USE   
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE   

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HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2

Change to Data Set: Changed Description

HES / CDS Data Elements cross referenced by HES Item - Table 2
CDS Type key:

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth

= Mandatory for this CDS Type
O = Optional for this CDS Type

HES Item HES Name CDS Data Element CDS TYPE 
   G D B PC OD OB 
ADMINISTRATIVE CATEGORY (on admission)ADMINCAT ADMINISTRATIVE CATEGORY (on admission)      
ADMISSION METHOD (HOSPITAL PROVIDER SPELL)ADMIMETH ADMISSION METHOD (HOSPITAL PROVIDER SPELL)       
AGE AT CENSUSCENSAGE AGE AT CENSUS       
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERYDELPREAN ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY       
ANAESTHETIC GIVEN POST LABOUR OR DELIVERYDELPOSAN ANAESTHETIC GIVEN POST LABOUR OR DELIVERY       
AUGMENTED CARE LOCAL IDENTIFIERAPLOCID AUGMENTED CARE PERIOD LOCAL IDENTIFIER O O O    
AUGMENTED CARE LOCATIONACPLOC AUGMENTED CARE LOCATION       
AUGMENTED CARE OUTCOME INDICATORACPOUT AUGMENTED CARE OUTCOME INDICATOR       
AUGMENTED CARE PERIOD DISPOSALACPDISP AUGMENTED CARE PERIOD DISPOSAL       
AUGMENTED CARE PERIOD NUMBERACPN AUGMENTED CARE PERIOD NUMBER       
AUGMENTED CARE PERIOD SOURCEACPSOUR AUGMENTED CARE PERIOD SOURCE       
AUGMENTED CARE PLANNED INDICATORACPPLAN AUGMENTED CARE PLANNED INDICATOR       
BIRTH DATEDOB BIRTH DATE       
BIRTH DATE (BABY)DOBBABY BIRTH DATE (BABY)       
BIRTH DATE (MOTHER)MOTDOB BIRTH DATE (MOTHER)       
BIRTH ORDERBIRORDER BIRTH ORDER       
BIRTH WEIGHTBIRWEIT BIRTH WEIGHT       
CARER SUPPORT INDICATORCARERSI CARER SUPPORT INDICATOR O  O O   
CATEGORY OF PATIENTCATEGORY Not in CDS      
CODE OF GP PRACTICE (REGISTERED GMP)GPPRAC GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) O O O O O O 
COMMISSIONING SERIAL NUMBERCSNUM COMMISSIONING SERIAL NUMBER       
CONSULTANT CODECONSULT CONSULTANT CODE       
DATE DETENTION COMMENCEDDETNDATE DATE DETENTION COMMENCED       
DECIDED TO ADMIT DATEELECDATE DECIDED TO ADMIT DATE (for this provider)      
DELIVERY METHODDELMETH DELIVERY METHOD       
DELIVERY PLACE CHANGE REASONDELCHANG DELIVERY PLACE CHANGE REASON       
DELIVERY PLACE TYPE (ACTUAL)DELPLACE DELIVERY PLACE TYPE (ACTUAL)       
DELIVERY PLACE TYPE (INTENDED)DELINTEN DELIVERY PLACE TYPE (INTENDED)       
DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATECENDATE DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE       
DISCHARGE DATE (HOSPITAL PROVIDER SPELL)DISDATE DISCHARGE DATE (HOSPITAL PROVIDER SPELL)       
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)DISDEST DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)       
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)DISMETH DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)       
DURATION OF CARE TO PSYCHIATRIC CENSUS DATECENDUR DURATION OF CARE TO PSYCHIATRIC CENSUS DATE       
DURATION OF DETENTIONDETDUR DURATION OF DETENTION       
DURATION OF ELECTIVE WAITELECDUR DURATION OF ELECTIVE WAIT       
END DATE (AUGMENTED CARE PERIOD)ACPEND END DATE (AUGMENTED CARE PERIOD)       
END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)EPIEND END DATE (EPISODE)       
EPISODE NUMBEREPIORDER EPISODE NUMBER       
EPISODE STATUSEPISTAT Not in CDS      
EPISODE TYPEEPITYPE Not in CDS      
ETHNIC CATEGORYETHNOS ETHNIC CATEGORY   O   O 
FIRST ANTENATAL ASSESSMENT DATEANASDATE FIRST ANTENATAL ASSESSMENT DATE       
FIRST REGULAR DAY OR NIGHT ADMISSIONFIRSTREG FIRST REGULAR DAY OR NIGHT ADMISSION       
GESTATION LENGTHGESTAT GESTATION LENGTH       
GMP (CODE OF REGISTERED OR REFERRING GMP)REGGMP GENERAL MEDICAL PRACTITIONER (SPECIFIED)       
HEALTHCARE RESOURCE GROUP CODEHRGNHS HEALTHCARE RESOURCE GROUP CODE       
HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBERHRGNHSVN HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER       
HIGH DEPENDENCY CARE LEVEL DAYSDEPDAYS HIGH DEPENDENCY CARE LEVEL DAYS       
HOSPITAL PROVIDER SPELL NUMBERPROVSPNO HOSPITAL PROVIDER SPELL NUMBER       
HRG DOMINANT GROUPING VARIABLE - PROCEDUREDOMPROC HRG DOMINANT GROUPING VARIABLE-PROCEDURE O O O O   
INTENDED MANAGEMENTINTMANIG INTENDED MANAGEMENT       
INTENSIVE CARE LEVEL DAYSINTDAYS INTENSIVE CARE LEVEL DAYS       
LABOUR OR DELIVERY ONSET METHODDELONSET LABOUR OR DELIVERY ONSET METHOD       
LAST EPISODE IN SPELL INDICATORSPELEND LAST EPISODE IN SPELL INDICATOR       
LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)LEGLSTAT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)       
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)LEGLCAT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)       
LIVE OR STILL BIRTHBIRSTATE LIVE OR STILL BIRTH       
LOCAL PATIENT IDENTIFIERLOPATID LOCAL PATIENT IDENTIFIER       
MAIN SPECIALTY CODEMAINSPEF MAIN SPECIALTY CODE       
MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)ACPSPEF MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)       
MARITAL STATUSMARSTAT MARITAL STATUS       
MENTAL CATEGORYMENTCAT MENTAL CATEGORY       
NEONATAL LEVEL OF CARENEOCARE NEONATAL LEVEL OF CARE       
NHS NUMBERNEWNHSNO NHS NUMBER   O O  O 
NHS NUMBER STATUS INDICATORNHSNOIND NHS NUMBER STATUS INDICATOR       
NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODENUMACP NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE       
NUMBER OF BABIESNUMBABY NUMBER OF BABIES       
NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)ORGSUP NUMBER OF ORGAN SYSTEMS SUPPORTED       
OPERATION (OPCS-4)OPERATN2
- OPERATN12
 
PROCEDURE (OPCS)       
OPERATION STATUS (per episode)OPERSTAT OPERATION STATUS (per episode)      
ORGANISATION CODE (CODE OF COMMISSIONER)PURCODE ORGANISATION CODE (CODE OF COMMISSIONER)       
ORGANISATION CODE (CODE OF PROVIDER)PROCODE ORGANISATION CODE (CODE OF PROVIDER)       
ORGANISATION CODE (PCT OF RESIDENCE)PCTR ORGANISATION CODE       
ORGANISATION CODE (PCT OF RESIDENCE)PCTR ORGANISATION CODE (PCT OF RESIDENCE)      
PATIENT CLASSIFICATIONCLASSPAT PATIENT CLASSIFICATION       
POSTCODE OF USUAL ADDRESSHOMEADD POSTCODE OF USUAL ADDRESS       
PREGNANCY TOTAL PREVIOUS PREGNANCIESNUMPREG PREGNANCY TOTAL PREVIOUS PREGNANCIES       
PRIMARY (ICD-10)CENDIAG1 PRIMARY DIAGNOSIS (ICD)       
PRIMARY (ICD-10)DIAG_1 PRIMARY DIAGNOSIS (ICD)       
PRIMARY OPERATION (OPCS-4)OPERATN1 PRIMARY OPERATION (OPCS-4)       
PRIMARY PROCEDURE DATEOPDATE1 PROCEDURE DATE       
PSYCHIATRIC PATIENT STATUSADMISTAT PSYCHIATRIC PATIENT STATUS       
RECORD TYPERECTYPE Not in CDS      
REFERRER CODEREFERRER REFERRER CODE       
REFERRING ORGANISATION CODEREFERORG REFERRING ORGANISATION CODE       
RESUCITATION METHODBIRRESUS RESUSCITATION METHOD       
SECOND - TWELFTH OPERATION DATEOPDATE2
- OPDATE 12
 
PROCEDURE DATE       
SECONDARY (ICD-10)CENDIAG3
- CENDIAG14
 
SECONDARY DIAGNOSIS (ICD)       
SECONDARY (ICD-10)DIAG_3
- DIAG_14
 
SECONDARY DIAGNOSIS (ICD)       
SEXSEX SEX       
SEX (BABY)SEXBABY SEX (BABY)       
SITE CODE (OF TREATMENT) (at start of episode)SITETRET SITE CODE (OF TREATMENT)       
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)ADMISORC SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)       
START DATE (AUGMENTED CARE PERIOD)ACPSTAR START DATE (AUGMENTED CARE PERIOD)       
START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)EPISTART START DATE (EPISODE)       
START DATE (HOSPITAL PROVIDER SPELL)ADMIDATE START DATE (HOSPITAL PROVIDER SPELL)       
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUSCENSAT STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS       
STATUS OF PERSON CONDUCTING DELIVERYDELSTAT STATUS OF PERSON CONDUCTING DELIVERY       
TREATMENT FUNCTION CODETRETSPEF TREATMENT FUNCTION CODE       
WARD TYPE AT PSYCHIATRIC CENSUS DATECENWARD Not in CDS      
WARD TYPE AT START OF EPISODEWARDSTRT Not in CDS      

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HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1

Change to Data Set: Changed Description

HES / CDS Data Elements cross referenced by HES Name - Table 1
CDS Type key:

