Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1129
Version No:1.0
Subject:Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:5 January 2010

Background:

This Patch corrects the following issues that were identified during the production of Change Requests:

Summary of changes:

Supporting Information
CDS ADDRESSING GRID   Changed Description
CDS MANDATED DATA FLOWS   Changed Description
METADATA FILES   Changed Description
NHS POSTCODE DIRECTORY   Changed Description
 
Class Definitions
NHS SERVICE AGREEMENT   Changed Description
 
Data Elements
OVERSEAS VISITORS STATUS CLASSIFICATION   Changed Description
 

Date:5 January 2010
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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CDS ADDRESSING GRID

Change to Supporting Information: Changed Description

Activity from 1st April 2005

To help determine who has access to Commissioning Data Set data once it has been stored in the Secondary Uses Service, NHS Trusts and Primary Care Trusts need to identify each of those ORGANISATIONS as a CDS COPY RECIPIENT IDENTITY taking all of the following factors into account. Information is required to:

Main commissioners need access to data to monitor Non-Contract Activity as part of the management of their Service Agreements.Main commissioners need access to data to monitor Non-Contract Activity as part of the management of their NHS SERVICE AGREEMENTS.

Primary Care Trusts need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.

Independent Sector Treatment Centres are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Set and may submit it on their own behalf or via a third party.

Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.

The Department of Health require a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment. The record also includes NHS PATIENTS treated electively in the independent sector and overseas visitors.

A Patient /Service Agreement entry has been specifically introduced to identify activity commissioned by the National Specialised Commissioning Group (NSCG).A PATIENT / NHS SERVICE AGREEMENT entry has been specifically introduced to identify ACTIVITY commissioned by the National Specialised Commissioning Group (NSCG). The code YDD82 should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for National Specialised Commissioning Group commissioned activity.

THE CDS ADDRESSING GRID - Activity from 1st April 2005

 CDS PRIME RECIPIENT IDENTITY CDS COPY RECIPIENT IDENTITY 
PATIENT / Service Agreement ORGANISATION CODE (PCT OF RESIDENCE)
 
ORGANISATION CODE (RESPONSIBLE PCT) ORGANISATION CODE (CODE OF COMMISSIONER) ORGANISATION CODE of Organisation to which costs of treatment accrue 
PATIENT registered with General Medical Practitioner Practice with Primary Care Trust Service AgreementM R     
PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust Service AgreementM R     
 

CDS PRIME RECIPIENT IDENTITY

CDS COPY RECIPIENT IDENTITY

PATIENT / NHS SERVICE AGREEMENT

ORGANISATION CODE (PCT OF RESIDENCE)
 

ORGANISATION CODE (RESPONSIBLE PCT) 

ORGANISATION CODE (CODE OF COMMISSIONER) 

ORGANISATION CODE of ORGANISATION to which costs of treatment accrue 

PATIENT registered with General Medical Practitioner Practice with Primary Care Trust NHS SERVICE AGREEMENTMR    
PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust NHS SERVICE AGREEMENTMR    
PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract Activity M R R   
PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract Activity M R R   
Overseas visitor exempt from charges and not registered with a General Medical Practitioner Practice M
(TDH00)
 
  R   
Overseas visitor exempt from charges and registered with a General Medical Practitioner Practice M
(TDH00)
 
R R   
Overseas visitor liable for NHS charges and not registered with a General Medical Practitioner Practice M
(VPP00)
 
      
Overseas visitor liable for NHS charges and registered with a General Medical Practitioner Practice M
(VPP00)
 
R     
PATIENT registered with General Medical Practitioner Practice with a Specialised Services & Other Commissioning Consortia Service AgreementM R   R 
PATIENT not registered with General Medical Practitioner Practice with a Specialised Services & Other Commissioning Consortia Service AgreementM R   R 
Private PATIENT

 
M

 
R

 
 

 
  
PATIENT registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementMR  R
PATIENT not registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementMR  R
Private PATIENTMR
 

 
  
National Specialised Commissioning Group commissionedM R   R
(YDD82)
 

Key to population codes:
R - Data required for a Commissioning Data Set data flow as part of NHS business rules to meet NHS business requirements.
M - Data is mandatory in the CDS-XML schema and Commissioning Data Set messages will not flow if this data is absent.

Notes:

a) The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS TYPE and must not change even if the ADDRESS or Primary Care Trust of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.

