Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1147
Version No:1.0
Subject:NHS Data Model and Dictionary Modelling Changes
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:25 May 2010

Background:

The NHS Data Model and Dictionary Service are currently working with the Department of Health and The NHS Information Centre for Health and Social Care to develop a number of Data Sets.

During the business analysis stage, it has been identified that these Data Sets cover a number of common areas which are either not currently in the NHS Data Model and Dictionary or amendments are required to make the current information suitable for use in these Data Sets.

This Information Standards Notice adds common data items and associated data modelling that has been identified since the production of other data items relating to, for example: Disability, Questionnaires and Person Score, Other Person Observation etc. The changes are detailed in the "Summary of changes" below.

These changes do not need to be implemented in end-user systems until the Information Standards Notices for the specific data sets come into effect. Other specific items will be added to the Data Sets during development.

Summary of changes:

Supporting Information
ABO SYSTEM   New Supporting Information
ADULT MENTAL HEALTH CARE SPELL renamed from MENTAL HEALTH CARE SPELL   Changed Name, Description, Aliases
ADULT MENTAL HEALTH CARE TEAM renamed from MENTAL HEALTH CARE TEAM   Changed Name, Description, Aliases
CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES DATA SETS SUBMISSION REQUIREMENTS   New Supporting Information
CLINICAL DATA SETS MENU   Changed Description
CLINIC ATTENDANCE NON-CONSULTANT   Changed Description
DAY CARE ATTENDANCE   Changed Description
FACE TO FACE CONTACT COMMUNITY CARE   Changed Description
FACE TO FACE CONTACT SOCIAL WORKER   Changed Description
HOME HELP VISIT   Changed Description
MENTAL HEALTH ACT TABLE   Changed Description
MENTAL HEALTH CARE SPELL   New Supporting Information
MENTAL HEALTH LEAVE OF ABSENCE   Changed Description
MENTAL HEALTH RESPONSIBLE CLINICIAN   Changed Description
NEWBORN HEARING SCREENING   New Supporting Information
OUT-PATIENT ATTENDANCE CONSULTANT   Changed Description
PATIENT INFORMED OF OUTCOME DATE   Changed Description
PROFESSIONAL STAFF GROUP CONTACT   Changed Description
RESPONSIBLE ADULT MENTAL HEALTH CARE TEAM renamed from RESPONSIBLE MENTAL HEALTH CARE TEAM   Changed Name, Description, Aliases
RH SYSTEM   New Supporting Information
SHELTERED WORK ATTENDANCE   Changed Description
TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)   Changed Description
WARD ATTENDANCE   Changed Description
WARD STAY   Changed Description
 
Class Definitions
ACTIVITY GROUP   Changed Attributes, Description
ACTIVITY SUSPENSION   Changed Attributes
CARE PROFESSIONAL   Changed Description
CARE PROFESSIONAL TEAM RESPONSIBLE   Changed Description
CLINICAL INVESTIGATION RESULT ITEM   Changed Attributes
DISABILITY   Changed Attributes
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION renamed from LEGAL STATUS CLASSIFICATION   Changed Name, Aliases
PERSON PROPERTY   Changed Attributes
WARD   Changed Attributes
 
Attribute Definitions
ADMISSION METHOD   Changed Description
ADULT MENTAL HEALTH CARE SPELL SUSPENSION REASON renamed from MHCS SUSPENSION REASON   Changed Name, Description, Aliases
BABY FEEDING METHOD TYPE   New Attribute
CARE PROFESSIONAL ROLE CODE   Changed Description
DISCHARGE FROM MENTAL HEALTH SERVICE REASON   New Attribute
EMPLOYMENT STATUS   Changed Description
INTERPRETER REQUIRED INDICATOR   Changed Description
INVESTIGATION EXAMINATION RESULT CODE   New Attribute
LEARNING DISABILITY INDICATOR   New Attribute
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE renamed from LEGAL STATUS CLASSIFICATION CODE   Changed Name, Description, Aliases
MENTAL HEALTH CARE SPELL END CODE   Changed Description
MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION   Changed Description
NEWBORN HEARING SCREENING OUTCOME   Changed Description
PATIENT INFORMED OF OUTCOME DATE   Changed Description
PERSON BLOOD GROUP   New Attribute
PERSON RHESUS FACTOR   New Attribute
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
WARD SECURITY LEVEL   New Attribute
 
Data Elements
ACCOMMODATION STATUS DATE   New Data Element
BED DAYS (MENTAL HEALTH INTENSIVE)   Changed Description
BED DAYS (MENTAL HEALTH MEDIUM SECURE)   Changed Description
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)   Changed Description
CARE DAYS (ACUTE HOME-BASED)   Changed Description
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)   Changed Description
CARE SPELL IDENTIFIER (MENTAL HEALTH)   Changed Description
CARE SPELL NUMBER IN REPORTING PERIOD   Changed Description
CONTACTS (OCCUPATIONAL THERAPIST)   Changed Description
CONTACTS (PHYSIOTHERAPIST)   Changed Description
CONTACTS (PSYCHOTHERAPY)   Changed Description
CONTACTS (SOCIAL WORKER)   Changed Description
CPA ENHANCED DAYS   Changed Description
CPA STANDARD DAYS   Changed Description
DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)   New Data Element
DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)   New Data Element
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET)   New Data Element
DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)   New Data Element
DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET)   New Data Element
DATA SET SEGMENT RECORDS TOTAL   New Data Element
DATA SET VERSION NUMBER   New Data Element
DATE AND TIME DATA SET CREATED   New Data Element
DATE LAST SEEN (CPA CARE COORDINATOR)   Changed Description
DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE)   Changed Description
DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR   Changed Description
DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE)   Changed Description
DAYS LIABLE FOR DETENTION   Changed Description
DAYS OF SUPERVISED DISCHARGE   Changed Description
DIAGNOSIS (ICD FIRST MOST RECENT)   Changed Description
DISCHARGE DATE (MENTAL HEALTH SERVICE)   New Data Element
DISCHARGE REASON (MENTAL HEALTH SERVICE)   New Data Element
DISCHARGES (MENTAL HEALTH)   Changed Description
END DATE (CARE PROGRAMME APPROACH LEVEL)   New Data Element
END DATE (MENTAL HEALTH CARE SPELL)   Changed Description
HOME HELP VISIT INDICATOR   Changed Description
HONOS-CA RATING 10 SCORE   New Data Element
HONOS-CA RATING 11 SCORE   New Data Element
HONOS-CA RATING 12 SCORE   New Data Element
HONOS-CA RATING 13 SCORE   New Data Element
HONOS-CA RATING 1 SCORE   New Data Element
HONOS-CA RATING 2 SCORE   New Data Element
HONOS-CA RATING 3 SCORE   New Data Element
HONOS-CA RATING 4 SCORE   New Data Element
HONOS-CA RATING 5 SCORE   New Data Element
HONOS-CA RATING 6 SCORE   New Data Element
HONOS-CA RATING 7 SCORE   New Data Element
HONOS-CA RATING 8 SCORE   New Data Element
HONOS-CA RATING 9 SCORE   New Data Element
HONOS-CA RATING B14 SCORE   New Data Element
HONOS-CA RATING B15 SCORE   New Data Element
HONOS RATING (BEST IN LAST TWELVE MONTHS)   Changed Description
HONOS RATING (FIRST IN MHCS)   Changed Description
HONOS RATING (MOST RECENT IN MHCS)   Changed Description
HONOS RATING (WORST EVER RECORDED)   Changed Description
INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH)   New Data Element
LEARNING DISABILITY INDICATOR   New Data Element
LEAVE OF ABSENCE TOTAL DAYS   Changed Description
LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD)   Changed Description
LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD)   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE renamed from LEGAL STATUS CLASSIFICATION CODE   Changed Name, Description, Aliases
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION END DATE AND TIME   New Data Element
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION START DATE AND TIME   New Data Element
MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD   Changed Description
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)   Changed Description
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)   Changed Description
PERSON DEATH DATE AND TIME   New Data Element
PROCEDURE (READ FIRST MOST RECENT)   Changed Description
REPORTING PERIOD (MENTAL HEALTH)   Changed Description
RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR   Changed Description
SERVICE REQUEST IDENTIFIER   New Data Element
SHELTERED WORK ATTENDANCE INDICATOR   Changed Description
SOCIAL WORKER INVOLVEMENT INDICATOR   Changed Description
SPELL DAYS IN REPORTING PERIOD   Changed Description
SPELL DEFINITION TYPE (ASSEMBLER MHCS)   Changed Description
SSSA (NUMBER FOR COMMUNITY CARE)   Changed Description
SSSA (NUMBER FOR DETENTION)   Changed Description
START DATE (CARE PROGRAMME APPROACH LEVEL)   New Data Element
START DATE (MENTAL HEALTH CARE SPELL)   Changed Description
SUSPENDED DAYS IN REPORTING PERIOD   Changed Description
WARD SECURITY LEVEL   New Data Element
YEAR AND MONTH   New Data Element
YEAR AND MONTH OF REPORTING PERIOD   New Data Element
 

Date:25 May 2010
Sponsor:Ken Lunn, Director of Data Standards and Products, 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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ABO SYSTEM

Change to Supporting Information: New Supporting Information

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The ABO System is a classification for CLINICAL INVESTIGATION RESULT ITEM.

The ABO System is a system of 4 basic types into which human blood may be classified according to the presence or absence of particular antigens:

  • A - Blood group A has A antigens in its red blood cells and anti-B antibodies in its plasma;
  • B - Blood group B has B antigens and anti-A antibodies in its plasma;
  • O - Blood group O blood has no antigens but both anti-A and anti-B antibodies
  • AB - Blood group AB has both A and B antigens but no antibodies, as it would destroy itself.

For further information on the ABO System, see the NHS Choices website.

 

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ADULT MENTAL HEALTH CARE SPELL  renamed from MENTAL HEALTH CARE SPELL

Change to Supporting Information: Changed Name, Description, Aliases

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

Mental Health Care Spell is an ACTIVITY GROUP.Adult Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.

A Care Spell.

A continuous period of care or assessment for an adult (including elderly) PATIENT provided by a Health Care Provider's specialist mental health services. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS whose only mental disorder is a learning disability. The specialist mental health services are delivered by mental health professionals, some of whom may receive referrals directly. Examples of mental health professionals would include CONSULTANTS, Clinical Psychologists, community psychiatric nurses and mental health Social Workers any of whom could be nominated and allocated as the care coordinator to the PATIENT. There may be more than one Mental Health Responsible Clinician assigned during the Mental Health Care Spell. Care for the PATIENT's mental health may be provided by more than one Responsible Mental Health Care Team. There may be more than one Mental Health Responsible Clinician assigned during the Adult Mental Health Care Spell. Care for the PATIENT's mental health may be provided by more than one Responsible Adult Mental Health Care Team.

A Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.An Adult Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.

For referrals, the Mental Health Care Spell commences with an initial assessment which will determine whether treatment or care by the Health Care Provider's specialist mental health services is appropriate. If not appropriate, then the Mental Health Care Spell will end.For referrals, the Adult Mental Health Care Spell commences with an initial assessment which will determine whether treatment or care by the Health Care Provider's specialist mental health services is appropriate. If not appropriate, then the Adult Mental Health Care Spell will end. If treatment or care is required then this will usually be provided as part of the care programme approach. Treatment or care provided as part of the care programme approach will involve one or more Care Programme Approach Episodes each with one or more Care Programme Approach Reviews. The date a PATIENT was informed of the outcome of a Mental Health Care Spell assessment or Care Programme Approach Review. The date a PATIENT was informed of the outcome of an Adult Mental Health Care Spell assessment or Care Programme Approach Review. The requirement for the PATIENT to be informed of outcomes is laid down in The Patient's Charter - Mental Health Services.

The Mental Health Care Spell addresses the mental health care of the PATIENT and as such may comprise a series of episodes, attendances, contacts or stays each of which will be recorded, for example Consultant Out-Patient Episodes, Consultant Episodes (Hospital Provider), Community Episodes, Care Home Stays (Midwife Care) and Face To Face Contacts Community Care etc. These are recorded in addition to Care Programme Approach Episodes.The Adult Mental Health Care Spell addresses the mental health care of the PATIENT and as such may comprise a series of episodes, attendances, contacts or stays each of which will be recorded, for example Consultant Out-Patient Episodes, Consultant Episodes (Hospital Provider), Community Episodes, Care Home Stays (Midwife Care) and Face To Face Contacts Community Care etc. These are recorded in addition to Care Programme Approach Episodes. A PATIENT may be subject to more than one Mental Health Care Without Patient Consent.

Treatment requiring the temporary transfer of the PATIENT to another Health Care Provider with the main responsibility for provision of mental health care also being transferred, will end the current Care Programme Approach Episode and initiate a Mental Health Care Spell Suspension. In cases of temporary transfer to another Health Care Provider for physical care without the main responsibility for mental health care being transferred, both the current Care Programme Approach Episode and the Mental Health Care Spell will continue and the Mental Health Care Spell will not be suspended. In cases of temporary transfer to another Health Care Provider for physical care without the main responsibility for mental health care being transferred, both the current Care Programme Approach Episode and the Adult Mental Health Care Spell will continue and the Adult Mental Health Care Spell will not be suspended.

Treatment requiring the permanent transfer of the PATIENT to another Health Care Provider will initiate the ending of the current Care Programme Approach Episode and the Mental Health Care Spell.Treatment requiring the permanent transfer of the PATIENT to another Health Care Provider will initiate the ending of the current Care Programme Approach Episode and the Adult Mental Health Care Spell.

The Mental Health Care Spell ends when all associated episodes, attendances or days are explicitly closed.The Adult Mental Health Care Spell ends when all associated episodes, attendances or days are explicitly closed.

One or more Mental Health Leave Of Absence may be granted during the Mental Health Care Spell. At the end of the Mental Health Care Spell the care assessment only indicator can be recorded.One or more Mental Health Leave Of Absence may be granted during the Adult Mental Health Care Spell. At the end of the Adult Mental Health Care Spell the care assessment only indicator can be recorded.

Information recorded for a Mental Health Care Spell includes:Information recorded for an Adult Mental Health Care Spell includes:

Care Assessment Only Indicator   O (only if care spell has ended)
Care Assessment Only Indicator   O (only if Care Spell has ended)
End Date   O
Mental Health Care Assessment Date   O (only if spell initiated by a referral for assessment)Mental Health Care Assessment Date   O (only if Care Spell initiated by a referral for assessment)
MENTAL HEALTH CARE SPELL END CODE   O
PATIENT INFORMED OF OUTCOME DATE  O (only if spell initiated by a referral for assessment)PATIENT INFORMED OF OUTCOME DATE  O (only if Care Spell initiated by a referral for assessment)
Start Date
 

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ADULT MENTAL HEALTH CARE SPELL  renamed from MENTAL HEALTH CARE SPELL

Change to Supporting Information: Changed Name, Description, Aliases

  • Changed Name from Data_Dictionary.NHS_Business_Definitions.M.Mental_Health_Care_Spell to Data_Dictionary.NHS_Business_Definitions.A.Adult_Mental_Health_Care_Spell
  • Changed Description
  • Alias Changes

    NameOld ValueNew Value
    pluralMental Health Care SpellsAdult Mental Health Care Spells
    formerly Mental Health Care Spell
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ADULT MENTAL HEALTH CARE TEAM  renamed from MENTAL HEALTH CARE TEAM

Change to Supporting Information: Changed Name, Description, Aliases

Mental Health Care Team is a CARE PROFESSIONAL TEAM.This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

A Mental Health Care Team is a team of professionals delivering specialist mental health services, including secondary and self-referral services, for adult and elderly PATIENTS. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS with learning disabilities.Adult Mental Health Care Team is a CARE PROFESSIONAL TEAM.

