Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1176
Version No:1.0
Subject:Change Package 1176
Effective Date:Immediate
Reason for Change:NHS Data Model and Dictionary Modelling and Data Element Changes
Publication Date:8 July 2010

Background:

The NHS Data Model and Dictionary Service are currently working with the Department of Health and the Information Centre for Health and Social Care to develop a number of data sets, including the next version of the Commissioning Data Set (v6-2), and other Secondary Use data sets relating to Children and Young People, and Community Services, and others.

During business analysis it has been identified that these data sets cover a number of common areas, and amendments are required to make the current information suitable for use in the Data Sets.

The majority of items in this Change Request have been introduced in order to mitigate a long-standing issue with incorrectly specified format/length on items in the Commissioning Data Sets. Some of these items are also used in other existing Information Standards Board-approved data sets, and some are required for use in data sets in development.

Replacements for the affected items have been created, with similar names, and the correct format/length specified. These replacement items will be used in Commissioning Data Set versions from 6-2 onwards, and in all new data sets currently in development.

The existing affected items, used for CDS versions 6-0 and 6-1, and in other existing data sets in the NHS Data Model and Dictionary, will be retained to meet the existing published specifications. However when existing data sets are reviewed or maintained, sponsors will be required to move to the new format data items. When the existing affected items are no longer in use by any CDS version or existing data set, they will be retired.

Note that the purpose of this Change Request is not to amend or update the existing supporting notes on the affected data elements, except where the notes only apply to the existing affected items (eg the note refers to the format of the original data element).

This Change Request also adds other common data items and associated data modelling which is required by more than one data set currently in development.

These changes do not need to be implemented in end-user systems until the Information Standards Notice for the specific data sets come into effect.



Summary of changes:

Supporting Information
STRENGTHS AND DIFFICULTIES CONDUCT PROBLEMS SCALE SCORE   New Supporting Information
STRENGTHS AND DIFFICULTIES EMOTIONAL PROBLEMS SCALE SCORE   New Supporting Information
STRENGTHS AND DIFFICULTIES HYPERACTIVITY SCALE SCORE   New Supporting Information
STRENGTHS AND DIFFICULTIES PEER PROBLEMS SCALE SCORE   New Supporting Information
STRENGTHS AND DIFFICULTIES PROSOCIAL BEHAVIOUR SCALE SCORE   New Supporting Information
STRENGTHS AND DIFFICULTIES QUESTIONNAIRE   New Supporting Information
STRENGTHS AND DIFFICULTIES TOTAL DIFFICULTIES SCORE   New Supporting Information
STRENGTHS AND DIFFICULTIES TOTAL IMPACT SCORE   New Supporting Information
 
