Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1131
Version No:1.0
Subject:Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:8 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
CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR KH07 & QF01 (RETIRED) renamed from CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR KH07 & QF01   Changed Name, status to Retired
CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR QM08 & QM08R (RETIRED) renamed from CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR QM08 & QM08R   Changed Name, status to Retired
CHANGE MENU (RETIRED) renamed from CHANGE MENU   Changed Name, status to Retired
CHANGES INTRODUCTION (RETIRED) renamed from CHANGES INTRODUCTION   Changed Name, status to Retired
COMMISSIONING DATA SET OVERVIEW   Changed Description
DATA SETS CONTEXTUAL OVERVIEW (RETIRED) renamed from DATA SETS CONTEXTUAL OVERVIEW   Changed Name, status to Retired
DATA SETS INTRODUCTION (RETIRED) renamed from DATA SETS INTRODUCTION   Changed Name, status to Retired
DEFINITIONS INTRODUCTION (RETIRED) renamed from DEFINITIONS INTRODUCTION   Changed Name, status to Retired
MESSAGES INTRODUCTION (RETIRED) renamed from MESSAGES INTRODUCTION   Changed Name, status to Retired
MODEL CROSS-REFERENCES (RETIRED) renamed from MODEL CROSS-REFERENCES   Changed Name, status to Retired
NON-CONTRACT ACTIVITY   Changed Description
PUBLICATION DETAIL (RETIRED) renamed from PUBLICATION DETAIL   Changed Name, status to Retired
RELATIONSHIP OPTIONALITY (RETIRED) renamed from RELATIONSHIP OPTIONALITY   Changed Name, status to Retired
TOP INDEX LEFT PANE (RETIRED) renamed from TOP INDEX LEFT PANE   Changed Name, status to Retired
 
Attribute Definitions
APPOINTMENT DATE OFFERED   Changed Description
NHS SERVICE AGREEMENT CHANGE TYPE   Changed Description
 
Data Elements
NHS SERVICE AGREEMENT CHANGE TYPE   Changed Description
NHS SERVICE AGREEMENT LINE NUMBER   Changed Description
 

Date:8 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 NHS SERVICE AGREEMENTS.

Primary Care Trusts need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.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 / 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 / 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 MRR  
PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract Activity MRR  
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)
 
RR  
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 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 commissionedMR  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 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 ORGANISATIONshould be made for that recipient.b) Note that if two recipients are identical 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.

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

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CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR KH07 & QF01 (RETIRED)  renamed from CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR KH07 & QF01

Change to Supporting Information: Changed Name, status to Retired

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CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR QM08 & QM08R (RETIRED)  renamed from CENTRAL RETURNS - WAITING TIME CALCULATIONS FOR QM08 & QM08R

Change to Supporting Information: Changed Name, status to Retired

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CHANGE MENU (RETIRED)  renamed from CHANGE MENU

Change to Supporting Information: Changed Name, status to Retired

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CHANGES INTRODUCTION (RETIRED)  renamed from CHANGES INTRODUCTION

Change to Supporting Information: Changed Name, status to Retired

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COMMISSIONING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The primary purpose of national data sets is to enable conformant health information to be generated across the country, independent of the ORGANISATION or system that maintains it. In achieving this, the Health and Social Care Information Centre will enable healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS.

Information Requirements

  • monitor and manage Service Agreements;
  • monitor and manage NHS SERVICE AGREEMENTS;
  • develop commissioning plans;
  • support the Payment By Results processes;
  • support NHS Comparators;
  • monitor Health Improvement Programmes;
  • underpin clinical governance;
  • understand the health needs of the population.
  • support reporting against 18 week wait targets

Information on care provided for all PATIENTS by NHS Hospitals and Primary Care Trusts and Independent Sector Providers (for NHS PATIENTS only) is specified in the Commissioning Data Sets and must be submitted to the Secondary Uses Service according to issued guidelines.

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

Independent Sector Treatment Centres (TC) are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Sets and may submit this data 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 requires accurate data of all PATIENTS admitted to or treated as out-patients, or treated as an Accident And Emergency Attendance by NHS Hospital Providers and Primary Care Trusts, including PATIENTS receiving private treatment. The data also includes NHS PATIENTS treated electively in the independent sector and overseas. These Hospital Episode Statistics (HES) are derived from the Admitted Patient Care, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Sets as stored in the Secondary Uses Service. This data provides information about hospital and PATIENT management, epidemiological data on PATIENT DIAGNOSES and OPERATIVE PROCEDURES.

Referral To Treatment Clock Stop Administrative Events may also flow using the CDS V6 TYPE 020 - OUTPATIENT CDS. This allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity.

Commissioning Data Set Data Flow Definitions

CDS TYPES

The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures encompassing Accident and Emergency Attendances, Out-Patient Attendances, Future Attendances, Admitted Patient Care and Elective Admission List data etc.