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth

= Mandatory for this CDS Type
O = Optional for this CDS Type

HES Name HES Item CDS Data Element CDS TYPE 
   G D B PC OD OB 
ACPDISP AUGMENTED CARE PERIOD DISPOSALAUGMENTED CARE PERIOD DISPOSAL       
ACPEND END DATE (AUGMENTED CARE PERIOD)END DATE (AUGMENTED CARE PERIOD)       
ACPLOC AUGMENTED CARE LOCATIONAUGMENTED CARE LOCATION       
ACPN AUGMENTED CARE PERIOD NUMBERAUGMENTED CARE PERIOD NUMBER       
ACPOUT AUGMENTED CARE OUTCOME INDICATORAUGMENTED CARE OUTCOME INDICATOR       
ACPPLAN AUGMENTED CARE PLANNED INDICATORAUGMENTED CARE PLANNED INDICATOR       
ACPSOUR AUGMENTED CARE PERIOD SOURCEAUGMENTED CARE PERIOD SOURCE       
ACPSPEF MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)       
ACPSTAR START DATE (AUGMENTED CARE PERIOD)START DATE (AUGMENTED CARE PERIOD)       
ADMIDATE START DATE (HOSPITAL PROVIDER SPELL)START DATE (HOSPITAL PROVIDER SPELL)       
ADMIMETH ADMISSION METHOD (HOSPITAL PROVIDER SPELLADMISSION METHOD (HOSPITAL PROVIDER SPELL)       
ADMINCAT ADMINISTRATIVE CATEGORY (on admission)ADMINISTRATIVE CATEGORY (on admission)      
ADMISORC SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)       
ADMISTAT PSYCHIATRIC PATIENT STATUSPSYCHIATRIC PATIENT STATUS       
ANASDATE FIRST ANTENATAL ASSESSMENT DATEFIRST ANTENATAL ASSESSMENT DATE       
APLOCID AUGMENTED CARE LOCAL IDENTIFIERAUGMENTED CARE PERIOD LOCAL IDENTIFIER O O O    
BIRORDER BIRTH ORDERBIRTH ORDER       
BIRRESUS RESUSCITATION METHODRESUSCITATION METHOD       
BIRSTATE LIVE OR STILL BIRTHLIVE OR STILL BIRTH       
BIRWEIT BIRTH WEIGHTBIRTH WEIGHT       
CATEGORY CATEGORY OF PATIENTNot in CDS      
CARERSI CARER SUPPORT INDICATORCARER SUPPORT INDICATOR O  O O   
CENDATE DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATEDETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE       
CENDIAG1 PRIMARY (ICD-10)PRIMARY DIAGNOSIS (ICD)       
CENDIAG3
– CENDIAG14
 
SECONDARY (ICD-10)SECONDARY DIAGNOSIS (ICD)       
CENDUR DURATION OF CARE TO PSYCHIATRIC CENSUS DATEDURATION OF CARE TO PSYCHIATRIC CENSUS DATE       
CENSAGE AGE AT CENSUSAGE AT CENSUS       
CENSAT STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUSSTATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS       
CENWARD WARD TYPE AT PSYCHIATRIC CENSUS DATENot in CDS      
CLASSPAT PATIENT CLASSIFICATIONPATIENT CLASSIFICATION       
CONSULT CONSULTANT CODECONSULTANT CODE       
CSNUM COMMISSIONING SERIAL NUMBERCOMMISSIONING SERIAL NUMBER       
DELCHANG DELIVERY PLACE CHANGE REASONDELIVERY PLACE CHANGE REASON       
DELINTEN DELIVERY PLACE TYPE (INTENDED)DELIVERY PLACE TYPE (INTENDED)       
DELMETH DELIVERY METHODDELIVERY METHOD       
DELONSET LABOUR OR DELIVERY ONSET METHODLABOUR OR DELIVERY ONSET METHOD       
DELPLACE DELIVERY PLACE TYPE (ACTUAL)DELIVERY PLACE TYPE (ACTUAL)       
DELPOSAN ANAESTHETIC GIVEN POST LABOUR OR DELIVERYANAESTHETIC GIVEN POST LABOUR OR DELIVERY       
DELSTAT STATUS OF PERSON CONDUCTING DELIVERYSTATUS OF PERSON CONDUCTING DELIVERY       
DEPDAYS HIGH DEPENDENCY CARE LEVEL DAYSHIGH DEPENDENCY CARE LEVEL DAYS       
DELPREAN ANAESTHETIC GIVEN DURING LABOUR OR DELIVERYANAESTHETIC GIVEN DURING LABOUR OR DELIVERY       
DETDUR DURATION OF DETENTIONDURATION OF DETENTION       
DETNDATE DATE DETENTION COMMENCEDDATE DETENTION COMMENCED       
DIAG_1 PRIMARY (ICD-10)PRIMARY (ICD-10)       
DIAG_3
- DIAG_14
 
SECONDARY (ICD-10)SECONDARY DIAGNOSIS (ICD)       
DISDATE DISCHARGE DATE (HOSPITAL PROVIDER SPELL)DISCHARGE DATE (HOSPITAL PROVIDER SPELL)       
DISDEST DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)       
DISMETH DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)       
DOB BIRTH DATEBIRTH DATE       
DOBBABY BIRTH DATE (BABY)BIRTH DATE (BABY)       
DOMPROC HRG DOMINANT GROUPING VARIABLE - PROCEDUREHRG DOMINANT GROUPING VARIABLE-PROCEDURE O O O O   
ELECDATE DECIDED TO ADMIT DATEDECIDED TO ADMIT DATE (for this provider)      
ELECDUR DURATION OF ELECTIVE WAITDURATION OF ELECTIVE WAIT       
EPIEND END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)END DATE (EPISODE)       
EPIORDER EPISODE NUMBEREPISODE NUMBER       
EPISTART START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)START DATE (EPISODE),      
EPISTAT EPISODE STATUSNot in CDS      
EPITYPE EPISODE TYPENot in CDS      
ETHNOS ETHNIC CATEGORYETHNIC CATEGORY   O   O 
FIRSTREG FIRST REGULAR DAY OR NIGHT ADMISSIONFIRST REGULAR DAY OR NIGHT ADMISSION       
GESTAT GESTATION LENGTHGESTATION LENGTH       
GPPRAC CODE OF GP PRACTICE (REGISTERED GMP)GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) O O O O O O 
HOMEADD POSTCODE OF USUAL ADDRESSPOSTCODE OF USUAL ADDRESS       
HRGNHS HEALTHCARE RESOURCE GROUP CODEHEALTHCARE RESOURCE GROUP CODE       
HRGNHSVN HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBERHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER       
INTDAYS INTENSIVE CARE LEVEL DAYSINTENSIVE CARE LEVEL DAYS       
INTMANIG INTENDED MANAGEMENTINTENDED MANAGEMENT       
LEGLCAT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)       
LEGLSTAT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)       
LOPATID LOCAL PATIENT IDENTIFIERLOCAL PATIENT IDENTIFIER       
MAINSPEF MAIN SPECIALTY CODEMAIN SPECIALTY CODE       
MARSTAT MARITAL STATUSMARITAL STATUS       
MENTCAT MENTAL CATEGORYMENTAL CATEGORY       
MOTDOB BIRTH DATE (MOTHER)BIRTH DATE (MOTHER)       
NEOCARE NEONATAL LEVEL OF CARENEONATAL LEVEL OF CARE       
NEWNHSNO NHS NUMBERNHS NUMBER   O  O O 
NHSNOIND NHS NUMBER STATUS INDICATORNHS NUMBER STATUS INDICATOR       
NUMACP NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODENUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE       
NUMBABY NUMBER OF BABIESNUMBER OF BABIES       
NUMPREG PREGNANCY TOTAL PREVIOUS PREGNANCIESPREGNANCY TOTAL PREVIOUS PREGNANCIES       
OPDATE1 PRIMARY PROCEDURE DATEPROCEDURE DATE       
OPDATE2
OPDATE 12
 
SECOND - TWELFTH OPERATION DATEPROCEDURE DATE       
OPERATN1 PRIMARY OPERATION (OPCS-4)PRIMARY PROCEDURE (OPCS)       
OPERATN2
- OPERATN12
 
OPERATION (OPCS-4)PROCEDURE (OPCS)       
OPERSTAT OPERATION STATUS (per episode)OPERATION STATUS (per episode)      
ORGSUP NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)      
PCTR ORGANISATION CODE (PCT OF RESIDENCE)ORGANISATION CODE       
PCTR ORGANISATION CODE (PCT OF RESIDENCE)ORGANISATION CODE (PCT OF RESIDENCE)      
PROCODE ORGANISATION CODE (CODE OF PROVIDER)ORGANISATION CODE (CODE OF PROVIDER)       
PROVSPNO HOSPITAL PROVIDER SPELL NUMBERHOSPITAL PROVIDER SPELL NUMBER       
PURCODE ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (CODE OF COMMISSIONER)       
RECTYPE RECORD TYPENot in CDS      
REFERORG REFERRING ORGANISATION CODEREFERRING ORGANISATION CODE       
REFERRER REFERRER CODEREFERRER CODE       
REGGMP GMP (CODE OF REGISTERED OR REFERRING GMP)GENERAL MEDICAL PRACTITIONER (SPECIFIED)       
SEX SEXSEX       
SEXBABY SEX (BABY)SEX (BABY)       
SITETRET SITE CODE (OF TREATMENT) (at start of episode)SITE CODE (OF TREATMENT) (at start of episode)      
SPELEND LAST EPISODE IN SPELL INDICATORLAST EPISODE IN SPELL INDICATOR       
TRETSPEF TREATMENT FUNCTION CODETREATMENT FUNCTION CODE       
WARDSTRT WARD TYPE AT START OF EPISODENot in CDS      

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MENTAL HEALTH MINIMUM DATA SET

Change to Data Set: Changed Description

Mental Health Minimum Data Set Overview

The Mental Health Minimum Data Set concerns adult PATIENTS (including elderly) who receive care in NHS specialist mental health services. This care is delivered within a Mental Health Care Spell. For some PATIENTS, care will comprise a small number of Out-Patient Appointments over a few weeks. For others, it may extend over many years and include hospital, community, out-patient and day care attendances which may commonly overlap.

The Mental Health Minimum Data Set is assembled and produced for a defined period of time known as the REPORTING PERIOD (which may be monthly, quarterly or annually) and comprises a data set record for each Mental Health Care Spell which occurs wholly or partially within the REPORTING PERIOD.