Data Elements
A AND E ARRIVAL MODE   Changed Description
A AND E ARRIVAL MODE CODE   New Data Element
A AND E ATTENDANCE CATEGORY   Changed Description
A AND E ATTENDANCE CATEGORY CODE   New Data Element
A AND E ATTENDANCE DISPOSAL   Changed Description
A AND E ATTENDANCE DISPOSAL CODE   New Data Element
ACTIVITY TREATMENT FUNCTION CODE   New Data Element
ADMINISTRATIVE CATEGORY   Changed Description
ADMINISTRATIVE CATEGORY CODE   New Data Element
ADMISSION METHOD (HOSPITAL PROVIDER SPELL)   Changed Description
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)   New Data Element
ADMISSION OFFER OUTCOME   Changed Description
ADMISSION OFFER OUTCOME CODE   New Data Element
AGE GROUP INTENDED   Changed Description
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY   Changed Description
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE   New Data Element
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY   Changed Description
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE   New Data Element
ATTENDED OR DID NOT ATTEND   Changed Description
ATTENDED OR DID NOT ATTEND CODE   New Data Element
CARE PROFESSIONAL MAIN SPECIALTY CODE   New Data Element
DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET) renamed from DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)   Changed Aliases, Name
DELIVERY METHOD   Changed Description
DELIVERY METHOD CODE   New Data Element
DELIVERY PLACE CHANGE REASON   Changed Description
DELIVERY PLACE CHANGE REASON CODE   New Data Element
DELIVERY PLACE TYPE (ACTUAL)   Changed Description
DELIVERY PLACE TYPE (INTENDED)   Changed Description
DELIVERY PLACE TYPE CODE (ACTUAL)   New Data Element
DELIVERY PLACE TYPE CODE (INTENDED)   New Data Element
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)   Changed Description
DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)   New Data Element
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)   Changed Description
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)   New Data Element
ELECTIVE ADMISSION LIST REMOVAL REASON   Changed Description
ELECTIVE ADMISSION LIST REMOVAL REASON CODE   New Data Element
ELECTIVE ADMISSION TYPE   Changed Description
ELECTIVE ADMISSION TYPE CODE   New Data Element
FIRST ATTENDANCE   Changed Description
FIRST ATTENDANCE CODE   New Data Element
FIRST REGULAR DAY OR NIGHT ADMISSION   Changed Description
FIRST REGULAR DAY OR NIGHT ADMISSION CODE   New Data Element
INTENDED AGE GROUP   New Data Element
INTENDED CLINICAL CARE INTENSITY   Changed Description
INTENDED CLINICAL CARE INTENSITY CODE   New Data Element
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) renamed from INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH)   Changed Aliases, Name, Description
INTENDED MANAGEMENT   Changed Description
INTENDED MANAGEMENT CODE   New Data Element
INTENDED PROCEDURE STATUS   Changed Description
INTENDED PROCEDURE STATUS CODE   New Data Element
LABOUR OR DELIVERY ONSET METHOD   Changed Description
LABOUR OR DELIVERY ONSET METHOD CODE   New Data Element
LAST EPISODE IN SPELL INDICATOR   Changed Description
LAST EPISODE IN SPELL INDICATOR CODE   New Data Element
LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)   Changed Description
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)   Changed Description
LIVE OR STILL BIRTH   Changed Description
LIVE OR STILL BIRTH CODE   New Data Element
MAIN SPECIALTY CODE   Changed Description
MENTAL CATEGORY   Changed Description
MENTAL CATEGORY CODE   New Data Element
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)   New Data Element
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)   New Data Element
NHS NUMBER STATUS INDICATOR   Changed Description
NHS NUMBER STATUS INDICATOR (BABY)   Changed Description
NHS NUMBER STATUS INDICATOR (MOTHER)   Changed Description
NHS NUMBER STATUS INDICATOR CODE   New Data Element
NHS NUMBER STATUS INDICATOR CODE (BABY)   New Data Element
NHS NUMBER STATUS INDICATOR CODE (MOTHER)   New Data Element
NUMBER OF BABIES   Changed Description
NUMBER OF BABIES INDICATOR   New Data Element
OPERATION STATUS   Changed Description
OPERATION STATUS CODE   New Data Element
OUTCOME OF ATTENDANCE   Changed Description
OUTCOME OF ATTENDANCE CODE   New Data Element
PERSON GENDER AT REGISTRATION   Changed Description
PERSON GENDER CODE AT REGISTRATION   New Data Element
PERSON GENDER CODE CURRENT   New Data Element
PERSON GENDER CODE CURRENT (BABY)   New Data Element
PERSON GENDER CURRENT   Changed Description
PERSON GENDER CURRENT (BABY)   Changed Description
PRIORITY TYPE   Changed Description
PRIORITY TYPE CODE   New Data Element
PSYCHIATRIC PATIENT STATUS   Changed Description
PSYCHIATRIC PATIENT STATUS CODE   New Data Element
REFERRAL TO TREATMENT PERIOD STATUS   New Data Element
REFERRAL TO TREATMENT STATUS   Changed Description
RESUSCITATION METHOD   Changed Description
RESUSCITATION METHOD CODE   New Data Element
SERVICE TYPE REQUESTED   Changed Description
SERVICE TYPE REQUESTED CODE   New Data Element
SEX OF PATIENTS   Changed Description
SEX OF PATIENTS CODE   New Data Element
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)   Changed Description
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)   New Data Element
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS   Changed Description
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE   New Data Element
STATUS OF PERSON CONDUCTING DELIVERY   Changed Description
STATUS OF PERSON CONDUCTING DELIVERY CODE   New Data Element
TREATMENT FUNCTION CODE   Changed Description
WARD DAY PERIOD AVAILABILITY   Changed Description
WARD DAY PERIOD AVAILABILITY CODE   New Data Element
WARD NIGHT PERIOD AVAILABILITY   Changed Description
WARD NIGHT PERIOD AVAILABILITY CODE   New Data Element
 

Date:8 July 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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STRENGTHS AND DIFFICULTIES CONDUCT PROBLEMS SCALE SCORE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Conduct Problems Scale Score is a PERSON SCORE.

It is calculated by adding together the responses to questions 5, 7, 12, 18 and 22 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.

If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99).  Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.

 

This supporting information is also known by these names:
ContextAlias
pluralStrengths And Difficulties Conduct Problems Scale Scores

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STRENGTHS AND DIFFICULTIES EMOTIONAL PROBLEMS SCALE SCORE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Emotional Problems Scale Score is a PERSON SCORE.

It is calculated by adding together the responses to questions 3, 8, 13, 16 and 24 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.

If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99).  Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.

 

This supporting information is also known by these names:
ContextAlias
pluralStrengths And Difficulties Emotional Problems Scale Scores

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STRENGTHS AND DIFFICULTIES HYPERACTIVITY SCALE SCORE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Hyperactivity Scale Score is a PERSON SCORE.

It is calculated by adding together the responses to questions 2, 10, 15, 21 and 25 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.

If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99).  Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.

 

This supporting information is also known by these names:
ContextAlias
pluralStrengths And Difficulties Hyperactivity Scale Scores

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STRENGTHS AND DIFFICULTIES PEER PROBLEMS SCALE SCORE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Peer Problems Scale Score is a PERSON SCORE.

It is calculated by adding together the responses to questions 6, 11, 14, 19 and 23 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.

If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99).  Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.

 

This supporting information is also known by these names:
ContextAlias
pluralStrengths And Difficulties Peer Problems Scale Scores

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STRENGTHS AND DIFFICULTIES PROSOCIAL BEHAVIOUR SCALE SCORE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Prosocial Behaviour Scale Score is a PERSON SCORE.