The team can be multidisciplinary and may contain members who are employees of the Health Care Provider or be employees of another NHS or non-NHS organisation.An Adult Mental Health Care Team is a team of professionals delivering specialist mental health services, including secondary and self-referral services, for adult and elderly PATIENTS. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS with Learning Disabilities.

The team may be a Responsible Mental Health Care Team.The Adult Mental Health Care Team can be multidisciplinary and may contain members who are employees of the Health Care Provider or be employees of another NHS or non-NHS ORGANISATION.

 The team may be a Responsible Adult Mental Health Care Team.

 

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ADULT MENTAL HEALTH CARE TEAM  renamed from MENTAL HEALTH CARE TEAM

Change to Supporting Information: Changed Name, Description, Aliases

  • Changed Name from Data_Dictionary.NHS_Business_Definitions.M.Mental_Health_Care_Team to Data_Dictionary.NHS_Business_Definitions.A.Adult_Mental_Health_Care_Team
  • Changed Description
  • Alias Changes

    NameOld ValueNew Value
    pluralMental Health Care TeamsAdult Mental Health Care Teams
    formerly Mental Health Care Team
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CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES DATA SETS SUBMISSION REQUIREMENTS

Change to Supporting Information: New Supporting Information

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The data carried in the three National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Data Set, National Children's and Young People's Health Services Data Set and Child and Adolescent Mental Health Services Data Set) must be structured in a particular way for submission nationally. Data items in the files, including the items in the header records, are pipe-delimited (| character).

Each data set submission file of data is structured in the following way:

  • Data Set File Header Row
  • Data Set Segment Row(s)
  • Data Set File Trailer Row

See below for the file structure for each data set row:

  • Data Set File Header Row

This contains information about the submission file, and is structured as follows, for all three data sets:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value HDR in a file header row)
YEAR AND MONTH OF REPORTING PERIOD
DATE AND TIME DATA SET CREATED
DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)
DATA SET VERSION NUMBER
ORGANISATION CODE (CODE OF PROVIDER)

The Data Set File Header row is present only once, as the first record in the submission file.

  • Data Set Segment Row

This contains Segment type and PATIENT identification information followed by segment content data items, and is structured as follows:

  • For the Maternity Data Set:

For the Booking and Dating Scan, Infectious Diseases and Inherited Blood Disorders, Antenatal, Labour and Delivery, and Postnatal Data Segment Groups:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)
DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)
NHS NUMBER (MOTHER)
ESTIMATED DATE OF DELIVERY (AGREED)

For the Baby Data Segment Groups
DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)
DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)
NHS NUMBER (MOTHER)
ESTIMATED DATE OF DELIVERY (AGREED)
NHS NUMBER (BABY)

  • For the Child and Adolescent Mental Health Services Data Set and the National Children's and Young People's Health Services Data Set:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET) or DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET) 
NHS NUMBER

This is followed in the same row by the segment content data items, which vary depending on which segment is being submitted. This structure is repeated for each data record within the file.

  • Data Set File Trailer Row

This contains some of the same information as the Data Set File Header row, plus a count of all segment records within the file, as a data quality check, and is structured as follows:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value TRL in a file trailer row)
YEAR AND MONTH OF REPORTING PERIOD
DATE AND TIME DATA SET CREATED
DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)
DATA SET SEGMENT RECORDS TOTAL
ORGANISATION CODE (CODE OF PROVIDER)

The Data Set File Trailer Row is present only once, as the last record in the submission file.

Below is an example of a submission file for the Maternity Data Set:

HDR|2010-04|2010-05-31T23:34:00|MAT|1.01|RX7   (Data Set File Header Row)
SEG|MAT00x|1234567890|2010-09-03|2010-04-26|2010-04-28 (Data Set Segment Row for Antenatal Admission Segment)
SEG|MAT00x|0456789123|2010-04-13|5678901234|06|2010-04-14T16:06:00 (Data Set Segment Row for Critical Incident/Complications Segment)
TRL|2010-04|2010-05-31T23:34:00|MAT|00002|RX7  (Data Set File Trailer Row)

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CLINICAL DATA SETS MENU

Change to Supporting Information: Changed Description

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CLINIC ATTENDANCE NON-CONSULTANT

Change to Supporting Information: Changed Description

Clinic Attendance Non-Consultant is a CARE CONTACT.

An attendance at or contact with a Nurse Clinic, Midwife Clinic or Sexual and Reproductive Health Clinic. This may have been as a result of an Out-Patient Appointment Non-Consultant.

If the PATIENT is currently subject to a Mental Health Care Spell and the nurse they are in contact with during the attendance or contact is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.If the PATIENT is currently subject to a Mental Health Care Spell and the NURSE they are in contact with during the attendance or contact is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Note: Attendances or contacts at clinics run by Paramedics are Professional Staff Group Contacts.

If an APPOINTMENT TIME was given, the time seen should be recorded.

Information recorded for a Clinic Attendance Non-Consultant includes:

ATTENDANCE DATE
ATTENDANCE IDENTIFIER
Time Seen   O (if appointment time given)
 

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DAY CARE ATTENDANCE

Change to Supporting Information: Changed Description

Day Care Attendance is a CARE CONTACT.

One attendance, or expected attendance, by a PATIENT at a particular Day Care Session. This will either be by a regular attender or by a PATIENT currently using a Hospital Bed (including Home Leave and Mental Health Leave Of Absence for a period of 28 days or less).

If the PATIENT is currently subject to a Mental Health Care Spell and during attendance at the facility is in contact with the CARE PROFESSIONAL who is their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

For Day Care Attendance, first attendance is the first of a series, or only attendance, at Day Care Facilities of an ORGANISATION by either a PATIENT using a  Hospital Bed or a regular day attender. A re-attendance is any subsequent attendance at a Day Care Session of the same Health Care Provider by a PATIENT whose attender status has not changed since the previous attendance.

Information recorded for a Day Care Attendance includes:

ATTENDED OR DID NOT ATTEND
FIRST ATTENDANCE
 

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FACE TO FACE CONTACT COMMUNITY CARE

Change to Supporting Information: Changed Description

Face To Face Contact Community Care is a CARE CONTACT.

A contact which is made by one or more nurses or community support workers (nursing) with a PATIENT or his/her proxy during a Community Episode. The contact occurs when a PATIENT or their proxy attends a clinic or when the nurse or community support worker (nursing) makes a domiciliary visit to see the PATIENT.

A proxy contact is a single occasion involving contact between a proxy and one or more members of a community nurse staff group within a Nursing In The Community Programme. Contacts with proxies only count if the contact is in lieu of the contact with the PATIENT, and the proxy is able more effectively than the PATIENT to ensure that the specified advice/treatment devised for the PATIENT is followed. This is most likely to be the case where the PATIENT is unable to communicate effectively say for an infant, or for a person who is mentally ill or has learning disabilities. This is most likely to be the case where the PATIENT is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or has learning disabilities.

One or more nurses or community support workers (nursing) in the same or different Nursing In The Community Programmes may be in contact with a PATIENT at the same time.

Contacts should be recorded as follows:

a.If one or more nurses or community support workers (nursing) from the same programme are in contact with one patient at the same time, this should be recorded as one face-to-face contact
b.If one or more nurses or community support workers (nursing) from different programmes are in contact with one patient at the same time, this should be recorded as one contact for each programme involved
a.If one or more NURSES or community support workers (nursing) from the same programme are in contact with one patient at the same time, this should be recorded as one face-to-face contact
b.If one or more NURSES or community support workers (nursing) from different programmes are in contact with one patient at the same time, this should be recorded as one contact for each programme involved
c.For contacts at a Day Care Facility, where repeated contacts may occur during the course of a day, this should be recorded as one contact for each programme involved
d.If two nurses of different disciplines but both classed in the community nurse staff group other community nurses, such as stomatherapist and a continuing care nurse, are in contact with one patient at the same time, this should be recorded as two face-to-face contacts, one for each discipline
d.If two NURSES of different disciplines but both classed in the community nurse staff group other community nurses, such as stomatherapist and a continuing care nurse, are in contact with one PATIENT at the same time, this should be recorded as two face-to-face contacts, one for each discipline

Group activity, where, for example, general advice is given to several patients at the same time should not be recorded as Nurse or Midwife Contacts.Group activity, where, for example, general advice is given to several PATIENTS at the same time should not be recorded as Nurse or Midwife Contacts.

A Face To Face Contact Community Care may involve activities attributable to a structured programme, such as the following:

a.Screening Test 
b.Group Session 
c.Health Promotion Other Activity
d.Educational Assessment
d.EDUCATIONAL ASSESSMENT
e.Test Of Immunity 
f.Immunisation Dose Given 
g.Face To Face Contact Surveillance 

For such activities they must be recorded as part of the respective structured programmes as well as attributed to the Nursing In The Community Programmes.

If the PATIENT is currently subject to a Mental Health Care Spell and the contact nurse is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.If the PATIENT is currently subject to a Mental Health Care Spell and the contact NURSE is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

For domiciliary visits, an indication of whether the Face To Face Contact Community Care is the first occasion on which a PATIENT is seen should be recorded as an initial contact. A LOCATION TYPE should also be recorded.

Information recorded for a Face To Face Contact Community Care includes:

Contact Date
First Contact In Financial Year
Initial Contact (applies to domiciliary visits only)
LOCATION TYPE (applies to domiciliary visits only)
 

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FACE TO FACE CONTACT SOCIAL WORKER

Change to Supporting Information: Changed Description

Face To Face Contact Social Worker is a CARE CONTACT.

A face to face contact between a PATIENT subject to a Mental Health Care Spell and a Local Authority Social Services Social Worker. The Social Worker may be a Mental Health Care Team Member. When the contact involves the presence of more than one Social Worker at the same time, then it is still considered as a single occurrence of a face to face contact.

In the case of contact arising due to a Social Services Statutory Assessment then both the Face To Face Contact Social Worker and the Social Services Statutory Assessment will be recorded.

When the Social Worker is also the allocated care programme approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Information recorded for a Face To Face Contact Social Worker includes:

Contact Date
LOCATION TYPE
 

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HOME HELP VISIT

Change to Supporting Information: Changed Description

Home Help Visit is a CARE CONTACT.

A visit to the usual place of residence of a PATIENT subject to a Mental Health Care Spell, by domiciliary care staff. The domiciliary care staff are employed or funded by Local Authority Social Services.

 

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MENTAL HEALTH ACT TABLE

Change to Supporting Information: Changed Description


The following table is effective from 3rd November 2008 onwards after the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997 and the Mental Health Act 2007), and specifies how the codes in Category of Patient, LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL HEALTH ACT 2007 MENTAL CATEGORY interrelate.The following table is effective from 3rd November 2008 onwards after the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997 and the Mental Health Act 2007), and specifies how the codes in Category of Patient, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL HEALTH ACT 2007 MENTAL CATEGORY interrelate.

The underlying LEGAL STATUS CLASSIFICATION CODE of a Mental Health Care Spell will be carried through a period of Supervised Community Treatment although the LEGAL STATUS CLASSIFICATION will be suspended during that period.The underlying MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE of an Adult Mental Health Care Spell will be carried through a period of Supervised Community Treatment although the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION will be suspended during that period.

PARTSECTIONSLEGAL STATUS CLASSIFICATION CODE Status of Patient In Psychiatric CensusMENTAL CATEGORY 

PART

SECTIONS

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Status of Patient In Psychiatric Census

MENTAL CATEGORY

Part II2 - 3402 - 061 or 3A, B, 9
Part III35 - 5507 - 18, 341 or 3A, B, 9
Part IV56 - 64Not listed, not relevant
Part V65 - 79Not listed, not relevant
Part VI80 - 92Not listed, not relevant
Part VII93 - 113Not listed, not relevant
Part VIII114 - 125Not listed, not relevant
Part IX126 - 130Not listed, not relevant
Part X131 - 14919 - 201 or 3A, B, 9
Previous legislation
(other acts)
30 - 321 or 3A, B, 9
Not detained01, 33, 35, 3628

The following table is effective prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997), and specifies how the codes in Category of Patient, LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL CATEGORY interrelate.The following table is effective prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997), and specifies how the codes in Category of Patient, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL CATEGORY interrelate.

PARTSECTIONSLEGAL STATUS CLASSIFICATION CODE Status of Patient In Psychiatric CensusMENTAL CATEGORY 

PART

SECTIONS

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Status of Patient In Psychiatric Census

MENTAL CATEGORY

Part II2 - 3402 - 061 or 31 - 5, 9
Part III35 - 5507 - 18, 341 or 31 - 5, 9
Part IV56 - 64Not listed, not relevant
Part V65 - 79Not listed, not relevant
Part VI80 - 92Not listed, not relevant
Part VII93 - 113Not listed, not relevant
Part VIII114 - 125Not listed, not relevant
Part IX126 - 130Not listed, not relevant
Part X131 - 14919 - 201 or 31 - 5, 9
Previous legislation
(other acts)
30 - 321 or 31 - 5, 9
Not detained/
Supervised Discharge
under Section 25
01, 33, 35, 3628

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MENTAL HEALTH CARE SPELL

Change to Supporting Information: New Supporting Information

This item is being used for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.

This can be either a:

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Care Spells

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MENTAL HEALTH LEAVE OF ABSENCE

Change to Supporting Information: Changed Description

Mental Health Leave Of Absence is a type of LEAVE.

Mental Health Leave Of Absence only applies to PATIENTS liable to be detained in hospital under the Mental Health Act 1983 as amended by the Mental Health (Patients in the Community) Act 1995.

The granting of Mental Health Leave Of Absence within a Mental Health Care Spell can only be authorised by the Mental Health Responsible Clinician for the PATIENT. The granted period of absence from hospital may be indefinite, a specified occasion or for any specified period and be escorted or unescorted. Where leave is granted for a specified period, that period may be extended by further leave granted in absence of the PATIENT. If the period of leave is extended, the current Mental Health Leave Of Absence will be ended, and a new one started.

A Mental Health Leave Of Absence for a period up to a maximum of 28 days from the Start Date, will not interrupt the Consultant Episode (Hospital Provider), Care Home Stay (Consultant Care), Care Home Stay (Nursing Care) or Care Home Stay (Residential).A Mental Health Leave Of Absence for a period up to a maximum of 28 days from the Start Date, will not interrupt the Consultant Episode (Hospital Provider), Care Home Stay (Consultant Care), Care Home Stay (Nursing Care) or Care Home Stay (Residential). A Mental Health Leave Of Absence for a period greater than 28 days from the start date, will entail the PATIENT being discharged from the current Hospital Provider Spell or Care Home Stay (Nursing Care), or their Care Home Stay (Residential) being ended.

During the Mental Health Leave Of Absence, the Mental Health Responsible Clinician continues to be responsible for the organisation and management of the PATIENT's continuing health and social care needs.