Data Set Data Elements 
Patient Demographics
ORGANISATION CODE (CODE OF PROVIDER) 
ORGANISATION CODE (CODE OF COMMISSIONER) 
REPORTING PERIOD (MENTAL HEALTH) 
NHS NUMBER 
ELECTORAL WARD OF USUAL ADDRESS 
ORGANISATION CODE (PCT OF RESIDENCE) 
PERSON GENDER CURRENT 
PERSON MARITAL STATUS 
PERSON BIRTH DATE 
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) 
ORGANISATION CODE (PCT OF GP PRACTICE) 
MHMDS LOCAL PATIENT IDENTIFIER 
SOCIAL SERVICES CLIENT IDENTIFIER 
ETHNIC CATEGORY 
EMPLOYMENT STATUS (MENTAL HEALTH) 
WEEKLY HOURS WORKED 
ACCOMMODATION STATUS (MENTAL HEALTH) 
SETTLED ACCOMMODATION INDICATOR 
SETTLED ACCOMMODATION INDICATOR (MENTAL HEALTH)
YEAR OF FIRST KNOWN PSYCHIATRIC CARE 
Mental Health Care Spell Activity
CARE SPELL IDENTIFIER (MENTAL HEALTH) 
CARE SPELL NUMBER IN REPORTING PERIOD 
MAIN SPECIALTY CODE (MENTAL HEALTH) 
START DATE (MENTAL HEALTH CARE SPELL) 
SOURCE OF REFERRAL FOR MENTAL HEALTH 
END DATE (MENTAL HEALTH CARE SPELL) 
MENTAL HEALTH CARE SPELL END CODE 
SPELL DAYS IN REPORTING PERIOD 
SUSPENDED DAYS IN REPORTING PERIOD 
MHCS SUSPENSION REASON (AT END OF REPORTING PERIOD) 
CPA STANDARD DAYS 
CPA ENHANCED DAYS 
CPA LEVEL (AT END OF REPORTING PERIOD) 
OCCUPATION (CPA CARE COORDINATOR) 
DATE LAST SEEN (CPA CARE COORDINATOR) 
DAYS LIABLE FOR DETENTION 
DAYS OF SUPERVISED DISCHARGE 
LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD) 
LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD) 
MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD 
SSSA (NUMBER FOR DETENTION) 
SSSA (NUMBER FOR COMMUNITY CARE) 
DIAGNOSIS (ICD FIRST MOST RECENT) 
DIAGNOSIS (ICD SECOND MOST RECENT) 
DIAGNOSIS (ICD THIRD MOST RECENT) 
DIAGNOSIS (ICD FOURTH MOST RECENT) 
DIAGNOSIS (ICD FIFTH MOST RECENT) 
DIAGNOSIS (ICD SIXTH MOST RECENT) 
DIAGNOSIS (ICD SEVENTH MOST RECENT) 
DIAGNOSIS (ICD EIGHTH MOST RECENT) 
DIAGNOSIS (ICD NINTH MOST RECENT) 
DIAGNOSIS (ICD TENTH MOST RECENT) 
DIAGNOSIS (ICD ELEVENTH MOST RECENT) 
DIAGNOSIS (ICD TWELFTH MOST RECENT) 
HONOS RATING (FIRST IN MHCS) 
HONOS SCORE DATE (FIRST IN MHCS) 
HONOS RATING (MOST RECENT IN MHCS) 
HONOS SCORE DATE (MOST RECENT IN MHCS) 
HONOS RATING (WORST EVER RECORDED) 
HONOS SCORE DATE (WORST EVER RECORDED) 
HONOS RATING (BEST IN LAST TWELVE MONTHS) 
HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS) 
SUPERVISED COMMUNITY TREATMENT TOTAL 
SUPERVISED COMMUNITY TREATMENT RECALLS TOTAL 
SUPERVISED COMMUNITY TREATMENT DISCHARGES TOTAL 
SUPERVISED COMMUNITY TREATMENT REVOCATIONS TOTAL 
LEAVE OF ABSENCE TOTAL 
LEAVE OF ABSENCE TOTAL DAYS 
LEAVE OF ABSENCE END REASON (LAST) 
ABSENCE WITHOUT LEAVE TOTAL 
ABSENCE WITHOUT LEAVE TOTAL DAYS 
ABSENCE WITHOUT LEAVE END REASON (LAST) 
Mental Health Package
BED DAYS (MENTAL HEALTH) 
BED DAYS (MENTAL HEALTH MEDIUM SECURE) 
BED DAYS (MENTAL HEALTH INTENSIVE) 
CARE DAYS (ACUTE HOME-BASED) 
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) 
RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR 
DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE) 
DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR 
SHELTERED WORK ATTENDANCE INDICATOR 
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH) 
CONTACTS (COMMUNITY PSYCHIATRIC NURSE) 
CONTACTS (CLINICAL PSYCHOLOGIST) 
CONTACTS (OCCUPATIONAL THERAPIST) 
SOCIAL WORKER INVOLVEMENT INDICATOR 
HOME HELP VISIT INDICATOR 
PROCEDURE (READ FIRST MOST RECENT) 
PROCEDURE (READ SECOND MOST RECENT) 
PROCEDURE (READ THIRD MOST RECENT) 
PROCEDURE (READ FOURTH MOST RECENT) 
PROCEDURE (READ FIFTH MOST RECENT) 
PROCEDURE (READ SIXTH MOST RECENT) 
PROCEDURE (READ SEVENTH MOST RECENT) 
PROCEDURE (READ EIGHTH MOST RECENT) 
PROCEDURE (READ NINTH MOST RECENT) 
PROCEDURE (READ TENTH MOST RECENT) 
PROCEDURE (READ ELEVENTH MOST RECENT) 
PROCEDURE (READ TWELFTH MOST RECENT) 
PROCEDURE (ECT TREATMENTS ADMINISTERED) 
ADMISSIONS (MENTAL HEALTH) 
DISCHARGES (MENTAL HEALTH) 
HOSPITAL STAYS LIST (MENTAL HEALTH) 
COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH) 
FIRST CONTACT TIMES LIST (MENTAL HEALTH) 
POSTCODE OF USUAL ADDRESS 
MENTAL HEALTH CARE TEAM TYPE (AT END OF REPORTING PERIOD) 
CONTACTS (PHYSIOTHERAPIST) 
CONTACTS (PSYCHOTHERAPY) 
CONTACTS (SOCIAL WORKER) 
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH) 
DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE) 
CONTACTS (NHS DIRECT MENTAL HEALTH) 
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) 
SPELL DEFINITION TYPE (ASSEMBLER MHCS) 
MENTAL HEALTH CARE AND LEGAL STATUS HISTORY 

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NATIONAL CANCER DATA SET

Change to Data Set: Changed Description

National Cancer Data Set Overview

Site Specific Cancers

Brain and Central Nervous System
Breast Cancer
Colorectal Cancer
Lung Cancer
Head and Neck Cancer
Sarcoma
Skin Cancer
Urological Cancer
Upper GI Cancer
Gynaecological Cancer
Data Set Data Element
Demographics
NHS NUMBER 
LOCAL PATIENT IDENTIFIER 
ORGANISATION CODE (CODE OF PROVIDER) 
CARE SPELL IDENTIFIER 
PERSON FAMILY NAME 
PERSON GIVEN NAME 
PATIENT USUAL ADDRESS (AT DIAGNOSIS) 
POSTCODE OF USUAL ADDRESS (AT DIAGNOSIS) 
SEX 
BIRTH DATE 
GENERAL MEDICAL PRACTITIONER (SPECIFIED) 
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) 
ORGANISATION CODE (RESPONSIBLE PCT) 
PERSON FAMILY NAME (AT BIRTH) 
ETHNIC CATEGORY 
Referrals
SOURCE OF REFERRAL FOR CANCER 
REFERRING ORGANISATION CODE 
REFERRER CODE 
CANCER REFERRAL PRIORITY TYPE 
CANCER REFERRAL DECISION DATE 
REFERRAL REQUEST RECEIVED DATE 
CONSULTANT CODE 
MAIN SPECIALTY CODE 
DATE FIRST SEEN 
DELAY REASON REFERRAL TO FIRST SEEN (CANCER) 
DELAY REASON COMMENT (FIRST SEEN) 
URGENT CANCER REFERRAL TYPE 
CANCER STATUS 
WAITING TIME ADJUSTMENT (FIRST SEEN) 
WAITING TIME ADJUSTMENT REASON (FIRST SEEN) 
SOURCE OF REFERRAL FOR OUT-PATIENTS 
Imaging
SITE CODE (OF IMAGING) 
CLINICAL INTERVENTION DATE (CANCER IMAGING) 
CANCER IMAGING MODALITY 
ANATOMICAL EXAMINATION SITE 
INVASIVE LESION SIZE (RADIOLOGICAL DETERMINATION) 
Diagnosis
DIAGNOSIS DATE (CANCER) 
PRIMARY DIAGNOSIS (ICD) 
TUMOUR LATERALITY 
BASIS OF DIAGNOSIS (CANCER) 
HISTOLOGY (SNOMED) 
GRADE OF DIFFERENTIATION (AT DIAGNOSIS) 
Cancer Care Plan
MDT DISCUSSION INDICATOR 
MULTIDISCIPLINARY TEAM DISCUSSION DATE 
CARE PLAN AGREED DATE 
RECURRENCE INDICATOR 
CANCER CARE PLAN INTENT 
PLANNED CANCER TREATMENT TYPE 
TREATMENT TYPE SEQUENCE 
NO CANCER TREATMENT REASON 
PERFORMANCE STATUS (ADULT) 
Staging
T CATEGORY (FINAL PRETREATMENT) 
STAGING CERTAINTY FACTOR (T CATEGORY) 
N CATEGORY (FINAL PRETREATMENT) 
STAGING CERTAINTY FACTOR (N CATEGORY) 
M CATEGORY (FINAL PRETREATMENT) 
STAGING CERTAINTY FACTOR (M CATEGORY) 
TNM CATEGORY (FINAL PRETREATMENT) 
STAGING CERTAINTY FACTOR (TNM CATEGORY) 
SITE SPECIFIC STAGING CLASSIFICATION 
TNM CATEGORY (INTEGRATED) 
T CATEGORY (INTEGRATED STAGE) 
N CATEGORY (INTEGRATED STAGE) 
M CATEGORY (INTEGRATED STAGE) 
Surgery and Other Procedures
SITE CODE (OF SURGERY) 
CONSULTANT CODE 
MAIN SPECIALTY CODE 
CANCER TREATMENT INTENT 
DECISION TO TREAT DATE (SURGERY) 
START DATE (SURGERY HOSPITAL PROVIDER SPELL) 
PROCEDURE DATE 
PRIMARY PROCEDURE (OPCS) 
PROCEDURE (OPCS) 
DISCHARGE DATE (HOSPITAL PROVIDER SPELL) 
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) 
Pathology Details
PATHOLOGY INVESTIGATION TYPE 
SAMPLE RECEIPT DATE 
INVESTIGATION RESULT DATE 
CONSULTANT CODE (PATHOLOGIST) 
ORGANISATION CODE (OF REPORTING PATHOLOGY) 
PRIMARY DIAGNOSIS (ICD) 
TUMOUR LATERALITY 
INVASIVE LESION SIZE 
SYNCHRONOUS TUMOUR INDICATOR 
HISTOLOGY (SNOMED) 
GRADE OF DIFFERENTIATION 
CANCER VASCULAR OR LYMPHATIC INVASION 
EXCISION MARGIN 
NODES EXAMINED NUMBER 
NODES POSITIVE NUMBER 
T CATEGORY (PATHOLOGICAL) 
N CATEGORY (PATHOLOGICAL) 
M CATEGORY (PATHOLOGICAL) 
TNM CATEGORY (PATHOLOGICAL) 
SERVICE REPORT IDENTIFIER 
SERVICE REPORT STATUS 
SPECIMEN NATURE 
ORGANISATION CODE (REQUESTED BY) 
CARE PROFESSIONAL CODE (REQUESTED BY) 
T CATEGORY EXTENDED (PATHOLOGICAL) 
M CATEGORY EXTENDED (PATHOLOGICAL) 
Chemotherapy and other drugs
SITE CODE (OF CANCER DRUG TREATMENT) 
CONSULTANT CODE 
MAIN SPECIALTY CODE 
DECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN) 
DRUG THERAPY TYPE 
DRUG TREATMENT INTENT 
DRUG REGIMEN ACRONYM 
START DATE (ANTI-CANCER DRUG REGIMEN) 
RECORDED HEIGHT (CANCER DRUG TREATMENT) 
RECORDED WEIGHT (CANCER DRUG TREATMENT) 
PERSON BODY SURFACE AREA (PRETREATMENT) 
CREATININE CLEARANCE 
START DATE (ANTI-CANCER DRUG FRACTION) 
ANTI-CANCER DRUG CYCLE IDENTIFIER 
DAY NUMBER (ANTI-CANCER DRUG CYCLE) 
DURATION OF ANTI-CANCER DRUG CYCLE 
DRUG PROGRAMME RESPONSE 
PLANNED TREATMENT CHANGE REASON 
HEALTHCARE RESOURCE GROUP CODE 
Radiotherapy (Teletherapy)
SITE CODE (OF TELETHERAPY) 
CONSULTANT CODE 
DECISION TO TREAT DATE (TELETHERAPY TREATMENT COURSE) 
CANCER TREATMENT INTENT 
START DATE (TELETHERAPY TREATMENT COURSE) 
END DATE (TELETHERAPY TREATMENT COURSE) 
RADIOTHERAPY PRESCRIBED DOSE 
TELETHERAPY PRESCRIBED FRACTIONS 
RADIOTHERAPY PRESCRIBED DURATION 
RADIOTHERAPY ACTUAL DOSE 
TELETHERAPY ACTUAL FRACTIONS 
DURATION OF TELETHERAPY TREATMENT COURSE 
TELETHERAPY BEAM TYPE 
TELETHERAPY BEAM ENERGY 
TELETHERAPY FIELDS 
TELETHERAPY COMPLEXITY GROUP 
RADIOTHERAPY ANAESTHETIC 
TELETHERAPY MULTIPLE PLANNING 
HEALTHCARE RESOURCE GROUP CODE 
TREATMENT COURSE STATUS 
Radiotherapy (Brachytherapy)
SITE CODE (OF BRACHYTHERAPY) 
CONSULTANT CODE 
DECISION TO TREAT DATE (BRACHYTHERAPY TREATMENT COURSE) 
CANCER TREATMENT INTENT 
BRACHYTHERAPY TYPE 
START DATE (BRACHYTHERAPY TREATMENT COURSE) 
END DATE (BRACHYTHERAPY TREATMENT COURSE) 
 