See the supporting information in CDS Submission Protocol for a detailed explanation.See the supporting information in Commissioning Data Set Submission Protocol for a detailed explanation.

b). Note that if two recipients are identical for example, for example, the ORGANISATION CODE (PCT OF RESIDENCE) may be the same as the ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that organisation should be made for that recipient.b) Note that if two recipients are identical for example, for example, the ORGANISATION CODE (PCT OF RESIDENCE) may be the same as the ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that ORGANISATIONshould be made for that recipient.

c). For further information please refer to DSCN 06/2005, 19/2005 and DSCN 19/2006.c) For further information please refer to DSCN 06/2005, DSCN 19/2005 and DSCN 19/2006.

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CDS MANDATED DATA FLOWS

Change to Supporting Information: Changed Description

The minimum Commissioning Data Set information flow requirement to enable Hospital Episode Statistics, 18 weeks activity reporting, and Payment by Results to be supported by the Secondary Uses Service is shown in the table below.

The Secondary Uses Service supports every CDS TYPE but only a subset is mandated to flow.

Commissioning Data Sets may flow to the Secondary Uses Service using either Net Change or Bulk Replacement Commissioning Data Set Submission Protocols.  Many Standard NHS Contracts between Health Care Providers and the commissioners of their SERVICES, now specify weekly submission of initially-coded data sets to the Secondary Uses Service.  The use of Net Change Commissioning Data Set Submission Protocols is recommended for submissions of this frequency.

CDS
TYPE
 
DESCRIPTION MIN
FREQ
 
DIRECTIVE DATA FLOW 
CDS
010
Accident And EmergencyMonthlyAccident And Emergency Attendances were mandated to flow nationally from 1st April 2005, see DSCN 32/2004All Accident And Emergency Attendances occurring during the time period being reported and defined by the Commissioning Data Set Submission Protocol being used.
CDS
020
Out-Patient

 
MonthlyOut-Patient Attendance Commissioning Data Sets (including Ward Attenders) were mandated to be submitted to the Secondary Uses Service from 1st October 2001, see DSCN 05/2001.

Out-Patient Attendance CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009.

Nurse and Midwife attendances and Attendances for nursing care were enabled to be carried in the Out-Patient Attendance CDS from 1 April 2005, DSCN 32/2004. Other Care Professional Attendances where an appropriate Treatment Function exists may also be submitted. 

Due to the high volumes involved, these are often submitted on a weekly basis.
 
CDS
021
Future Out-PatientsAs Required for pilotingFrom 01/01/2008, submissions to support local activities and commissioning will be supported for piloting purposes only..
CDS
030
Elective Admission List
End of Period
(Standard)
Monthly if usedAll Providers should endeavour to support this data flow.

Elective Admission List End of Period Census (Standard)CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009. 

All entries where at the end of the time period being reported and defined by the Commissioning Data Set Submission Protocol, the PATIENT remains on the ELECTIVE ADMISSION LIST.
Optionally and by local agreement with commissioners, entries relating to the PATIENTS that have been removed from the ELECTIVE ADMISSION LIST may be included.
CDS
040
Elective Admission List
End of Period
(New)
Monthly if usedOptionalMay be submitted where the Commissioner has been changed during the time period reported.
CDS
050
Elective Admission List
End of Period
(Old)
Monthly if usedOptionalMay be submitted where the Commissioner has been changed during the time period reported.
CDS
060
Elective Admission List
Event During Period
(Add)
Monthly if usedOptional

Elective Admission List  Event During Period (Add) CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009.

May be submitted where an entry has been added to the ELECTIVE ADMISSION LIST during the time period reported.
CDS
070
Elective Admission List
Event During Period
(Remove)
Monthly if usedOptional

Elective Admission List  Event During Period (Remove) CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009. 

May be submitted where an entry has been removed from the ELECTIVE ADMISSION LIST during the time period reported.
CDS
080
Elective Admission List
Event During Period
(Offer)
Monthly if usedOptional

Elective Admission List  Event During Period (Offer) CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009. 

May be submitted where an offer has been made during the time period reported.
CDS
090
Elective Admission List
Event During Period
(Available / Unavailable)
Monthly if usedOptionalMay be submitted where a patient becomes Available or Unavailable during the time period reported.
CDS
100
Elective Admission List
Event During Period
(Old Service Agreement)
Monthly if usedOptionalMay be submitted where the Commissioner has been changed during the time period reported.
CDS
110
Elective Admission List
Event During Period
(New Service Agreement)
Monthly if usedOptionalMay be submitted where the Commissioner has been changed during the time period reported.
CDS
120
Finished Birth EpisodeMonthlyAll finished Admitted Patient Care data must be submitted "at least monthly" (EL - Dec 1995).
This includes Out Of Area Treatments.
All Episodes that have finished relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
130
Finished General EpisodeMonthlyAll finished Admitted Patient Care data must be submitted "at least monthly" (EL - Dec 1995).This includes Non-Contract Activity.