It is calculated by adding together the responses to questions 1, 4, 9, 17 and 20 in the Strengths And Difficulties Questionnaire, to give a total in the range 0-10.

If three or more responses to the questions making up this scale are missing, the scale is scored as Missing (99).  Otherwise, the scale is calculated as the average score from the valid responses, multiplied by 5.

 

This supporting information is also known by these names:
ContextAlias
pluralStrengths And Difficulties Prosocial Behaviour Scale Scores

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STRENGTHS AND DIFFICULTIES QUESTIONNAIRE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Questionnaire (SDQ) is a type of ASSESSMENT TOOL.

It is a brief behavioural screening questionnaire which can be completed by:

  • Parents of 3-4 year olds
  • Parents of 4-16 year olds
  • Self-report by 11-16 year olds
  • Teachers of 3-4 year olds
  • Teachers of 4-16 year olds

There are 25 questions in the Strengths And Difficulties Questionnaire, looking at positive and negative aspects of a child's behaviour.  The allowed responses for questions 1-6, 8-10, 12-13, 15-20, and 22-24 are one of the following:

  • 0  Not true
  • 1  Somewhat true
  • 2  Certainly true
  • 9  Missing

The allowed responses for questions 7, 11, 14, 21 and 25 are one of the following:

  • 0  Certainly true
  • 1  Somewhat true
  • 2  Not true
  • 9  Missing

Subsets of the results from the Strengths And Difficulties Questionnaire are used to calculate the following SDQ Scale and Total Scores:

 

This supporting information is also known by these names:
ContextAlias
shortnameSDQ
pluralStrengths And Difficulties Questionnaires

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STRENGTHS AND DIFFICULTIES TOTAL DIFFICULTIES SCORE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Total Difficulties Score is a PERSON SCORE.

It is calculated by adding together the totals from the following scale score sections:

in the Strengths And Difficulties Questionnaire (i.e. all sections apart from the Strengths And Difficulties Prosocial Behaviour Scale Score), to give a total in the range 0-40.

The Strengths And Difficulties Total Difficulties Score is counted as Missing (99) if the PERSON SCORE any of the component scale scores above is also Missing.

 

This supporting information is also known by these names:
ContextAlias
pluralStrengths And Difficulties Total Difficulties Score

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STRENGTHS AND DIFFICULTIES TOTAL IMPACT SCORE

Change to Supporting Information: New Supporting Information

The Strengths And Difficulties Total Impact Score is a PERSON SCORE.

It is the total score of the Impact Supplement section of the Strengths And Difficulties Questionnaire, if this extended version is used, which covers distress, home life, friendship, classroom learning and leisure activities, and is in the range of 0-10.

 

This supporting information is also known by these names:
ContextAlias
pluralStrengths And Difficulties Total Impact Scores

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A AND E ARRIVAL MODE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See A AND E ARRIVAL MODE
Default Codes: 


Notes:
A and E ARRIVAL MODE  is the same as attribute A AND E ARRIVAL MODE

A and E ARRIVAL MODE will be replaced by A and E ARRIVAL MODE CODE, which should be used for all new and developing data sets and for XML messages.

 

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A AND E ARRIVAL MODE CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See A AND E ARRIVAL MODE
Default Codes: 

Notes:
A and E ARRIVAL MODE CODE is the same as attribute A AND E ARRIVAL MODE.

A and E ARRIVAL MODE CODE replaces A and E ARRIVAL MODE, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralA AND E ARRIVAL MODE CODES

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A AND E ARRIVAL MODE CODE

Change to Data Element: New Data Element

A and E ARRIVAL MODE CODE
 
Attribute:
A AND E ARRIVAL MODE

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A AND E ATTENDANCE CATEGORY

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See A AND E ATTENDANCE CATEGORY
Default Codes: 

Notes:
A and E ATTENDANCE CATEGORY is the same as attribute A AND E ATTENDANCE CATEGORY.

A FIRST ATTENDANCE is the first or only attendance for the same incident, which may be an injury or occurrence of a condition; a follow-up attendance is a visit to the same department for the same incident as the first visit within the episode. If a PATIENT has a recurring condition, such as epilepsy, or a tendency for joints to dislocate, there would be a new FIRST ATTENDANCE each time that the PATIENT presents with the condition.

A subsequent attendance may not always be a follow-up attendance. It could qualify as an attendance at a consultant out-patient clinic and if so, it needs to be recorded appropriately.

 A and E ATTENDANCE CATEGORY will be replaced with A and E ATTENDANCE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.

 

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A AND E ATTENDANCE CATEGORY CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See A AND E ATTENDANCE CATEGORY
Default Codes: 

Notes:
A and E ATTENDANCE CATEGORY CODE is the same as attribute A AND E ATTENDANCE CATEGORY.

A FIRST ATTENDANCE is the first or only attendance for the same incident, which may be an injury or occurrence of a condition; a follow-up attendance is a visit to the same department for the same incident as the first visit within the episode. If a PATIENT has a recurring condition, such as epilepsy, or a tendency for joints to dislocate, there would be a new FIRST ATTENDANCE each time that the PATIENT presents with the condition.

A subsequent attendance may not always be a follow-up attendance. It could qualify as an attendance at a consultant out-patient clinic and if so, it needs to be recorded appropriately.