RADIOTHERAPY PRESCRIBED DOSE 
BRACHYTHERAPY PRESCRIBED FRACTIONS 
RADIOTHERAPY PRESCRIBED DURATION 
RADIOTHERAPY ACTUAL DOSE 
BRACHYTHERAPY DOSE RATE 
DURATION OF BRACHYTHERAPY TREATMENT COURSE 
BRACHYTHERAPY ISOTOPE TYPE 
RADIOTHERAPY ANAESTHETIC 
UNSEALED SOURCE PATIENT TYPE 
BRACHYTHERAPY DELIVERY TYPE 
HEALTHCARE RESOURCE GROUP CODE 
TREATMENT COURSE STATUS 
Palliative Care
DECISION TO TREAT DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) 
START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) 
Clinical Trials
PATIENT TRIAL STATUS (CANCER) 
CANCER CLINICAL TRIAL TREATMENT TYPE 
Clinical Status Assessment
CLINICAL STATUS ASSESSMENT DATE (CANCER) 
PRIMARY TUMOUR STATUS 
NODAL STATUS 
METASTATIC STATUS 
MARKER RESPONSE STATUS 
PERFORMANCE STATUS (ADULT) 
TREATMENT TYPE (CANCER MORBIDITY) 
MORBIDITY CODE (CANCER SURGERY) 
PATIENT FOLLOW-UP STATUS (CANCER) 
MORBIDITY CODE (CHEMOTHERAPY) 
MORBIDITY CODE (RADIOTHERAPY) 
MORBIDITY CODE (COMBINATION) 
Death Details
PERSON DEATH DATE 
DEATH LOCATION TYPE 
DEATH CAUSE IDENTIFICATION METHOD 
DEATH CAUSE CANCER 
DEATH CAUSE CODE (IMMEDIATE) 
DEATH CAUSE CODE (CONDITION) 
DEATH CAUSE CODE (UNDERLYING) 
DEATH CAUSE CODE (SIGNIFICANT) 
DEATH CODE DISCREPANCY ORIGINATOR 

Data Set Data Element
Waiting Times Details
WAITING TIME ADJUSTMENT (DECISION TO TREAT) 
WAITING TIME ADJUSTMENT (TREATMENT) 
WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT) 
WAITING TIME ADJUSTMENT REASON (TREATMENT) 
DELAY REASON REFERRAL TO TREATMENT (CANCER) 
DELAY REASON DECISION TO TREATMENT (CANCER) 
DELAY REASON COMMENT (REFERRAL TO TREATMENT) 
DELAY REASON COMMENT (DECISION TO TREATMENT) 
DECISION TO TREAT DATE (ACTIVE MONITORING) 
START DATE (ACTIVE MONITORING) 
Site-Specific Data Elements

Brain and Central Nervous SystemBrain and Central Nervous System

Brain and Central Nervous System
Data Set Data Element
-

Breast CancerBreast Cancer

Breast Cancer
Data Set Data Element
DIAGNOSTIC ROUTE 
BREAST CANCER NURSE SEEN 
RESPONSIBLE CARE PROFESSIONAL CODE (OPCS) 
MENSTRUAL STATUS 
LMP DATE 
CLINICAL EXAMINATION FINDINGS (BREAST CANCER) 
ENDOCRINE THERAPY TYPE 
MARKER LYMPH NODE RESULT 

Colorectal CancerColorectal Cancer

Colorectal Cancer
Data Set Data Element
DIAGNOSTIC ROUTE 
COLORECTAL NURSE OR STOMA THERAPIST SEEN 
RESPONSIBLE CARE PROFESSIONAL CODE (OPCS) 
GRADE OF RESPONSIBLE HCP 
PATIENT PROCEDURE RESULT (COLONOSCOPY) 
COLONOSCOPY INCOMPLETE REASON 
COLORECTAL NURSE OR STOMA THERAPIST SEEN 
SURGICAL URGENCY 
THEATRE CASE START TIME 
MARKER LYMPH NODE RESULT 

Head and Neck CancerHead and Neck Cancer

Head and Neck Cancer
Data Set Data Element
PATIENT HISTORY (CANCER DIAGNOSIS) 
YEAR CANCER DIAGNOSED 
PREVIOUS TREATMENT ELSEWHERE 
TOBACCO USAGE TYPE 
SMOKING STATUS 
TOBACCO CHEWING HISTORY 
YEAR STOPPED SMOKING 
ESTIMATED PACK YEARS 
ALCOHOL STATUS 
QUALITY OF LIFE (AT DIAGNOSIS) 
SYMPTOMS FIRST NOTED DATE 
FAMILY OR SURNAME OF RELATION WITH CANCER 
RELATIONSHIP TO PERSON 
PRIMARY DIAGNOSIS OF RELATION (ICD) 
NUTRITIONAL SUPPORT PROVIDED (CANCER) 
NUTRITIONAL SUPPORT PROVIDED TYPE (CANCER) 
NUTRITIONAL PROCEDURE (OPCS) 
NUTRITIONAL PROCEDURE COMPLICATION (ICD) 
CONTACT DATE (DIETICIAN INITIAL) 
CANCER DENTAL ASSESSMENT DATE 
IMAGE REQUEST DATE 
SPEECH AND SWALLOWING ASSESSMENT DATE 

Lung CancerLung Cancer

Lung Cancer
Data Set Data Element
SMOKING STATUS 
YEAR STOPPED SMOKING 
ESTIMATED PACK YEARS 
COPD PRESENT 
FEV1 ABSOLUTE AMOUNT 
FEV1 PERCENTAGE 

SarcomaSarcoma

Sarcoma
Data Set Data Element
BONE SARCOMA LOCATION 
CLOSEST MARGIN 
NECROSIS 
SARCOMA CONDITION FIRST SEEN 
SARCOMA LARGEST DIAMETER 
SARCOMA PART SITE 
SARCOMA PREDISPOSING CONDITION (FAMILY) 
SARCOMA PREDISPOSING CONDITION (OTHER PHYSICAL) 
SARCOMA RELATION TO DEEP FASCIA 
SARCOMA SURGICAL MARGIN 
SARCOMA SURGICAL PROCEDURE TYPE 
SARCOMA TUMOUR SITE 
SOFT TISSUE SARCOMA LOCATION 

Skin CancerSkin Cancer

Skin Cancer
Data Set Data Element
BASAL CELL CLINICAL MORPHOLOGY 
CLINICAL EXCISION MARGIN 
DERMATOLOGIST BODY SITE (SKIN CANCER CARE SPELL) 
DERMATOLOGIST BODY SITE (SKIN CANCER LESION) 
DISTRIBUTION OF LESIONS PRESENT 
GENETICALLY DETERMINED SKIN CANCER TYPE 
NEW LESIONS TREATED NUMBER (CHEMOTHERAPY) 
NEW LESIONS TREATED NUMBER (RADIOTHERAPY) 
NEW LESIONS TREATED NUMBER (SURGERY) 
PATHOLOGY SPECIMEN TYPE 
PATIENT ON IMMUNOSUPPRESSIVE THERAPY 
PERINEURAL INVASION 
PREVIOUS SKIN CANCER 
RECURRENT LESIONS TREATED NUMBER (CHEMOTHERAPY) 
RECURRENT LESIONS TREATED NUMBER (RADIOTHERAPY) 
RECURRENT LESIONS TREATED NUMBER (SURGERY) 
SKIN CANCER LARGEST CLINICAL DIAMETER (SKIN CANCER CARE SPELL) 
SKIN CANCER LARGEST CLINICAL DIAMETER (SKIN CANCER LESION) 
SKIN CANCER NEW RECURRENT INDICATOR 
SKIN CANCER SUBSEQUENT DIAGNOSIS DATE 
SKIN LYMPHOMA CLINICAL MORPHOLOGY 
SKIN TCELL CLINICAL VARIANT 
SKIN TCELL SURFACE AREA 
SKIN TUMOUR STATUS 

Urological CancerUrological Cancer

Urological Cancer
Data Set Data Element
SERUM TUMOUR MARKER PSA 
S CATEGORY FINAL PRETREATMENT 
DRUG ROUTE OF ADMINISTRATION 

Upper GI CancerUpper GI Cancer

Upper GI Cancer
Data Set Data Element
POSSUM SCORE (AT DIAGNOSIS) 
POSSUM SCORE (AFTER SURGERY) 
RELATIONSHIP TO PERSON 
PRIMARY DIAGNOSIS OF RELATION (ICD) 
SMOKING STATUS 
YEAR STOPPED SMOKING 
ESTIMATED PACK YEARS 
ALCOHOL STATUS 
CO-MORBIDITY (ICD) 
CLINICAL SIGN OR SYMPTOM (ICD) 

Gynaecological CancerGynaecological Cancer

Gynaecological Cancer
Data Set Data Element
GYNAECOLOGICAL ONCOLOGY ACCREDITATION 

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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET

Change to Data Set: Changed Description

Paediatric Critical Care Minimum Data Set Overview

Scope:

The definition of Paediatric Critical Care is linked to the definition of Paediatric Critical Care Healthcare Resource Groups.

