Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1078
Version No:1.0
Subject:Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:4 August 2009

Background:

This patch:

Summary of changes:

Diagrams
ACTIVITY   Changed Diagram
PATIENT PATHWAY   Changed Diagram
PERSON AND PERSON PROPERTY   Changed Diagram
 
Data Set
CDS V6 TYPE 010   Changed Description
CDS V6 TYPE 020   Changed Description
CDS V6 TYPE 021   Changed Description
CDS V6 TYPE 030   Changed Description
CDS V6 TYPE 040   Changed Description
CDS V6 TYPE 050   Changed Description
CDS V6 TYPE 060   Changed Description
CDS V6 TYPE 070   Changed Description
CDS V6 TYPE 080   Changed Description
CDS V6 TYPE 090   Changed Description
CDS V6 TYPE 100   Changed Description
CDS V6 TYPE 110   Changed Description
CDS V6 TYPE 140   Changed Description
 
Supporting Information
HEALTH SOLUTIONS WALES renamed from HEALTH SOLUTION WALES   Changed Name
HOSPITAL PROVIDER SPELL   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES   Changed Description
MENTAL HEALTH MINIMUM DATA SET OVERVIEW   Changed Description
WHAT'S NEW: JUNE 2009   Changed Description
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
CATEGORY VALUED PERSON OBSERVATION   Changed Relationships
CRITICAL CARE PERIOD   Changed Description
DECISION TO ADMIT   Changed Description
 
Attribute Definitions
APPOINTMENT ACCEPTED DATE renamed from APPOINTMENT ACCEPTED DATE   Changed Name
APPRAISAL REVIEW DATE renamed from APPRAISAL REVIEW DATE   Changed Name
COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA   Changed Name
COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT   Changed Name
MEASURED PERSON OBSERVATION TYPE CODE   Changed Description
META ACTIVITY IDENTIFIER renamed from META ACTIVITY IDENTIFIER   Changed Name
TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT renamed from TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT   Changed Name
TRANSPLANT TISSUE IDENTIFIER renamed from TRANSPLANT TISSUE IDENTIFIER   Changed Name
VACCINE PREVENTABLE DISEASE   Changed Description
 
Data Elements
A AND E INITIAL ASSESSMENT TIME   Changed Description
ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND renamed from ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND   Changed Name
ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND renamed from ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND   Changed Name
ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND renamed from ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND   Changed Name
ADMINISTRATIVE CATEGORY (AT START OF EPISODE) renamed from ADMINISTRATIVE CATEGORY (AT START OF EPISODE)   Changed Name
AGE AT ATTENDANCE DATE   Changed Aliases
ALCOHOL STATUS   Changed Description
DEATH CAUSE IDENTIFICATION METHOD   Changed Description
DEATH LOCATION TYPE   Changed Description
DELIVERY PLACE TYPE (INTENDED)   Changed Description
EMPLOYMENT STATUS (MENTAL HEALTH)   Changed linked Attribute
MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE renamed from MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE   Changed Name
OBSERVATION DATE (BMI)   Changed Description
OBSERVATION DATE (HBA1C LEVEL)   Changed Description
OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)   Changed Description
OBSERVATION DATE (SERUM CREATININE LEVEL)   Changed Description
OBSERVATION DATE (URINARY ALBUMIN LEVEL) renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)   Changed Name, Description
OCCUPIED BED DAYS   Changed Aliases
OPERATION STATUS   Changed Aliases
ORGANISATION CODE (CODE OF PROVIDER)   Changed Description
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)   Changed Aliases
ORGANISATION CODE (PROVIDER FIRST DIAGNOSTIC TEST)   Changed Aliases
ORGANISATION CODE (REQUESTED BY)   Changed Aliases
OUTCOME OF ATTENDANCE   Changed Description
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)   Changed Description
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)   Changed Aliases, Description
OUT-PATIENT EFFECTIVE WAITS   Changed Aliases
OUT-PATIENT FOLLOW-UP APPOINTMENTS ATTENDANCES SEEN   Changed Description
OUT-PATIENT FOLLOW-UP APPOINTMENTS DID NOT ATTEND   Changed Description
OUT-PATIENTS WAITING   Changed Aliases, Description
OVERSEAS SURGICAL TEAM MEMBER   Changed Description
PERSON GENDER AT REGISTRATION   Changed linked Attribute
PERSON GENDER CURRENT   Changed linked Attribute
PERSON OBSERVATION (BMI)   Changed Description
PERSON OBSERVATION (HBA1C LEVEL)   Changed Description
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)   Changed Description
PERSON OBSERVATION (SERUM CREATININE LEVEL)   Changed Description
PERSON OBSERVATION (URINARY ALBUMIN LEVEL)   Changed Description
REFERRAL RAISED REASON (INTER-PROVIDER TRANSFER)   Changed Description
SOURCE OF REFERRAL FOR A AND E   Changed Aliases
SOURCE OF REFERRAL FOR CANCER   Changed Aliases
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Aliases
SOURCE OF REFERRAL FOR OUT-PATIENTS   Changed Aliases
TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)   Changed Aliases
TUMOUR LATERALITY   Changed Description
TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE   Changed Description
 

Date:4 August 2009
Sponsor:Richard Kavanagh, NHS Connecting for Health

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

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ACTIVITY

Change to Diagram: Changed Diagram

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PATIENT PATHWAY

Change to Diagram: Changed Diagram

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PERSON AND PERSON PROPERTY

Change to Diagram: Changed Diagram

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CDS V6 TYPE 010

Change to Data Set: Changed Description

CDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDS

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

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

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* = Must Not Be Used

CDS V6 TYPE 010 - ACCIDENT AND EMERGENCY CDS
 
COMMISSIONING DATA SET DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
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 for Health and Social Care) 

COMMISSIONING DATA SET DATA GROUP: PATIENT IDENTITY:
To carry the identity of the Patient.
One occurrence of this Group is permitted.
OptCommissioning Data Set Data Element 
MLOCAL PATIENT IDENTIFIER  
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
ONHS NUMBER  
MNHS NUMBER STATUS INDICATOR  
OPATIENT NAME  
OPATIENT USUAL ADDRESS  
MPOSTCODE OF USUAL ADDRESS  
MORGANISATION CODE (PCT OF RESIDENCE)  
MPERSON BIRTH DATE 
(From Commissioning Data Set version 6-1 onwards)
 
 

Note:
For  Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIERNHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

 
COMMISSIONING DATA SET DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient.
One occurrence of this Group is permitted.
OptCommissioning Data Set Data Element 
MPERSON BIRTH DATE
(Commissioning Data Set version 6-0 only) 
 
MPERSON GENDER CURRENT  
OCARER SUPPORT INDICATOR  
METHNIC CATEGORY 
(from Commissioning Data Set version 6-1 onwards)
 
COMMISSIONING DATA SET DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED)  
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)  
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics:
To carry the details of the Accident and Emergency attendance.
MA and E ATTENDANCE NUMBER  
MA and E ARRIVAL MODE  
MA and E ATTENDANCE CATEGORY  
MA and E ATTENDANCE DISPOSAL  
MA and E INCIDENT LOCATION TYPE  
MA and E PATIENT GROUP  
MSOURCE OF REFERRAL FOR A and E  
MA and E DEPARTMENT TYPE  
MARRIVAL DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE 
 
MARRIVAL TIME  
MAGE AT CDS ACTIVITY DATE  
M
 
A and E INITIAL ASSESSMENT TIME
(first and unplanned follow-up attendances only)
 
MA and E TIME SEEN FOR TREATMENT  
MA and E ATTENDANCE CONCLUSION TIME  
MA and E DEPARTURE TIME  
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Accident and Emergency Attendance.
One occurrence of this Data Group is permitted.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
OCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Person Group (A + E Consultant):
To carry the details of the responsible Clinician.
One occurrence of this Group is permitted.
MA and E STAFF MEMBER CODE  
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE -Clinical Diagnosis Details - ICD:
To carry the details of the Diagnosis Code Scheme and the Diagnoses.
One occurrence of this Group is permitted.
ODIAGNOSIS SCHEME IN USE  
OPRIMARY DIAGNOSIS (ICD)  
O
 
SECONDARY DIAGNOSIS (ICD)
Multiple Secondary Diagnoses may be recorded.
 
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - READ:
To carry the details of the Diagnosis Code Scheme and the Diagnoses.
One occurrence of this Group is permitted.
ODIAGNOSIS SCHEME IN USE  
OPRIMARY DIAGNOSIS (READ)  
O
 
SECONDARY DIAGNOSIS (READ)
Multiple Secondary Diagnoses may be recorded.
 
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Diagnosis Details - A + E Coded:
To carry the details of the Diagnosis Code Scheme and the Diagnoses.
One occurrence of this Group is permitted.
MDIAGNOSIS SCHEME IN USE  
MACCIDENT AND EMERGENCY DIAGNOSIS - FIRST  
M
 
ACCIDENT AND EMERGENCY DIAGNOSIS - SECOND
Multiple Secondary Diagnoses may be recorded.
 
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Investigation Details - A + E:
To carry the details of the Investigation Code Scheme and the Investigations undertaken.
Multiple occurrences of this Group are permitted.
MINVESTIGATION SCHEME IN USE  
MACCIDENT AND EMERGENCY INVESTIGATION - FIRST  
MACCIDENT AND EMERGENCY INVESTIGATION - SECOND
Multiple Secondary Investigations may be recorded.
 
COMMISSIONING DATA SET DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity / Treatment Group (OPCS):
To carry the details of the OPCS coded Clinical Activities and Treatments undertaken.
One occurrence of this Group is permitted.
OPROCEDURE SCHEME IN USE  
O
O
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE (of Primary Procedure)
 

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

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

M
M
(Multiple occurrences of this sub-group may be recorded)
ACCIDENT AND EMERGENCY TREATMENT - SECOND
PROCEDURE DATE (of Subsequent Treatments)
 
COMMISSIONING DATA SET DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
MHEALTHCARE RESOURCE GROUP CODE  
MHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
COMMISSIONING DATA SET DATA GROUP: Healthcare Resource Group Activity - Clinical Activity Group:
To carry the details of the Healthcare Resource Group Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to Healthcare Resource Group Dominant Grouping Variable - Procedure should be omitted.
OPROCEDURE SCHEME IN USE  
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE  
 Note:
In addition, Accident and Emergency reference costs are mandated and collected via a direct data flow between Providers and the Department of Health.
 