If a PATIENT does not return by midnight on the day specified, then the Mental Health Leave Of Absence will be ended and a period of Mental Health Absence Without Leave started.

The Mental Health Responsible Clinician should consider Supervised Community Treatment for a PATIENT before granting Mental Health Leave Of Absence for any period exceeding seven consecutive days.

Information recorded for a Mental Health Leave Of Absence includes:

Start Date
End Date   O
LEAVE OF ABSENCE END REASON   O
PLANNED LEAVE RETURN DATE   O (if for a specified period or occasion)
 

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MENTAL HEALTH RESPONSIBLE CLINICIAN

Change to Supporting Information: Changed Description

A CARE PROFESSIONAL, with a MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION within a particular TREATMENT FUNCTION, to act as the clinical supervisor for a Mental Health Care Spell.

There will be only one CARE PROFESSIONAL assigned to a PATIENT as the Mental Health Responsible Clinician at any one time. These assignments may change during the course of a Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.

The role of Mental Health Responsible Clinician was introduced in the Mental Health Act 2007 and replaces the role of the Responsible Medical Officer.

Information recorded for a Mental Health Responsible Clinician includes:

START DATE
END DATE   O
CARE PROFESSIONAL IDENTIFIER of the Mental Health Responsible Clinician
TREATMENT FUNCTION CODE under which the Mental Health Responsible Clinician is acting when treating the PATIENT
MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION
 

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NEWBORN HEARING SCREENING

Change to Supporting Information: New Supporting Information

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Newborn Hearing Screening is a Clinical Investigation.

The NHS Newborn Hearing Screening Programme (NHSP) ensures all parents are offered hearing screening for their new child within the first few weeks of life. It is a core service within the NHS in England and part of the family of Antenatal and Newborn Screening Programmes.

For further information on Newborn Hearing Screening, see the NHS Newborn Hearing Screening Programme website.

Note: if the child fails the Newborn Hearing Screening, a REFERRAL REQUEST for audiology testing is made.

 

This supporting information is also known by these names:
ContextAlias
pluralNewborn Hearing Screenings

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OUT-PATIENT ATTENDANCE CONSULTANT

Change to Supporting Information: Changed Description

Out-Patient Attendance Consultant is a CARE CONTACT.

An attendance at which a PATIENT is seen by or has contact with (face to face or via telephone/telemedicine) a CONSULTANT, in respect of one referral, that is not a visit to the home of a PATIENT for which a fee is payable under paragraph 140 of the Terms and Conditions of Service. For the purposes of this definition 'CONSULTANT' includes a member of the CONSULTANT's firm or locum for such a member. The attendance will be part of a Consultant Out-Patient Episode.

If a PATIENT is seen by a CONSULTANT at a Consultant Clinic then this will be a Clinic Attendance Consultant. An attendance may involve more than one PERSON (e.g. a family). The number of attendances to be recorded should be the number of PATIENTS for whom the particular CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance.

A visit to the home of a PATIENT made at the instance of a hospital or specialist to review the urgency of a proposed admission to hospital, or to continue to supervise treatment initiated or prescribed at a hospital or clinic is covered by this definition.

Out-Patient Attendance Consultant also includes a PATIENT being seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) in circumstances where there is no transfer of responsibility for the care of the PATIENT.

If the PATIENT is currently subject to a Mental Health Care Spell and the CONSULTANT they are in contact with during attendance is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

During the Out-Patient Attendance Consultant, a number of PATIENT DIAGNOSES and Patient Procedures may be recorded.

A series of Out-Patient Attendance Consultant will form a Consultant Out-Patient Episode, generated from a single referral. Note that it is possible to have two Consultant Out-Patient Episodes with the same CONSULTANT for different clinical conditions, if two referrals are made. An attendance may involve more than one PERSON - for example, a family. The number of attendances to be recorded should be the number of PATIENTS for whom the CONSULTANT Out-Patient Attendance Consultant can take place outside a clinic session, and can take place at the PATIENT's normal place of residence.

A PATIENT attending a WARD for examination or care will be counted as an Out-Patient Attendance Consultant if he/she is seen by a doctor. If they are only seen by a NURSE, they are a Ward Attendance.

An Out-Patient Attendance Consultant should also be recorded where a PATIENT is seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) where there is no transfer of responsibility for the care of the PATIENT. For example, a PATIENT who is admitted to hospital under a Gastroenterology specialty following an overdose may be seen while still in hospital by a psychiatrist who has been asked to assess their mental condition. The assessment by the psychiatrist should be recorded as an Out-Patient Attendance Consultant.

Information recorded for an Out-Patient Attendance Consultant includes:

ATTENDANCE DATE
ATTENDANCE IDENTIFIER
CONSULTATION MEDIUM USED
FIRST ATTENDANCE
LOCATION TYPE
MEDICAL STAFF TYPE SEEING PATIENT   O
OUTCOME OF ATTENDANCE
 

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PATIENT INFORMED OF OUTCOME DATE

Change to Supporting Information: Changed Description

Patient Informed Of Outcome Date is an ACTIVITY DATE TIME TYPE.

The date a PATIENT was informed of the outcome of a Mental Health Care Spell assessment or Care Programme Approach Review. The requirement for the PATIENT to be informed of outcomes is laid down in The Patient's Charter - Mental Health Services.

 

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PROFESSIONAL STAFF GROUP CONTACT

Change to Supporting Information: Changed Description

Professional Staff Group Contact is a CARE CONTACT.

A single occasion involving contact between a PATIENT or his/her proxy and one or more members of a professional staff group discipline from a Professional Staff Group Department, including paid support staff working for a professional staff group discipline.

A Professional Staff Group Contact may follow from an Out-Patient Appointment Non-Consultant, in this event the time seen should be recorded.

A proxy contact is a single occasion involving contact between a client/PATIENT or his/her proxy, and one or more members of a professional staff group discipline or relevant staff group for community service. Contacts with proxies count as face-to-face contacts only if the contact is in lieu of the contact with the client, and the proxy is able more effectively than the client to ensure that specific professional advice devised for the client is followed. This is most likely to be the case where the client is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or learning disabilities.

For Professional Staff Group Services, face to face contacts comprise both:

a.Attendances lasting from the arrival to the departure of the PATIENT 
b.Visits lasting from the arrival to the departure of professional staff group staff

One or more members of the professional staff group discipline may be in contact with one or more PATIENTS at the same time and PATIENTS may be seen in association with staff from other disciplines. Contacts should be recorded as follows:

a.If one or more staff of the same discipline are in contact with one PATIENT at the same time, this should be recorded as one face to face contact
b.If staff see a PATIENT with staff of other disciplines, this should be recorded as one face to face contact for each discipline involved
c.If one or more staff of one discipline are in contact with a group of PATIENTS at the same time, each PATIENT should be recorded as one face to face contact
d.If staff from different disciplines are in contact with a group of PATIENTS at the same time, each PATIENT should be recorded as one face to face contact for each discipline involved

For physiotherapy, it may not be practical to collect data about all face-to-face contacts; however as a minimum, initial contacts and first contacts in financial year should be recorded.

For occupational therapy, the contact duration should be recorded in half-hour units.

If the PATIENT is currently subject to a Mental Health Care Spell and the member of the professional staff group discipline in contact is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Note: When face-to-face contacts are used for attributing professional staff group costs to MAIN SPECIALTIES, it will be necessary to distinguish between those contacts by PATIENTS using a Hospital Bed, attenders at Consultant Clinics and attenders at Day Care Facilities.

Information recorded for a Professional Staff Group Contact includes:

Contact Date
First Contact In Financial Year
Initial Contact
LOCATION TYPE
PATIENT FACILITY GROUP
Time Seen   O (if patient attends as a result of a clinic appointment)
 

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RESPONSIBLE ADULT MENTAL HEALTH CARE TEAM  renamed from RESPONSIBLE MENTAL HEALTH CARE TEAM

Change to Supporting Information: Changed Name, Description, Aliases

Responsible Mental Health Care Team is a CARE PROFESSIONAL TEAM RESPONSIBLE.Responsible Adult Mental Health Care Team is a CARE PROFESSIONAL TEAM RESPONSIBLE.

An assignment of responsibility of a Mental Health Care Team to a Mental Health Care Spell for a period of time.An assignment of responsibility of an Adult Mental Health Care Team to an Adult Mental Health Care Spell for a period of time.

There may be one or more Mental Health Care Teams involved with a PATIENT at any one time but only one Mental Health Care Team has responsibility at any one time. The assignments of responsibility may change during the course of a Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.There may be one or more Adult Mental Health Care Teams involved with a PATIENT at any one time but only one Adult Mental Health Care Team has responsibility at any one time. The assignments of responsibility may change during the course of an Adult Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.

 

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RESPONSIBLE ADULT MENTAL HEALTH CARE TEAM  renamed from RESPONSIBLE MENTAL HEALTH CARE TEAM

Change to Supporting Information: Changed Name, Description, Aliases

  • Changed Name from Data_Dictionary.NHS_Business_Definitions.R.Responsible_Mental_Health_Care_Team to Data_Dictionary.NHS_Business_Definitions.R.Responsible_Adult_Mental_Health_Care_Team
  • Changed Description
  • Alias Changes

    NameOld ValueNew Value
    pluralResponsible Mental Health Care TeamsResponsible Adult Mental Health Care Teams
    formerly Responsible Mental Health Care Team
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RH SYSTEM

Change to Supporting Information: New Supporting Information

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The RH System is a classification for a CLINICAL INVESTIGATION RESULT ITEM.

In addition to the antigens present in the ABO System, red blood cells sometimes have another antigen, a protein called the Rh factor.

  • If the Rh factor is present, the PERSON's blood group is RhD positive;
  • If the Rh factor is absent, the PERSON is RhD negative.

This means that a PERSON can be one of eight blood groups:

  • A RhD positive (A+)
  • A RhD negative (A-)
  • B RhD positive (B+)
  • B RhD negative (B-)
  • O RhD positive (O+)
  • O RhD negative (O-)
  • AB RhD positive (AB+)
  • AB RhD negative (AB-).

For further information on the RH System, see the NHS Choices website.

 

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SHELTERED WORK ATTENDANCE

Change to Supporting Information: Changed Description

Sheltered Work Attendance is a CARE CONTACT.

One attendance of a PATIENT at a particular Sheltered Work Session.

If the PATIENT is currently subject to a Mental Health Care Spell and during attendance at the facility are in contact with their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.If the PATIENT is currently subject to an Adult Mental Health Care Spell and during attendance at the facility are in contact with their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

 

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TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)

Change to Supporting Information: Changed Description

Telephone Contact NHS Direct (Mental Health) is a CARE CONTACT.

A telephone contact between a PATIENT subject to a Mental Health Care Spell and NHS Direct which is related to the PATIENT's mental illness. This refers to any contacts that are required to be shared between NHS Direct and a Mental Health NHS Trust according to local and nationally agreed protocols on information sharing.

Each contact should be recorded by NHS Direct and the details of the contact made known to the specialist mental health service responsible for the PATIENT.

 

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WARD ATTENDANCE

Change to Supporting Information: Changed Description

Ward Attendance is a CARE CONTACT.

An attendance at a WARD by a PATIENT for nursing care, where the PATIENT is not currently admitted to that Health Care Provider. A Ward Attendance should be recorded for only one Nurse or Midwife Contact. If the attendance is primarily for the purpose of examination or treatment by a doctor it is an Out-Patient Attendance Consultant and not a Ward Attendance. The care is for the prevention, cure, relief or investigation because of a disease, injury, health problem or other factor affecting their health status and may include one or more Patient Procedures. This includes:-

a.Disease (physical or mental) confirmed or suspected - inclusive of undiagnosed signs or symptoms.
b.Injury - inclusive of poisoning - confirmed or suspected.
c.Health problem e.g. prostheses or graft in situ
d.Other factors influencing the health status of non-sick PERSONS e.g
 i.pregnancy
 ii.sexual and reproductive health (formerly known as family planning)
 iii.potential donor (organ or tissue)
 iv.potential problem requiring prophylactic (preventative) care
 v.bereavement or other problem requiring health professional counselling
 vi.cosmetic surgery
 vii.other

The ADMINISTRATIVE CATEGORY of the PATIENT can be recorded for the Ward Attendance.

The PATIENT's FIRST ATTENDANCE whether the first in a series or the only attendance should be recorded.

If the PATIENT is currently subject to a Mental Health Care Spell and during attendance is in contact with the NURSE who is their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

 

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WARD STAY

Change to Supporting Information: Changed Description

Ward Stay is an ACTIVITY GROUP.

The time a PATIENT, using a Hospital Bed and/or using a delivery facility, stays in one WARD.

Each Ward Stay is within only one Hospital Provider Spell.

When a PATIENT takes Home Leave, Mental Health Leave Of Absence or has a current period of Mental Health Absence Without Leave, this should be recorded as a WARD transfer to 'Home Leave', 'leave of absence' or 'absence without leave' and a new Ward Stay should begin on return. In the case of Home Leave, the Nursing Episode, Midwife Episode or Consultant Episode (Hospital Provider), Hospital Stay or Hospital Provider Spell however remain uninterrupted. In the case of Mental Health Leave Of Absence and Mental Health Absence Without Leave, the Nursing Episode, Midwife EpisodeConsultant Episode (Hospital Provider) or Hospital Provider Spell however will only remain uninterrupted if the absence is for a period of 28 days or less.

In the case of PATIENTS using maternity WARDS of the same type on the same site, these should be recorded as one WARD. There will therefore only be one Ward Stay rather than transfers between WARDS. For local purposes, however, such transfers may be identified.

For PATIENTS subject to a Mental Health Care Spell the end time of the Ward Stay should be recorded, as well as the start time if systems permit.For PATIENTS subject to a Mental Health Care Spell the End Time of the Ward Stay should be recorded, as well as the Start Time if systems permit.

For each Ward Stay there should be a named NURSE or MIDWIFE who is responsible for the nursing or midwifery care of the PATIENT. If the named NURSE or MIDWIFE changes, the change is recorded.

 

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ACTIVITY GROUP

Change to Class: Changed Attributes, Description

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ACTIVITY GROUP

Change to Class: Changed Attributes, Description

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
BABY FEEDING METHOD TYPE
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 FROM MENTAL HEALTH SERVICE REASON
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
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE CANCER
WARD STAY TERMINATION REASON

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ACTIVITY SUSPENSION

Change to Class: Changed Attributes

Attributes of this Class are:
KACTIVITY SUSPENSION START DATE
ACTIVITY SUSPENSION END DATE
ACTIVITY SUSPENSION TYPE
MHCS SUSPENSION REASON
ADULT MENTAL HEALTH CARE SPELL SUSPENSION REASON

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CARE PROFESSIONAL TEAM RESPONSIBLE

Change to Class: Changed Description

An assignment of responsibility of a CARE PROFESSIONAL TEAM to an ACTIVITY for a period of time e.g. a Mental Health Care Team to a Mental Health Care Spell.An assignment of responsibility of a CARE PROFESSIONAL TEAM to an ACTIVITY for a period of time e.g. an Adult Mental Health Care Team to an Adult Mental Health Care Spell.