The scope of the Paediatric Critical Care Minimum Data Set is:

a)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Paediatric Intensive Care Unit regardless of care being delivered
b)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION with National Code of either:
  • 04 Paediatric Intensive Care Unit (Paediatric critical care patients predominate)
  • 16 Ward for children and young people
  • 17 High Dependency Unit for children and young people
  • 18 Renal Unit for children and young people
  • 19 Burns Unit for children and young people
  • 92 Non standard location using the operating department for children and young people
to whom one or more of the following CRITICAL CARE ACTIVITIES applies for a period greater than 4 hours:
  
04Exchange transfusion
05Peritoneal dialysis (acute patients only i.e. excluding chronic)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin
09Supplemental oxygen therapy (irrespective of ventilatory state)
13Tracheostomy cared for by nursing staff
16Haemofiltration
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute patients only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Recirculating System (MARS)
73Continuous pulse oximetry
74Patient nursed in single occupancy cubicle

If one or more of these items apply to a PATIENT, then the PATIENT would be counted as receiving Paediatric Critical Care at one of the levels of Intensive Care or High Dependency Care depending on the conditions/interventions which apply.

A number of these interventions will only occur in a Paediatric Intensive Care Unit environment where all PATIENTS are covered by the Paediatric Critical Care Minimum Data Set regardless of treatment. Care for PATIENTS outside of a Paediatric Intensive Care Unit will in practice be dealing with a shorter list of interventions. The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with CRITICAL CARE UNIT FUNCTION:

  • Paediatric Intensive Care Unit; or
  • Ward for children and young people; or
  • High Dependency Unit for children and young people; or
  • Renal Unit for children and young people; or
  • Burns Unit for children and young people; or
  • Non standard location using the operating department for children and young people.
The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a CRITICAL CARE UNIT FUNCTION other than those listed above.

The Paediatric Critical Care Minimum Data Set is sent as a subset in the following Commissioning Data Set messages:

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE

Data set data element
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
PERSON BIRTH DATE 
DISCHARGE DATE (HOSPITAL PROVIDER SPELL) 
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) 
Paediatric Critical Care Group:

To carry the details of the Paediatric Critical Care Period.
CRITICAL CARE LOCAL IDENTIFIER 
CRITICAL CARE START DATE 
CRITICAL CARE START TIME 
CRITICAL CARE DISCHARGE DATE 
CRITICAL CARE DISCHARGE TIME 
CRITICAL CARE UNIT FUNCTION 
Paediatric Critical Care Daily Activity Group:

To carry the daily activity data for each day of the Paediatric Critical Care Period. 999 occurrences of this Group are permitted.
ACTIVITY DATE (CRITICAL CARE) 
20 occurrences of Critical Care Activity Codes are permitted within the Paediatric Critical Care Daily Activity Group. All codes relate to care provided on the CRITICAL CARE START DATE.
CRITICAL CARE ACTIVITY CODE 
2 HIGH COST DRUGS (OPCS) codes are permitted but there is the capacity for 20 codes within the Paediatric Critical Care Daily Activity Group, to allow future refinement. All codes relate to drugs provided on the CRITICAL CARE LOCAL IDENTIFIER.
HIGH COST DRUGS (OPCS) 

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COVER 1

Change to Central Return Form: Changed Description, Aliases

Central Return Form Guidance
 
COVER - Request Parameters for Hepatitis B Vaccination data
  1. Contextual Overview

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COVER 1

Change to Central Return Form: Changed Description, Aliases


COVER 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 
COVER - Request Parameters for Hepatitis B Vaccination data
  1. 12 month cohort

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KA34 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KA34: Ambulance Services

  1. Contextual Overview
    • Contextual Overview
    • The Department of Health requires summary details from NHS Health Care Providers on ambulance activity. The return provides performance management measures of response time; these are also required by trusts for ambulance service internal monitoring and for defining service agreements.

    • The information originally monitored: 'Your guide to the NHS' targets and the standards introduced following a review of ambulance performance standards in 1996-97. The standards required that, by 2001, all ambulance services would be expected to reach 75% of immediately life-threatening calls within 8 minutes, with further progress thereafter.

    • The information is required to inform strategic policy development, to provide data to the Healthcare Commission for performance and activity assessment, to ensure that Spending Review bids reflect changes to overall demand and to inform the development of ambulance trust reference costs.

    • Information based on the return is published annually in the Department of Health Statistical Bulletin 'Ambulance services; England'.

      Completing Return KA34: Ambulance Services
    • The central return KA34 is completed by NHS Health Care Providers - Trusts providing an Ambulance Service.

      An Ambulance Service is a type of ORGANISATION providing organisational arrangements for provision of PATIENT transport services.

    • The return KA34 relates to activity taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within one month of the end of the year to which it relates. For the year 2004/05 changes were introduced mid-year; the first 6 months collect information on Emergency Calls Category B & C together while the second 6 months collect information on Category B & C separately. Subsequent years collect information on Emergency Calls Category B & C separately throughout the year.

    • The return requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Ambulance Trust - the NHS Health Care Provider of the Ambulance Service.

    • The return requires information on:

      a.Emergency Calls: 
       The following are subdivided by Category A, B & C.
      i.Total number of emergency calls received in the year;
      ii.The number of calls that resulted in an emergency response arriving at the scene of the incident;
      iii.The number of calls that resulted in an emergency response arriving at the scene of the incident within 8 minutes (from 1 October 2004 this is no longer required for Category C calls);
      iv.The number of calls where following the arrival of an emergency response no ambulance is required;
      v.The number of calls that resulted in an ambulance able to transport a PATIENT arriving at the scene of the incident (from 1 October 2004 this is no longer required for Category C calls);
      vi.The number of calls that resulted in an ambulance able to transport a PATIENT arriving at the scene of the incident within specified urban or rural target response times (from 1 October 2004 this is no longer required for Category C calls).
      b.Patient Journeys: Emergency: 
      i.Total number of emergency PATIENT TRANSPORT JOURNEYS sub-divided by Categories A, B & C.
      c.Patient Journeys: Urgent: 
      i.Total number of urgent PATIENT journeys
      ii.Arrival time in relation to requested arrival time: number not more than 15 minutes late
      d.Patient Journeys: Non-Urgent: 
      i.Total number of special or planned journeys

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KA34 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KA34 - Ambulance Services

  1. Part 1: Emergency Calls

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KC50 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC50 - Immunisation Programmes Activity

  1. Contextual Overview
    • Contextual Overview
    • The Department of Health and Regional Offices require summary details from NHS Health Care Providers to monitor Immunisation Programme activity in their areas. This information is normally available through the Child Health computer system.

    • Immunisation Programmes are programmes to deliver services within a 'structured framework' to a defined target population, planned by the Department of Health and implemented by Health Authorities which are aimed at maintaining an adequate level of immunisation in a population against a specific VACCINE PREVENTABLE DISEASE, such as diphtheria or tuberculosis, by a determined sequence of immunisation courses which can be primary, first booster, second booster, etc.

    • National targets for all vaccines in the recommended childhood schedule have been set at 95%, as detailed in the National Priorities Guidance Undercutting Health Inequalities. The KC50 return monitors progress of the childhood immunisation programme.

    • Information based on the return is also used in Public Expenditure Survey (PES) negotiations and resource allocation to the NHS.

    • Information about uptake of immunisation, formerly on the KC51 return, is collected through the `COVER' (cover of vaccination evaluated rapidly) returns made to the Communicable Disease Surveillance Centre (CDSC). From April 1999 uptake of all primary and booster pre-school immunisation is being monitored through COVER.

    • The KC50 return relates to school leaver immunisation and also to BCG testing and vaccination, as these aspects of the immunisation programme are not at present available through the COVER system.

    • Information based on the return will be published annually in a Department of Health Statistical Bulletin `Vaccination and Immunisation Programmes; England'.

      Completing Return KC50 - Immunisation Programmes Activity
    • The central return KC50 is completed by NHS Health Care Providers - NHS Trusts. These are asked to ensure that all immunisation ACTIVITY in their area is recorded, including that provided by GENERAL PRACTITIONERS in addition to the NHS Trusts own provision of immunisation, if any. If problems are encountered in obtaining immunisation data from GENERAL PRACTITIONERS, this should be indicated on the return. The NHS Trust which manages the Child Health System should be responsible for liaising if necessary with neighbouring NHS Trust to ensure full coverage and avoid duplication. If full coverage cannot be provided, this should be indicated on the return.

    • The KC50 return relates to activity taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within two months of the end of the year to which it relates.

    • KC50 requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Health Care Provider as well as the name of a contact and the contact telephone number on the front page. The ORGANISATION CODES is repeated at the bottom of each sheet.

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KC50 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC50 - Immunisation Programmes Activity

  1. Part A: Immunisations Given to School Leavers (Ages 13 - 16)

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ACCIDENT & EMERGENCY DIAGNOSIS TABLES

Change to Supporting Information: Changed Description

ACCIDENT AND EMERGENCY CLINICAL CODES

  1. Accident and Emergency Diagnosis

    A broad classification of types of diagnoses which may be made as a result of Accident And Emergency Attendance. The full description is made up of codes from three tables - ACCIDENT AND EMERGENCY DIAGNOSIS, Accident And Emergency Attendance: ANATOMICAL AREAS and Accident And Emergency Attendance: ANATOMICAL SIDE. ANATOMICAL AREA (a classification of parts of the human body) and ANATOMICAL SIDE (an indication of the side of the human body) together give the Anatomical Site of clinical problems presented at an Accident And Emergency Attendance.

  2. Certain items are sub-analysed to specify the diagnosis, investigation or treatment more precisely. These are marked with an asterisk. The diagnosis sub-analysis list follows the main diagnosis list, and the treatment sub-analysis list follows the main treatment list.