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CDS V6 TYPE 020

Change to Data Set: Changed Description

CDS V6 TYPE 020 - OUTPATIENT CDS

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

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

The CDS consists of the following CDS Data Groups:

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

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* = Must Not Be Used

CDS V6 TYPE 020 - THE OUTPATIENT CDS
(Known in the Schema as the Care Activity CDS)
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
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 for Health and Social Care) 
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MLOCAL PATIENT IDENTIFIER  
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
MNHS NUMBER  
MNHS NUMBER STATUS INDICATOR  
OPATIENT NAME  
OPATIENT USUAL ADDRESS  
MPOSTCODE OF USUAL ADDRESS  
MORGANISATION CODE (PCT OF RESIDENCE)  
MPERSON BIRTH DATE 
(From Commissioning Data Set version 6-1 onwards)
 
 

Note:
For  Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIERNHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

 
 
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MPERSON BIRTH DATE 
(Commissioning data set version 6-0 only)
 
MPERSON GENDER CURRENT  
OCARER SUPPORT INDICATOR  
METHNIC CATEGORY 
(from Commissioning Data Set Version 6-1)
 
CDS DATA GROUP: CARE EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant.
One occurrence of this Group is permitted.
MCONSULTANT CODE  
MMAIN SPECIALTY CODE  
MTREATMENT FUNCTION CODE  
CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (ICD):
To carry the details of the ICD Diagnosis Scheme and the Diagnoses.
ODIAGNOSIS SCHEME IN USE  
OPRIMARY DIAGNOSIS (ICD)  
O
 
SECONDARY DIAGNOSIS (ICD)
Multiple Secondary Diagnoses may be recorded.
 
CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (READ):
To carry the details of the READ Diagnosis Scheme and the Diagnoses.
ODIAGNOSIS SCHEME IN USE  
OPRIMARY DIAGNOSIS (READ)  
O
 
SECONDARY DIAGNOSIS (READ)
Multiple Secondary Diagnoses may be recorded.
 
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics:
To carry the details of the Care Attendance or cancelled appointment.
MATTENDANCE IDENTIFIER  
MADMINISTRATIVE CATEGORY  
MATTENDED OR DID NOT ATTEND  
MFIRST ATTENDANCE  
MMEDICAL STAFF TYPE SEEING PATIENT  
MOPERATION STATUS (per attendance) 
MOUTCOME OF ATTENDANCE  
M
 
APPOINTMENT DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 
 
MAGE AT CDS ACTIVITY DATE  
OEARLIEST REASONABLE OFFER DATE  
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Care Attendance.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (OPCS):
To carry the details of the OPCS coded Clinical Activities undertaken.
OPROCEDURE SCHEME IN USE  
O
O
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE (of Primary Procedure)
 

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

O
O
(Multiple Procedures may be recorded)
PROCEDURE (READ)
PROCEDURE DATE (of Secondary Procedure)
 
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Location Group of Care Attendance:
To carry the details of the location and Site Code of Treatment.
One occurrence of this Group is permitted.
MLOCATION CLASS  
MSITE CODE (OF TREATMENT)  
*LOCATION TYPE
Definition and value list currently under review
 
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED)  
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)  
CDS DATA GROUP: REFERRAL - Activity Characteristics:
To carry the details of the referral.
One occurrence of this Group is permitted.
MPRIORITY TYPE  
MSERVICE TYPE REQUESTED  
MSOURCE OF REFERRAL FOR OUT-PATIENTS  
MREFERRAL REQUEST RECEIVED DATE  
CDS DATA GROUP: REFERRAL - Person Group (Referrer):
To carry the details of the referrer.
One occurrence of this Group is permitted.
MREFERRER CODE  
MREFERRING ORGANISATION CODE  
CDS DATA GROUP: MISSED APPOINTMENT - Occurrence:
To carry the details of a missed appointment.
One occurrence of this Group is permitted.
MLAST DNA OR PATIENT CANCELLED DATE  
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
OHEALTHCARE RESOURCE GROUP CODE  
OHEALTHCARE 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.
OPROCEDURE SCHEME IN USE  
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE  
 Note:
HRG Dominant Grouping Variable does not apply to Care Attendances but the data structure is retained for documentation purposes.
 

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CDS V6 TYPE 021

Change to Data Set: Changed Description

CDS V6 TYPE 021 - FUTURE OUTPATIENT CDS

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

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

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

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

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

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* = Must Not Be Used

CDS V6 TYPE 021 - THE FUTURE OUTPATIENT CDS
(Known in the Schema as Future Care Activity CDS)
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated appointment) 
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 for Health and Social Care) 
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MLOCAL PATIENT IDENTIFIER  
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
MNHS NUMBER  
MNHS NUMBER STATUS INDICATOR  
OPATIENT NAME  
OPATIENT USUAL ADDRESS  
MPOSTCODE OF USUAL ADDRESS  
MORGANISATION CODE (PCT OF RESIDENCE)  
MPERSON BIRTH DATE 
(From Commissioning Data Set version 6-1 onwards)
 
 

Note:
For  Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIERNHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

 
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MPERSON BIRTH DATE 
(Commissioning data set version 6-0 only)
 
MPERSON GENDER CURRENT  
OCARER SUPPORT INDICATOR  
*ETHNIC CATEGORY 
(from Commissioning Data Set Version 6-1. Note this CDS type has not been approved by the Information Standards Board for Health and Social Care and this item is included as a placeholder for future development.)
 
CDS DATA GROUP: CARE EPISODE - Person Group (Consultant):
To carry the details of the responsible Consultant.
One occurrence of this Group is permitted.
MCONSULTANT CODE  
MMAIN SPECIALTY CODE  
MTREATMENT FUNCTION CODE  
CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (ICD):
To carry the details of the ICD Diagnosis Scheme and the provisional Diagnoses.
ODIAGNOSIS SCHEME IN USE  
OPRIMARY DIAGNOSIS (ICD)  
O
 
SECONDARY DIAGNOSIS (ICD)
Multiple Secondary Diagnoses may be recorded.
 
CDS DATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS (READ):
To carry the details of the READ Diagnosis Scheme and the provisional Diagnoses.
ODIAGNOSIS SCHEME IN USE  
OPRIMARY DIAGNOSIS (READ)  
O
 
SECONDARY DIAGNOSIS (READ)
Multiple Secondary Diagnoses may be recorded.
 
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Activity Characteristics:
To carry the details of the Future Care Attendance or cancelled future appointment.
OATTENDANCE IDENTIFIER  
MADMINISTRATIVE CATEGORY  
OATTENDED OR DID NOT ATTEND  
MFIRST ATTENDANCE  
OMEDICAL STAFF TYPE SEEING PATIENT  
OOPERATION STATUS (per attendance) 
OOUTCOME OF ATTENDANCE  
M
 
APPOINTMENT DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 
 
MAGE AT CDS ACTIVITY DATE 
OEARLIEST REASONABLE OFFER DATE  
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Future Care Attendance.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Clinical Activity Group (OPCS):
To carry the details of the OPCS coded Clinical Activities to be undertaken.
OPROCEDURE SCHEME IN USE  
O
O
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE (of Primary Procedure)
 

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

O
O
(Multiple Procedures may be recorded)
PROCEDURE (READ)
PROCEDURE DATE (of Secondary Procedure)
 
CDS DATA GROUP: ATTENDANCE OCCURRENCE - Location Group of the Future Care Attendance:
To carry the details of the location and Site Code of Treatment.
One occurrence of this Group is permitted.
OLOCATION CLASS  
OSITE CODE (OF TREATMENT)  
*LOCATION TYPE
Definition and value list currently under review
 
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED)  
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)  
CDS DATA GROUP: REFERRAL - Activity Characteristics:
To carry the details of the referral.
One occurrence of this Group is permitted.
MPRIORITY TYPE  
MSERVICE TYPE REQUESTED  
MSOURCE OF REFERRAL FOR OUT-PATIENTS  
MREFERRAL REQUEST RECEIVED DATE  
CDS DATA GROUP: REFERRAL - Person Group (Referrer):
To carry the details of the referrer.
One occurrence of this Group is permitted.
MREFERRER CODE  
MREFERRING ORGANISATION CODE  
CDS DATA GROUP: MISSED APPOINTMENT - Occurrence:
To carry the details of a missed appointment.
One occurrence of this Group is permitted.
OLAST DNA OR PATIENT CANCELLED DATE  
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the anticipated Healthcare Resource Group.
One occurrence of this Group is permitted.
OHEALTHCARE RESOURCE GROUP CODE  
OHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group:
To carry the details of the anticipated HRG Dominant Grouping Variable - Procedure.
OPROCEDURE SCHEME IN USE  
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE  
 Note:
HRG Dominant Grouping Variable does not apply to Care Attendances but the data structure is retained for documentation purposes.
 

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CDS V6 TYPE 030

Change to Data Set: Changed Description

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

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

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

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

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

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

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

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* = Must Not Be Used

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

 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient's Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: (PATIENT IDENTITY:
To carry the identity of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MLOCAL PATIENT IDENTIFIER  
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
MNHS NUMBER  
MNHS NUMBER STATUS INDICATOR  
OPATIENT NAME  
OPATIENT USUAL ADDRESS  
MPOSTCODE OF USUAL ADDRESS  
MORGANISATION CODE (PCT OF RESIDENCE)  
MPERSON BIRTH DATE 
(From Commissioning Data Set version 6-1 onwards)
 
 

Note:
For  Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIERNHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

 
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MPERSON BIRTH DATE
(Commissioning Data Set version 6-0 only) 
 
MPERSON GENDER CURRENT  
OCARER SUPPORT INDICATOR  
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Care Attendance.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
ONHS SERVICE AGREEMENT CHANGE DATE  
CDS DATA GROUP: EAL ENTRY - Activity Characteristics:
To carry the details of the EAL ENTRY Occurrence.
MELECTIVE ADMISSION LIST ENTRY NUMBER  
MADMINISTRATIVE CATEGORY  
MCOUNT OF DAYS SUSPENDED  
MELECTIVE ADMISSION LIST STATUS  
MELECTIVE ADMISSION TYPE  
MINTENDED MANAGEMENT  
MINTENDED PROCEDURE STATUS  
MPRIORITY TYPE  
MDECIDED TO ADMIT DATE (for this provider)
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE 
 
MAGE AT CDS ACTIVITY DATE  
OGUARANTEED ADMISSION DATE  
MLAST DNA OR PATIENT CANCELLED DATE  
OWAITING LIST ENTRY LAST REVIEWED DATE  
CDS DATA GROUP: EAL ENTRY - Person Group (Consultant):
To carry the details of the responsible Clinician.
One occurrence of this Group is permitted.
MCONSULTANT CODE  
MMAIN SPECIALTY CODE  
MTREATMENT FUNCTION CODE  
CDS DATA GROUP: INTENDED PROCEDURES - OPCS:
To carry the details of the Intended OPCS Procedures.
OPROCEDURE SCHEME IN USE  
O
O
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE (of Primary Procedure)
 

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

O
O
(Multiple Procedures may be recorded)
PROCEDURE (READ)
PROCEDURE DATE (of Secondary Procedure)
 
CDS DATA GROUP: INTENDED PROCEDURES - Location Group:
To carry the details of the Intended Location.
OLOCATION CLASS  
OINTENDED SITE CODE (OF TREATMENT)  
*LOCATION TYPE
Definition and value list under review
 