A and E ATTENDANCE CATEGORY CODE replaces A and E ATTENDANCE CATEGORY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralA AND E ATTENDANCE CATEGORY CODES

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A AND E ATTENDANCE CATEGORY CODE

Change to Data Element: New Data Element

A and E ATTENDANCE CATEGORY CODE
 
Attribute:
A AND E ATTENDANCE CATEGORY

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A AND E ATTENDANCE DISPOSAL

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See A AND E ATTENDANCE DISPOSAL
Default Codes: 

Notes:
A and E ATTENDANCE DISPOSAL  is the same as attribute A AND E ATTENDANCE DISPOSAL

A and E ATTENDANCE DISPOSAL will be replaced with A and E ATTENDANCE DISPOSAL CODE, which should be used for all new and developing data sets and for XML messages.

 

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A AND E ATTENDANCE DISPOSAL CODE

Change to Data Element: New Data Element

Format/length:an2
HES item: 
National Codes:See A AND E ATTENDANCE DISPOSAL
Default Codes: 

Notes:
A and E ATTENDANCE DISPOSAL CODE is the same as attribute A AND E ATTENDANCE DISPOSAL.

A and E ATTENDANCE DISPOSAL CODE replaces A and E ATTENDANCE DISPOSAL, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralA AND E ATTENDANCE DISPOSAL CODES

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A AND E ATTENDANCE DISPOSAL CODE

Change to Data Element: New Data Element

A and E ATTENDANCE DISPOSAL CODE
 
Attribute:
A AND E ATTENDANCE DISPOSAL

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ACTIVITY TREATMENT FUNCTION CODE

Change to Data Element: New Data Element

Format/length:an3
HES item:TRETSPEF
National Codes: 
Default codes:199 - Non-UK provider; treatment function not known, treatment mainly surgical
 499 - Non-UK provider; treatment function not known, treatment mainly medical

Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest. See Main Specialty and Treatment Function Codes for the full list of valid codes.

Midwife Episodes and Nursing Episodes may use any appropriate ACTIVITY TREATMENT FUNCTION CODE. The pseudo consultant specialty code of 950 for nurses must only be used for CARE PROFESSIONAL MAIN SPECIALTY CODE see Main Specialty and Treatment Function Codes. The code 560 Midwife Episode can be used both as a Main Specialty and a Treatment Function.

The default codes 199 and 499 are only applicable for overseas health care providers.

ACTIVITY TREATMENT FUNCTION CODE replaces TREATMENT FUNCTION CODE, and should be used for all new and developing data sets and for XML messages.

Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.

Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.

 

This data element is also known by these names:
ContextAlias
pluralACTIVITY TREATMENT FUNCTION CODES

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ACTIVITY TREATMENT FUNCTION CODE

Change to Data Element: New Data Element

ACTIVITY TREATMENT FUNCTION CODE
 
Attribute:
TREATMENT FUNCTION CODE

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ADMINISTRATIVE CATEGORY

Change to Data Element: Changed Description

Format/length:n2
HES item:ADMINCAT
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
ADMINISTRATIVE CATEGORY is the same as ADMINISTRATIVE CATEGORY CODE.

Overseas visitors who do not qualify for free NHS treatment can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.

If the ADMINISTRATIVE CATEGORY changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).

ADMINISTRATIVE CATEGORY will be replaced with ADMINISTRATIVE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.

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

 

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ADMINISTRATIVE CATEGORY CODE

Change to Data Element: New Data Element

Format/length:an2
HES item:ADMINCAT
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
ADMINISTRATIVE CATEGORY CODE is the same as ADMINISTRATIVE CATEGORY CODE.

Overseas visitors who do not qualify for free NHS treatment can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.

If the ADMINISTRATIVE CATEGORY CODE changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).

ADMINISTRATIVE CATEGORY CODE replaces ADMINISTRATIVE CATEGORY, and should be used for all new and developing data sets and for XML messages.

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

 

This data element is also known by these names:
ContextAlias
pluralADMINISTRATIVE CATEGORY CODES

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ADMINISTRATIVE CATEGORY CODE

Change to Data Element: New Data Element

ADMINISTRATIVE CATEGORY CODE
 
Attribute:
ADMINISTRATIVE CATEGORY CODE

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ADMISSION METHOD (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/length:n2
HES item:ADMIMETH
National Codes:See ADMISSION METHOD
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
ADMISSION METHOD (HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD

ADMISSION METHOD (HOSPITAL PROVIDER SPELL) will be replaced with ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.

 

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ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

Format/length:an2
HES item:ADMIMETH
National Codes:See ADMISSION METHOD
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD.

ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) replaces ADMISSION METHOD (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralADMISSION METHOD CODES (HOSPITAL PROVIDER SPELL)

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ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)
 
Attribute:
ADMISSION METHOD

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ADMISSION OFFER OUTCOME

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See ADMISSION OFFER OUTCOME
Default Codes: 

Notes:
ADMISSION OFFER OUTCOME is the same as attribute ADMISSION OFFER OUTCOME.

PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted into hospital.

If treatment is then deferred because of lack of facilities, or for medical reasons, e.g. the PATIENT may have a cold or unacceptably high blood pressure, the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT.