  3. It is recommended that computerised systems provide a minimum of six character fields for each category in order to accommodate more detailed information if necessary. Where fewer than six characters are required for coding, such as for investigations and treatments, it is recommended that the codes are left-justified and the unused fields left blank.
  4. ACCIDENT AND EMERGENCY DIAGNOSIS is a six character code, comprising:
    Diagnosis Conditionn2
    Sub-Analysisn1
    Accident And Emergency Attendance - ANATOMICAL AREA n2
    Accident And Emergency Attendance - ANATOMICAL SIDE an1

    Accident and Emergency Diagnosis - Diagnosis Condition

    Diagnosis ConditionCode
    Laceration01
    Contusion/abrasion*02
    Soft tissue inflammation03
    Head injury*04
    Dislocation/fracture/joint injury/amputation*05
    Sprain/ligament injury06
    Muscle/tendon injury07
    Nerve injury08
    Vascular injury09
    Burns and scalds*10
    Electric shock11
    Foreign body12
    Bites/stings13
    Poisoning* (including overdose)14
    Near drowning15
    Visceral injury16
    Infectious disease*17
    Local infection18
    Septicaemia19
    Cardiac conditions*20
    Cerebro-vascular conditions21
    Other vascular conditions22
    Haematological conditions23
    Central Nervous System conditions* (excluding strokes)24
    Respiratory conditions*25
    Gastrointestinal conditions*26
    Urological conditions (including cystitis)27
    Obstetric conditions28
    Gynaecological conditions29
    Diabetes and other endocrinological conditions*30
    Dermatological conditions31
    Allergy (including anaphylaxis)32
    Facio-maxillary conditions33
    ENT conditions34
    Psychiatric conditions35
    Ophthalmological conditions36
    Social problem (includes chronic alcoholism and homelessness)37
    Diagnosis not classifiable38
    Nothing abnormal detected39

    Item sub-analysed

    Accident and Emergency Diagnosis - Sub-analysis

    Sub-analysis Code
    Contusion/abrasion- contusion
    - abrasion
    1
    2
    Head Injury- concussion
    - other head injury
    1
    2
    Dislocation/fracture/joint injury/amputation- dislocation
    - open fracture
    - closed fracture
    - joint injury
    - amputation
    1
    2
    3
    4
    5
    Burns and scalds- electric
    - thermal
    - chemical
    - radiation
    1
    2
    3
    4
    Poisoning- prescriptive drugs
    - proprietary drugs
    - controlled drugs
    - other, including alcohol
    1
    2
    3
    4
    Infectious disease- notifiable disease
    - non-notifiable disease
    1
    2
    Cardiac conditions- myocardial ischaemia & infarction
    - other non-ischaemia
    1
    2
    Respiratory conditions- bronchial asthma
    - other non-asthma
    1
    2
    Central Nervous System conditions- epilepsy
    - other non-epilepsy
    1
    2
    Gastrointestinal conditions- haemorrhage
    - acute abdominal pain
    - other
    1
    2
    3
    Diabetes and other endocrinological conditions- diabetic
    - other non-diabetic
    1
    2

    Anatomical Site

    Accident And Emergency Anatomical Area - Area

    Anatomical AreaCode
    Head and Neck 
    Brain01
    Head02
    Face03
    Eye04
    Ear05
    Nose06
    Mouth, Jaw, Teeth07
    Throat08
    Neck09
    Upper Limb 
    Shoulder10
    Axilla11
    Upper Arm12
    Elbow13
    Forearm14
    Wrist15
    Hand16
    Digit17
    Trunk 
    Cervical spine18
    Thoracic19
    Lumbosacral spine20
    Pelvis21
    Chest22
    Breast23
    Abdomen24
    Back/buttocks25
    Ano/rectal26
    Genitalia27
    Lower Limb 
    Hip28
    Groin29
    Thigh30
    Knee31
    Lower leg32
    Ankle33
    Foot34
    Toe35
    Multiple Site36
    Accident and Emergency Anatomical Side 
    LeftL
    RightR
    BilateralB
    Not applicable8
  5. ACCIDENT AND EMERGENCY DIAGNOSIS is a six character code, comprising:
    Diagnosis Conditionn2
    Sub-Analysisn1
    Accident And Emergency Attendance - ANATOMICAL AREA n2
    Accident And Emergency Attendance - ANATOMICAL SIDE an1

    Accident and Emergency Diagnosis - Diagnosis Condition

    Diagnosis ConditionCode
    Laceration01
    Contusion/abrasion*02
    Soft tissue inflammation03
    Head injury*04
    Dislocation/fracture/joint injury/amputation*05
    Sprain/ligament injury06
    Muscle/tendon injury07
    Nerve injury08
    Vascular injury09
    Burns and scalds*10
    Electric shock11
    Foreign body12
    Bites/stings13
    Poisoning* (including overdose)14
    Near drowning15
    Visceral injury16
    Infectious disease*17
    Local infection18
    Septicaemia19
    Cardiac conditions*20
    Cerebro-vascular conditions21
    Other vascular conditions22
    Haematological conditions23
    Central Nervous System conditions* (excluding strokes)24
    Respiratory conditions*25
    Gastrointestinal conditions*26
    Urological conditions (including cystitis)27
    Obstetric conditions28
    Gynaecological conditions29
    Diabetes and other endocrinological conditions*30
    Dermatological conditions31
    Allergy (including anaphylaxis)32
    Facio-maxillary conditions33
    ENT conditions34
    Psychiatric conditions35
    Ophthalmological conditions36
    Social problem (includes chronic alcoholism and homelessness)37
    Diagnosis not classifiable38
    Nothing abnormal detected39
    *Item sub-analysed

    Accident and Emergency Diagnosis - Sub-analysis

    Sub-analysis Code
    Contusion/abrasion- contusion
    - abrasion
    1
    2
    Head Injury- concussion
    - other head injury
    1
    2
    Dislocation/fracture/joint injury/amputation- dislocation
    - open fracture
    - closed fracture
    - joint injury
    - amputation
    1
    2
    3
    4
    5
    Burns and scalds- electric
    - thermal
    - chemical
    - radiation
    1
    2
    3
    4
    Poisoning- prescriptive drugs
    - proprietary drugs
    - controlled drugs
    - other, including alcohol
    1
    2
    3
    4
    Infectious disease- notifiable disease
    - non-notifiable disease
    1
    2
    Cardiac conditions- myocardial ischaemia & infarction
    - other non-ischaemia
    1
    2
    Respiratory conditions- bronchial asthma
    - other non-asthma
    1
    2
    Central Nervous System conditions- epilepsy
    - other non-epilepsy
    1
    2
    Gastrointestinal conditions- haemorrhage
    - acute abdominal pain
    - other
    1
    2
    3
    Diabetes and other endocrinological conditions- diabetic
    - other non-diabetic
    1
    2

    Anatomical Site

    Accident And Emergency Anatomical Area - Area

    Anatomical AreaCode
    Head and Neck 
    Brain01
    Head02
    Face03
    Eye04
    Ear05
    Nose06
    Mouth, Jaw, Teeth07
    Throat08
    Neck09
    Upper Limb 
    Shoulder10
    Axilla11
    Upper Arm12
    Elbow13
    Forearm14
    Wrist15
    Hand16
    Digit17
    Trunk 
    Cervical spine18
    Thoracic19
    Lumbosacral spine20
    Pelvis21
    Chest22
    Breast23
    Abdomen24
    Back/buttocks25
    Ano/rectal26
    Genitalia27
    Lower Limb 
    Hip28
    Groin29
    Thigh30
    Knee31
    Lower leg32
    Ankle33
    Foot34
    Toe35
    Multiple Site36
    Accident and Emergency Anatomical Side 
    LeftL
    RightR
    BilateralB
    Not applicable8

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ADMITTED PATIENT FLOWS DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Events During the Reporting Period

  1. Contextual Overview
  2. Contextual Overview

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ADMITTED PATIENT STOCKS DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Admitted Patient Stocks at the end of the Reporting Period

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BOOKINGS ADMITTED PATIENT AND OUT-PATIENT PROVIDER DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Provider Admitted Patient and Out-Patient Bookings: Events During the Reporting Period

  1. Contextual Overview
  2. Contextual Overview

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CENTRAL RETURN DATA SETS INTRODUCTION

Change to Supporting Information: Changed Description

Introduction

The development of data sets supports:
  • information requirements of national and local performance management, planning and clinical governance
  • assurance of the quality of health and social care services
  • the monitoring of National Service Frameworks (NSFs)

The information in the Central Return Data Sets is transmitted at aggregate level.Some of these Central Return Data Sets are transmitted to Unify2.
Unify2 is the data collection system used by the Knowledge and Intelligence team in the Department of Health to collect a wide range of performance information.The Unify2 homepage can be found at the following address:
http://nww.unify.http://nww.unify2.dh.nhs.uk/unify/interface/homepage.aspx.aspx  

Note: access to this address requires a Unify2 account and password. Any queries about the site can be addressed to the Unify2 helpdesk by emailing STEIS-Helpdesk@dh.gsi.gov.uk or calling 0113 254 5278

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COMMISSIONING DATA SET MESSAGE SCHEMA VERSIONS

Change to Supporting Information: Changed Description

The following tables set out the authorised versions of the Commissioning Data Set.

Commissioning Data Set Version 6
The CDS Version NHS006 consists of several components identified in the CDS Version CDS006 Type List.

CDS
Version
 
Available
From
 
Mandated
From
 
Usable
To
 
Message
Format
 
Message
Version
 
NHS00631/12/200701/04/2008-XML SchemaDownload Message Schema V6.0-2007-10-26 and CDS XML Message Documentation V6-0-2007-10-26 and CDS XML Release Notes V6-0-2007-10-26 
NHS00631/12/200701/04/2008-XML SchemaDownload Message Schema V6.0-2007-10-26 and CDS XML Message Documentation V6-0-2007-10-26 and CDS XML Release Notes V6-0-2007-10-26*
NHS00631/12/200701/04/2008Superceded before live useXML SchemaMessage Schema v6.0-2007-03-01 and CDS XML Message Documentation V6-0-2007-03-01
* An updated version of the Message Schema for Commissioning Data Set Version 6, which resolves known issues is available. For further details please email datastandards@nhs.net

Commissioning Data Set Version 5
The CDS Version NHS005 consists of several components identified in the CDS Version NHS005 Type List.

CDS
Version
 
Available
From
 
Mandated
From
 
Usable
To
 
Message
Format
 
Message
Version
 
NHS00501/10/200701/10/200731/03/2008XML SchemaDownload Message Schema v5-0-2007-06-01 and Message Documentation v5-0-2007-06-01 
NHS00501/09/200606/11/200601/10/2007XML SchemaDownload Message Schema v5-0-2006-08-04 and Message Documentation v5-0-2006-08-04 
NHS00501/04/200601/09/2006Superceded before live useXML SchemaDownload V-5-0 schema and documentation 

CDS Version 5-0-2007-06-01 is backward compatible with CDS Version 5-0-2006-08-04. Any data conforming with CDS Version 5-0-2006-08-04 conforms with CDS Version 5-0-2007-06-01. CDS Version 5-0-2006-08-04 includes all standards updates to DSCN 14/2005. In addition

  • value 8 has been included in the enumeration for ADMISSION OFFER OUTCOME to correct an error in CDS Version 5-0-2006-08-04
  • value 3 has been included in the enumeration for PRIORITY TYPE - DSCN 13/2006
  • values 304, 371, 401, 812 and 840 have been included in the enumeration for TREATMENT FUNCTION CODE - DSCN 02/2007
  • values 12, 13,14,15,16, 17 and 97 have been included in the enumeration for SOURCE OF REFERRAL FOR OUT-PATIENTS - DSCN 16/2007. Code 8 'Other', which is retired in DSCN 16/2007, has been retained in CDS Version5-0-2007-06-01 for backward compatibility.
The major enhancement is the inclusion of DSCNs 02/2005 and 13/2005 which introduce the Critical Care Minimum data Set (CCMDS) as an integral component of the CDS. The implementation of this version will therefore enable Trusts to submit the CCMDS data to the Secondary Uses Service.

V-5-0-2006-08-04 corrects an error in V-5-0 in the definition of the data type supporting CRITICAL CARE UNIT FUNCTION and restricts the length of CRITICAL CARE LOCAL IDENTIFIER to 8 characters.

Commissioning Data Set Versions 3 and 4
The CDS Version NHS004 consists of several components identified in the CDS Version NHS003 and 4 Type List.