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED)  
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)  
CDS DATA GROUP: REFERRAL:
To carry the details of the Patient's Registered GMP.
One occurrence of this Group is permitted.
MREFERRER CODE  
MREFERRING ORGANISATION CODE  
CDS DATA GROUP: OFFER OF ADMISSION:
To carry the details of the Offer of Admission and the Outcome.
OADMISSION OFFER OUTCOME  
MOFFERED FOR ADMISSION DATE  
OEARLIEST REASONABLE OFFER DATE  
CDS DATA GROUP: - ORIGINAL EAL ENTRY:
To carry the date on which the decision to admit was made.
MORIGINAL DECIDED TO ADMIT DATE  
CDS DATA GROUP: EAL ENTRY REMOVAL:
To carry the details of the removal from the EAL.
One occurrence of this Group is permitted.
OELECTIVE ADMISSION LIST REMOVAL REASON  
OELECTIVE ADMISSION LIST REMOVAL DATE  
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
OHEALTHCARE RESOURCE GROUP CODE  
OHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure.
Note that this will not apply when no operation was carried out.
OPROCEDURE SCHEME IN USE  
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE  

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CDS V6 TYPE 040

Change to Data Set: Changed Description

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

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

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

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

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

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

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* = Must Not Be Used

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

 
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OREFERRAL TO TREATMENT STATUS  
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Care Attendance.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
M

 
NHS SERVICE AGREEMENT CHANGE DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE 
 

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CDS V6 TYPE 050

Change to Data Set: Changed Description

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

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

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

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

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

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

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* = Must Not Be Used

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

 
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: PATIENT IDENTITY:
To carry the details of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MLOCAL PATIENT IDENTIFIER  
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
MNHS NUMBER  
MNHS NUMBER STATUS INDICATOR  
OPATIENT NAME  
OPATIENT USUAL ADDRESS  
MPOSTCODE OF USUAL ADDRESS  
MORGANISATION CODE (PCT OF RESIDENCE)  
MPERSON BIRTH DATE 
(From Commissioning Data Set version 6-1 onwards)
 
 Note:
For  Security Issues and Patient 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  Security Issues and Patient Confidentiality), 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, and PERSON BIRTH DATE.
 
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the details of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MPERSON BIRTH DATE
(Commissioning Data Set version 6-0 only) 
 
MPERSON GENDER CURRENT  
OCARER SUPPORT INDICATOR  
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Care Attendance.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
M
 
NHS SERVICE AGREEMENT CHANGE DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 
CDS DATA GROUP: EAL ENTRY - Activity Characteristics:
To carry the details of the Care Attendance or missed appointment.
MELECTIVE ADMISSION LIST ENTRY NUMBER  
MADMINISTRATIVE CATEGORY  
MCOUNT OF DAYS SUSPENDED  
MELECTIVE ADMISSION LIST STATUS  
MELECTIVE ADMISSION TYPE  
MINTENDED MANAGEMENT  
MINTENDED PROCEDURE STATUS  
MPRIORITY TYPE  
MDECIDED TO ADMIT DATE (for this provider) 
MAGE AT CDS ACTIVITY DATE  
OGUARANTEED ADMISSION DATE  
MLAST DNA OR PATIENT CANCELLED DATE  
OWAITING LIST ENTRY LAST REVIEWED DATE  
CDS DATA GROUP: EAL ENTRY - Person Group (Consultant):
To carry the details of the responsible Clinician.
One occurrence of this Group is permitted.
MCONSULTANT CODE  
MMAIN SPECIALTY CODE  
MTREATMENT FUNCTION CODE  
CDS DATA GROUP: INTENDED PROCEDURES - OPCS:
To carry the details of the Intended OPCS Procedures.
OPROCEDURE SCHEME IN USE  
O
O
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE (of Primary Procedure)
 

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

O
O
(Multiple Procedures may be recorded)
PROCEDURE (READ)
PROCEDURE DATE (of Secondary Procedure)
 
CDS DATA GROUP: INTENDED PROCEDURES - Location Group:
To carry the details of the Intended Location.
OLOCATION CLASS  
OINTENDED SITE CODE (OF TREATMENT)  
*LOCATION TYPE
Definition and value list under review
 
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED)  
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)  
CDS DATA GROUP: REFERRAL:
To carry the details of the referral.
One occurrence of this Group is permitted.
MREFERRER CODE  
MREFERRING ORGANISATION CODE  
CDS DATA GROUP: OFFER OF ADMISSION:
To carry the details of the Offer of Admission and the Outcome.
OADMISSION OFFER OUTCOME  
MOFFERED FOR ADMISSION DATE  
OEARLIEST REASONABLE OFFER DATE  
CDS DATA GROUP: - ORIGINAL EAL ENTRY:
To carry the date on which the decision to admit was made.
MORIGINAL DECIDED TO ADMIT DATE  
CDS DATA GROUP: EAL ENTRY REMOVAL:
To carry the details of the removal from the EAL.
One occurrence of this Group is permitted.
OELECTIVE ADMISSION LIST REMOVAL REASON  
OELECTIVE ADMISSION LIST REMOVAL DATE  
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
OHEALTHCARE RESOURCE GROUP CODE  
OHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure.
Note that this will not apply when no operation was carried out.
OPROCEDURE SCHEME IN USE  
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE  

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CDS V6 TYPE 060

Change to Data Set: Changed Description

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

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

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

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

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

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

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

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

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* = Must Not Be Used

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

 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MLOCAL PATIENT IDENTIFIER  
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
MNHS NUMBER  
MNHS NUMBER STATUS INDICATOR  
OPATIENT NAME  
OPATIENT USUAL ADDRESS  
MPOSTCODE OF USUAL ADDRESS  
MORGANISATION CODE (PCT OF RESIDENCE)  
MPERSON BIRTH DATE 
(From Commissioning Data Set version 6-1 onwards)
 
 

Note:
For  Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIERNHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

 
 
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MPERSON BIRTH DATE
(Commissioning Data Set version 6-0 only) 
 
MPERSON GENDER CURRENT  
OCARER SUPPORT INDICATOR  
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Care Attendance.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF COMMISSIONER)  
MORGANISATION CODE (CODE OF PROVIDER)  
ONHS SERVICE AGREEMENT CHANGE DATE  
CDS DATA GROUP: EAL ENTRY - Activity Characteristics:
To carry the details of the EAL ENTRY Occurrence.
MELECTIVE ADMISSION LIST ENTRY NUMBER  
MADMINISTRATIVE CATEGORY  
MCOUNT OF DAYS SUSPENDED  
MELECTIVE ADMISSION LIST STATUS  
MELECTIVE ADMISSION TYPE  
MINTENDED MANAGEMENT  
MINTENDED PROCEDURE STATUS  
MPRIORITY TYPE  
M
 
DECIDED TO ADMIT DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE. for this provider)
 
MAGE AT CDS ACTIVITY DATE  
OGUARANTEED ADMISSION DATE  
MLAST DNA OR PATIENT CANCELLED DATE  
OWAITING LIST ENTRY LAST REVIEWED DATE  
CDS DATA GROUP: EAL ENTRY - Person Group (Consultant):
To carry the details of the responsible Clinician.
One occurrence of this Group is permitted.
MCONSULTANT CODE  
MMAIN SPECIALTY CODE  
MTREATMENT FUNCTION CODE  
CDS DATA GROUP: INTENDED PROCEDURES - OPCS:
To carry the details of the Intended OPCS Procedures.
OPROCEDURE SCHEME IN USE  
O
O
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE (of Primary Procedure)
 

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

O
O
(Multiple Procedures may be recorded)
PROCEDURE (READ)
PROCEDURE DATE (of Secondary Procedure)
 
CDS DATA GROUP: INTENDED PROCEDURES - Location Group:
To carry the details of the Intended Location.
OLOCATION CLASS  
OINTENDED SITE CODE (OF TREATMENT)  
*LOCATION TYPE
Definition and value list under review
 
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED)  
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)  
CDS DATA GROUP: REFERRAL:
To carry the details of the referral.
One occurrence of this Group is permitted.
MREFERRER CODE  
MREFERRING ORGANISATION CODE  
CDS DATA GROUP: OFFER OF ADMISSION:
To carry the details of the Offer of Admission and the Outcome.
OADMISSION OFFER OUTCOME  
MOFFERED FOR ADMISSION DATE  
OEARLIEST REASONABLE OFFER DATE  
CDS DATA GROUP: - ORIGINAL EAL ENTRY:
To carry the date on which the decision to admit was made.
MORIGINAL DECIDED TO ADMIT DATE  
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
OHEALTHCARE RESOURCE GROUP CODE  
OHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure.
Note that this will not apply when no operation was carried out.
OPROCEDURE SCHEME IN USE  
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE  

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CDS V6 TYPE 070

Change to Data Set: Changed Description

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

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

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

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

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

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

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

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

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* = Must Not Be Used

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

 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: EAL ENTRY REMOVAL:
To carry the details of the removal from the EAL.
One occurrence of this Group is permitted.
MELECTIVE ADMISSION LIST REMOVAL REASON  
M
 
ELECTIVE ADMISSION LIST REMOVAL DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 

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CDS V6 TYPE 080

Change to Data Set: Changed Description

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

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

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

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

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

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

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

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

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* = Must Not Be Used

CDS V6 TYPE 080 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - OFFER CDS
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: EAL OFFER OF ADMISSION:
To carry the details of the Offer of Admission and the Outcome.
One occurrence of this Group is permitted.
OADMISSION OFFER OUTCOME  
M
 
OFFERED FOR ADMISSION DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 
OEARLIEST REASONABLE OFFER DATE  

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CDS V6 TYPE 090

Change to Data Set: Changed Description

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

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

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

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

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

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

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

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

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* = Must Not Be Used

CDS V6 TYPE 090 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - AVAILABLE / UNAVAILABLE CDS
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: EAL PATIENT SUSPENSION:
To carry the details of the patient's unavailability for treatment (Suspension).
One occurrence of this Group is permitted.
MSUSPENSION START DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 
MSUSPENSION END DATE   

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CDS V6 TYPE 100

Change to Data Set: Changed Description

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

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

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

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

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

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

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

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

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* = Must Not Be Used

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

 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Care Attendance.
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Elective Admission List Entry.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
M
 
NHS SERVICE AGREEMENT CHANGE DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 

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CDS V6 TYPE 110

Change to Data Set: Changed Description

CDS V6 TYPE 110 - EAL - EVENT DURING PERIOD - NEW SERVICE AGREEMENT CDS

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

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

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

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

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

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

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

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* = Must Not Be Used

CDS V6 TYPE 110 - THE ELECTIVE ADMISSION LIST EVENT DURING PERIOD - NEW SERVICE AGREEMENT CDS
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
OptCDS Data Element 
OUNIQUE BOOKING REFERENCE NUMBER (CONVERTED)  
OPATIENT PATHWAY IDENTIFIER  
OORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)  
OREFERRAL TO TREATMENT STATUS (intended status of the anticipated admission) 
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 for Health and Social Care) 
CDS DATA GROUP: PATIENT IDENTITY:
To carry the details of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MLOCAL PATIENT IDENTIFIER  
MORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
MNHS NUMBER  
MNHS NUMBER STATUS INDICATOR  
OPATIENT NAME  
OPATIENT USUAL ADDRESS  
MPOSTCODE OF USUAL ADDRESS  
MORGANISATION CODE (PCT OF RESIDENCE)  
MPERSON BIRTH DATE 
(From Commissioning Data Set version 6-1 onwards)
 
 Note:
For  Security Issues and Patient 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  Security Issues and Patient Confidentiality), 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, and PERSON BIRTH DATE.
 