Note that the ORIGINAL DECIDED TO ADMIT DATE will still be used for the PATIENT's waiting time calculation. However, if the PATIENT fails to arrive or if the Admission is cancelled by, or on behalf of, the PATIENT then the waiting time is re-set from the missed admission date.

 ADMISSION OFFER OUTCOME will be replaced with ADMISSION OFFER OUTCOME CODE, which should be used for all new and developing data sets and for XML messages.

 

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ADMISSION OFFER OUTCOME CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See ADMISSION OFFER OUTCOME
Default Codes: 

Notes:
ADMISSION OFFER OUTCOME CODE is the same as attribute ADMISSION OFFER OUTCOME.

PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted into hospital.

If treatment is then deferred because of lack of facilities, or for medical reasons, e.g. the PATIENT may have a cold or unacceptably high blood pressure, the PATIENT is discharged with the ADMISSION OFFER OUTCOME CODE recorded as 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT.

Note that the ORIGINAL DECIDED TO ADMIT DATE will still be used for the PATIENT's waiting time calculation. However, if the PATIENT fails to arrive or if the Admission is cancelled by, or on behalf of, the PATIENT then the waiting time is re-set from the missed admission date.

ADMISSION OFFER OUTCOME CODE replaces ADMISSION OFFER OUTCOME, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralADMISSION OFFER OUTCOME CODES

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ADMISSION OFFER OUTCOME CODE

Change to Data Element: New Data Element

ADMISSION OFFER OUTCOME CODE
 
Attribute:
ADMISSION OFFER OUTCOME

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AGE GROUP INTENDED

Change to Data Element: Changed Description

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

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.

The following values for the attribute AGE GROUP INTENDED, with the addition of Home Leave, are to be used:

1Neonates
2Children and /or adolescents
3Elderly
8Any age
9Home Leave
 

AGE GROUP INTENDED will be replaced with INTENDED AGE GROUP, which should be used for all new and developing data sets and for XML messages.

 

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ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY

Change to Data Element: Changed Description

Format/length:n1
HES item:DELPREAN
National Codes:See ANAESTHETIC OR ANALGESIC CATEGORY for the National Codes
Default Codes:8 - Not applicable, i.e. no analgesic or anaesthetic administered
 9 - Not known: a validation error

Notes:
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given during labour/delivery, and the type used.

The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.

 ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY will be replaced with ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.

 

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ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:DELPREAN
National Codes:See ANAESTHETIC OR ANALGESIC CATEGORY for the National Codes
Default Codes:8 - Not applicable, i.e. no analgesic or anaesthetic administered
 9 - Not known: a validation error

Notes:
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given during labour/delivery, and the type used.

The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.

ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODES

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ANAESTHETIC GIVEN POST LABOUR OR DELIVERY

Change to Data Element: Changed Description

Format/length:n1
HES item:DELPOSAN
National Codes:See ANAESTHETIC OR ANALGESIC CATEGORY for the National Codes
Default Codes:8 - Not applicable, i.e. no analgesic or anaesthetic administered
 9 - Not known: a validation error

Notes:
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given after delivery, and the type used.

The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.

 ANAESTHETIC GIVEN POST LABOUR OR DELIVERY will be replaced with ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.

 

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ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:DELPOSAN
National Codes:See ANAESTHETIC OR ANALGESIC CATEGORY for the National Codes
Default Codes:8 - Not applicable, i.e. no analgesic or anaesthetic administered
 9 - Not known: a validation error

Notes:
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given after delivery, and the type used.

The values recorded are the National Codes contained within the attribute definition for ANAESTHETIC OR ANALGESIC CATEGORY with the addition of the Default Codes.

ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE replaces ANAESTHETIC GIVEN POST LABOUR OR DELIVERY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODES

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ATTENDED OR DID NOT ATTEND

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See ATTENDED OR DID NOT ATTEND
Default Codes: 

Notes:
For Commissioning Data Set and XML Schema version 6, this Data Element will be recognised as ATTENDANCE STATUS.

Use in the Future Outpatient CDS:
Where the attendance is in the future (and has not been cancelled) use value 0 (zero) - not applicable - APPOINTMENT occurs in the future.

Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).

 ATTENDED OR DID NOT ATTEND will be replaced with ATTENDED OR DID NOT ATTEND CODE, which should be used for all new and developing data sets and for XML messages.

 

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ATTENDED OR DID NOT ATTEND CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See ATTENDED OR DID NOT ATTEND
Default Codes: 

Notes:
Use in the Future Outpatient CDS:
Where the attendance is in the future (and has not been cancelled) use value 0 (zero) - not applicable - APPOINTMENT occurs in the future.

Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).

ATTENDED OR DID NOT ATTEND CODE replaces ATTENDED OR DID NOT ATTEND, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralATTENDED OR DID NOT ATTEND CODES

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ATTENDED OR DID NOT ATTEND CODE

Change to Data Element: New Data Element

ATTENDED OR DID NOT ATTEND CODE
 
Attribute:
ATTENDED OR DID NOT ATTEND

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CARE PROFESSIONAL MAIN SPECIALTY CODE

Change to Data Element: New Data Element

Format/length:an3
HES item:MAINSPEF
National Codes:See Main Specialty And Treatment Function Codes for the full list of codes.
Default Codes:199 - Non-UK provider; specialty function not known, treatment mainly surgical
 499 - Non-UK provider; specialty function not known, treatment mainly medical
 560 - Non-Consultant Led Activity - Midwife Episode 
 950 - Non-Consultant Led Activity - Nursing Episode 
 960 - Non-Consultant Led Activity - Allied Health Professional Episode

Notes:
CARE PROFESSIONAL MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.