CDS
Version
 
Available
From
 
Mandated
From
 
Usable
To
 
Message
Format
 
Message
Version
 
NHS00401/10/2005Only for NWCS-SUS migrationXML SchemaV-4-2-a 

This CDS version was released to support the initial implementation of the CDS-XML processes submitting data to the SUS and must be used only for NWCS-SUS migration.

Whilst CDS data items as specified in the NHS CDS Manual have been repositioned into the NHS Data Dictionary, no structural or data content changes were made to the CDS specifications which remain as per version NHS003.

CDS
Version
 
Available
From
 
Mandated
From
 
Usable
To
 
Message
Format
 
Message
Version
 
NHS00320012001
31 March 2007
UN/EDIFACT
CDSM
MIG V4
 

This CDS version is the final CDS specification supported by the use of the NHSCDS EDIFACT Message.
The CDS NHS003 specifications are documented in the NHS CDS Manual which is available from the NHS Data Standards website.

The CDS Version NHS003 consists of several components as identified in the CDS Version NHS003 and 4 Type List.

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COMMISSIONING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Commissioning Data Set Overview

  1. A. Information Requirements
    • Information Requirements

    • Information on care provided by NHS hospitals and Primary Care Trusts for all PATIENTS and Independent Sector providers (for NHS PATIENTS only) is required to:

      • monitor and manage Service Agreements;
      • develop commissioning plans;
      • monitor Health Improvement Programmes;
      • underpin clinical governance;
      • understand the health needs of the population.

      Main commissioners need access to data to monitor Non-Contract Activity as part of the management of their Service Agreements. Primary Care Trusts also need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activities.

      Independent Sector Treatment Centres (TC) are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Set and may submit it on their own behalf or via a third party. Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.

    • The Department of Health needs a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment. The record also includes NHS PATIENTS treated electively in the independent sector and overseas. Hospital Episode Statistics (HES) are derived from the Admitted Patient Care Commissioning Data Set Types, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Set Types submitted via the NHS-wide Clearing Service (NWCS). These records provide information about hospital and PATIENT management and epidemiological data on PATIENT diagnoses and operative procedures. The Hospital Episode Statistics data warehouse has already been used to support many aspects of the new Performance Framework.
      B. Data Flows

    • The Department of Health needs a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment. The record also includes NHS PATIENTS treated electively in the independent sector and overseas. Hospital Episode Statistics (HES) are derived from the Admitted Patient Care Commissioning Data Set Types, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Set Types submitted via the NHS-wide Clearing Service (NWCS). These records provide information about hospital and PATIENT management and epidemiological data on PATIENT diagnoses and operative procedures. The Hospital Episode Statistics data warehouse has already been used to support many aspects of the new Performance Framework.
        
    • Data Flows

    • Hospital Episode Statistics records are extracted from the NWCS database quarterly. The timely provision of Admitted Patient Care (APC) records to the NWCS, complete with clinical information, is now a performance issue for Trusts.
    • The strategic direction set out within Information for Health is to develop comprehensive and consistent electronic health records for PATIENTS from clinical information flows. In the short term, access to and the analysis of Commissioning Data Set Types will remain important, and the exchange of these data sets should continue on at least a monthly basis.

    • To determine who receives Commissioning Data Set Types, NHS Trusts and Primary Care Trusts need to take all of the following factors into account, not necessarily in the order specified here:


      The information data flows are shown in the Tables below.
      C. Commissioning Data Set Data Flow Definitions
    • To determine who receives Commissioning Data Set Types, NHS Trusts and Primary Care Trusts need to take all of the following factors into account, not necessarily in the order specified here:


      The information data flows are shown in the Tables below.

    • Commissioning Data Set Data Flow Definitions

    • The exchange of individual Commissioning Data Set Types may be mandatory or optional. All Admitted Patient Care, Out-Patient Attendance and Accident & Emergency Attendance Commissioning Data Set Type exchanges are mandatory, but exchanges of some individual Commissioning Data Set Types for Elective Admission List are not, and require local agreement between the parties concerned. Where Commissioning Data Set information is collected, it should always be exchanged via the NHS Wide Clearing Service.

    • Where Commissioning Data Set Types are exchanged, the data items within the Commissioning Data Set Type have a mandatory or optional status. A data item marked as mandatory (M) means that it must be included in the Commissioning Data Set Type; a data item marked as optional (O) means that the data item need only be included if both parties agree to its exchange. Although the exchange of the Commissioning Data Set Type may be optional, this does not apply to the status of the data items within this Commissioning Data Set Type.

    • For records relating to Commissioning Data Set ACTIVITY from the 1st April 2005 see REVISED CDS INFORMATION FLOW ADDRESSING GRID - ACTIVITY from 1st April 2005 below. An additional PATIENT/ Service Agreement row has been introduced to identify activity commissioned by the National Specialised Commissioning Group (NSCG). The code YDD82 should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for National Specialised Commissioning Group commissioned activity.

    • For records relating to Commissioning Data Set ACTIVITY from 1st April 2002 to 31st March 2005, see PREVIOUS CDS INFORMATION FLOW ADDRESSING GRID - ACTIVITY from 1st April 2002 to 31st March 2005 below.

      REVISED COMMISSIONING DATA SET INFORMATION FLOW ADDRESSING GRID - ACTIVITY from 1st April 2005

       CDS PRIME RECIPIENT---
      PATIENT/Service AgreementPCT OF RESIDENCE PCT responsibleMain CommissionerORGANISATION to which costs of treatment accrue
      PATIENT registered with General Medical Practitioner Practice with Primary Care Trust Service Agreement* *     
      PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust Service Agreement* *     
      PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract Activity * * *   
      PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract Activity * * *   
      Overseas visitor exempt from charges and not registered with a General Medical Practitioner Practice *
      (TDH00)
       
        *   
      Overseas visitor exempt from charges and registered with a General Medical Practitioner Practice *
      (TDH00)
       
      * *   
      Overseas visitor liable for NHS charges and not registered with a General Medical Practitioner Practice *
      (VPP00)
       
            
      Overseas visitor liable for NHS charges and registered with a General Medical Practitioner Practice *
      (VPP00)
       
      *     
      PATIENT registered with a General Medical Practitioner Practice with a Specialised Services & Other Commissioning Consortia Service Agreement* *   * 
      PATIENT not registered with a General Medical Practitioner Practice with a Specialised Services & Other Commissioning Consortia Service Agreement* *   * 
      Private PATIENT * *     
      National Specialised Commissioning Group commissioned* *   YDD82 

      Notes:

      a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.

      b. Note that if two recipients are identical (PCT OF RESIDENCE is the same as the Main Commissioner) only one data set should be sent to that recipient.

      c. For further information please refer to DSCN 06/2005.

      PREVIOUS COMMISSIONING DATA SET INFORMATION FLOW ADDRESSING GRID - Activity from 1st April 2002 to 31st March 2005

       CDS PRIME RECIPIENT
      Patient/Service AgreementPCT OF RESIDENCEPCT responsibleMain CommissionerOrganisation to which costs of treatment accrue
      Patient registered with GP with PCT Service Agreement* *     
      Patient not registered with a GP but resident in an area covered by a PCT with a PCT Service Agreement* *     
      Patient registered with a GP treated as an Out Of Area Treatment (OAT)* * *   
      Patient not registered with a GP treated as an Out Of Area Treatment (OAT)* * *   
      Overseas visitor exempt from charges and not registered with a GP*
      (TDH00)
       
        *   
      Overseas visitor exempt from charges and registered with a GP*
      (TDH00)
       
      * *   
      Overseas visitor liable for NHS charges and not registered with a GP*
      (VPP00)
       
            
      Overseas visitor liable for NHS charges and registered with a GP*
      (VPP00)
       
      *     
      Patient registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement* *   * 
      Patient not registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement* *   * 
      Private Patient* *     

      Notes:

      a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.

      b. Note that if two recipients are identical (PCT OF RESIDENCE is the same as the Main Commissioner) only one data set should be sent to that recipient.

      c. For further information please refer to DSCN 46/2002.

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COMMUNITY

Change to Supporting Information: Changed Description

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INDEX

Change to Supporting Information: Changed Description


NHS DATA MODEL AND DICTIONARY

Version 3

What's New: August 2008What's New: November 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, Commissioning Data Sets are shown in Dark Green, Central Return Forms are shown in Dark Pink and other pages are shown in Dark 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 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 GreenCommissioning Data Sets are shown in Dark Green, 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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MAIN MENU

Change to Supporting Information: Changed Description

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NATIONAL CANCER DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The purpose of the National Cancer Data Set is to advise organisations within the National Health Service on a transferable set of data. These data will meet the needs of clinical audit, assist in the generation of National Performance Indicators and will allow outcome assessment.

By clicking on the date element text within the data set opposite, the selected data element definition will be displayed.By clicking on the data element text within the data set opposite, the selected data element definition will be displayed.

Any text within the displayed definition which is in blue and uppercase is the name of a class, attribute or data element; business definitions appear in Title Case and all if clicked on will display the definition for that class, attribute, data element or business definition.

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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Paediatric Critical Care Minimum Data Set has been specified as a simple data specification but will be carried within the existing framework of the Commissioning Data Set as supported by the Secondary Uses Service.

Note that this enhancement is only intended to be implemented as a new version in the Commissioning Data Set-XML Message and will not be implemented in the current Commissioning Data Set-EDIFACT Message (NHS005).

Scope:

The definition of Paediatric Critical Care is linked to the definition of Paediatric Critical Care Healthcare Resource Groups.

The scope of the Paediatric Critical Care Minimum Data Set is:

a)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Paediatric Intensive Care Unit regardless of care being delivered
b)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION with National Code of either:
  • 04 Paediatric Intensive Care Unit (Paediatric critical care patients predominate)
  • 16 Ward for children and young people
  • 17 High Dependency Unit for children and young people
  • 18 Renal Unit for children and young people
  • 19 Burns Unit for children and young people
  • 92 Non standard location using the operating department for children and young people
to whom one or more of the following CRITICAL CARE ACTIVITIES applies for a period greater than 4 hours:
  
04Exchange transfusion
05Peritoneal dialysis (acute patients only i.e. excluding chronic)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin
09Supplemental oxygen therapy (irrespective of ventilatory state)
13Tracheostomy cared for by nursing staff
16Haemofiltration
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute patients only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Recirculating System (MARS)
73Continuous pulse oximetry
74Patient nursed in single occupancy cubicle


If one or more of these items apply to a PATIENT, then the PATIENT would be counted as receiving Paediatric Critical Care at one of the levels of Intensive Care or High Dependency Care depending on the conditions/interventions which apply.

A number of these interventions will only occur in a Paediatric Intensive Care Unit environment where all PATIENTS are covered by the Paediatric Critical Care Minimum Data Set regardless of treatment. Care for PATIENTS outside of a Paediatric Intensive Care Unit will in practice be dealing with a shorter list of interventions. The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with CRITICAL CARE UNIT FUNCTION:

  • Paediatric Intensive Care Unit; or
  • Ward for children and young people; or
  • High Dependency Unit for children and young people; or
  • Renal Unit for children and young people; or
  • Burns Unit for children and young people; or
  • Non standard location using the operating department for children and young people.