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the details of the Patient.
One occurrence of this Group is permitted.
OptCDS Data Element 
MPERSON BIRTH DATE
(Commissioning Data Set version 6-0 only) 
 
MPERSON GENDER CURRENT  
OCARER SUPPORT INDICATOR  
CDS DATA GROUP: COMMISSIONING OCCURRENCE - Service Agreement Details:
To carry the details of the Service Agreement for the Care Attendance.
MCOMMISSIONING SERIAL NUMBER  
ONHS SERVICE AGREEMENT LINE NUMBER  
OPROVIDER REFERENCE NUMBER  
MCOMMISSIONER REFERENCE NUMBER  
MORGANISATION CODE (CODE OF PROVIDER)  
MORGANISATION CODE (CODE OF COMMISSIONER)  
M
 
NHS SERVICE AGREEMENT CHANGE DATE
This is the mandatory date used to derive the mandatory CDS ACTIVITY DATE.
 
CDS DATA GROUP: EAL ENTRY - Activity Characteristics:
To carry the details of the EAL ENTRY Occurrence.
MELECTIVE ADMISSION LIST ENTRY NUMBER  
MADMINISTRATIVE CATEGORY  
MCOUNT OF DAYS SUSPENDED  
MELECTIVE ADMISSION LIST STATUS  
MELECTIVE ADMISSION TYPE  
MINTENDED MANAGEMENT  
MINTENDED PROCEDURE STATUS  
MPRIORITY TYPE  
MDECIDED TO ADMIT DATE (for this provider) 
MAGE AT CDS ACTIVITY DATE  
OGUARANTEED ADMISSION DATE  
MLAST DNA OR PATIENT CANCELLED DATE  
OWAITING LIST ENTRY LAST REVIEWED DATE  
CDS DATA GROUP: EAL ENTRY - Person Group (Consultant):
To carry the details of the responsible Clinician.
One occurrence of this Group is permitted.
MCONSULTANT CODE  
MMAIN SPECIALTY CODE  
MTREATMENT FUNCTION CODE  
CDS DATA GROUP: INTENDED PROCEDURES - OPCS:
To carry the details of the Intended OPCS Procedures.
OPROCEDURE SCHEME IN USE  
O
O
PRIMARY PROCEDURE (OPCS)
PROCEDURE DATE (of Primary Procedure)
 

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

O
O
(Multiple Procedures may be recorded)
PROCEDURE (READ)
PROCEDURE DATE (of Secondary Procedure)
 
CDS DATA GROUP: INTENDED PROCEDURES - Location Group:
To carry the details of the Intended Location.
OLOCATION CLASS  
OINTENDED SITE CODE (OF TREATMENT)  
*LOCATION TYPE
Definition and value list under review
 
CDS DATA GROUP: GP REGISTRATION:
To carry the Patient's General Medical Practitioner and General Practice details.
One occurrence of this Group is permitted.
OGENERAL MEDICAL PRACTITIONER (SPECIFIED)  
MGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)  
CDS DATA GROUP: REFERRAL:
To carry the details of the referral.
One occurrence of this Group is permitted.
MREFERRER CODE  
MREFERRING ORGANISATION CODE  
CDS DATA GROUP: OFFER OF ADMISSION:
To carry the details of the Offer of Admission and the Outcome.
OADMISSION OFFER OUTCOME  
MOFFERED FOR ADMISSION DATE  
OEARLIEST REASONABLE OFFER DATE  
CDS DATA GROUP: - ORIGINAL EAL ENTRY:
To carry the date on which the decision to admit was made.
MORIGINAL DECIDED TO ADMIT DATE  
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
OHEALTHCARE RESOURCE GROUP CODE  
OHEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
CDS DATA GROUP: (HCA) Healthcare Resource Group Activity - Clinical Activity Group:
To carry the details of the HRG Dominant Grouping Variable - Procedure.
Note that this will not apply when no operation was carried out.
OPROCEDURE SCHEME IN USE  
OHRG DOMINANT GROUPING VARIABLE-PROCEDURE  

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CDS V6 TYPE 140

Change to Data Set: Changed Description

CDS V6 TYPE 140 - ADMITTED PATIENT CARE - FINISHED DELIVERY EPISODE CDS

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

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

The CDS TYPE 140 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (defined independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
PREGNANCY
ANTENATAL CARE
HOSPITAL LABOUR / DELIVERY
BIRTH OCCURRENCE
HEALTHCARE RESOURCE GROUP

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

CDS V6 TYPE 140 - THE FINISHED DELIVERY EPISODE CDS
 
CDS DATA GROUP: PATIENT PATHWAY:
To carry the details of the Patient Pathway.
One optional occurrence of this Group is permitted.
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 for Health and Social Care)  
CDS DATA GROUP: PATIENT IDENTITY:
To carry the identity details of the Patient (the MOTHER).
One occurrence of this Group is permitted.
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 
MPERSON BIRTH DATE
(from Commissioning Data Set version 6-1 onwards)
R 
 

Note:
For  Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIERNHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

 
  
CDS DATA GROUP: PATIENT CHARACTERISTICS:
To carry the characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
MPERSON BIRTH DATE
(Commissioning Data Set version 6-0 only)  
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: DELIVERY CHARACTERISTICS:
To carry the delivery characteristics of the Patient (the MOTHER).
One occurrence of this Group is permitted.
MPREGNANCY TOTAL PREVIOUS PREGNANCIES   
CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics:
To carry the admission details of the Spell containing the Delivery Episode.
One occurrence of this Group is permitted.
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 Delivery 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 Delivery 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 for Health and Social Care)
R 
*ADMINISTRATIVE CATEGORY (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care)
R 
MOPERATION STATUS R 
MPSYCHIATRIC PATIENT STATUS R 
*LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE)
(Not defined or approved by the Information Standards Board for Health and Social Care)
(psychiatric patients only)
R 
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 Birth 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 Delivery 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.
OLOCATION CLASS   
OSITE 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 Delivery Episode.
One occurrence of this Group is permitted.
OLOCATION CLASS   
OSITE 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: PAEDIATRIC CRITICAL CARE PERIOD:
To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care.
See CRITICAL CARE ACTIVITY
The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: 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 for each Critical Care Period.
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 Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode.
The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must be always present.
Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered.
The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics
To carry the details of the Admission to Adult Critical Care.
One occurrence of this Group per Critical Care Period is permitted.
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 Group per Critical Care Period is permitted.
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   
OORGAN 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 per Critical Care Period 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: PREGNANCY - Activity Characteristics:
To carry the details of the Pregnancy.
One occurrence of this Group is permitted.
MNUMBER OF BABIES R 
CDS DATA GROUP: ANTENATAL CARE - Activity Characteristics:
To carry the details of the Antenatal Care.
One occurrence of this Group is permitted.
MFIRST ANTENATAL ASSESSMENT DATE R 
CDS DATA GROUP: ANTENATAL CARE - PERSON GROUP - Responsible Clinician:
To carry the details of the Clinician responsible for the Antenatal Care.
One occurrence of this Group is permitted.
MGENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) R 
OGENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) R 
CDS DATA GROUP: ANTENATAL CARE - LOCATION GROUP - Delivery Place Intended:
To carry the details of the intended delivery place.
One occurrence of this Group is permitted.
MLOCATION CLASS R 
*LOCATION TYPE
Definition and value list under review
R 
MDELIVERY PLACE CHANGE REASON R 
MDELIVERY PLACE TYPE (INTENDED) R 
CDS DATA GROUP: HOSPITAL LABOUR / DELIVERY - Activity Characteristics:
To carry the details of the Labour / Delivery.
One occurrence of this Group is permitted.
MANAESTHETIC GIVEN DURING LABOUR OR DELIVERY R 
MANAESTHETIC GIVEN POST LABOUR OR DELIVERY R 
OGESTATION LENGTH (LABOUR ONSET) R 
MLABOUR OR DELIVERY ONSET METHOD R 
MDELIVERY DATE R 
CDS DATA GROUP: BIRTH OCCURRENCE GROUP
To carry the details up to 9 Birth Occurrences.
Each Data Group consists of the following Sub-Groups:
ACTIVITY CHARACTERISTICS (max 1 per Baby)
PERSON GROUP (BABY) (max 1 per Baby)
LOCATION GROUP (max 1 per Baby)
CDS DATA GROUP: BIRTH OCCURRENCE - Activity Characteristics:
To carry the details of the birth occurrence(s).
One occurrence of this Group is permitted for each Birth Occurrence Group, one per baby.
MBIRTH ORDER R 
MDELIVERY METHOD R 
MGESTATION LENGTH (ASSESSMENT) R 
MRESUSCITATION METHOD R 
MSTATUS OF PERSON CONDUCTING DELIVERY R 
CDS DATA GROUP: BIRTH OCCURRENCE - PERSON PATIENT IDENTITY (BABY):
To carry the personal details of the baby.
One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
OLOCAL PATIENT IDENTIFIER (BABY) R 
OORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) R  
ONHS NUMBER (BABY) R 
MNHS NUMBER STATUS INDICATOR (BABY) R 
MPERSON BIRTH DATE (BABY)
(from Commissioning Data Set version 6-1 onwards)
R 
 Note:
For  Security Issues and Patient Confidentiality, the baby's name must not be carried where a valid NHS Number is present.
For patients with sensitive conditions (as defined in  Security Issues and Patient Confidentiality), all the baby's identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER (BABY)NHS NUMBER (BABY) and PERSON BIRTH DATE (BABY) 
  
CDS DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS - (BABY):
To carry the characteristics of the baby.
One occurrence of this Group is permitted for each Birth Occurrence Group, one per Baby.
MPERSON BIRTH DATE (BABY) 
(Commissioning Data Set version 6-0 only)
R 
MPERSON GENDER CURRENT (BABY) R 
MLIVE OR STILL BIRTH R 
MBIRTH WEIGHT R 
CDS DATA GROUP: BIRTH OCCURRENCE -LOCATION GROUP:
To carry the details of the Actual delivery Place.
One occurrence of this Group is permitted for each Baby.
MLOCATION CLASS R 
*LOCATION TYPE
Definition and value list under review
R 
MDELIVERY PLACE TYPE (ACTUAL) R 
CDS DATA GROUP: HEALTHCARE RESOURCE GROUP: - Activity Characteristics:
To carry the details of the Healthcare Resource Group.
One occurrence of this Group is permitted.
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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HEALTH SOLUTIONS WALES  renamed from HEALTH SOLUTION WALES

Change to Supporting Information: Changed Name

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HOSPITAL PROVIDER SPELL

Change to Supporting Information: Changed Description

Hospital Provider Spell is an ACTIVITY GROUP.