It is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.

All Non-Consultant Led Activity is identified in the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE of 560 for MIDWIVES, 950 for NURSES and 960 for Allied Health Professionals.

The default codes 199 and 499 are only applicable for overseas providers.

CARE PROFESSIONAL MAIN SPECIALTY CODE replaces MAIN SPECIALTY CODE, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralCARE PROFESSIONAL MAIN SPECIALTY CODES

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CARE PROFESSIONAL MAIN SPECIALTY CODE

Change to Data Element: New Data Element

CARE PROFESSIONAL MAIN SPECIALTY CODE
 
Attribute:
MAIN SPECIALTY CODE

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DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET)  renamed from DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)

Change to Data Element: Changed Aliases, Name


DELIVERY METHOD

Change to Data Element: Changed Description

Format/length:n1
HES item:DELMETH
National Codes:See DELIVERY METHOD
Default Codes: 

Notes:
Additional National Code guidance not contained in the attribute definition is given below. It is shown in italics.
0Spontaneous vertex (normal vaginal delivery, occipitoanterior) 
1Spontaneous other cephalic (cephalic vaginal delivery with abnormal presentation of head at delivery, without instruments, with or without manipulation) 
2Low forceps, not breech (e.g. forceps, low application, without manipulation. Includes forceps delivery not otherwise specified) 
3Other forceps, not breech (e.g. forceps with manipulation. Includes high forceps and mid forceps) 
4Ventouse, vacuum extraction
5Breech (spontaneous delivery assisted or unspecified. Includes partial breech extraction) 
6Breech extraction (not otherwise specified. Includes total breech extraction and version with breech extraction) 
7Elective caesarean section (caesarean section before, or at onset of, labour) 
8Emergency caesarean section
9Other than those specified above (e.g. application of weight to leg in breech delivery. Includes destructive operation to facilitate delivery and other surgical or instrumental delivery) 

Without extending the width of this field to two characters it is not possible to accommodate a value of 'Not known', therefore the use of 8 and 9 in this field represent exceptions to the general rule.

 DELIVERY METHOD will be replaced with DELIVERY METHOD CODE, which should be used for all new and developing data sets and for XML messages.

 

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DELIVERY METHOD CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:DELMETH
National Codes:See DELIVERY METHOD
Default Codes: 

Notes:
Additional National Code guidance not contained in the attribute definition is given below. It is shown in italics.

0Spontaneous vertex (normal vaginal delivery, occipitoanterior) 
1Spontaneous other cephalic (cephalic vaginal delivery with abnormal presentation of head at delivery, without instruments, with or without manipulation) 
2Low forceps, not breech (e.g. forceps, low application, without manipulation. Includes forceps delivery not otherwise specified) 
3Other forceps, not breech (e.g. forceps with manipulation. Includes high forceps and mid forceps) 
4Ventouse, vacuum extraction
5Breech (spontaneous delivery assisted or unspecified. Includes partial breech extraction) 
6Breech extraction (not otherwise specified. Includes total breech extraction and version with breech extraction) 
7Elective caesarean section (caesarean section before, or at onset of, labour) 
8Emergency caesarean section
9Other than those specified above (e.g. application of weight to leg in breech delivery. Includes destructive operation to facilitate delivery and other surgical or instrumental delivery) 

DELIVERY METHOD CODE replaces DELIVERY METHOD, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralDELIVERY METHOD CODES

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DELIVERY METHOD CODE

Change to Data Element: New Data Element

DELIVERY METHOD CODE
 
Attribute:
DELIVERY METHOD

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DELIVERY PLACE CHANGE REASON

Change to Data Element: Changed Description

Format/length:n1
HES item:DELCHANG
National Codes:See DELIVERY PLACE CHANGE REASON
Default Codes:8 - Not applicable (i.e. no change)
9 - Not known: a validation error

Notes:
DELIVERY PLACE CHANGE REASON is the same as attribute DELIVERY PLACE CHANGE REASON.

 DELIVERY PLACE CHANGE REASON will replace DELIVERY PLACE CHANGE REASON CODE, which should be used for all new and developing data sets and for XML messages.

 

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DELIVERY PLACE CHANGE REASON CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:DELCHANG
National Codes:See DELIVERY PLACE CHANGE REASON
Default Codes:8 - Not applicable (i.e. no change)
9 - Not known: a validation error

Notes:
DELIVERY PLACE CHANGE REASON CODE is the same as attribute DELIVERY PLACE CHANGE REASON.