Finished General Episode CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009.

All Episodes that have finished relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
120
Finished Birth EpisodeMonthlyAll finished Admitted Patient Care data must be submitted "at least monthly" (EL - Dec 1995).
This includes Non-Contract Activity.
All Episodes that have finished relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
130
Finished General EpisodeMonthly

All finished Admitted Patient Care data must be submitted "at least monthly" (EL - Dec 1995).
This includes Non-Contract Activity.

Finished General Episode CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009.

All Episodes that have finished relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
140
Finished Delivery EpisodeMonthlyAll finished Admitted Patient Care data must be submitted at least monthly (EL - Dec 1995).
This includes Non-Contract Activity.
All Episodes that have finished relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
150
Other BirthMonthlyThis includes Home Birth.All Episodes that have finished relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
160
Other DeliveryMonthlyThis includes Home Delivery.All Episodes that have finished relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
170
The Detained and/or Long Term Psychiatric CensusAnnuallyRequired by the Health and Social Care Information Centre.

May optionally be sent more regularly, usually monthly.
Reflects data as at the 31st March each year.
All Episodes that are relevant to the time period defined by the Commissioning Data Set Submission Protocol being used.
CDS
180
Unfinished Birth EpisodeAnnuallyThe Annual Census / Unfinished Census. Required by the Health and Social Care Information Centre.

May optionally be sent more regularly, usually monthly.
Data relating to episodes that were unfinished as at midnight on 31st March and have not been included in the Detained and/or Long Term Psychiatric Census, and have not been submitted to the Secondary Uses Service in either Finished or Unfinished Commissioning Data Set data, must be submitted to the Secondary Uses Service.
CDS
190
Unfinished General EpisodeAnnuallyThe Annual Census / Unfinished Census. Required by the Health and Social Care Information Centre.

May optionally be sent more regularly, usually monthly.

Unfinished General Episode CDS records where the activity relates to a Referral To Treatment Period Included In 18 Weeks Target must include the PATIENT PATHWAY data group items, from 1st October 2009.

Data relating to episodes that were unfinished as at midnight on 31st March and have not been included in the Detained and/or Long Term Psychiatric Census, and have not been submitted to the Secondary Uses Service in either Finished or Unfinished Commissioning Data Set data, must be submitted to the Secondary Uses Service.
CDS
200
Unfinished Delivery EpisodeAnnuallyThe Annual Census / Unfinished Census. Required by the Health and Social Care Information Centre.

May optionally be sent more regularly, usually monthly.
Data relating to episodes that were unfinished as at midnight on 31st March and have not been included in the Detained and/or Long Term Psychiatric Census, and have not been submitted to the Secondary Uses Service in either Finished or Unfinished Commissioning Data Set data, must be submitted to the Secondary Uses Service.

In the above data flows, the validation criteria for each data element is shown in the Commissioning Data Set Validation Table.

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METADATA FILES

Change to Supporting Information: Changed Description


Files Available

The same descriptions can also be accessed via the Terminology Reference Data Update Distribution Service (TRUD).

  • Any area within the NHS taking advantage of the supply of metadata by the Office for National Statistics will be expected to abide by any rules and conditions imposed by the Office for National Statistics Section supplying the metadata.

    Format of Metadata Files

    The following pages give the record layouts and data content for the Operation and Country Pseudo Postcode metadata files.

    Country Pseudo Postcode File DataContent
  • This file contains about 130 records. The usual country of residence for short term overseas visitors is derived from the country pseudo postcode. The codes are  available in electronic format on the NHS Postcode Directory ("Gridlink version").

  • The expanded area code field contains the country of birth code in characters 1-4 (a repeat of the characters 3-6 in the pseudo postcode). The remainder of the expanded area code is blank except for codes 993C (UK nos) and 993V (no fixed abode) where characters 5-7 are 9space9.

    COUNTRY PSEUDO FILE RECORD LAYOUT

    Start PosSizeData TypeField Description
    111Xselection indicators
    126X6 digit postcode (POSTSIX)
    181A7th digit
    196Xfiller
    2550Xname of country
    755Xfiller
    8019Xarea details
    99154Xfiller

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NHS POSTCODE DIRECTORY

Change to Supporting Information: Changed Description

The same descriptions can also be accessed via Terminology Reference Data Update Distribution Service (TRUD).