The total continuous stay of a PATIENT using a Hospital Bed on premises controlled by a Health Care Provider during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more Nursing Episodes or Midwife Episodes in a WARD. During Nursing Episodes and Midwife Episodes general medical care is the responsibility of their own GENERAL MEDICAL PRACTITIONER, who is not acting as a CONSULTANT. The Hospital Provider Spell may be as a result of an ELECTIVE ADMISSION LIST ENTRY.

During the Hospital Provider Spell, the PATIENT may be subject to more than one ADMINISTRATIVE CATEGORY PERIODS. The PATIENT may be subject to one or more CRITICAL CARE PERIODS.

The Hospital Provider Spell starts when a CONSULTANT, NURSE or MIDWIFE assumes responsibility for care following the decision to admit the PATIENT.The Hospital Provider Spell starts when a CONSULTANT, NURSE or MIDWIFE assumes responsibility for care following the DECISION TO ADMIT the PATIENT. This may be before formal admission procedures have been completed and the PATIENT transferred to a WARD. For example, if a PATIENT is brought into hospital as an emergency and dies in the OPERATING THEATRE before being transferred to a WARD, the PATIENT would have started a Hospital Provider Spell.

In some circumstances a PATIENT may take Home Leave, or Mental Health Leave Of Absence for a period of 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Provider Spell, Consultant Episode (Hospital Provider), Nursing Episode, Midwife Episode or Hospital Stay.

Each admission as part of a series of regular day/night admissions generates a separate Hospital Provider Spell and Consultant Episode (Hospital Provider). An admission is the start of the PATIENT's Hospital Provider Spell and the first Consultant Episodes (Hospital Provider), Midwife Episode or Nursing Episode within the spell. If the PATIENT is on a Hospital Site the admission will also start the first Hospital Stay and, unless the PATIENT has to spend time as a LODGED PATIENT, the admission will also start the first Ward Stay within that Hospital Provider Spell. If the PATIENT is in a Care Home the admission will start the first Care Home Stay (Consultant Care) within the Hospital Provider Spell. Any admission of a PERSON liable to be detained under the Mental Health Act 1983 cannot be in a Care Home and must be a Hospital Provider Spell.

A discharge will be the end of the last Consultant Episode (Hospital Provider), Midwife Episode or Nursing Episode, and the end of the last Care Home Stay (Consultant Care) or Hospital Stay and Ward Stay within that Hospital Provider Spell.

If there is any time spent as a LODGED PATIENT before transfer to a WARD this is included in the Hospital Provider Spell.

A Hospital Provider Spell starts with a Hospital Provider admission and ends with a Hospital Provider discharge.

 

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MAIN SPECIALTY AND TREATMENT FUNCTION CODES

Change to Supporting Information: Changed Description


TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact the NHS Data Model and Dictionary Service; see Contact Details.

Table 1 Main Specialty codes

 CodeMain Specialty Title
  Surgical Specialties
  Surgical Specialties
 100GENERAL SURGERY
 101UROLOGY
 110TRAUMA & ORTHOPAEDICS
 120ENT
 130OPHTHALMOLOGY
 140ORAL SURGERY
 141RESTORATIVE DENTISTRY
 142PAEDIATRIC DENTISTRY
 143ORTHODONTICS
 145ORAL & MAXILLO FACIAL SURGERY
 146ENDODONTICS
 147PERIODONTICS
 148PROSTHODONTICS
 149SURGICAL DENTISTRY
 150NEUROSURGERY
 160PLASTIC SURGERY
 170CARDIOTHORACIC SURGERY
 171PAEDIATRIC SURGERY
 180ACCIDENT & EMERGENCY
 190ANAESTHETICS
 191no longer in use
 192CRITICAL CARE MEDICINE
  Medical Specialties
  Medical Specialties
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
 312CLINICAL CYTOGENETICS and MOLECULAR GENETICS
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
 330DERMATOLOGY
 340RESPIRATORY MEDICINE (also known as thoracic medicine)
 350INFECTIOUS DISEASES
 352TROPICAL MEDICINE
 360GENITOURINARY MEDICINE
 361NEPHROLOGY
 370MEDICAL ONCOLOGY
 371NUCLEAR MEDICINE
 400NEUROLOGY
 401CLINICAL NEURO-PHYSIOLOGY
 410RHEUMATOLOGY
 420PAEDIATRICS
 421PAEDIATRIC NEUROLOGY
 430GERIATRIC MEDICINE
 450DENTAL MEDICINE SPECIALTIES
 460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
 501OBSTETRICS
 502GYNAECOLOGY
 510no longer in use
 520no longer in use
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610no longer in use
 620no longer in use
  Psychiatry
  Psychiatry
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
  Radiology
  Radiology
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
  Pathology
  Pathology
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY
 832no longer in use
  Other
  Other
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990no longer in use

  
 Code 500 is not acceptable for Central Returns including HES
  Pseudo Main Specialty codes should be used in CDS messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960.
  The Main Specialty for GPs is General Medical Practice or General Dental Practice
  Joint Consultant Clinic activity should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic
 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
  Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960.
  The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice
  Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic

Table 2 Treatment Function codes

CodeTreatment Function TitleComments
 Surgical Specialties 
 Surgical Specialties 
100GENERAL SURGERYIncludes sub-categories not elsewhere listed eg endocrine surgery.
101UROLOGY 
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERY 
107VASCULAR SURGERY 
110TRAUMA & ORTHOPAEDICS 
120ENTEar, nose and throat
130OPHTHALMOLOGY 
140ORAL SURGERY 
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRY 
143ORTHODONTICS 
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery.
150NEUROSURGERY 
160PLASTIC SURGERY 
161BURNS CARETo be used by recognised specialist units and associated outreach services only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERY 
173THORACIC SURGERY 
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180ACCIDENT & EMERGENCY 
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191.
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
 Other Children's Specialties 
 Other Children's Specialties 
211PAEDIATRIC UROLOGYDedicated services to children with appropriate facilities and support staff
212PAEDIATRIC TRANSPLANTATION SURGERYDedicated services to children with appropriate facilities and support staff
213PAEDIATRIC GASTROINTESTINAL SURGERYDedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSDedicated services to children with appropriate facilities and support staff.
215PAEDIATRIC EAR NOSE AND THROATDedicated services to children with appropriate facilities and support staff
216PAEDIATRIC OPHTHALMOLOGYDedicated services to children with appropriate facilities and support staff
217PAEDIATRIC MAXILLO-FACIAL SURGERYDedicated services to children with appropriate facilities and support staff
218PAEDIATRIC NEUROSURGERYDedicated services to children with appropriate facilities and support staff
219PAEDIATRIC PLASTIC SURGERYDedicated services to children with appropriate facilities and support staff
220PAEDIATRIC BURNS CAREDedicated services to children with appropriate facilities and support staff
221PAEDIATRIC CARDIAC SURGERYDedicated services to children with appropriate facilities and support staff
222PAEDIATRIC THORACIC SURGERYDedicated services to children with appropriate facilities and support staff
241PAEDIATRIC PAIN MANAGEMENTDedicated services to children with appropriate facilities and support staff
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYDedicated services to children with appropriate facilities and support staff
252PAEDIATRIC ENDOCRINOLOGYDedicated services to children with appropriate facilities and support staff
253PAEDIATRIC CLINICAL HAEMATOLOGYDedicated services to children with appropriate facilities and support staff
254PAEDIATRIC AUDIOLOGICAL MEDICINEDedicated services to children with appropriate facilities and support staff
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGYDedicated services to children with appropriate facilities and support staff
256PAEDIATRIC INFECTIOUS DISEASESDedicated services to children with appropriate facilities and support staff
257PAEDIATRIC DERMATOLOGYDedicated services to children with appropriate facilities and support staff
258PAEDIATRIC RESPIRATORY MEDICINEDedicated services to children with appropriate facilities and support staff
259PAEDIATRIC NEPHROLOGYDedicated services to children with appropriate facilities and support staff
260PAEDIATRIC MEDICAL ONCOLOGYDedicated services to children with appropriate facilities and support staff
261PAEDIATRIC METABOLIC DISEASEDedicated services to children with appropriate facilities and support staff
262PAEDIATRIC RHEUMATOLOGYDedicated services to children with appropriate facilities and support staff
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDedicated services to children with appropriate facilities and support staff
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291PAEDIATRIC NEURO-DISABILITYDedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
 Medical Specialties 
 Medical Specialties 
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed eg metabolic medicine.
301GASTROENTEROLOGY 
302ENDOCRINOLOGY 
303CLINICAL HAEMATOLOGYExcludes ANTICOAGULANT SERVICE see 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305CLINICAL PHARMACOLOGY 
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINE 
308BLOOD AND MARROW TRANSPLANTATIONPreviously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309HAEMOPHILIAPreviously in Clinical Haematology
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311CLINICAL GENETICSTo be used by recognised specialist units and associated outreach services only.
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGYShould only be used where there are no separate services for Clinical Immunology and Allergy
314REHABILITATION 
315PALLIATIVE MEDICINE 
316CLINICAL IMMUNOLOGY 
317ALLERGYThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARE 
320CARDIOLOGY 
321PAEDIATRIC CARDIOLOGY 
322CLINICAL MICROBIOLOGY 
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach services only.
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
330DERMATOLOGY 
340RESPIRATORY MEDICINEalso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with chemotherapy, of patients with cancer.
371NUCLEAR MEDICINE 
400NEUROLOGY 
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410RHEUMATOLOGY 
420PAEDIATRICS 
421PAEDIATRIC NEUROLOGY 
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care.
424WELL BABIESCare given by the mother/substitute with medical and neonatal nursing advice if needed
430GERIATRIC MEDICINE 
450DENTAL MEDICINE SPECIALTIESIncludes oral medicine.
460MEDICAL OPHTHALMOLOGY 
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations.
503GYNAECOLOGICAL ONCOLOGY 
510no longer in useRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520no longer in useRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560MIDWIFE EPISODE 
600not a Treatment Function 
610no longer in useRecord as Obstetrics
620no longer in useUse the appropriate function under which the patient is treated
 Therapies 
 Therapies 
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties.
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654DIETETICSThe application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment.
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders.
 Psychiatry 
 Psychiatry 
700LEARNING DISABILITY 
710ADULT MENTAL ILLNESS 
711CHILD and ADOLESCENT PSYCHIATRY 
712FORENSIC PSYCHIATRY 
713PSYCHOTHERAPY 
715OLD AGE PSYCHIATRY 
720EATING DISORDERSA specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721ADDICTION SERVICESThe psychiatric prevention and treatment of substance misuse including drugs and alcohol
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724PERINATAL PSYCHIATRYA specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
 Radiology 
 Radiology 
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYNot to be used for diagnostic imaging.
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
 Pathology 
 Pathology 
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only.
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment Functionsee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832no longer in use 
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
 Other 
 Other 
900not a Treatment Function 
901not a Treatment Function 
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990no longer in use 

  Treatment Function Codes should be used for all aggregate central returns unless otherwise stated eg Workforce returns use Main Specialty Codes
  GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the Treatment Function under which the PATIENT is treated
  Joint Consultant Clinic ACTIVITY should be recorded against the Treatment Function which best describes the specialised service

Notes:

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MENTAL HEALTH MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Mental Health Minimum Data Set Overview

The Mental Health Minimum Data Set was introduced by DSCN20/19/P13 in April 2000 in response to the lack of national clinical data collection in the mental health arena, in line with the information requirements of the emerging National Service Framework for Mental Health.