 

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CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Attributes

Attributes of this Class are:
KINVESTIGATION RESULT DATE
KINVESTIGATION RESULT TIME
ARITHMETIC COMPARATOR
BIOPSY REFERRAL OUTCOME
CANCER HISTOLOGICAL TYPE
CANCER MARKER LYMPH NODE STATUS
CANCER VASCULAR OR LYMPHATIC INVASION
CERVICAL SMEAR EXAMINED DATE
CLINICAL INVESTIGATION ITEM UNIT OF MEASURE
CLOSEST MARGIN
CYTOLOGY RESULT TYPE
CYTOLOGY SMEAR REASON
DEVIATING RESULT INDICATOR
EXCISION MARGIN
GRADE OF DIFFERENTIATION
INVASIVE CANCER SPECIAL TYPE INDICATOR
INVASIVE LESION SIZE
INVESTIGATION EXAMINATION RESULT CODE
INVESTIGATION RESULT TEXT
LYMPH NODE STATUS
MARKER LYMPH NODE RESULT
NECROSIS
NEWBORN HEARING SCREENING OUTCOME
NODES EXAMINED NUMBER
NODES POSITIVE NUMBER
NUMERICAL VALUE
PERINEURAL INVASION
RADIOLOGICAL RESULT VERIFIED DATE
RADIOLOGICAL RESULT VERIFIED TIME
RESULT ITEM STATUS
SARCOMA RELATION TO DEEP FASCIA
SCREENING TEST RESULT
SMEAR INFECTION TYPE
SPECIMEN NATURE
SYNCHRONOUS TUMOUR INDICATOR

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DISABILITY

Change to Class: Changed Attributes

Attributes of this Class are:
LEARNING DISABILITY INDICATOR
PERCEIVED DISABILITY CODE
REGISTERED DISABILITY CODE
REGISTERED DISABILITY END DATE
REGISTERED DISABILITY START DATE

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION  renamed from LEGAL STATUS CLASSIFICATION

Change to Class: Changed Name, Aliases

  • Changed Name from Data_Dictionary.Classes.L.LEGAL_STATUS_CLASSIFICATION to Data_Dictionary.Classes.M.MENTAL_HEALTH_ACT_LEGAL_STATUS_CLASSIFICATION
  • Alias Changes

    NameOld ValueNew Value
    pluralLEGAL STATUS CLASSIFICATIONSMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATIONS
    formerly LEGAL STATUS CLASSIFICATION
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PERSON PROPERTY

Change to Class: Changed Attributes

Attributes of this Class are:
KPERSON PROPERTY IDENTIFIER
AMI HISTORY ITEM TYPE
FREE PRESCRIPTIONS INDICATOR
LAST MENSTRUAL PERIOD DATE
PERSON BLOOD GROUP
PERSON PROPERTY EFFECTIVE DATE
PERSON PROPERTY EFFECTIVE END DATE
PERSON PROPERTY EFFECTIVE END TIME
PERSON PROPERTY EFFECTIVE TIME
PERSON PROPERTY OBSERVED DATE
PERSON PROPERTY OBSERVED TIME
PERSON PROPERTY RECORDED DATE
PERSON PROPERTY RECORDED TIME
PERSON RHESUS FACTOR
PREGNANCY STATUS

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WARD

Change to Class: Changed Attributes

Attributes of this Class are:
KWARD NUMBER
CRITICAL CARE UNIT FUNCTION
IC OR HD UNIT INDICATOR
UNIT BED CONFIGURATION
WARD NAME
WARD SECURITY LEVEL

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ADMISSION METHOD

Change to Attribute: Changed Description

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

The method of admission to a Hospital Provider Spell. A detailed definition of Elective Admission is given in ELECTIVE ADMISSION TYPE.

National Codes:

Elective Admission, when the DECISION TO ADMIT could be separated in time from the actual admission:
11Waiting list
12Booked
13Planned
Note that this does not include a transfer from another Hospital Provider (see 81 below).

Emergency Admission, when admission is unpredictable and at short notice because of clinical need:
21Accident and emergency or dental casualty department of the Health Care Provider
22GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23Bed bureau
24Consultant Clinic, of this or another Health Care Provider
28Other means, examples are:
- admitted from the Accident And Emergency Department of another provider where they had not been admitted
- transfer of an admitted PATIENT from another Hospital Provider in an emergency
- baby born at home as intended

Maternity Admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy
31Admitted ante-partum
32Admitted post-partum

Other Admission not specified above

Gate-Kept Mental Health Admission
41Admission via Mental Health Crisis Resolution Team

Other Admission not specified above
82The birth of a baby in this Health Care Provider
83Baby born outside the Health Care Provider except when born at home as intended.
81Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency
 

Note: The classification has been listed in logical sequence rather than alphanumeric order.

 

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ADULT MENTAL HEALTH CARE SPELL SUSPENSION REASON  renamed from MHCS SUSPENSION REASON

Change to Attribute: Changed Name, Description, Aliases

A classification which identifies the reason for suspending a Mental Health Care Spell.A classification which identifies the reason for suspending an Adult Mental Health Care Spell.

National Codes:

1Unavailability of bed
2Specialist care available in another NHS Trust
3Patient temporarily resident elsewhere
2Specialist care available in another NHS Trust
3PATIENT temporarily resident elsewhere
 

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ADULT MENTAL HEALTH CARE SPELL SUSPENSION REASON  renamed from MHCS SUSPENSION REASON

Change to Attribute: Changed Name, Description, Aliases

  • Changed Name from Data_Dictionary.Attributes.M.MHCS.MHCS_SUSPENSION_REASON to Data_Dictionary.Attributes.A.Add.ADULT_MENTAL_HEALTH_CARE_SPELL_SUSPENSION_REASON
  • Changed Description
  • Alias Changes

    NameOld ValueNew Value
    pluralMHCS SUSPENSION REASONSADULT MENTAL HEALTH CARE SPELL SUSPENSION REASONS
    formerly MHCS SUSPENSION REASON
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BABY FEEDING METHOD TYPE

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

This is the method of feeding a baby is receiving.

National Codes:

1Exclusively Breast milk feeding
2Partially Breast milk feeding
3Exclusively Artificial milk feeding
 

This attribute is also known by these names:
ContextAlias
pluralBABY FEEDING METHOD TYPES

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CARE PROFESSIONAL ROLE CODE

Change to Attribute: Changed Description

Identifies the role undertaken by a CARE PROFESSIONAL during an ACTIVITY.

There may be several different value sets for a role which are identified by the CARE PROFESSIONAL ROLE TYPE. Examples of sets of values which might be used are given below.

A role undertaken by a CARE PROFESSIONAL within a ACTIVITY such as a Mental Health Care Spell or a Hospital Provider Spell is classified as follows.

Classifications:

a.Responsible clinician
b.Shared care clinician

A Role undertaken by a CARE PROFESSIONAL within a CLINICAL INTERVENTION is classified as follows.

Classifications:

a.Performs the procedure
b.General Anaesthesia Administrator
c.Local Anaesthesia Administrator
d.Assists the procedure

References:
National Joint Registry Data Set: v.1: 24th March 2003

A PROFESSIONAL ADVICE AND SUPPORT STAFF GROUP are a grouping of staff carrying out ACTIVITIES in a Professional Advice And Support Programme.

 

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DISCHARGE FROM MENTAL HEALTH SERVICE REASON

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The reason that a PATIENT was discharged from a Mental Health Care Spell.

National Codes:

01Discharged on professional advice
02Discharged against professional advice
03PATIENT non-attendance
04Transferred to other Health Care Provider Medium Secure Unit
05Transferred to other Health Care Provider High Secure Unit
06Transferred to other Health Care Provider not Medium/High Secure
07Transferred to Adult Mental Health Services*
08PATIENT died

* National Code 07 is only valid where a child or adolescent PATIENT has been discharged from a Child And Adolescent Mental Health Care Spell because of transfer to adult mental health services - it is not valid for use when discharging a PATIENT from an Adult Mental Health Care Spell.

 

This attribute is also known by these names:
ContextAlias
pluralDISCHARGE FROM MENTAL HEALTH SERVICE REASONS

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DISCHARGE FROM MENTAL HEALTH SERVICE REASON

Change to Attribute: New Attribute

DISCHARGE FROM MENTAL HEALTH SERVICE REASON
 
Data Elements:
DISCHARGE REASON (MENTAL HEALTH SERVICE)

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EMPLOYMENT STATUS

Change to Attribute: Changed Description

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

EMPLOYMENT STATUS is the current EMPLOYMENT status of a PERSON.

National Codes:

01Employed
02Unemployed and Seeking Work
03Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work
04Long-term sick or disabled, those who are receiving Incapacity Benefit, Income Support or both
05Homemaker looking after the family or home and who are not working or actively seeking work
06Not receiving benefits and who are not working or actively seeking work
07Unpaid voluntary work who are not working or actively seeking work
08Retired from paid work
08Retired
ZNot Stated (PERSON asked but declined to provide a response)
 

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INTERPRETER REQUIRED INDICATOR

Change to Attribute: Changed Description

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

Identifies whether an interpreter is required for the purposes of communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON.Identifies whether an interpreter is required for the purposes of communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON during an ACTIVITY.

National Codes:

YYes
NNo
 

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INVESTIGATION EXAMINATION RESULT CODE

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

An outcome of a physical examination as part of a Clinical Investigation.

National Codes:

01Satisfactory
02Problem Identified
03Problem Suspected
NNot Examined
 

This attribute is also known by these names:
ContextAlias
pluralINVESTIGATION EXAMINATION RESULT CODES

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LEARNING DISABILITY INDICATOR

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

An indication of whether a PERSON has a Learning Disability. This may be derived from PATIENT DIAGNOSIS.

A Learning Disability may be a:

National Codes:

YYes
NNo
 

This attribute is also known by these names:
ContextAlias
pluralLEARNING DISABILITY INDICATORS

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LEARNING DISABILITY INDICATOR

Change to Attribute: New Attribute

LEARNING DISABILITY INDICATOR
 
Data Elements:
LEARNING DISABILITY INDICATOR

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE  renamed from LEGAL STATUS CLASSIFICATION CODE

Change to Attribute: Changed Name, Description, Aliases

A classification of Legal Status. The classification 'informal' is used for those PATIENTS who are not formally detained or not receiving supervised aftercare.

National Codes:

01Informal
02Formally detained under Mental Health Act Section 2
03Formally detained under Mental Health Act Section 3
04Formally detained under Mental Health Act Section 4
05Formally detained under Mental Health Act Section 5(2)
06Formally detained under Mental Health Act Section 5(4)
07Formally detained under Mental Health Act Section 35
08Formally detained under Mental Health Act Section 36
09Formally detained under Mental Health Act Section 37 with section 41 restrictions
10Formally detained under Mental Health Act Section 37
12Formally detained under Mental Health Act Section 38
13Formally detained under Mental Health Act Section 44
14Formally detained under Mental Health Act Section 46
15Formally detained under Mental Health Act Section 47 with section 49 restrictions
16Formally detained under Mental Health Act Section 47
17Formally detained under Mental Health Act Section 48 with section 49 restrictions
18Formally detained under Mental Health Act Section 48
19Formally detained under Mental Health Act Section 135
20Formally detained under Mental Health Act Section 136
31Formally detained under Criminal Procedure(Insanity) Act 1964 as amended by the Criminal Procedures (Insanity and Unfitness to Plead) Act 1991
32Formally detained under other acts
33Supervised Discharge (Mental Health (Patients in the Community) Act 1995)
33Supervised Discharge (Mental Health (Patients in the Community) Act 1995) (Retired 03 November 2008 - but may apply to some patients until 3 May 2009)
34Formally detained under Mental Health Act Section 45A
35Subject to guardianship under Mental Health Act Section 7
36Subject to guardianship under Mental Health Act Section 37
 

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE  renamed from LEGAL STATUS CLASSIFICATION CODE

Change to Attribute: Changed Name, Description, Aliases

  • Changed Name from Data_Dictionary.Attributes.L.LEGAL_STATUS_CLASSIFICATION_CODE to Data_Dictionary.Attributes.M.Men.MENTAL_HEALTH_ACT_LEGAL_STATUS_CLASSIFICATION_CODE
  • Changed Description
  • Alias Changes

    NameOld ValueNew Value
    pluralLEGAL STATUS CLASSIFICATION CODESMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODES
    formerly LEGAL STATUS CLASSIFICATION CODE
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MENTAL HEALTH CARE SPELL END CODE

Change to Attribute: Changed Description

A classification which identifies the reason for the ending of a Mental Health Care Spell.A classification which identifies the reason for the ending of an Adult Mental Health Care Spell.

National Codes:

00Finished on professional advice
01Finished against professional advice
02Finished by patient's non-attendance
03Patient died
02Finished by PATIENT's non-attendance
03PATIENT died
21Transfer to medium secure
23Transfer to high secure
25Transfer to other health provider
 

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MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION

Change to Attribute: Changed Description

The profession in which the professional has been trained and been approved to be able to act as a clinical supervisor for a Mental Health Care Spell provided they meet appropriate standards and competencies following training. The Mental Health Responsible Clinician for a PATIENT with a Mental Health Care Spell will be one of these professionals approved from a particular profession.

National Codes:

01Registered Medical Practitioners (such as CONSULTANTS or GENERAL MEDICAL PRACTITIONERS)
02Mental Health NURSE (Nurse (Level One) registered with the Nursing and Midwifery Council)
03Learning Disabilities NURSE (Nurse (Level One) registered with the Nursing and Midwifery Council)
04Psychologist (listed in the British Psychological Society register of chartered psychologists)
05Occupational Therapist (registered with the Health Professions Council)
06Social Worker (registered with the General Social Care Council)
 

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NEWBORN HEARING SCREENING OUTCOME

Change to Attribute: Changed Description

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

A coded CLINICAL INVESTIGATION RESULT ITEM for a Clinical Investigation of a newborn hearing screening.A coded CLINICAL INVESTIGATION RESULT ITEM for a Clinical Investigation of a Newborn Hearing Screening.

National Codes:

01Clear response, no follow up required
02Clear response, targeted follow up required
03No clear response, bilateral referral
04No clear response, unilateral referral
05Incomplete
 

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PATIENT INFORMED OF OUTCOME DATE

Change to Attribute: Changed Description

The date a PATIENT was informed of the outcome of a Mental Health Care Spell assessment or Care Programme Approach Review. The requirement for the PATIENT to be informed of outcomes is laid down in The Patient's Charter - Mental Health Services.

 

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PERSON BLOOD GROUP

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The blood group of a PERSON established as a result of a Clinical Investigation using the ABO System.

National Codes:

ABlood Group A
BBlood Group B
ABBlood Group AB
OBlood Group O
 

This attribute is also known by these names:
ContextAlias
pluralPERSON BLOOD GROUPS

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PERSON RHESUS FACTOR

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

An indication of whether a PERSON has or does not have the rhesus factor (or Rh D antigen) on the surface of their red blood cells, using the RH System.

This is indicated in association with their PERSON BLOOD GROUP, established as a result of a Clinical Investigation, by:

  • RhD-Positive (does have the Rh D antigen) or
  • RhD-Negative (does not have the antigen).

National Codes:

POSRhD-positive
NEGRhD-negative
 

This attribute is also known by these names:
ContextAlias
pluralPERSON RHESUS FACTORS

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SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

A classification which identifies the source of referral of a Mental Health Care Spell.