Postcodes
Character Position12345678
Formataa/na/na/nspacenaa
Coding FrameOutward CodespaceInward Code


  • The coding frame allows the use of digits 0 (zero) to 9 and the use of upper-case alpha characters; no special characters are allowed.
  • The fifth character of all standard format POSTCODES is always a space, and separates the outward and inward parts of the POSTCODE. The outward part of the POSTCODE is left-justified and can contain 2, 3 or 4 characters, and is space-filled in character positions 3 and 4 where required. The inward part of the POSTCODE is always 3 characters.

    The following table gives examples of typical POSTCODES:

    Character PositionAllocated byNotes

    1

    2

    3

    4

    5

    6

    7

    8

      
    W9   3XXRoyal Mail 
    DA1  5PLRoyal Mail 
    MK45 1TERoyal Mail 
    ZZ99 4LZODS Pseudo Postcodes, Defaults and Overseas

Strategic Health Authority/Local Health Board/Health Board Codes
  • Strategic Health Authorities in England use three character codes commencing with a 'Q'.

  • Local Health Boards in Wales use three character codes commencing with a '7'.

  • Health Boards in Scotland use a three character version of the Health Board code (range SA9 - SZ9).

  • The four Northern Ireland Health Boards are indicated by their standard codes - ZE0, ZN0, ZS0, ZW0.

  • No Strategic Health Authorities exist for the Channel Islands and the Isle of Man so notional (or dummy) Strategic Health Authority codes are used to identify postcodes from these locations. The default Pseudo health authority code of X98 is used to indicate pseudo postcodes (defaults and overseas).

Related Products

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NHS SERVICE AGREEMENT

Change to Class: Changed Description

A formal agreement between a commissioner ORGANISATION and one or more provider ORGANISATIONS for the provision of patient care services.A formal agreement between a commissioner ORGANISATION and one or more provider ORGANISATIONS for the provision of PATIENT care services.

Services may be commissioned in four ways:

*Nationally, arranged through the National Specialist Commissioning Advisory Group (NSCAG);
*Primary Care Trusts acting collectively through regional or sub-regional arrangements for Specialised Services,
*At Primary Care Trust level for Out of Area Treatments, for certain limited services commissioned directly by the Primary Care Trust (e.g. screening services) and for Primary Care Trusts acting collectively;
*By Primary Care Trusts, acting individually or as part of a commissioning consortia.
*Primary Care Trusts acting collectively through regional or sub-regional arrangements for Specialised Services,
*At Primary Care Trust level for Non-Contract Activities, for certain limited services commissioned directly by the Primary Care Trust (e.g. screening services) and for Primary Care Trusts acting collectively;
*By Primary Care Trusts, acting individually or as part of a commissioning consortia.

The costs of a Service Agreement accrue to the organisation responsible for commissioning the treatment.The costs of a NHS SERVICE AGREEMENT accrue to the ORGANISATION responsible for commissioning the treatment.

For Commissioning Data Set messages the commissioner is identified in the ORGANISATION CODE (CODE OF COMMISSIONER) field.

 

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OVERSEAS VISITORS STATUS CLASSIFICATION

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See OVERSEAS VISITORS STATUS CLASSIFICATION
Default Codes:8 - Not applicable (not an overseas visitor)
 9 - Charging rate not known

Notes:
OVERSEAS VISITORS STATUS CLASSIFICATION is the same as attribute OVERSEAS VISITORS STATUS CLASSIFICATION.

Income Generation Audit (IGA) forms for overseas visitors should be sent to Leeds Primary Care Trust, the agency acting on behalf of the Department of Health. This enables the financial side of reciprocal and international agreements to be supported. It also helps to monitor the treatment of overseas visitors and associated levels of expenditure.

Where the transmission of Commissioning Data Sets identifies reciprocal agreement overseas PATIENTS by the use of TDH00 in the ORGANISATION CODE (CODE OF COMMISSIONER), the Secondary Uses Service will send the ACTIVITY to the Health Care Provider's host commissioner to pay and copy it to Leeds Primary Care Trust - alleviating the need to send a separate Income Generation Audit form.

The OVERSEAS VISITOR STATUS may change while the PATIENT is being treated. All such changes should be recorded so that charges for treatment can be revised accordingly All such changes should be recorded so that charges for treatment can be revised accordingly.

 

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