Since April 2003 (DSCN 49/2002) it has been a mandatory requirement that all Providers of specialist adult, including elderly, mental health services submit central Mental Health Minimum Data Set returns on a quarterly basis, with an additional annual submission.

The Mental Health Minimum Data Set facilitates the collection of person-focussed clinical data and the sharing of such data to underpin the delivery of mental health care. It is structured around the clinical process and includes an outcome assessment (Health of the Nation Outcome Scales, or HoNOS). It records the key role played by partner agencies, particularly social services.

The Mental Health Minimum Data Set describes Mental Health Care Spells. These comprise all interventions made for a PATIENT by a specialist Mental Health Care Team from initial REFERRAL REQUEST to final discharge. For some individuals the Mental Health Care Spell will comprise a short Consultant Out-Patient Episode; for others it may extend over many years and include hospital, community, out-patient and day care episodes.

Information is collected relating to various stages in the journey of the PATIENT, including activity such as Hospital Provider Spells, Consultant Out-Patient Episodes, community care, and NHS day care episodes; mental health reviews and assessments including Care Programme Approach (CPA) and Health of the National Outcome Scales (HoNOS); contacts with mental health professionals such as care co-ordinators, psychiatric NURSES and CONSULTANTS; and also any diagnosis and treatment.

The prime purpose of the Mental Health Minimum Data Set is to provide local clinicians and managers with better quality information for clinical audit, and service planning and management.

Central collection provides improved national information, facilitating feedback to Trusts, and the setting of benchmarks. It will also allow the delivery of the National Service Framework for Mental Health priorities to be monitored.

The Mental Health Minimum Data Set data is collected from NHS Trusts and submitted via the "Mental Health Minimum Data Set Assembler" to the Secondary Uses Service for storage, analysis and reporting by a variety of stakeholders including the Department of Health, Care Quality Commission, and the Health and Social Care Information Centre.

The Mental Health Minimum Data Set is transmitted to the Secondary Uses Service using Mental Health Minimum Data Set Message Schema Versions

Please note that the collection of the Mental Health Minimum Data Set does not replace any other collection of mental health data such as the Admitted Patient Care Commissioning Data Set Type Detained and/or Long Term Psychiatric Census, which should continue to be collected.

For further information on the Mental Health Minimum Data Set, please view the following Health and Social Care Information Centre website:

http://www.http://www.ic.nhs.uk/mentalhealth/mhmdsuk/services/mental-health/mental-health-minimum-dataset-mhmds

Mental Health Minimum Data Set Version History

Version
 
Date Issued
 
Summary of Changes
 
DSCN
 
Implementation Date
 
1.0November 1999Introduction of Mental Health Minimum Data SetDSCN 20/99/P13April 2000
1.1June 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 27/2002April 2003
1.2September 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 29/2002April 2003
1.3October 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 48/2002April 2003
2.0October 2002Mental Health Minimum Data Set - Mandatory Central returns. This version of the data set incorporates changes defined in DSCN 27/2002, 29/2002 and 48/2002.DSCN 49/2002April 2003
2.1November 2007Introduction of Mental Health Minimum Data Set Version 2.1DSCN 37/2007November 2007
3.0February 2008Introduction of Mental Health Minimum Data Set Version 3.0 - incorporating changes required for Mental Health Act 2007 and Public Service Agreement Delivery Agreement 16 (Social Exclusion)DSCN 06/2008April 2008

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WHAT'S NEW: JUNE 2009

Change to Supporting Information: Changed Description

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (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

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR764 (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

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

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ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
AMI ADMISSION DIAGNOSIS
AMI ADMISSION WARD TYPE
AMI ADMITTING CONSULTANT TYPE
AMI CAUSE OF DEATH IN HOSPITAL
AMI DISCHARGE DIAGNOSIS
AMI HEART RATE
BONE SARCOMA LOCATION
BROAD PATIENT GROUP
CANCER REFERRAL TO TREATMENT PERIOD START DATE
CANCER STATUS
CANCER TREATMENT INTENT
CANCER TREATMENT PERIOD START DATE
COPD PRESENT
CORONARY ANGIOGRAPHY PERFORMED
CPA LEVEL
DELIVERY FACILITIES ONLY USED
DELIVERY PLACE CHANGE REASON
DIAGNOSTIC ROUTE
DISCHARGE DESTINATION
DISCHARGE METHOD
DISTRIBUTION OF LESIONS PRESENT
ECG DETERMINING TREATMENT
FIRST REGULAR DAY OR NIGHT ADMISSION
FULL POSTNATAL EXAMINATION DATE
GENERAL DENTAL SERVICE INDICATOR
GENETICALLY DETERMINED SKIN CANCER TYPE
GENITOURINARY EPISODE TYPE
INFECTION PROBABLE SOURCE
INITIAL CONTACT TYPE
INTENDED DELIVERY PLACE
INVESTIGATION OR INTERVENTION REFERRAL DATE
MATERNAL RUBELLA STATUS
MENSTRUAL STATUS
MENTAL HEALTH CARE SPELL END CODE
MIDWIFE EPISODE END REASON
NEONATAL LEVEL OF CARE
NURSING EPISODE END REASON
NUTRITIONAL SUPPORT PROVIDED TYPE
PATIENT CLASSIFICATION
POSSUM SCORE (AFTER SURGERY)
POSSUM SCORE (AT DIAGNOSIS)
PREGNANCY LEAD PROFESSIONAL TYPE
PREGNANCY PREVIOUS CAESAREAN SECTIONS
PREGNANCY PREVIOUS INDUCED ABORTIONS
PREGNANCY TOTAL LIVE BIRTHS
PREGNANCY TOTAL NEONATAL DEATHS
PREGNANCY TOTAL NON-INDUCED ABORTIONS
PREGNANCY TOTAL PREVIOUS PREGNANCIES
PREGNANCY TOTAL STILL BIRTHS
PREVIOUS MATERNAL BLOOD TRANSFUSION
PREVIOUS TREATMENT ELSEWHERE
QUALITY OF LIFE
RADIOTHERAPY INTENT
REHABILITATION REFERRAL
RTA FURTHER ADMISSION PLANNED
SARCOMA CONDITION FIRST SEEN
SARCOMA LARGEST DIAMETER
SARCOMA PART SITE
S CATEGORY FINAL PRETREATMENT
SERUM TUMOUR MARKER PSA
SKIN TCELL CLINICAL VARIANT
SKIN TCELL SURFACE AREA
SOFT TISSUE SARCOMA LOCATION
SOURCE OF ADMISSION
SUPERVISED COMMUNITY TREATMENT END REASON
SUPERVISED COMMUNITY TREATMENT END REASON1
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE CANCER
WARD STAY TERMINATION REASON

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CATEGORY VALUED PERSON OBSERVATION

Change to Class: Changed Relationships

Each CATEGORY VALUED PERSON OBSERVATION
must be categorised by one and only one ACCOMMODATION STATUS
or must be categorised by one and only one ALCOHOL STATUS
or must be categorised by one and only one ASPIRIN THERAPY LOCATION
or must be categorised by one and only one BLEED COMPLICATION
or must be categorised by one and only one ETHNIC CATEGORY
or must be categorised by one and only one JOINT REPLACEMENT REVISION CLASSIFICATION
or must be categorised by one and only one LANGUAGE CLASSIFICATION
or must be categorised by one and only one LEGAL STATUS CLASSIFICATION
or must be categorised by one and only one PATIENT CLINICAL GROUP
or must be categorised by one and only one PERFORMANCE STATUS
or must be categorised by one and only one PERSON GENDER
or must be categorised by one and only one PERSON MARITAL STATUS
or must be categorised by one and only one RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION
or must be categorised by one and only one RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
or must be categorised by one and only one SARCOMA PREDISPOSING CONDITION
or must be categorised by one and only one SEXUAL ORIENTATION
or must be categorised by one and only one SKIN LYMPHOMA MORPHOLOGY
or must be categorised by one and only one SOCIO-ECONOMIC CLASSIFICATION
must be categorised by one and only one RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP

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CRITICAL CARE PERIOD

Change to Class: Changed Description

This is an ACTIVITY GROUP.

A period of time within a Hospital Provider Spell during which a PATIENT receives critical care.

For PATIENTS treated in 'neonatal facilities', that is, in WARDS with a CRITICAL CARE UNIT FUNCTION of 13, 14 or 15, critical care PATIENTS include:

a)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Neonatal Intensive Care Unit regardless of care being delivered.
or 
b)All PATIENTS (excluding Mothers) on a WARD with a CRITICAL CARE UNIT FUNCTION Facility for Babies on a Neonatal Transitional Care Ward or Facility for Babies on a Maternity Ward to whom one or more CRITICAL CARE ACTIVITIES with codes 01 to 02, 04 - 16 or 22 - 29 is delivered for a period greater than 4 hours.

For PATIENTS treated in 'adult facilities' or 'other facilities', that is, WARDS with a CRITICAL CARE UNIT FUNCTION of 01-03, 05-12, 90 or 91, the following applies;

 Commissioning Data Set Transmission

 

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DECISION TO ADMIT

Change to Class: Changed Description

A record of the event that a clinical DECISION TO ADMIT a PATIENT to a particular Health Care Provider has been made by or on behalf of someone, who has the RIGHT OF ADMISSION. This decision denotes that the PATIENT is intended to be admitted to a hospital bed, either immediately or subsequently in the future. This decision denotes that the PATIENT is intended to be admitted to a Hospital Bed, either immediately or subsequently in the future.