National Codes:

00GENERAL MEDICAL PRACTITIONER
01Self
02Local Authority Social Services
03Accident And Emergency Department
04Employer
05Education Service
06Police
07Other clinical specialty
08Carer
09Courts
10Probation Service
11High security
12Medium security
13Other
20Temporary transfer from mental health unit
21Permanent transfer from mental health unit
22Transfer by graduation from local child and adolescent mental health services
 

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WARD SECURITY LEVEL

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The level of security for a WARD.

National Codes:

0General (non-secure) 
Non secure accommodation or accommodation that only has normal levels of security such as general WARDS
1Low Secure
Low secure WARDS/units deliver comprehensive, multidisciplinary, treatment and care by qualified staff for PATIENTS who demonstrate disturbed behaviour in the context of a serious mental disorder and who require the provision of security. This includes (but is not limited to) Psychiatric Intensive Care Unit (PICU), low secure forensic services, challenging behaviour services, and secure rehabilitation services.
2Medium Secure
Medium secure WARDS/units deliver comprehensive, multidisciplinary treatment and care by qualified staff for PATIENTS who demonstrate disturbed behaviour in the context of a serious mental disorder and who may present a serious risk to others.
3High Secure
High secure WARDS/hospitals provide comprehensive, multidisciplinary treatment and care by qualified staff for PATIENTS who demonstrate disturbed behaviour in the context of a serious mental disorder and have been assessed as presenting a grave and immediate danger to others.  The Hospital must be part of an NHS Trust approved by the Secretary of State to provide high security psychiatric services.
 

This attribute is also known by these names:
ContextAlias
pluralWARD SECURITY LEVELS

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WARD SECURITY LEVEL

Change to Attribute: New Attribute

WARD SECURITY LEVEL
 
Data Elements:
WARD SECURITY LEVEL

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ACCOMMODATION STATUS DATE

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The PERSON PROPERTY OBSERVED DATE when the ACCOMMODATION STATUS CODE was recorded.

 

This data element is also known by these names:
ContextAlias
pluralACCOMMODATION STATUS DATES

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ACCOMMODATION STATUS DATE

Change to Data Element: New Data Element

ACCOMMODATION STATUS DATE
 
Attribute:
PERSON PROPERTY OBSERVED DATE

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BED DAYS (MENTAL HEALTH INTENSIVE)

Change to Data Element: Changed Description

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

Notes:
BED DAYS (MENTAL HEALTH INTENSIVE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

a.one or more Consultant Episodes (Hospital Provider) within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Consultant Episodes (Hospital Provider) within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the MAIN SPECIALTY of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTIES being 700, 710, 712, 713 and 715.
and 
c.where the PATIENT was admitted to a bed in a WARD with a CLINICAL CARE INTENSITY National Code 51 'Specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward'.

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of a Mental Health Care Spell. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of an Adult Mental Health Care Spell. This excludes any admissions to Hospital Provider Spells where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.

There is a Start Date and End Date for each Consultant Episode (Hospital Provider) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Hospital Provider).

BED DAYS (MENTAL HEALTH INTENSIVE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

A PATIENT going on Home Leave, or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Consultant Episode (Hospital Provider) but are not using a bed during their period of absence.

Consultant Episode (Hospital Provider), Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Consultant Episode (Hospital Provider), Adult Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

 

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BED DAYS (MENTAL HEALTH MEDIUM SECURE)

Change to Data Element: Changed Description

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

Notes:
BED DAYS (MENTAL HEALTH MEDIUM SECURE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

a.one or more Consultant Episode (Hospital Provider) within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Consultant Episode (Hospital Provider) within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the MAIN SPECIALTY of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTIES being 700, 710, 712, 713 and 715.
and 
c.where the PATIENT was admitted to an ORGANISATION SITE, SERVICE POINT or WARD with a SECURE ACCOMMODATION TYPE classification b. 'Medium secure accommodation, a secure facility providing care at a regional level under the care of a forensic psychiatrist. This excludes high security accommodation in Hospital Site approved to provide high security psychiatric services'.

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of a Mental Health Care Spell. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of an Adult Mental Health Care Spell. This excludes any admissions to Hospital Provider Spells where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.

There is a Start Date and End Date for each Consultant Episode (Hospital Provider) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Hospital Provider).

BED DAYS (MENTAL HEALTH MEDIUM SECURE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

A PATIENT going on Home Leave, or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Consultant Episode (Hospital Provider) but are not using a bed during their period of absence.

Consultant Episode (Hospital Provider), Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Consultant Episode (Hospital Provider), Adult Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

 

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BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)

Change to Data Element: Changed Description

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

Notes:
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

a.one or more Care Home Stay (Nursing Care) and/or Care Home Stay (Residential) within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Care Home Stay (Nursing Care) and/or Care Home Stay (Residential) within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the BROAD PATIENT GROUP CODE is National Code 5 'Patients with mental illness'
and 
c.where the Care Home is operated and managed by an NHS ORGANISATION as classified by ORGANISATION TYPE 

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Care Home Stay (Nursing Care) or Care Home Stay (Residential) and there may be more than one such stay during the course of a Mental Health Care Spell. Each period of bed days is recorded by a Care Home Stay (Nursing Care) or Care Home Stay (Residential) and there may be more than one such stay during the course of an Adult Mental Health Care Spell.

There is a Start Date and End Date for each Care Home Stay (Nursing Care) or Care Home Stay (Residential) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).

BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

A PATIENT going on Home Leave, or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential) but are not using a bed during their period of absence.

Care Home Stay (Nursing Care), Care Home Stay (Residential) and Mental Health Care Spell are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Care Home Stay (Nursing Care), Care Home Stay (Residential) and Adult Mental Health Care Spell are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Care Home is an ORGANISATION SITE where the Care Home is an ORGANISATION SITE.

 

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CARE DAYS (ACUTE HOME-BASED)

Change to Data Element: Changed Description

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

Notes:
CARE DAYS (ACUTE HOME-BASED) is an optional data element in the Mental Health Minimum Data Set collection record. It should only be present if one or more Consultant Episode (Acute Home-Based) within the Mental Health Care Spell has occurred during the REPORTING PERIOD. It should only be present if one or more Consultant Episode (Acute Home-Based) within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of care days within the REPORTING PERIOD. Each period of care days is recorded by a Consultant Episode (Acute Home-Based) and there may be more than one such episode during the course of a Mental Health Care Spell. Each period of care days is recorded by a Consultant Episode (Acute Home-Based) and there may be more than one such episode during the course of an Adult Mental Health Care Spell.

There is a START DATE and END DATE for each for each Consultant Episode (Acute Home-Based) and the calculation is based upon those care days which have occurred during the REPORTING PERIOD adjusted for where periods of care days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of care days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Acute Home-Based).

CARE DAYS (ACUTE HOME-BASED) is the sum of the calculated periods of care days and should be recorded left justified with leading zeros.

Consultant Episode (Acute Home-Based) is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 13 'Consultant Episode (Acute Home-Based)'.

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

 

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CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)

Change to Data Element: Changed Description

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

Notes:
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is the same as Care Programme Approach Review.

CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Review within the Mental Health Care Spell has occurred during the REPORTING PERIOD.CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Review within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of such reviews within the Mental Health Care Spell which have occurred within the REPORTING PERIOD.It is the total number of such reviews within the Adult Mental Health Care Spell which have occurred within the REPORTING PERIOD. Each such review is recorded by a Care Programme Approach Review and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Care Programme Approach Review Date for each Care Programme Approach Review and the calculation is based upon those reviews which have occurred during the REPORTING PERIOD.

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

Care Programme Approach Review is a CARE CONTACT where the CARE CONTACT TYPE is National Code 05 'Care Programme Approach Review'.

 

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CARE SPELL IDENTIFIER (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:an12
HES item: 
National Codes: 
Default Codes: 

Notes:
The unique identifier of a Mental Health Care Spell recorded when a Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.The unique identifier of an Adult Mental Health Care Spell recorded when an Adult Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.

This is the CARE SPELL IDENTIFIER of a Mental Health Care Spell.This is the CARE SPELL IDENTIFIER of an Adult Mental Health Care Spell.

For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Adult Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD. Each MHMDS record will be separately identified, see CARE SPELL NUMBER IN REPORTING PERIOD for further details.

CARE SPELL IDENTIFIER (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set record and should only be recorded where the Health Care Provider can initiate and maintain Mental Health Care Spell.CARE SPELL IDENTIFIER (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set record and should only be recorded where the Health Care Provider can initiate and maintain Adult Mental Health Care Spell.

CARE SPELL IDENTIFIER (MENTAL HEALTH) is the same as attribute ACTIVITY IDENTIFIER.

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

 

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CARE SPELL NUMBER IN REPORTING PERIOD

Change to Data Element: Changed Description

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

Notes:
For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Adult Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.

CARE SPELL NUMBER IN REPORTING PERIOD is the sequence number for the assembled Mental Health Care Spell MHMDS record among the set of assembled Mental Health Care Spell MHMDS records for the same PATIENT within the REPORTING PERIOD. The CARE SPELL NUMBER IN REPORTING PERIOD for the first assembled record based on earliest Mental Health Care Spell in the REPORTING PERIOD will be recorded as 01 with it being incremented by 1 for each subsequent assembled record. For example if there are 3 assembled Mental Health Care Spell for the PATIENT within the REPORTING PERIOD then the first would be recorded as 01, the second as 02 and the third as 03.CARE SPELL NUMBER IN REPORTING PERIOD is the sequence number for the assembled Adult Mental Health Care Spell MHMDS record among the set of assembled Adult Mental Health Care Spell MHMDS records for the same PATIENT within the REPORTING PERIOD. The CARE SPELL NUMBER IN REPORTING PERIOD for the first assembled record based on earliest Adult Mental Health Care Spell in the REPORTING PERIOD will be recorded as 01 with it being incremented by 1 for each subsequent assembled record. For example if there are 3 assembled Adult Mental Health Care Spell for the PATIENT within the REPORTING PERIOD then the first would be recorded as 01, the second as 02 and the third as 03.

Use of CARE SPELL NUMBER IN REPORTING PERIOD is an interim measure as not all Health Care Providers can initiate and maintain Mental Health Care Spells and thus create and record unique CARE SPELL IDENTIFIERS.Use of CARE SPELL NUMBER IN REPORTING PERIOD is an interim measure as not all Health Care Providers can initiate and maintain Adult Mental Health Care Spells and thus create and record unique CARE SPELL IDENTIFIERS.

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

 

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CONTACTS (OCCUPATIONAL THERAPIST)

Change to Data Element: Changed Description

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Notes:
CONTACTS (OCCUPATIONAL THERAPIST) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

a.one or more Professional Staff Group Contact within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Professional Staff Group Contact within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the SERVICE TYPE classification is 'Occupational Therapy'

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Professional Staff Group Contact and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Professional Staff Group Contact and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Professional Staff Group Contact is a CARE CONTACT where the CARE CONTACT TYPE is National Code 36 'Professional Staff Group Contact'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 17 'Face To Face Contact CPA Care Coordinator'.

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

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

 

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CONTACTS (PHYSIOTHERAPIST)

Change to Data Element: Changed Description

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HES item: 
National Codes: 
Default Codes: 

Notes:
CONTACTS (PHYSIOTHERAPIST) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

a.one or more Professional Staff Group Contact within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Professional Staff Group Contact within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the SERVICE TYPE classification is 'Physiotherapy'

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Professional Staff Group Contact and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Professional Staff Group Contact and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Professional Staff Group Contact is a CARE CONTACT where the CARE CONTACT TYPE is National Code 33 'Professional Staff Group Contact'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 16 'Face To Face Contact CPA Care Coordinator'.

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

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

 

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CONTACTS (PSYCHOTHERAPY)

Change to Data Element: Changed Description

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Default Codes: 

Notes:
This is an optional data element in the Mental Health Minimum Data Set and should only be present if:

a.one or more CARE CONTACTS within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more CARE CONTACTS within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the TREATMENT FUNCTION for the CARE PROFESSIONAL is 713 'PSYCHOTHERAPY'

It is the total number of such contacts within the REPORTING PERIOD.

There is a Contact Date for each CARE CONTACT and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the CARE PROFESSIONAL is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

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

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

 

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CONTACTS (SOCIAL WORKER)

Change to Data Element: Changed Description

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Notes:
CONTACTS (SOCIAL WORKER) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Face To Face Contact Social Worker within the Mental Health Care Spell has occurred during the REPORTING PERIOD.CONTACTS (SOCIAL WORKER) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Face To Face Contact Social Worker within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Face To Face Contact Social Worker and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Face To Face Contact Social Worker and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the contact Social Worker is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Face To Face Contact Social Worker is a CARE CONTACT where the CARE CONTACT TYPE is National Code 19 'Face To Face Contact Social Worker'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 16 'Face To Face Contact CPA Care Coordinator'.

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

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

 

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CPA ENHANCED DAYS

Change to Data Element: Changed Description

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Notes:
CPA ENHANCED DAYS is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Start Dates with CPA LEVEL National Code 2 'Enhanced, multiple needs, including housing, employment etc, which requires inter-agency coordination' has occurred during the REPORTING PERIOD.

It is the total number of CPA ENHANCED DAYS within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA ENHANCED DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.It is the total number of CPA ENHANCED DAYS within the Adult Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA ENHANCED DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of an Adult Mental Health Care Spell.

There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA ENHANCED DAYS which have occurred during the REPORTING PERIOD adjusted for where periods of CPA ENHANCED DAYS overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA ENHANCED DAYS has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Programme Approach Episode.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA ENHANCED DAYS and should be recorded left justified with leading zeros.

Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the Mental Health Minimum Data Set collection record as Care Programme Approach is mandatory. A PATIENT subject to a Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Mental Health Care Spell. A PATIENT subject to an Adult Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Adult Mental Health Care Spell.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

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

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

 

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CPA STANDARD DAYS

Change to Data Element: Changed Description

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Notes:
CPA STANDARD DAYS is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Episode with CPA LEVEL National Code 1 'Standard, requires the support or intervention of one agency or discipline; or requires only low key support from more one agency' have occurred during the REPORTING PERIOD.

It is the total number of CPA STANDARD DAYS within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA STANDARD DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.It is the total number of CPA STANDARD DAYS within the Adult Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA STANDARD DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of an Adult Mental Health Care Spell.

There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA STANDARD DAYS which have occurred during the REPORTING PERIOD adjusted for where periods of CPA STANDARD DAYS overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA STANDARD DAYS has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Programme Approach Episode.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA STANDARD DAYS and should be recorded left justified with leading zeros.

Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the Mental Health Minimum Data Set collection record as Care Programme Approach is mandatory. A PATIENT subject to a Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Mental Health Care Spell. A PATIENT subject to an Adult Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Adult Mental Health Care Spell.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

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

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

 

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DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)

Change to Data Element: New Data Element

Format/Length:an3
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The identifier for the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

MATMaternity Data Set
CAMChild and Adolescent Mental Health Data Set
CYPNational Children's and Young People's Health Services Data Set
 

This data element is also known by these names:
ContextAlias
pluralDATA SET IDENTIFIERS (CHILDREN, YOUNG PEOPLE AND MATERNITY SERVICES)

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DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)

Change to Data Element: New Data Element

Format/Length:an3
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the identifier of the type of row of data carried in a data submission file for the National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Data Set, National Children's and Young People's Health Services Data Set or Child and Adolescent Mental Health Services Data Set). 