The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a CRITICAL CARE UNIT FUNCTION other than those listed above.

The Paediatric Critical Care Minimum Data Set will be carried as part of the following Admitted Patient Care Commissioning Data Set Types:

  • The Admitted Patient Care Finished General Episode (Commissioning Data Set TYPE 130)
  • The Admitted Patient Care Unfinished General Episode (Commissioning Data Set TYPE 190)
  • The Admitted Patient Care Delivery Episode (Commissioning Data SetTYPE 140)
  • The Admitted Patient Care Unfinished Delivery Episode (Commissioning Data Set TYPE 200)
  • The Admitted Patient Care Finished Birth Episode (Commissioning Data Set TYPE 120)
  • The Admitted Patient Care Unfinished Birth Episode (Commissioning Data Set TYPE 180)

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PUBLICATION INFORMATION CONTACT DETAILS

Change to Supporting Information: Changed Description

CONTACT DETAILS

  1. 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

  2. The NHS Information Standards Board:

    The NHS Information Standards Board
    Princes Exchange
    Princes Square
    Leeds
    LS1 4HY

    Internet: http://www.isb.nhs.uk/

  3. Hospital Episode Statistics (HES):

    Website: HES online

    Queries: HES queries

  4. Clinical Coding general enquiries:

    International Classification of Diseases (ICD-10)
    Classification of Surgical Operations and Procedures Fourth Revision Consolidated Version (OPCS-4);
    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

    • 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);
    • The Alphabetical Index of Classification of Surgical Operations and Procedures (Fourth Revision Consolidated Version (OPCS-4) in hard copy;
      • Electronic format of Index and Tabular List of OPCS-4;
      • OPCS-4 metadata file and its specification;
    • 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).

  5. Organisation Data Service Queries:

    Organisation Data Service
    Hexagon House
    Pynes Hill
    Rydon Lane
    Exeter
    Devon EX2 5SE

    exeter.helpdesk@nhs.net
    Tel: 01392 206 248

    Organisation Data Service website pages:

  6. 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:

Information on the Terminology Reference Data Update Distribution Service can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/

  1. Postcodes:

    Postcode and Geographic Area Queries
    All Fields Postcode Directory
    Areas of Residence Classification
    NHS Organisation Manual
    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

    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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SECURITY ISSUES AND PATIENT CONFIDENTIALITY

Change to Supporting Information: Changed Description

SECURITY ISSUES AND PATIENT CONFIDENTIALITY

  1. A.
    • A. Removal of name and address where the NHS Number is present
    • From 1 April 1999, PATIENT NAME and PATIENT USUAL ADDRESS (not POSTCODE OF USUAL ADDRESS) must be removed from all commissioning data sets where a valid NHS NUMBER is present. This applies to all nationally defined Commissioning Data Sets Types (CDS) and any additional locally agreed flows from service providers to commissioning bodies.

    • A valid NHS NUMBER is one that has passed the check digit calculation on entry into the source system. If an NHS NUMBER is not valid (i.e. does not conform with the check digit algorithm) then PATIENT NAMES and PATIENT USUAL ADDRESSES should not be removed, as the reliability of the NHS NUMBER will not be known.

    • The NHS NUMBER STATUS INDICATOR is a mandatory part of the CDS. PATIENT NAMES and PATIENT USUAL ADDRESSES should be removed when a valid NHS NUMBER is present, even if the NHS Number Status Indicator does not have a status of 01, Number present and verified.

      B. Marital Status
    • Following the recommendations of the Data Protection Registrar, Providers should not record MARITAL STATUS in any CDS Type, except in respect of the psychiatric specialities in the Admitted Patient Care CDS Types, where it will continue to be recorded.

      C. Sensitive data
    • The Human Fertilisation and Embryology Act 1990 as amended by the Human Fertilisation and Embryology (Disclosure of Information) Act 1992 imposes statutory restrictions on the disclosure of information about identifiable individuals in connection with certain infertility treatments. A list of the relevant codes is given in Table 1. In these cases the NHS NUMBER, LOCAL PATIENT IDENTIFIER, PATIENT NAMES, POSTCODE OF USUAL ADDRESS and BIRTH DATE should be omitted from the CDS Types.

    • Other statutory restrictions on the disclosure of patient information do not prohibit the disclosure to individuals involved with the treatment and prevention of certain specific diseases (HIV/AIDS and venereal diseases) in the population.

      TABLE 1: TREATMENTS PROVIDED UNDER THE LICENCE OF THE HUMAN FERTILISATION AND EMBRYOLOGY AUTHORITY

      DescriptionOPCS-4ICD-10
      Standard In Vitro Fertilisation (IVF)Q13.-1 Introduction of gamete into uterine cavity, or
      Q38.3 Endoscopic intrafallopian transfer of gamete
      Z31.2 In vitro fertilization
      IVF with donor spermQ13.- 1 Introduction of gamete into uterine cavity, or
      Q38.3 Endoscopic intrafallopian transfer of gamete
      Z31.2 In vitro fertilization
      IVF with donor eggsQ13.-1 Introduction of gamete into uterine cavity, or
      Q38.3 Endoscopic intrafallopian transfer of gamete
      Z31.2 In vitro fertilization
      Donor insemination (DI)Q13.3 Intrauterine artificial insemination, or
      Q13.2 Intracervical artificial insemination
      Z31.1 Artificial insemination
      Gamete intrafallopian transfer (GIFT) with donor spermQ38.3 Endoscopic intrafallopian transfer of gameteZ31.3 Other assisted fertilization methods
      Gamete intrafallopian transfer (GIFT) with donor eggsQ38.3 Endoscopic intrafallopian transfer of gameteZ31.3Other assisted fertilization methods
      Intracytoplasmic sperm injection (ICSI)  
      Sub-zonal insemination (SUZI)  
      Zygote intrafallopian transfer (ZIFT)Q38.3 Endoscopic intrafallopian transfer of gameteZ31.2 In vitro fertilization
      Partial Zona Dissection (PZD)  
      Zona drilling  
      Hamster- egg penetration test  
      Assisted hatching  
      Pre-implantation Genetic Diagnosis (PGD)  
      Storage of sperm  
      Storage of embryos  
      Use and storage of testicular tissue  
      Transport/satellite IVF/ICSI  
      Embryo donation Z31.8 Other procreative management
      Research  

      1.- means all fourth characters of this rubric should be included.

    • All records containing patient identifiable information, other than those covered by the Human Fertilisation & Embryology Acts, as outlined in the Table above, should be treated as sensitive. Organisations may continue to exchange records containing NHS NUMBER, POSTCODE OF USUAL ADDRESS and BIRTH DATE in these cases, but receiving organisations must ensure that only those staff with legitimate need have access to this information, e.g. public health departments, and strictly on a need to know basis. No-one should have unrestricted access unless fully justified in accordance with the principles of the Caldicott Committee Report.

    • Where patient level data is required for other purposes within an organisation, it should be anonymised/aggregated prior to disclosure by someone with legitimate access. If this is not practicable, local protocols defining which CDS Types are particularly sensitive (including, but not necessarily restricted to HIV/AIDS and venereal disease) agreed by the organisation Caldicott Guardian, should be put in place and identifiers stripped from these records.

    • Your Caldicott Guardian will be able to advise you further on all issues relating to patient confidentiality.

    • Where appropriate, further information about confidentiality is contained within the notes for individual data items.

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WHAT'S NEW: NOVEMBER 2008  renamed from WHAT'S NEW: AUGUST 2008

Change to Supporting Information: Changed Description, Name

DSCNs published but not yet incorporated into the NHS Data Model and Dictionary:

  • CP1002 (1 April 2009) - DSCN 24/2008 Data Standards: Commissioning Data Set Version 6-1 Tables
  • CP843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CP1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
  • CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme Vaccine Monitoring Minimum Dataset
  • CP861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CP964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CP965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CP879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CP910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CP900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CP934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CP935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CP925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CP942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract)

Release: February 2008

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CP881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CP904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CP824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CP814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CP930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CP834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CP875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CP880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CP831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CP825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CP833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CP801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CP856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CP869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CP827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CP817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CP849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CP822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CP850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CP786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CP826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CP813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CP768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CP798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema

Release: September 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CP792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CP719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CP791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CP774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CP756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CP724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CP754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CP763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CP767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CP690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

DSCNs Incorporated into the NHS Data Model and Dictionary:

  • CP555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CP715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CP706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CP691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

NHS Data Model and Dictionary: Change Menu

Data Set Change Notice (DSCN) Website

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A AND E ARRIVAL MODE  renamed from A AND E ARRIVAL MODE

Change to Attribute: Changed Name

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A AND E ATTENDANCE CATEGORY  renamed from A AND E ATTENDANCE CATEGORY

Change to Attribute: Changed Name

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A AND E ATTENDANCE DISPOSAL  renamed from A AND E ATTENDANCE DISPOSAL

Change to Attribute: Changed Name

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A AND E INCIDENT LOCATION TYPE  renamed from A AND E INCIDENT LOCATION TYPE

Change to Attribute: Changed Name

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A AND E INITIAL ASSESSMENT TRIAGE CATEGORY  renamed from A AND E INITIAL ASSESSMENT TRIAGE CATEGORY

Change to Attribute: Changed Name

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A AND E PATIENT GROUP  renamed from A AND E PATIENT GROUP

Change to Attribute: Changed Name

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A AND E STREAM  renamed from A AND E STREAM

Change to Attribute: Changed Name

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APPOINTMENT BOOKING TYPE

Change to Attribute: Changed Description

This is an indicator for whether an APPOINTMENT has been prebooked or the PATIENT attended a CLINIC OR FACILITY without prior notice or Scheduled Appointment.

National Codes:

01Scheduled appointment
02Unscheduled appointment
01Scheduled Appointment
02Unscheduled Appointment
 

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APPOINTMENT DATE

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
National Codes: 
Default Codes: 
Notes:
This is the same as APPOINTMENT DATE.

Usage in the CDS:
The Outpatient and Future Outpatient CDS Types use the Data Field Notes as the "CDS ORIGINATING DATE" as a mandatory requirement of the CDS Exchange Protocol, see CDS ACTIVITY DATE.The Outpatient and Future Outpatient CDS Types use the APPOINTMENT DATE as the "CDS ORIGINATING DATE" as a mandatory requirement of the CDS Exchange Protocol, see CDS ACTIVITY DATE.

For the Future Outpatient CDS where no APPOINTMENT DATE is available from the healthcare system, a default date value of 2999-12-31 may be applied.

Care must be taken to generate the correct CDS Exchange Protocol when using this default value.

 

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PERSON MARITAL STATUS

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National Codes: 
Default Codes: 
 
Default Codes:8 - Not applicable, i.e. not a psychiatric episode
 9 - Not known

Notes:
PERSON MARITAL STATUS is the same as PERSON MARITAL STATUS CODE.

PERSON MARITAL STATUS should be used for all new and developing systems and for XML messages.

 

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