Note: The DECISION TO ADMIT may be as a result of a transfer of a PATIENT from a WAITING LIST of another Health Care Provider.

 

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APPOINTMENT ACCEPTED DATE  renamed from APPOINTMENT ACCEPTED DATE

Change to Attribute: Changed Name

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APPRAISAL REVIEW DATE  renamed from APPRAISAL REVIEW DATE

Change to Attribute: Changed Name

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COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA  renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SERVICE AREA

Change to Attribute: Changed Name

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COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT  renamed from COMPLAINT HOSPITAL AND COMMUNITY HEALTH SERVICES SUBJECT

Change to Attribute: Changed Name

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MEASURED PERSON OBSERVATION TYPE CODE

Change to Attribute: Changed Description

Identifies the type of MEASURED PERSON OBSERVATION being recorded as one of the business definitions listed in the MEASURED PERSON OBSERVATION class as a type of this class.

Each MEASURED PERSON OBSERVATION TYPE CODE must have an associated MEASUREMENT VALUE TYPE.

National Codes:

01Weight
02Height
03Body Surface Area
04Diastolic Pressure
05Systolic Pressure
06FEV1 Percentage
07FEV1 Absolute Amount
01Weight
02Height
03Body Surface Area
04Diastolic Pressure
05Systolic Pressure
06FEV1 Percentage
07FEV1 Absolute Amount
 

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META ACTIVITY IDENTIFIER  renamed from META ACTIVITY IDENTIFIER

Change to Attribute: Changed Name

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TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT  renamed from TRAINING ACTIVITY ACCREDITATION CREDIT AMOUNT

Change to Attribute: Changed Name

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TRANSPLANT TISSUE IDENTIFIER  renamed from TRANSPLANT TISSUE IDENTIFIER

Change to Attribute: Changed Name

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VACCINE PREVENTABLE DISEASE

Change to Attribute: Changed Description

A disease, or group of diseases, or the name of the vaccine used to provide immunity for one or several diseases, against which an Immunisation Programme is directed.

National Codes:

01Diphtheria (d/D)*
02Tetanus (T)*
03Inactivated poliomyelitis vaccine (IPV)*
04Pertussis (P)*
05Diphtheria, tetanus, pertussis and polio (dTaP/IPV and DTaP/IPV)*
06Tuberculosis (BCG)*
07Anthrax
08Haemophilus influenzae type b (Hib)*
09Measles, Mumps and Rubella (MMR)*
10Rabies
11Typhoid
12Group C meningococcal disease (MenC)*

13

Hepatitis B (Hep B)*

14

Pneumococcal conjugate vaccine (PCV)*

15

Pneumococcal polysaccaride vaccine (PPV)*

16

Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC)*

17

Influenza

18

Human Papillomavirus (HPV)*

19

Diphtheria, tetanus and polio (Td/IPV)*

20

Varicella

21

Measles*

22

Mumps*

23

Rubella*

96

Other
13Hepatitis B (Hep B)*
14Pneumococcal conjugate vaccine (PCV)*
15Pneumococcal polysaccaride vaccine (PPV)*
16Haemophilus influenzae type b/Group C meningococcal disease (Hib/MenC)*
17Influenza
18Human Papillomavirus (HPV)*
19Diphtheria, tetanus and polio (Td/IPV)*
20Varicella
21Measles*
22Mumps*
23Rubella*
96Other

*required to enable data to be returned centrally

 

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A AND E INITIAL ASSESSMENT TIME

Change to Data Element: Changed Description

Format/length:see TIME 
HES item: 
National Codes: 
Default Codes: 

Notes:
The time a PATIENT is assessed by medical or nursing staff in an Accident And Emergency Department to determine priority for treatment.The time a PATIENT is assessed by medical or nursing staff in an Accident And Emergency Department to determine priority for treatment, for first and unplanned follow-up attendances only. The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.

PATIENTS will be assessed within 15 minutes of their arrival in the Accident And Emergency Department.PATIENTS will be assessed within 15 minutes of their arrival in the Accident And Emergency Department, for first and unplanned follow-up attendances only.

A and E INITIAL ASSESSMENT TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 52 'A+E Initial Assessment Time'.

Accident And Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

 

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ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND  renamed from ACCIDENT AND EMERGENCY ADMISSION NUMBER OF HOURS WAIT BAND

Change to Data Element: Changed Name

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ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND  renamed from ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND

Change to Data Element: Changed Name

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ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND  renamed from ACCIDENT AND EMERGENCY ATTENDANCE NUMBER OF HOURS WAIT BAND

Change to Data Element: Changed Name

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ADMINISTRATIVE CATEGORY (AT START OF EPISODE)  renamed from ADMINISTRATIVE CATEGORY (AT START OF EPISODE)

Change to Data Element: Changed Name

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AGE AT ATTENDANCE DATE

Change to Data Element: Changed Aliases


ALCOHOL STATUS

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
National Codes:See ALCOHOL STATUS CODE
Default Codes:9 - Not known


Notes:
The alcohol status of the PATIENT at the time the alcohol usage is recorded.ALCOHOL STATUS is the same as attribute ALCOHOL STATUS CODE.

National codes:

1Current heavy
2Heavy in the past
3Current light
4Never

References:
National Cancer Dataset Version 1.3_ISB October 2002

The alcohol status of the PATIENT at the time the alcohol usage is recorded. 

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DEATH CAUSE IDENTIFICATION METHOD

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes: 
 
Notes:
DEATH CAUSE IDENTIFICATION METHOD is the same as attribute DEATH CAUSE IDENTIFICATION METHOD.

 

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DEATH LOCATION TYPE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes: 
 
Notes:
DEATH LOCATION TYPE is the same as attribute DEATH LOCATION TYPE.

 

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DELIVERY PLACE TYPE (INTENDED)

Change to Data Element: Changed Description

Format/length:n1
HES item:DELINTEN
National Codes: 
Default Codes: 

Notes:
DELIVERY PLACES TYPE (INTENDED) is the same as attribute INTENDED DELIVERY PLACE.DELIVERY PLACE TYPE (INTENDED) is the same as attribute INTENDED DELIVERY PLACE. 

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EMPLOYMENT STATUS (MENTAL HEALTH)

Change to Data Element: Changed linked Attribute

EMPLOYMENT STATUS (MENTAL HEALTH)
 
Attribute:
EMPLOYMENT STATUS

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MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE  renamed from MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE

Change to Data Element: Changed Name

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OBSERVATION DATE (BMI)

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
National Codes: 
Default Codes: 

Notes:
The PERSON PROPERTY OBSERVED DATE when the MEASURED PERSON OBSERVATION of the type ' Body Mass Index' was calculated.The PERSON PROPERTY OBSERVED DATE when the MEASURED PERSON OBSERVATION of the type 'Body Mass Index' was calculated.

 

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OBSERVATION DATE (HBA1C LEVEL)

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
National Codes: 
Default Codes: 

Notes:
The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'HbA1c level'.The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'HbA1c level'.

 

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OBSERVATION DATE (SERUM CHOLESTEROL LEVEL)

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
National Codes: 
Default Codes: 

Notes:
The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'serum cholesterol level'.The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'Serum Cholesterol Level'.

 

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OBSERVATION DATE (SERUM CREATININE LEVEL)

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
National Codes: 
Default Codes: 

Notes:
The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'serum creatinine level'.The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'Serum Creatinine Level'.

 

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OBSERVATION DATE (URINARY ALBUMIN LEVEL)  renamed from OBSERVATION DATE (URINARY ALBUMIN LEVEL)

Change to Data Element: Changed Name, Description

Format/length:see DATE 
HES item: 
National Codes: 
Default Codes: 

Notes:
The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'urinary albumin level' .The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'Urinary Albumin Level' .

 

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OCCUPIED BED DAYS

Change to Data Element: Changed Aliases


OPERATION STATUS

Change to Data Element: Changed Aliases


ORGANISATION CODE (CODE OF PROVIDER)

Change to Data Element: Changed Description

Format/length:see ORGANISATION CODE 
HES item:PROCODE
National Codes: 
Default Codes:89997 - Non-UK provider where no organisation code has been issued
 89999 - Non-NHS UK provider where no organisation code has been issued


Notes:
ORGANISATION CODE (CODE OF PROVIDER) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider. This should always be the ORGANISATION CODE of the provider receiving the Payment by Results tariff income for the Commissioning Data Sets.

Where NHS patient care is sub-commissioned to independent or overseas providers, the NHS Service Agreement should specify that the non-NHS provider has requested an identifying organisation code from the Organisation Data Service.For the Commissioning Data Sets, this should always be the ORGANISATION CODE of the Health Care Provider receiving the Payment by Results tariff income.

 Where NHS PATIENT care is sub-commissioned to independent or overseas providers, the NHS Service Agreement should specify that the non-NHS provider has requested an identifying ORGANISATION CODE from the Organisation Data Service.

 

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ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)

Change to Data Element: Changed Aliases


ORGANISATION CODE (PROVIDER FIRST DIAGNOSTIC TEST)

Change to Data Element: Changed Aliases


ORGANISATION CODE (REQUESTED BY)

Change to Data Element: Changed Aliases


OUTCOME OF ATTENDANCE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes: 

Notes:
OUTCOME OF ATTENDANCE is the same as attribute OUTCOME OF ATTENDANCE.

Use in the Future Outpatient CDS:
Leave blank for future attendances which have NOT been cancelled.

For cancelled future attendances use the appropriate value (see OUTCOME OF ATTENDANCE)For cancelled future attendances use the appropriate value (see OUTCOME OF ATTENDANCE).

 

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OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National Codes: 
Default Codes: 

Notes:
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH) is optional in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH) is optional in the Mental Health Minimum Data Set and should only be present if:

a.one or more Out-Patient Attendance Consultant within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the main TREATMENT FUNCTION of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTY being 700, 710,712, 713 and 715.

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by an Out-Patient Attendance Consultant and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an Attendance Date for each Out-Patient Attendance Consultant and the calculation is based upon those attendances which have occurred during the REPORTING PERIOD.

Out-Patient Attendance Consultant is a CARE CONTACT where CARE CONTACT TYPE is National Code 27 'Out-Patient Attendance Consultant'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Attendance Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.

 

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OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)

Change to Data Element: Changed Aliases, Description

Format/length:n3
HES item: 
National Codes: 
Default Codes: 

Notes:
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH) is an optional data element in the Mental Health Minimum Data Set and should only be present if:

a.one or more Out-Patient Appointment within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the ATTENDED OR DID NOT ATTEND classification of the Out-Patient Appointment is National Code 3 'Did not attend - no advance warning given

It is the total number of such did not attends within the REPORTING PERIOD. Each such did not attend is recorded by Out-Patient Appointment and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an Appointment Date for each Out-Patient Appointment and the calculation is based upon those did not attends which have occurred during the REPORTING PERIOD.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Appointment Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is 40 'Appointment Date'.