This may be a Data Set File Header row, a Segment row, or a File Trailer row.

See Children Young People and Maternity Services Data Sets Submission Requirements for usage requirements.

National Codes:

HDRData Set File Header Row
SEGData Set Segment Header Row
TRLData Set File Trailer Row
 

This data element is also known by these names:
ContextAlias
pluralDATA SET ROW TYPES (CHILDREN, YOUNG PEOPLE AND MATERNITY SERVICES)

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DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET)

Change to Data Element: New Data Element

Format/Length:an6
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The segment identifier for the Child and Adolescent Mental Health Services Data Set, which is one of the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

CAM010 
 

This data element is also known by these names:
ContextAlias
pluralDATA SET SEGMENT IDENTIFIERS (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES)

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DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)

Change to Data Element: New Data Element

Format/Length:an6
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The segment identifier for the Maternity Data Set, which is one of the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

MAT010 
 

This data element is also known by these names:
ContextAlias
pluralDATA SET SEGMENT IDENTIFIERS (MATERNITY DATA SET)

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DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET)

Change to Data Element: New Data Element

Format/Length:an6
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The segment identifier for the National Children's and Young People's Health Services Data Set, which is one of the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

CYP010 
 

This data element is also known by these names:
ContextAlias
pluralDATA SET SEGMENT IDENTIFIERS (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES)

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DATA SET SEGMENT RECORDS TOTAL

Change to Data Element: New Data Element

Format/Length:n5
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the total number of segment records within a file submission for a National Service Framework for Children Young People and Maternity Services Data Set (Maternity Data Set, National Children's and Young People's Health Services Data Set or Child and Adolescent Mental Health Services Data Set).

Segment records within one of these data set submissions are identified with National Code 'SEG' (see DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)).

The DATA SET SEGMENT RECORDS TOTAL Data Element flows in the Data Set File Trailer. See Children Young People and Maternity Services Data Sets Submission Requirements for further details.

 

This data element is also known by these names:
ContextAlias
pluralDATA SET SEGMENT RECORDS TOTALS

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DATA SET VERSION NUMBER

Change to Data Element: New Data Element

Format/Length:nn.nn
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The version number of a Data Set.

 

This data element is also known by these names:
ContextAlias
pluralDATA SET VERSION NUMBERS

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DATE AND TIME DATA SET CREATED

Change to Data Element: New Data Element

Format/Length:See DATE AND TIME
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATE AND TIME DATA SET CREATED is the same as DATE AND TIME.

The DATE AND TIME a Data Set was created.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 23 November 2004.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

This data element is also known by these names:
ContextAlias
pluralDATES AND TIMES DATA SET CREATED

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DATE LAST SEEN (CPA CARE COORDINATOR)

Change to Data Element: Changed Description

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

Notes:
The Contact Date of the last recorded Face To Face Contact CPA Care Coordinator within the Mental Health Care Spell.The Contact Date of the last recorded Face To Face Contact CPA Care Coordinator within the Adult Mental Health Care Spell.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where CARE CONTACT TYPE is National Code 16 'Face To Face Contact CPA Care Coordinator'.

Contact Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

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

 

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DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE)

Change to Data Element: Changed Description

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

Notes:
DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

a.one or more Day Care Attendances at Day Care Session within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Day Care Attendances at Day Care Session within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the ATTENDED OR DID NOT ATTEND is National Code 5 'Attended on time or, if late, before the relevant health care professional was ready to see the patient' or 6 'Arrived late, after the relevant health care professional was ready to see the patient, but was seen'
and 
c.where the DAY CARE FUNCTION classification is e. 'Mental illness'
and 
d.where the FACILITY TYPE of the Day Care Facility is a. 'Facilities financed, planned and run solely by NHS organisations. Staffing is solely by NHS employees' or b. 'Facilities financed, planned and run jointly by NHS organisations and non-NHS organisations. Staffing is a mixture of NHS and non-NHS employees'.

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by a Day Care Attendance and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a SESSION DATE for each Day Care Session and the calculation is based upon those attendances for sessions which have occurred during the REPORTING PERIOD.

Day Care Session is a SESSION where CLINIC OR FACILITY FREQUENCY is National Code 02 'Day Care Session'.

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

 

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DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR

Change to Data Element: Changed Description

Format/length:n
HES item: 
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Default Codes: 

Notes:
DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR is an indicator of whether or not:

a.one or more Day Care Attendance at Day Care Session within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Day Care Attendance at Day Care Session within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the ATTENDED OR DID NOT ATTEND is National Code 5 'Attended on time or, if late, before the relevant health care professional was ready to see the patient' or 6 'Arrived late, after the relevant health care professional was ready to see the patient, but was seen'
and 
c.where the DAY CARE FUNCTION classification is e. 'Mental illness'
and 
d.where the FACILITY TYPE of the Day Care Facility is c. 'Facilities financed, planned and run solely by non-NHS organisations. Staffing is solely by non-NHS employees'.
Recorded as:
 
0no attendance at a Non-NHS Day Care Facility occurred during the REPORTING PERIOD 
1one or more attendances at a Non-NHS Day Care Facility occurred during the REPORTING PERIOD 

Day Care Attendance is a CARE CONTACT where CARE CONTACT TYPE is National Code 12 'Day Care Attendance'.

Day Care Session is a SESSION where CLINIC OR FACILITY FREQUENCY is National Code 02 'Day Care Session'.

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

 

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DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE)

Change to Data Element: Changed Description

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

Notes:
DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

a.one or more Day Care Attendances at Day Care Session within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Day Care Attendances at Day Care Session within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the ATTENDED OR DID NOT ATTEND is National Code 3 'Did not attend - no advance warning given'
and 
c.where the DAY CARE FUNCTION classification is e. 'Mental illness'
and 
d.where the FACILITY TYPE of the Day Care Facility is a. 'Facilities financed, planned and run solely by NHS organisations. Staffing is solely by NHS employees' or b. 'Facilities financed, planned and run jointly by NHS organisations and non-NHS organisations. Staffing is a mixture of NHS and non-NHS employees'.

It is the total number of such did not attends within the REPORTING PERIOD. Each such did not attendance is recorded by a Day Care Attendance and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a SESSION DATE for each Day Care Session and the calculation is based upon those did not attends for sessions which have occurred during the REPORTING PERIOD.

Day Care Attendance is a CARE CONTACT where CARE CONTACT TYPE is National Code 12 'Day Care Attendance'.

Day Care Session is a SESSION where CLINIC OR FACILITY FREQUENCY is National Code 02 'Day Care Session'.

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

 

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DAYS LIABLE FOR DETENTION

Change to Data Element: Changed Description

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

Notes:
DAYS LIABLE FOR DETENTION is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Legal Status within the Mental Health Care Spell have occurred during the REPORTING PERIOD.DAYS LIABLE FOR DETENTION is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Legal Status within the Adult Mental Health Care Spell have occurred during the REPORTING PERIOD.

It is the total number of days detained or liable to be detained within the Mental Health Care Spell within the REPORTING PERIOD. Each period of such days is recorded by a Legal Status and there may be more than one recorded during the course of a Mental Health Care Spell.It is the total number of days detained or liable to be detained within the Adult Mental Health Care Spell within the REPORTING PERIOD. Each period of such days is recorded by a Legal Status and there may be more than one recorded during the course of an Adult Mental Health Care Spell.

There is a PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE END DATE for each Legal Status and the calculation is based upon those detained or liable to be detained days which have occurred during the REPORTING PERIOD adjusted for where periods of Legal Status overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of DAYS LIABLE FOR DETENTION has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Legal Status.

DAYS LIABLE FOR DETENTION is the sum of the calculated periods of Legal Status days and should be recorded left justified with leading zeros.

Legal Status is a CATEGORY VALUED PERSON OBSERVATION where CATEGORY VALUED PERSON OBSERVATION TYPE is National Code 07 'Legal Status Classification'.

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

 

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DAYS OF SUPERVISED DISCHARGE

Change to Data Element: Changed Description

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

Notes:
DAYS OF SUPERVISED DISCHARGE is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Supervised Discharge Episode within the Mental Health Care Spell have occurred during the REPORTING PERIOD.DAYS OF SUPERVISED DISCHARGE is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Supervised Discharge Episode within the Adult Mental Health Care Spell have occurred during the REPORTING PERIOD.

It is the total number of supervised aftercare days within the Mental Health Care Spell within the REPORTING PERIOD. Each period of supervised aftercare days is recorded by a Supervised Discharge Episode and there may be more than one such episode during the course of a Mental Health Care Spell.It is the total number of supervised aftercare days within the Adult Mental Health Care Spell within the REPORTING PERIOD. Each period of supervised aftercare days is recorded by a Supervised Discharge Episode and there may be more than one such episode during the course of an Adult Mental Health Care Spell.

There is a Start Date and End Date for each Supervised Discharge Episode and the calculation is based upon those supervised aftercare days which have occurred during the REPORTING PERIOD adjusted for where periods of supervised aftercare days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of supervised aftercare days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Supervised Discharge Episode.

DAYS OF SUPERVISED DISCHARGE is the sum of the calculated periods of supervised aftercare days and should be recorded left justified with leading zeros.

Supervised Discharge Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 35 'Supervised Discharge Episode'.

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

Start Date is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 31 'Start Date'.

End Date is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 11 'End Date'.

 

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DIAGNOSIS (ICD FIRST MOST RECENT)

Change to Data Element: Changed Description

Format/length:annnaa for ICD - 10
HES item: 
National Codes: 
Default Codes: 

Notes:
DIAGNOSIS (ICD FIRST MOST RECENT) is the same as the attribute CLINICAL CLASSIFICATION CODE.

At each Care Programme Approach Review of Care Programme Approach Episode within a Mental Health Care Spell, up to twelve PATIENT DIAGNOSES may be recorded.At each Care Programme Approach Review of Care Programme Approach Episode within an Adult Mental Health Care Spell, up to twelve PATIENT DIAGNOSES may be recorded. Each Care Programme Approach Review has a Care Programme Approach Review Date and the required DIAGNOSTIC CODING is ICD-10.

For purposes of the Mental Health Minimum Data Set collection, the twelve most recent PATIENT DIAGNOSES in chronological ascending sequence are required and these may have been recorded in one or more Care Programme Approach Review.

For example if the latest Care Programme Approach Review within a Mental Health Care Spell recorded 7 PATIENT DIAGNOSES and the previous Care Programme Approach Review recorded 8 PATIENT DIAGNOSES then:For example if the latest Care Programme Approach Review within an Adult Mental Health Care Spell recorded 7 PATIENT DIAGNOSES and the previous Care Programme Approach Review recorded 8 PATIENT DIAGNOSES then:

DIAGNOSIS (ICD FIRST MOST RECENT) would be the first of the 7 latest recorded
DIAGNOSIS (ICD SECOND MOST RECENT) would be the second of the 7 latest recorded
DIAGNOSIS (ICD THIRD MOST RECENT) would be the third of the 7 latest recorded
DIAGNOSIS (ICD FOURTH MOST RECENT) would be the fourth of the 7 latest recorded
DIAGNOSIS (ICD FIFTH MOST RECENT) would be the fifth of the 7 latest recorded
DIAGNOSIS (ICD SIXTH MOST RECENT) would be the sixth of the 7 latest recorded
DIAGNOSIS (ICD SEVENTH MOST RECENT) would be the seventh of the 7 latest recorded
DIAGNOSIS (ICD EIGHTH MOST RECENT) would be the first of the 8 previously recorded
DIAGNOSIS (ICD NINTH MOST RECENT) would be the second of the 8 previously recorded
DIAGNOSIS (ICD TENTH MOST RECENT) would be the third of the 8 previously recorded
DIAGNOSIS (ICD ELEVENTH MOST RECENT) would be the fourth of the 8 previously recorded
DIAGNOSIS (ICD TWELFTH MOST RECENT) would be the fifth of the 8 previously recorded

Please refer to the following publications for guidance on diagnostic coding:

i.The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines (1992b). Geneva, World Health Organisation.
ii.Mental disorders in primary care, a concise guide to the management of 22 disorders in adults.

Care Programme Approach Review is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 05 'Care Programme Approach Review'.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

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

Care Programme Approach Review Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 07 'CPA Review Date'.

 

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DISCHARGE DATE (MENTAL HEALTH SERVICE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The date a PATIENT was discharged from a Mental Health Care Spell.

DISCHARGE DATE (MENTAL HEALTH SERVICE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Discharge Date'.

 

This data element is also known by these names:
ContextAlias
pluralDISCHARGE DATES (MENTAL HEALTH SERVICE)

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DISCHARGE REASON (MENTAL HEALTH SERVICE)

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National Codes:See DISCHARGE FROM MENTAL HEALTH SERVICE REASON
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DISCHARGE REASON (MENTAL HEALTH SERVICE) is the same as attribute DISCHARGE FROM MENTAL HEALTH SERVICE REASON.

 

This data element is also known by these names:
ContextAlias
pluralDISCHARGE REASONS (MENTAL HEALTH SERVICE)

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DISCHARGE REASON (MENTAL HEALTH SERVICE)

Change to Data Element: New Data Element

DISCHARGE REASON (MENTAL HEALTH SERVICE)
 
Attribute:
DISCHARGE FROM MENTAL HEALTH SERVICE REASON

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DISCHARGES (MENTAL HEALTH)

Change to Data Element: Changed Description

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

Notes:
DISCHARGES (MENTAL HEALTH) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

a.one or more Hospital Provider Spell within the Mental Health Care Spell has a Discharge Date within the REPORTING PERIOD 
a.one or more Hospital Provider Spell within the Adult Mental Health Care Spell has a Discharge Date within the REPORTING PERIOD 
and 
b.where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTIES being 700, 710,712, 713 and 715.

It is the total number of such discharges from Hospital Provider Spell within the REPORTING PERIOD.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

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

Discharge Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date'.

Consultant Episode (Hospital Provider) is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 14 'Consultant Episode (Hospital Provider)'.

 

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END DATE (CARE PROGRAMME APPROACH LEVEL)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The End Date of a CPA LEVEL for a PATIENT.

END DATE (CARE PROGRAMME APPROACH LEVEL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the CPA LEVEL.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (CARE PROGRAMME APPROACH LEVEL)

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END DATE (MENTAL HEALTH CARE SPELL)

Change to Data Element: Changed Description

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

Notes:
END DATE (MENTAL HEALTH CARE SPELL) is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'. It is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if the Mental Health Care Spell has ended. It is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if the Adult Mental Health Care Spell has ended.

The Mental Health Care Spell ends when all associated episodes, attendances or days are explicitly closed or ended by default where a PATIENT has received in-patient care terminated other than by transfer or death or had a current period of Mental Health Absence Without Leave (but still liable to detention), within the preceding 3 months.The Adult Mental Health Care Spell ends when all associated episodes, attendances or days are explicitly closed or ended by default where a PATIENT has received in-patient care terminated other than by transfer or death or had a current period of Mental Health Absence Without Leave (but still liable to detention), within the preceding 3 months.

For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Mental Health Care Spell it is the function of the assembler process itself to determine whether the assembled Mental Health Care Spell has ended or not, and provide the appropriate date to be used for the END DATE (MENTAL HEALTH CARE SPELL).For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Adult Mental Health Care Spell it is the function of the assembler process itself to determine whether the assembled Adult Mental Health Care Spell has ended or not, and provide the appropriate date to be used for the END DATE (MENTAL HEALTH CARE SPELL).