Commissioning Data Set Messages have been defined in specific components known as a CDS TYPE. Each Commissioning Data Set Type as configured into the Commissioning Data Set Message carries only one specific Commissioning Data Set Type, an examples being the Finished Consultant Episode Commissioning Data Set Type etc.

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DATA SETS CONTEXTUAL OVERVIEW (RETIRED)  renamed from DATA SETS CONTEXTUAL OVERVIEW

Change to Supporting Information: Changed Name, status to Retired

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DATA SETS INTRODUCTION (RETIRED)  renamed from DATA SETS INTRODUCTION

Change to Supporting Information: Changed Name, status to Retired

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DEFINITIONS INTRODUCTION (RETIRED)  renamed from DEFINITIONS INTRODUCTION

Change to Supporting Information: Changed Name, status to Retired

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MESSAGES INTRODUCTION (RETIRED)  renamed from MESSAGES INTRODUCTION

Change to Supporting Information: Changed Name, status to Retired

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MODEL CROSS-REFERENCES (RETIRED)  renamed from MODEL CROSS-REFERENCES

Change to Supporting Information: Changed Name, status to Retired

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NON-CONTRACT ACTIVITY

Change to Supporting Information: Changed Description

Non-Contract Activity was known as Out Of Area Treatment prior to 1 April 2005.Non-Contract Activity was known as Out Of Area Treatment prior to 1 April 2005.

Non-Contract Activities are covered by NHS SERVICE AGREEMENTS between a commissioner and the Trust providing treatment. The commissioner is identified by the ORGANISATION CODE (CODE OF COMMISSIONER).

Non-Contract Activities cover:

*PATIENTS registered with a General Medical Practitioner Practice or resident in an English Primary Care Trust with which the NHS Trust has no Service Agreement for that treatment or for that service;
*PATIENTS registered with a General Medical Practitioner Practice or resident in Wales, Scotland or Northern Ireland who are not covered by a Service Agreement with the NHS Trust;
*PATIENTS registered with a General Medical Practitioner Practice or resident in an English Primary Care Trust with which the NHS Trust has no NHS SERVICE AGREEMENT for that treatment or for that service;
*PATIENTS registered with a General Medical Practitioner Practice or resident in Wales, Scotland or Northern Ireland who are not covered by a NHS SERVICE AGREEMENT with the NHS Trust;
*Overseas visitors
 

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PUBLICATION DETAIL (RETIRED)  renamed from PUBLICATION DETAIL

Change to Supporting Information: Changed Name, status to Retired

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RELATIONSHIP OPTIONALITY (RETIRED)  renamed from RELATIONSHIP OPTIONALITY

Change to Supporting Information: Changed Name, status to Retired

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TOP INDEX LEFT PANE (RETIRED)  renamed from TOP INDEX LEFT PANE

Change to Supporting Information: Changed Name, status to Retired

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APPOINTMENT DATE OFFERED

Change to Attribute: Changed Description

The actual date offered for an APPOINTMENT in response to a SERVICE REQUEST or an invitaion as part of a HEALTH PROGRAMME.The actual date offered for an APPOINTMENT in response to a SERVICE REQUEST or an invitation as part of a HEALTH PROGRAMME.

 

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NHS SERVICE AGREEMENT CHANGE TYPE

Change to Attribute: Changed Description

A classification of a change to a SERVICE PROVIDED UNDER AGREEMENT to record the reason for a change in the NHS SERVICE AGREEMENT to apply to a SERVICE.

National Codes:

01New Commissioner
02Change of NHS SERVICE AGREEMENT - same Commissioner
02Change of NHS SERVICE AGREEMENT - same Commissioner
 

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NHS SERVICE AGREEMENT CHANGE TYPE

Change to Data Element: Changed Description

Format/length:an2
HES item: 
National Codes:See NHS SERVICE AGREEMENT CHANGE TYPE
Default Codes:98 - Not applicable: no change to NHS Service Agreement
 99 - Not known: a validation error

Notes:
During an elective wait, there may be a change of commissioner, for example, a PATIENT may move house while waiting for admission into hospital. Alternatively there may be a change in service agreements with the same commissioner. Alternatively there may be a change in NHS SERVICE AGREEMENTS with the same commissioner. Changes of commissioner result in an NHS SERVICE AGREEMENT.

An NHS SERVICE AGREEMENT does not apply to a change of provider. A provider change would always require a new DECISION TO ADMIT with the PATIENT being placed on a new ELECTIVE ADMISSION LIST.

 

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NHS SERVICE AGREEMENT LINE NUMBER

Change to Data Element: Changed Description

Format/length:an10
HES item: 
National Codes: 
Default Codes: 

Notes:
The NHS SERVICE AGREEMENT LINE NUMBERS may be used to identify a specific service agreement reference where the main identifier refers to a general omnibus agreement.The NHS SERVICE AGREEMENT LINE NUMBERS may be used to identify a specific NHS SERVICE AGREEMENT reference where the main identifier refers to a general omnibus agreement. 

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