 

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OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)

Change to Data Element: Changed Aliases, Description


OUT-PATIENT EFFECTIVE WAITS

Change to Data Element: Changed Aliases


OUT-PATIENT FOLLOW-UP APPOINTMENTS ATTENDANCES SEEN

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of follow-up attendance APPOINTMENTS, where the Out-Patient Attendance Consultant took place within the REPORTING PERIOD. This includes private PATIENT attendances.

When an Out-Patient Appointment Consultant APPOINTMENT takes place, an Out-Patient Attendance Consultant CARE CONTACT records the attendance with FIRST ATTENDANCE recording whether it is a FIRST ATTENDANCE or a follow-up attendance and ACTIVITY DATE recording the ATTENDANCE DATE.

The ADMINISTRATIVE CATEGORY records whether a PATIENT is a private or NHS PATIENT and should be the ADMINISTRATIVE CATEGORY which is current at the DATE of the attendance ACTIVITY DATE.

It is the total number of follow-up attendance APPOINTMENTS where:

 a.the FIRST ATTENDANCE of the Out-Patient Attendance Consultant CARE CONTACT is National Code 2 'Follow-up attendance face to face' or 4 'Follow-up telephone or telemedicine consultation' 
 a.the FIRST ATTENDANCE of the Out-Patient Attendance Consultant CARE CONTACT is National Code 2 'Follow-up attendance face to face' or 4 'Follow-up telephone or telemedicine consultation' 
and  
 b.the ACTIVITY DATE of the Out-Patient Attendance Consultant CARE CONTACT is within the period of the REPORTING PERIOD START DATE and the REPORTING PERIOD END DATE 
  Within the REPORTING PERIOD includes where the DATE is the same as the START DATE or END DATE 
 

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OUT-PATIENT FOLLOW-UP APPOINTMENTS DID NOT ATTEND

Change to Data Element: Changed Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of accepted APPOINTMENTS which should have resulted in a follow-up Out-Patient Attendance Consultant within the REPORTING PERIOD which did not take place due to the PATIENT not attending the APPOINTMENT. This includes private PATIENT non-attendances.

When an Out-Patient Attendance Consultant actually takes place, any APPOINTMENT which did not take place due to the PATIENT not attending and which has a later APPOINTMENT DATE to that of the actual first attendance APPOINTMENT should be classified as should have resulted in a follow-up Out-Patient Attendance Consultant.When an Out-Patient Attendance Consultant actually takes place, any APPOINTMENT which did not take place due to the PATIENT not attending and which has a later APPOINTMENT DATE to that of the actual FIRST ATTENDANCE APPOINTMENT should be classified as should have resulted in a follow-up Out-Patient Attendance Consultant.

It is the total number of APPOINTMENTS where:

 a.the ATTENDED OR DID NOT ATTEND of the Out-Patient Appointment Consultant APPOINTMENT is National Code 3 'Did not attend - no advance warning given' or 7 'PATIENT arrived late and could not be seen' 
and  
 b.the APPOINTMENT DATE is within the period of the REPORTING PERIOD START DATE and the REPORTING PERIOD END DATE.
  Within the REPORTING PERIOD includes where the DATE is the same as the START DATE or END DATE 
and  
 c.a first Out-Patient Attendance Consultant CARE CONTACT has been recorded for the PATIENT 
  and
  the ACTIVITY DATE is before (or on the same day) as the APPOINTMENT DATE of the non-attended APPOINTMENT 
 

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OUT-PATIENTS WAITING

Change to Data Element: Changed Aliases, Description

Format/length:n10
HES item: 
National Codes: 
Default Codes: 

Notes:
The total number of GENERAL PRACTITIONER written referrals, whether from doctors or dentists, where the first Out-Patient Attendance Consultant has not yet taken place.The total number of GP WRITTEN REFERRALS, whether from doctors or dentists, where the first Out-Patient Attendance Consultant has not yet taken place.

When an Out-Patient Appointment Consultant APPOINTMENT takes place an Out-Patient Attendance Consultant CARE CONTACT records the attendance with FIRST ATTENDANCE recording whether it is a first attendance or a follow-up attendance and ACTVITY DATE recording the the Attendance Date.When an Out-Patient Appointment Consultant APPOINTMENT takes place, an Out-Patient Attendance Consultant CARE CONTACT records the attendance with FIRST ATTENDANCE recording whether it is a FIRST ATTENDANCE or a follow-up attendance and ACTIVITY DATE recording the ATTENDANCE DATE.

The effective waiting period should be calculated from the FIRST ATTENDANCE EFFECTIVE START DATE which takes into account any waiting time resets instigated by the PATIENT.The effective waiting period should be calculated from the FIRST ATTENDANCE EFFECTIVE WAIT START DATE which takes into account any waiting time resets instigated by the PATIENT.

It is the total number of GP written referrals where:It is the total number of GP WRITTEN REFERRALS where:

 a.the REFERRAL REQUEST TYPE of the REFERRAL REQUEST is National Code 01 'GP referral request'
 a.the REFERRAL REQUEST TYPE of the REFERRAL REQUEST is National Code 01 'GP referral request'
and  
 b.the WRITTEN REFERRAL REQUEST INDICATOR of the REFERRAL REQUEST is classification 'Yes' 
 b.the WRITTEN REFERRAL REQUEST INDICATOR of the REFERRAL REQUEST is classification 'Yes' 
and  
 c.the REFERRAL REQUEST is to a CONSULTANT for an Out-Patient Appointment Consultant
 c.the REFERRAL REQUEST is to a CONSULTANT for an Out-Patient Appointment Consultant
and  
 d.no first Out-Patient Attendance Consultant CARE CONTACT has been recorded
 d.no first Out-Patient Attendance Consultant CARE CONTACT has been recorded
and  
 e.the calculated waiting time between the FIRST ATTENDANCE EFFECTIVE START DATE and the REPORTING PERIOD END DATE.
 e.the calculated waiting time between the FIRST ATTENDANCE EFFECTIVE WAIT START DATE and the REPORTING PERIOD END DATE.
  Out-Patient Effective Waiting Time Calculation provides full details on calculating the waiting time band
 

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OUT-PATIENTS WAITING

Change to Data Element: Changed Aliases, Description


OVERSEAS SURGICAL TEAM MEMBER

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes: 

References:
National Joint Registry Dataset: v.1: 24th March 2003Notes:
OVERSEAS SURGICAL TEAM MEMBER is the same as attribute OVERSEAS SURGICAL TEAM MEMBER.

 

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PERSON GENDER AT REGISTRATION

Change to Data Element: Changed linked Attribute

PERSON GENDER AT REGISTRATION
 
Attribute:
PERSON GENDER CODE

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PERSON GENDER CURRENT

Change to Data Element: Changed linked Attribute

PERSON GENDER CURRENT
 
Attribute:
PERSON GENDER CODE

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PERSON OBSERVATION (BMI)

Change to Data Element: Changed Description

Format/length:n3 nn.n
HES item: 
National Codes: 
Default Codes: 

Notes:
This records the Body Mass Index of the PERSON and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = 'Body Mass Index' and the MEASUREMENT VALUE TYPE CODE = 'Number'.This records the Body Mass Index of the PERSON and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = 'Body Mass Index' and the MEASUREMENT VALUE TYPE CODE = 'Number'.

This value is derived from Weight in kilograms divided by Height in metres squared (kg/m²).

 

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PERSON OBSERVATION (HBA1C LEVEL)

Change to Data Element: Changed Description

Format/length:n3 nn.n
HES item: 
National Codes: 
Default Codes: 

Notes:
The recorded glycated haemoglobin and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "HbA1c Level" and the MEASUREMENT VALUE TYPE CODE = "number".The recorded glycated haemoglobin and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "HbA1c Level" and the MEASUREMENT VALUE TYPE CODE = "number".

 

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PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)

Change to Data Element: Changed Description

Format/length:n3 nn.n
HES item: 
National Codes: 
Default Codes: 

Notes:
The recorded cholesterol level (mmol/L) and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = ''Serum Cholesterol Level;" and the MEASUREMENT VALUE TYPE CODE = "mmol/L".The recorded cholesterol level (mmol/L) and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = ''Serum Cholesterol Level" and the MEASUREMENT VALUE TYPE CODE = "mmol/L".

 

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PERSON OBSERVATION (SERUM CREATININE LEVEL)

Change to Data Element: Changed Description

Format/length:n4 - nnnn
HES item: 
National Codes: 
Default Codes: 

Notes:
The recorded creatinine (µmol/L): serum creatinine using laboratory assay and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "Serum Creatinine Level" and the MEASUREMENT VALUE TYPE CODE = "µmol/L".The recorded creatinine (µmol/L): serum creatinine using laboratory assay and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "Serum Creatinine Level" and the MEASUREMENT VALUE TYPE CODE = "µmol/L".

 

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PERSON OBSERVATION (URINARY ALBUMIN LEVEL)

Change to Data Element: Changed Description

Format/length:n3 - nnn
HES item: 
National Codes: 
Default Codes: 

Notes:
The recorded result of the urinary albumin level must be accompanied by a recorded URINARY ALBUMIN LEVEL TESTING METHOD.

Derive from the MEASURED OBSERVATION VALUE recorded for the MEASURED PERSON OBSERVATION TYPE CODE 'Urinary Albumin level'.Derive from the MEASURED OBSERVATION VALUE recorded for the MEASURED PERSON OBSERVATION TYPE CODE 'Urinary Albumin Level'.

 

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REFERRAL RAISED REASON (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See below
Default Codes: 

Notes:

The reason for referral of the PATIENT as part of an inter-provider transfer. This is the same as SERVICE REQUEST RAISED REASON, but has a restricted national code list.

This is the same as SERVICE REQUEST RAISED REASON, but has a restricted national code list.

For inter-provider transfers, use one of the following


National Codes:
01Transfer of Clinical Responsibility
02Opinion Only
03Diagnostic Test
98Not Applicable
99Not Known
 

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SOURCE OF REFERRAL FOR A AND E

Change to Data Element: Changed Aliases


SOURCE OF REFERRAL FOR CANCER

Change to Data Element: Changed Aliases


SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Data Element: Changed Aliases


SOURCE OF REFERRAL FOR OUT-PATIENTS

Change to Data Element: Changed Aliases


TREATMENT FUNCTION CODE (REFERRAL TO TREATMENT PERIOD)

Change to Data Element: Changed Aliases


TUMOUR LATERALITY

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National codesClick on the attribute tab to display the attribute that contains the National Codes.
Default codes8 - Not applicable
 9 - Not known
 Notes:
TUMOUR LATERALITY is the same as attribute TUMOUR LATERALITY. 

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TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE

Change to Data Element: Changed Description

Format/length:an2
HES item: 
National codesClick on the attribute tab to display the attribute that contains the National Codes.
Default codes 

Notes:


This is the same as attribute TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE.

 

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