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

Mental Health Absence Without Leave is a LEAVE where LEAVE TYPE is National Code 01 'Absence Without Leave'.

 

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HOME HELP VISIT INDICATOR

Change to Data Element: Changed Description

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

Notes:
HOME HELP VISIT INDICATOR is an indicator of whether or not one or more Home Help Visit within the Mental Health Care Spell has occurred during the REPORTING PERIOD.HOME HELP VISIT INDICATOR is an indicator of whether or not one or more Home Help Visit within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

Home Help Visit is a CARE CONTACT where CARE CONTACT TYPE is National Code 35 'Home Help Visit'.

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

Recorded as:

0no Home Help Visit occurred during the REPORTING PERIOD 
1one or more Home Help Visit occurred during the REPORTING PERIOD 
 

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HONOS-CA RATING 10 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 10 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to peer relationships.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 10 SCORES

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HONOS-CA RATING 10 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 10 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 11 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 11 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to self-care and independence.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 11 SCORES

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HONOS-CA RATING 11 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 11 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 12 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 12 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to family life and relationships.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 12 SCORES

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HONOS-CA RATING 12 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 12 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 13 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 13 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to poor school attendance.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 13 SCORES

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HONOS-CA RATING 13 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 13 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 1 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 1 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to disruptive, antisocial or aggressive behaviour.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 1 SCORES

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HONOS-CA RATING 1 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 1 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 2 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 2 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to over activity, attention and concentration.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 2 SCORES

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HONOS-CA RATING 2 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 2 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 3 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 3 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to non-accidental self injury.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 3 SCORES

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HONOS-CA RATING 3 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 3 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 4 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 4 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to alcohol and substance/solvent misuse.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 4 SCORES

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HONOS-CA RATING 4 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 4 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 5 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 5 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to scholastic or language skills.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 5 SCORES

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HONOS-CA RATING 5 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 5 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 6 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 6 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to physical illness or disability problems.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 6 SCORES

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HONOS-CA RATING 6 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 6 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 7 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 7 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to hallucinations and delusions.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 7 SCORES

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HONOS-CA RATING 7 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 7 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 8 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 8 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to non-organic somatic symptoms.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 8 SCORES

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HONOS-CA RATING 8 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 8 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 9 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item 9 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to emotional and related symptoms.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING 9 SCORES

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HONOS-CA RATING 9 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING 9 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING B14 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item B14 (section B01) of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to problems with knowledge or understanding about the nature of the child or adolescents difficulties (in the previous two weeks).

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING B14 SCORES

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HONOS-CA RATING B14 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING B14 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING B15 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the PERSON SCORE for item B15 (section B02) of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to problems with lack of information about SERVICES or management of the child or adolescents difficulties.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-CA RATING B15 SCORES

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HONOS-CA RATING B15 SCORE

Change to Data Element: New Data Element

HONOS-CA RATING B15 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING (BEST IN LAST TWELVE MONTHS)

Change to Data Element: Changed Description

Format/length:an13
HES item: 
National Codes: 
Default Codes: 

Notes:
At each Care Programme Approach Review of a Care Programme Approach Episode within a Mental Health Care Spell, a Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE should be recorded.At each Care Programme Approach Review of a Care Programme Approach Episode within an Adult Mental Health Care Spell, a Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE should be recorded.

For purposes of the Mental Health Minimum Data Set, HONOS RATING (BEST IN LAST TWELVE MONTHS) is the best rating of all the Health of the Nation Outcome Scales (Working Age Adults) PERSON SCORES recorded in the period of the last twelve months for the PATIENT regardless of which Mental Health Care Spell it was recorded within.For purposes of the Mental Health Minimum Data Set, HONOS RATING (BEST IN LAST TWELVE MONTHS) is the best rating of all the Health of the Nation Outcome Scales (Working Age Adults) PERSON SCORES recorded in the period of the last twelve months for the PATIENT regardless of which Adult Mental Health Care Spell it was recorded within. Where more than one Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE has the same best rating, then the first recorded one should be used. The twelve month period should be calculated from the REPORTING PERIOD END DATE of the REPORTING PERIOD.

This is an optional data element in the Mental Health Minimum Data Set and should only be present if a Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE has been recorded during the calculated twelve month period.

 

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HONOS RATING (WORST EVER RECORDED)

Change to Data Element: Changed Description

Format/length:an13
HES item: 
National Codes: 
Default Codes: 

Notes:
At each Care Programme Approach Review of a Care Programme Approach Episode within a Mental Health Care Spell, a Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE should be recorded.At each Care Programme Approach Review of a Care Programme Approach Episode within an Adult Mental Health Care Spell, a Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE should be recorded.

For purposes of the Mental Health Minimum Data Set, HONOS RATING (WORST EVER RECORDED) is the worst rating of all the Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORES ever recorded for the PATIENT regardless of which Mental Health Care Spell it was recorded within.For purposes of the Mental Health Minimum Data Set, HONOS RATING (WORST EVER RECORDED) is the worst rating of all the Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORES ever recorded for the PATIENT regardless of which Adult Mental Health Care Spell it was recorded within. Where more than one Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE has the same worst rating, then the first recorded one should be used.

 

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INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH)

Change to Data Element: New Data Element

Format/Length:n2
HES Item: 
National Codes:See CLINICAL CARE INTENSITY
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH) is the same as attribute CLINICAL CARE INTENSITY but the only allowable values from the list of National Codes are:

For PATIENTS with Mental Illness:

51For Intensive Care - specially designated ward for PATIENTS needing containment and more intensive management (eg Psychiatric Intensive Care Unit (PICU)). This is not to be confused with intensive nursing where a PATIENT may require one-to-one nursing while on a standard WARD
52For Short Stay - PATIENTS intended to stay for less than a year
53For Long Stay - PATIENTS intended to stay for a year or more


For PATIENTS with Learning Disabilities:

61Designated or interim secure unit
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more


In addition to this, the following value which is not part of the National Codes is also permitted for the Child and Adolescent Mental Health Services Data Set and the Mental Health Minimum Data Set (see INTENDED CLINICAL CARE INTENSITY):

72Home Leave, psychiatric
 

This data element is also known by these names:
ContextAlias
pluralINTENDED CLINICAL CARE INTENSITIES (MENTAL HEALTH)

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INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH)

Change to Data Element: New Data Element

INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH)
 
Attribute:
CLINICAL CARE INTENSITY

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LEARNING DISABILITY INDICATOR

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes:See LEARNING DISABILITY INDICATOR
Default Codes:X - Not Known

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
LEARNING DISABILITY INDICATOR is the same as LEARNING DISABILITY INDICATOR.

 

This data element is also known by these names:
ContextAlias
pluralLEARNING DISABILITY INDICATORS

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LEARNING DISABILITY INDICATOR

Change to Data Element: New Data Element

LEARNING DISABILITY INDICATOR
 
Attribute:
LEARNING DISABILITY INDICATOR

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LEAVE OF ABSENCE TOTAL DAYS

Change to Data Element: Changed Description

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

Notes:
This is the total number of days within a Mental Health Care Spell and the REPORTING PERIOD that the PATIENT was on Mental Health Leave Of Absence that involved an overnight stay.This is the total number of days within an Adult Mental Health Care Spell and the REPORTING PERIOD that the PATIENT was on Mental Health Leave Of Absence that involved an overnight stay.

This data item will be zero if the PATIENT has not been subject to any Mental Health Leave Of Absence within the REPORTING PERIOD that involved an overnight stay.

This is derived from any LEAVE OF ABSENCE START DATES and LEAVE OF ABSENCE END DATES within the REPORTING PERIOD.

 

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LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See LEGAL STATUS CLASSIFICATION CODE
National Codes:See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
Default Codes: 

Notes:
LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD) is the same as the attribute LEGAL STATUS CLASSIFICATION CODE.LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD) is the same as the attribute MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE.

This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if a Legal Status was not ended within the Mental Health Care Spell before the REPORTING PERIOD END DATE.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if a Legal Status was not ended within the Adult Mental Health Care Spell before the REPORTING PERIOD END DATE.

Legal Status is a CATEGORY VALUED PERSON OBSERVATION where CATEGORY VALUED PERSON OBSERVATION TYPE is National Code 07 'Legal Status Classification'.

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

 

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LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD)

Change to Data Element: Changed Description

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

Notes:
LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD) is the same as attribute LEGAL STATUS RESTRICTIVENESS.

This is an optional data element in the Mental Health Minimum Data Set collection record and should only be recorded if one or more Legal Status were present during or overlap with the REPORTING PERIOD. It is the highest scored LEGAL STATUS RESTRICTIVENESS of all the Legal Status for the PATIENT within the Mental Health Care Spell during the REPORTING PERIOD. It is the highest scored LEGAL STATUS RESTRICTIVENESS of all the Legal Status for the PATIENT within the Adult Mental Health Care Spell during the REPORTING PERIOD.

If the PATIENT has more than one Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one MHMDS collection record, then the same highest restrictive LEGAL STATUS CLASSIFICATION CODE will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.If the PATIENT has more than one Adult Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one MHMDS collection record, then the same highest restrictive MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.

Where more than one Legal Status has the same LEGAL STATUS RESTRICTIVENESS, then the first recorded one should be used.

Legal Status is a CATEGORY VALUED PERSON OBSERVATION where CATEGORY VALUED PERSON OBSERVATION TYPE is National Code 07 'Legal Status Classification'.

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

 

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE  renamed from LEGAL STATUS CLASSIFICATION CODE

Change to Data Element: Changed Name, Description, Aliases

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
Default Codes:98 - Not Applicable
 99 - Not Known

Notes:
The classification is required for all PATIENTS who have a Hospital Provider Spell which includes the care of a CONSULTANT in the psychiatric specialties or have been discharged from such a Hospital Provider Spell and are required to receive supervised aftercare under the provisions of the Mental Health (Patients in the Community) Act 1995.

Note that the term "informal" is used for those patients who are neither formally detained nor receiving supervised aftercare.Note that the term "informal" is used for those PATIENTS who are neither formally detained nor receiving supervised aftercare.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

 

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE  renamed from LEGAL STATUS CLASSIFICATION CODE

Change to Data Element: Changed Name, Description, Aliases

  • Changed Name from Data_Dictionary.Data_Field_Notes.L.LEGAL_STATUS_CLASSIFICATION_CODE to Data_Dictionary.Data_Field_Notes.M.MENTAL_HEALTH_ACT_LEGAL_STATUS_CLASSIFICATION_CODE
  • Changed Description
  • Alias Changes

    NameOld ValueNew Value
    pluralLEGAL STATUS CLASSIFICATION CODESMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODES
    formerly LEGAL STATUS CLASSIFICATION CODE
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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION END DATE AND TIME

Change to Data Element: New Data Element

Format/Length:See DATE AND TIME
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION END DATE AND TIME is the same as DATE AND TIME.

The end DATE AND TIME of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION END DATES AND TIMES

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION START DATE AND TIME

Change to Data Element: New Data Element

Format/Length:See DATE AND TIME
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION START DATE AND TIME is the same as DATE AND TIME.

The start DATE AND TIME of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION START DATES AND TIMES

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MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD

Change to Data Element: Changed Description

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

Notes:
MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD is an indicator of whether or not one or more periods of Mental Health Care (MHC) without patient consent were present during or overlap with the REPORTING PERIOD. A MHC without patient consent is a period of time during which a Health Care Provider using the authority under Section 58 of the Mental Health Act 1983, provides treatment or care to a PATIENT subject to a Mental Health Care Spell, in absence of the PATIENT's consent.MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD is an indicator of whether or not one or more periods of Mental Health Care Without Patient Consent were present during or overlap with the REPORTING PERIOD. An Mental Health Care Without Patient Consent is a period of time during which a Health Care Provider using the authority under Section 58 of the Mental Health Act 1983, provides treatment or care to a PATIENT subject to an Adult Mental Health Care Spell, in absence of the PATIENT's consent.
Recorded as:

0no periods of MHC without patient consent were present during the REPORTING PERIOD 
1one or more periods of MHC without patient consent were present during the REPORTING PERIOD 
0no periods of Mental Health Care Without Patient Consent were present during the REPORTING PERIOD 
1one or more periods of Mental Health Care Without Patient Consent were present during the REPORTING PERIOD 

If the PATIENT has more than one Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one Mental Health Minimum Dataset (MHMDS) collection record, then the same MHC without patient consent will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.If the PATIENT has more than one Adult Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one Mental Health Minimum Data Set record, then the same Mental Health Care Without Patient Consent will apply for all the Mental Health Minimum Data Set records for the PATIENT within the same REPORTING PERIOD.

 

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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 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 
a.one or more Out-Patient Attendance Consultant within the Adult 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'.Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult 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 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 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 
a.one or more Out-Patient Appointment within the Adult 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'.Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

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

 

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PERSON DEATH DATE AND TIME

Change to Data Element: New Data Element

Format/Length:See DATE AND TIME
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
PERSON DEATH DATE AND TIME is the same as DATE AND TIME.

This is the PERSON DEATH DATE and PERSON DEATH TIME.

 

This data element is also known by these names:
ContextAlias
pluralPERSON DEATH DATES AND TIMES

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PERSON DEATH DATE AND TIME

Change to Data Element: New Data Element

PERSON DEATH DATE AND TIME
 
Attribute:
PERSON DEATH DATE
PERSON DEATH TIME

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PROCEDURE (READ FIRST MOST RECENT)

Change to Data Element: Changed Description

Format/length:an7 for READ
HES item: 
National Codes: 
Default Codes: 

Notes:
At each Care Programme Approach Review of Care Programme Approach Episode within a Mental Health Care Spell, up to twelve Patient Procedures may be recorded.At each Care Programme Approach Review of Care Programme Approach Episode within an Adult Mental Health Care Spell, up to twelve Patient Procedures may be recorded. Each Care Programme Approach Review has an ACTIVITY DATE and the required PROCEDURE CODING is READ.

For purposes of the Mental Health Minimum Data Set collection, the twelve most recent Patient Procedures in chronological ascending sequence are required and these may have been recorded in one or more Care Programme Approach Reviews.

For example if the latest Care Programme Approach Review within a Mental Health Care Spell recorded 7 Patient Procedures and the previous Care Programme Approach Review recorded 8 Patient Procedures then:For example if the latest Care Programme Approach Review within an Adult Mental Health Care Spell recorded 7 Patient Procedures and the previous Care Programme Approach Review recorded 8 Patient Procedures then:

PROCEDURE (READ FIRST MOST RECENT) would be the first of the 7 latest recorded
PROCEDURE (READ SECOND MOST RECENT) would be the second of the 7 latest recorded
PROCEDURE (READ THIRD MOST RECENT) would be the third of the 7 latest recorded
PROCEDURE (READ FOURTH MOST RECENT) would be the fourth of the 7 latest recorded
PROCEDURE (READ FIFTH MOST RECENT) would be the fifth of the 7 latest recorded
PROCEDURE (READ SIXTH MOST RECENT) would be the sixth of the 7 latest recorded
PROCEDURE (READ SEVENTH MOST RECENT) would be the seventh of the 7 latest recorded
PROCEDURE (READ EIGHTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ NINTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ TENTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ ELEVENTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ TWELFTH MOST RECENT) would be the first of the 8 previously recorded

 

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REPORTING PERIOD (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:ccyy/mm/dd-ccyy/mm/dd
HES item: 
National Codes: 
Default Codes: 

Notes:
The defined period of time for a Mental Health Minimum Data Set collection. A Mental Health Minimum Data Set record will contain assembled data for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD. A Mental Health Minimum Data Set record will contain assembled data for each Adult Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.

A PATIENT may have one or more Mental Health Care Spells occurring within the defined period of time each of which will have a separate Mental Health Minimum Data Set record assembled for it; or a Mental Health Care Spell can start before the start date of the defined period of time; or continue after the end date of the defined period of time.A PATIENT may have one or more Adult Mental Health Care Spells occurring within the defined period of time each of which will have a separate Mental Health Minimum Data Set record assembled for it; or an Adult Mental Health Care Spell can start before the start date of the defined period of time; or continue after the end date of the defined period of time.

The defined period of time is in the format of ccyy/mm/dd-ccyy/mm/dd which correspond to REPORTING PERIOD START DATE and REPORTING PERIOD END DATE of the REPORTING PERIOD.

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

 

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RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR

Change to Data Element: Changed Description

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

Notes:
RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR is an indicator of whether or not:

a.one or more Care Home Stay (Nursing Care) and/or Care Home Stay (Residential) within the Mental Health Care Spell has occurred during the REPORTING PERIOD 
a.one or more Care Home Stay (Nursing Care) and/or Care Home Stay (Residential) within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD 
and 
b.where the BROAD PATIENT GROUP CODE is National Code 5 'Patients with mental illness'
and 
c.where the Care Home is operated and managed by a Non-NHS ORGANISATION as classified by ORGANISATION TYPE.

Recorded as:

0no stays in a Non-NHS care home occurred during the REPORTING PERIOD  
1one or more stays in a Non-NHS care home occurred during the REPORTING PERIOD  

Care Home Stay (Nursing Care) is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 08 'Care Home Stay (Nursing Care)'.

Care Home Stay (Residential) is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 09 'Care Home Stay (Residential)'.

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

 

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SERVICE REQUEST IDENTIFIER

Change to Data Element: New Data Element

Format/Length:an10
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
SERVICE REQUEST IDENTIFIER is the same as attribute SERVICE REQUEST IDENTIFIER.

 

This data element is also known by these names:
ContextAlias
pluralSERVICE REQUEST IDENTIFIERS

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SERVICE REQUEST IDENTIFIER

Change to Data Element: New Data Element

SERVICE REQUEST IDENTIFIER
 
Attribute:
SERVICE REQUEST IDENTIFIER

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SHELTERED WORK ATTENDANCE INDICATOR

Change to Data Element: Changed Description

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

Notes:
SHELTERED WORK ATTENDANCE INDICATOR is an indicator of whether or not one or more Sheltered Work Attendance at Sheltered Work Sessions within the Mental Health Care Spell has occurred during the REPORTING PERIOD.SHELTERED WORK ATTENDANCE INDICATOR is an indicator of whether or not one or more Sheltered Work Attendance at Sheltered Work Sessions within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

Recorded as:

0no attendance at a Sheltered Work Facility occurred during the REPORTING PERIOD  
1one or more attendances at a Sheltered Work Facility occurred during the REPORTING PERIOD  

Sheltered Work Attendance is a CARE CONTACT where the CARE CONTACT TYPE is National Code 29 'Sheltered Work Attendance'.

Sheltered Work Session is a SESSION where the SESSION TYPE is National Code 07 'Sheltered Work Session'.

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

 

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SOCIAL WORKER INVOLVEMENT INDICATOR

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See SOCIAL WORKER INVOLVEMENT INDICATOR 
Default Codes: 

Notes: 
SOCIAL WORKER INVOLVEMENT INDICATOR is the same as attribute SOCIAL WORKER INVOLVEMENT INDICATOR.

This is an optional data element in the Mental Health Minimum Data Set and should only be present if at least one Care Programme Approach Review within the Mental Health Care Spell during the REPORTING PERIOD recorded a SOCIAL WORKER INVOLVEMENT INDICATOR.This is an optional data element in the Mental Health Minimum Data Set and should only be present if at least one Care Programme Approach Review within the Adult Mental Health Care Spell during the REPORTING PERIOD recorded a SOCIAL WORKER INVOLVEMENT INDICATOR.

Care Programme Approach Review is a CARE CONTACT where the CARE CONTACT TYPE is National Code 05 'Care Programme Approach Review'.

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

 

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SPELL DAYS IN REPORTING PERIOD

Change to Data Element: Changed Description

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

Notes:
The number of spell days of the Mental Health Care Spell within the REPORTING PERIOD calculated from the:The number of spell days of the Adult Mental Health Care Spell within the REPORTING PERIOD calculated from the:

a.START DATE (MENTAL HEALTH CARE SPELL) or REPORTING PERIOD START DATE where the START DATE (MENTAL HEALTH CARE SPELL) is before the REPORTING PERIOD START DATE 
and 
b.END DATE (MENTAL HEALTH CARE SPELL) or REPORTING PERIOD END DATE where the END DATE (MENTAL HEALTH CARE SPELL) is either:
and 
c.not present i.e. the Mental Health Care Spell has not ended
c.not present i.e. the Adult Mental Health Care Spell has not ended
and 
d.the END DATE (MENTAL HEALTH CARE SPELL) is after the REPORTING PERIOD END DATE 

For example:

1If the REPORTING PERIOD START DATE is 2002/06/01 and the REPORTING PERIOD END DATE is 2002/08/01 and the START DATE (MENTAL HEALTH CARE SPELL) is 2002/07/01 and the END DATE (MENTAL HEALTH CARE SPELL) is 2002/07/28 then the spell days would be calculated from the dates 2002/07/01 and 2002/07/2
2If the REPORTING PERIOD START DATE is 2002/06/01 and the REPORTING PERIOD END DATE is 2002/08/01 and the START DATE (MENTAL HEALTH CARE SPELL) is 2002/05/01 and the END DATE (MENTAL HEALTH CARE SPELL) is 2002/07/01 then the spell days would be calculated from the dates 2002/06/01 and 2002/07/01
3If the REPORTING PERIOD START DATE is 2002/06/01 and the REPORTING PERIOD END DATE is 2002/08/01 and the START DATE (MENTAL HEALTH CARE SPELL) is 2002/05/01 and no END DATE (MENTAL HEALTH CARE SPELL) is present then the spell days would be calculated from the dates 2002/06/01 and to 2002/08/01

The calculated SPELL DAYS IN REPORTING PERIOD should be recorded left justified with leading zeros.

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

 

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SPELL DEFINITION TYPE (ASSEMBLER MHCS)

Change to Data Element: Changed Description

Format/length:an2
HES item: 
National Codes: 
Default Codes: 

Notes:
For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Mental Health Care Team of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Adult Mental Health Care Team of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.

SPELL DEFINITION TYPE (ASSEMBLER MHCS) identifies the method used to derive the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL).

Recorded as:

Aderived from the succession of recorded contacts e.g. Face To Face Contact Community Care 
Ddeclared explicitly i.e. Start Date and End Date of recorded Mental Health Care Spell 
DXdeclared explicitly i.e. Start Date and End Date of recorded Mental Health Care Spell but the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL) have been adjusted to accommodate contact activity which has occurred outside of the declared or derived Mental Health Care Spell 
Ddeclared explicitly i.e. Start Date and End Date of recorded Adult Mental Health Care Spell 
DXdeclared explicitly i.e. Start Date and End Date of recorded Adult Mental Health Care Spell but the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL) have been adjusted to accommodate contact activity which has occurred outside of the declared or derived Adult Mental Health Care Spell 
Ederived from the collation of recorded episodes e.g. Consultant Episode (Hospital Provider) 
EXderived from the collation of recorded episodes e.g. Consultant Episode (Hospital Provider) but the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL) have been adjusted to accommodate contact activity which has occurred outside of the declared or derived Mental Health Care Spell 
EXderived from the collation of recorded episodes e.g. Consultant Episode (Hospital Provider) but the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL) have been adjusted to accommodate contact activity which has occurred outside of the declared or derived Adult Mental Health Care Spell 

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

Face To Face Contact Community Care is a CARE CONTACT where the CARE CONTACT TYPE is National Code 15 'Face to Face Contact Community Care'.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Consultant Episode (Hospital Provider) is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 14 'Consultant Episode (Hospital Provider)'.

 

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SSSA (NUMBER FOR COMMUNITY CARE)

Change to Data Element: Changed Description

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

Notes:
SSSA (NUMBER FOR COMMUNITY CARE) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Social Services Statutory Assessments with a STATUTORY ASSESSMENT TYPE classification of b.SSSA (NUMBER FOR COMMUNITY CARE) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Social Services Statutory Assessments with a STATUTORY ASSESSMENT TYPE classification of b.ii. 'Assess to establish patient's need for community care' have occurred during the REPORTING PERIOD.

It is the total number of such assessments for community care within the REPORTING PERIOD. Each such assessment is recorded by a Social Services Statutory Assessment and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Statutory Assessment Date for each Social Services Statutory Assessment and the calculation is based upon those assessments for community care which have occurred during the REPORTING PERIOD.

If the PATIENT has more than one Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one Mental Health Minimum Data Set collection record, then the same SSSA (NUMBER FOR COMMUNITY CARE) will apply for all the Mental Health Minimum Data Set collection records for the PATIENT within the same REPORTING PERIOD.If the PATIENT has more than one Adult Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one Mental Health Minimum Data Set collection record, then the same SSSA (NUMBER FOR COMMUNITY CARE) will apply for all the Mental Health Minimum Data Set collection records for the PATIENT within the same REPORTING PERIOD.

Social Services Statutory Assessment is a CARE CONTACT where the CARE CONTACT TYPE is National Code 31 'Social Services Statutory Assessment'.

Statutory Assessment Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 46 'Statutory Assessment Date'.

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

 

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SSSA (NUMBER FOR DETENTION)

Change to Data Element: Changed Description

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

Notes:
SSSA (NUMBER FOR DETENTION) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Social Services Statutory Assessments with a STATUTORY ASSESSMENT TYPE classification of a.SSSA (NUMBER FOR DETENTION) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Social Services Statutory Assessments with a STATUTORY ASSESSMENT TYPE classification of a.i. 'Assess whether application for compulsory detention should be made have occurred during the REPORTING PERIOD.

It is the total number of such assessments for detention within the REPORTING PERIOD. Each such assessment is recorded by a Social Services Statutory Assessment and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Statutory Assessment Date for each Social Services Statutory Assessment and the calculation is based upon those assessments for detention which have occurred during the REPORTING PERIOD.

If the PATIENT has more than one Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one Mental Health Minimum Data Set collection record, then the same SSSA (NUMBER FOR DETENTION) will apply for all the Mental Health Minimum Data Set collection records for the PATIENT within the same REPORTING PERIOD.If the PATIENT has more than one Adult Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one Mental Health Minimum Data Set collection record, then the same SSSA (NUMBER FOR DETENTION) will apply for all the Mental Health Minimum Data Set collection records for the PATIENT within the same REPORTING PERIOD.

Social Services Statutory Assessment is a CARE CONTACT where the CARE CONTACT TYPE is National Code 31 'Social Services Statutory Assessment'.

Statutory Assessment Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 46 'Statutory Assessment Date'.

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

 

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START DATE (CARE PROGRAMME APPROACH LEVEL)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The Start Date of a CPA LEVEL for a PATIENT.

START DATE (CARE PROGRAMME APPROACH LEVEL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the CPA LEVEL.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (CARE PROGRAMME APPROACH LEVEL)

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START DATE (MENTAL HEALTH CARE SPELL)

Change to Data Element: Changed Description

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

Notes:
START DATE (MENTAL HEALTH CARE SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' of the Mental Health Care Spell.

For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Mental Health Care Spells, it is the function of the assembler process itself to assemble the Mental Health Care Spell and provide the appropriate date to be used for the START DATE (MENTAL HEALTH CARE SPELL).For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Adult Mental Health Care Spells, it is the function of the assembler process itself to assemble the Adult Mental Health Care Spell and provide the appropriate date to be used for the START DATE (MENTAL HEALTH CARE SPELL). The assembler process derives the appropriate date from the first recorded ACTIVITY which lies within an uninterrupted sequence starting in, or continuing into, the REPORTING PERIOD.

The NHS Trust may override the assembler's derived date in the case of PATIENTS cared for continuously longer than the period for which electronic activity records are available to the assembler process.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

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

 

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SUSPENDED DAYS IN REPORTING PERIOD

Change to Data Element: Changed Description

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

Notes:
SUSPENDED DAYS IN REPORTING PERIOD is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if one or more Mental Health Care Spell Suspensions have occurred during the REPORTING PERIOD.

It is the total number of suspended days of the Mental Health Care Spell within the REPORTING PERIOD. Each period of suspension is recorded by a Mental Health Care Spell Suspension and there may be more than one such suspension during the course of a Mental Health Care Spell.It is the total number of suspended days of the Adult Mental Health Care Spell within the REPORTING PERIOD. Each period of suspension is recorded by a Mental Health Care Spell Suspension and there may be more than one such suspension during the course of an Adult Mental Health Care Spell.

There is an ACTIVITY SUSPENSION START DATE and ACTIVITY SUSPENSION END DATE for each Mental Health Care Spell Suspension and the calculation is based upon those periods of suspension which have occurred during the REPORTING PERIOD adjusted for where periods of suspension overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of suspension has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the ACTIVITY SUSPENSION START DATE and/or ACTIVITY SUSPENSION END DATE of the Mental Health Care Spell Suspension.

SUSPENDED DAYS IN REPORTING PERIOD is the sum of the calculated periods of suspension and should be recorded left justified with leading zeros.

Mental Health Care Spell Suspension is an ACTIVITY SUSPENSION where ACTIVITY SUSPENSION TYPE is National Code 01 'Mental Health Care Spell Suspension'.

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

 

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WARD SECURITY LEVEL

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes:See WARD SECURITY LEVEL
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care

Notes:
WARD SECURITY LEVEL is the same as WARD SECURITY LEVEL.

 

This data element is also known by these names:
ContextAlias
pluralWARD SECURITY LEVELS

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WARD SECURITY LEVEL

Change to Data Element: New Data Element

WARD SECURITY LEVEL
 
Attribute:
WARD SECURITY LEVEL

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YEAR AND MONTH

Change to Data Element: New Data Element

Format/Length:YYYY-MM (eg 1997-07)
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care

Notes:
The year and month of an event.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 23 November 2004.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

This data element is also known by these names:
ContextAlias
pluralYEARS AND MONTHS

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YEAR AND MONTH OF REPORTING PERIOD

Change to Data Element: New Data Element

Format/Length:See YEAR AND MONTH
HES Item: 
National Codes: 
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
YEAR AND MONTH OF REPORTING PERIOD is the same as YEAR AND MONTH.

The YEAR AND MONTH of the REPORTING PERIOD for a Data Set submission.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 23 November 2004.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

This data element is also known by these names:
ContextAlias
pluralYEARS AND MONTHS OF REPORTING PERIOD

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For enquiries about this Information Standards Notice, please email datastandards@nhs.net