DELIVERY PLACE CHANGE REASON CODE replaces DELIVERY PLACE CHANGE REASON, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralDELIVERY PLACE CHANGE REASON CODES

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DELIVERY PLACE CHANGE REASON CODE

Change to Data Element: New Data Element

DELIVERY PLACE CHANGE REASON CODE
 
Attribute:
DELIVERY PLACE CHANGE REASON

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DELIVERY PLACE TYPE (ACTUAL)

Change to Data Element: Changed Description

Format/length:n1
HES item:DELPLACE
National Codes:See ACTUAL DELIVERY PLACE
Default Codes: 


Notes:
DELIVERY PLACE TYPE (ACTUAL) is the same as attribute ACTUAL DELIVERY PLACE

DELIVERY PLACE TYPE (ACTUAL) will be replaced with DELIVERY PLACE TYPE CODE (ACTUAL), which should be used for all new and developing data sets and for XML messages.

 

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DELIVERY PLACE TYPE (INTENDED)

Change to Data Element: Changed Description

Format/length:n1
HES item:DELINTEN
National Codes:See INTENDED DELIVERY PLACE
Default Codes: 


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

DELIVERY PLACE TYPE (INTENDED) will be replaced with DELIVERY PLACE TYPE CODE (INTENDED), which should be used for all new and developing data sets and for XML messages.

 

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DELIVERY PLACE TYPE CODE (ACTUAL)

Change to Data Element: New Data Element

Format/length:an1
HES item:DELPLACE
National Codes:See ACTUAL DELIVERY PLACE
Default Codes: 

Notes:
DELIVERY PLACE TYPE CODE (ACTUAL) is the same as attribute ACTUAL DELIVERY PLACE.

DELIVERY PLACE TYPE CODE (ACTUAL) replaces DELIVERY PLACE TYPE (ACTUAL), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralDELIVERY PLACE TYPE CODES (ACTUAL)

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DELIVERY PLACE TYPE CODE (ACTUAL)

Change to Data Element: New Data Element

DELIVERY PLACE TYPE CODE (ACTUAL)
 
Attribute:
ACTUAL DELIVERY PLACE

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DELIVERY PLACE TYPE CODE (INTENDED)

Change to Data Element: New Data Element

Format/length:an1
HES item:DELINTEN
National Codes:See INTENDED DELIVERY PLACE
Default Codes: 

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

DELIVERY PLACE TYPE CODE (INTENDED) replaces DELIVERY PLACE TYPE (INTENDED), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralDELIVERY PLACE TYPE CODES (INTENDED)

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DELIVERY PLACE TYPE CODE (INTENDED)

Change to Data Element: New Data Element

DELIVERY PLACE TYPE CODE (INTENDED)
 
Attribute:
INTENDED DELIVERY PLACE

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DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/length:n2
HES item:DISDEST
National Codes:See DISCHARGE DESTINATION for the National Codes
Default Codes:98 - Not applicable - hospital provider spell not finished at episode end (i.e. not discharged, or current episode unfinished)
 99 - Not known: a validation error

Notes:
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE DESTINATION and the values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.

This records the destination of a PATIENT on completion of the Hospital Provider Spell. It can also indicate that the PATIENT died or was a still birth.

DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.

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

 

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DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

Format/length:an2
HES item:DISDEST
National Codes:See DISCHARGE DESTINATION for the National Codes
Default Codes:98 - Not applicable - hospital provider spell not finished at episode end (i.e. not discharged, or current episode unfinished)
 99 - Not known: a validation error

Notes:
DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE DESTINATION and the values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.

This records the destination of a PATIENT on completion of the Hospital Provider Spell. It can also indicate that the PATIENT died or was a still birth.

DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.

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

 

This data element is also known by these names:
ContextAlias
pluralDISCHARGE DESTINATION CODES (HOSPITAL PROVIDER SPELL)

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DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)
 
Attribute:
DISCHARGE DESTINATION

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DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/length:n1
HES item:DISMETH
National Codes:See DISCHARGE METHOD
Default Codes:8 - Not applicable - Hospital Provider Spell. not yet finished (i.e. not discharged)
 9 - Not known: a validation error

Notes:
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE METHOD.

DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.

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

 

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DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

Format/length:an1
HES item:DISMETH
National Codes:See DISCHARGE METHOD
Default Codes:8 - Not applicable - Hospital Provider Spell not yet finished (i.e. not discharged)
 9 - Not known: a validation error

Notes:
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE METHOD.

DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE METHOD (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.

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

 

This data element is also known by these names:
ContextAlias
pluralDISCHARGE METHOD CODES (HOSPITAL PROVIDER SPELL)

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DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)
 
Attribute:
DISCHARGE METHOD

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ELECTIVE ADMISSION LIST REMOVAL REASON

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:see ELECTIVE ADMISSION LIST REMOVAL REASON
Default Codes: 


Notes:
PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted to hospital. If treatment is then deferred because of lack of facilities or for medical reasons - the PATIENT may have a cold or unacceptably high blood pressure - the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as: 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT. Note that the ORIGINAL DECIDED TO ADMIT DATE must still be used to calculate the start of the PATIENT's waiting time calculation. 

ELECTIVE ADMISSION LIST REMOVAL REASON will be replaced with ELECTIVE ADMISSION LIST REMOVAL REASON CODE, which should be used for all new and developing data sets and for XML messages.

 

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ELECTIVE ADMISSION LIST REMOVAL REASON CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:see ELECTIVE ADMISSION LIST REMOVAL REASON
Default Codes: 

Notes:
ELECTIVE ADMISSION LIST REMOVAL REASON CODE is the same as attribute ELECTIVE ADMISSION LIST REMOVAL REASON.

PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted to hospital. If treatment is then deferred because of lack of facilities or for medical reasons - the PATIENT may have a cold or unacceptably high blood pressure - the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as: 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT. Note that the ORIGINAL DECIDED TO ADMIT DATE must still be used to calculate the start of the PATIENT's waiting time calculation.

ELECTIVE ADMISSION LIST REMOVAL REASON CODE replaces ELECTIVE ADMISSION LIST REMOVAL REASON, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralELECTIVE ADMISSION LIST REMOVAL REASON CODES

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ELECTIVE ADMISSION LIST REMOVAL REASON CODE

Change to Data Element: New Data Element

ELECTIVE ADMISSION LIST REMOVAL REASON CODE
 
Attribute:
ELECTIVE ADMISSION LIST REMOVAL REASON

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ELECTIVE ADMISSION TYPE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:see ELECTIVE ADMISSION TYPE
Default Codes: 
 Notes:
ELECTIVE ADMISSION TYPE is the same as attribute ELECTIVE ADMISSION TYPE.

ELECTIVE ADMISSION TYPE will be replaced with ELECTIVE ADMISSION TYPE CODE, which should be used for all new and developing data sets and for XML messages.

 

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ELECTIVE ADMISSION TYPE CODE

Change to Data Element: New Data Element

Format/length:an2
HES item: 
National Codes:see ELECTIVE ADMISSION TYPE
Default Codes: 

Notes:
ELECTIVE ADMISSION TYPE CODE is the same as attribute ELECTIVE ADMISSION TYPE

ELECTIVE ADMISSION TYPE CODE replaces ELECTIVE ADMISSION TYPE, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralELECTIVE ADMISSION TYPE CODES

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ELECTIVE ADMISSION TYPE CODE

Change to Data Element: New Data Element

ELECTIVE ADMISSION TYPE CODE
 
Attribute:
ELECTIVE ADMISSION TYPE

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FIRST ATTENDANCE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See FIRST ATTENDANCE
Default Codes: 

Notes:
This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED was a face to face contact or telephone/telemedicine consultation.

A FIRST ATTENDANCE is the first in a series, or only attendance of an APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent attendances in the series which take place should be recorded as follow-up.

FIRST ATTENDANCE National Code 5 - "Referral to Treatment Clock Stop Administrative Event" allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity. It flows through the CDS V6 TYPE 020 - OUTPATIENT CDS structure. See Referral To Treatment Clock Stop Administrative Event.

 FIRST ATTENDANCE will be replaced with FIRST ATTENDANCE CODE, which should be used for all new and developing data sets and for XML messages.

 

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FIRST ATTENDANCE CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See FIRST ATTENDANCE
Default Codes: 

Notes:
FIRST ATTENDANCE CODE is the same as attribute FIRST ATTENDANCE.

This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED was a face to face contact or telephone/telemedicine consultation.

A FIRST ATTENDANCE is the first in a series, or only attendance of an APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent attendances in the series which take place should be recorded as follow-up.

FIRST ATTENDANCE National Code 5 - "Referral to Treatment Clock Stop Administrative Event" allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity. It flows through the CDS V6 TYPE 020 - OUTPATIENT CDS structure. See Referral To Treatment Clock Stop Administrative Event.

FIRST ATTENDANCE CODE replaces FIRST ATTENDANCE, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralFIRST ATTENDANCE CODES

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FIRST ATTENDANCE CODE

Change to Data Element: New Data Element

FIRST ATTENDANCE CODE
 
Attribute:
FIRST ATTENDANCE

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FIRST REGULAR DAY OR NIGHT ADMISSION

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See FIRST REGULAR DAY OR NIGHT ADMISSION
Default Codes: 

Notes:
FIRST REGULAR DAY OR NIGHT ADMISSION is the same as attribute FIRST REGULAR DAY OR NIGHT ADMISSION.

 FIRST REGULAR DAY OR NIGHT ADMISSION will be replaced with FIRST REGULAR DAY OR NIGHT ADMISSION CODE, which should be used for all new and developing data sets and for XML messages.

 

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FIRST REGULAR DAY OR NIGHT ADMISSION CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See FIRST REGULAR DAY OR NIGHT ADMISSION
Default Codes: 

Notes:
FIRST REGULAR DAY OR NIGHT ADMISSION CODE is the same as attribute FIRST REGULAR DAY OR NIGHT ADMISSION.

FIRST REGULAR DAY OR NIGHT ADMISSION CODE replaces FIRST REGULAR DAY OR NIGHT ADMISSION, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralFIRST REGULAR DAY OR NIGHT ADMISSION CODES

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FIRST REGULAR DAY OR NIGHT ADMISSION CODE

Change to Data Element: New Data Element

FIRST REGULAR DAY OR NIGHT ADMISSION CODE
 
Attribute:
FIRST REGULAR DAY OR NIGHT ADMISSION

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INTENDED AGE GROUP

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:see AGE GROUP INTENDED
Default Codes: 

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.

The following values for the attribute AGE GROUP INTENDED, with the addition of Home Leave, are to be used:

1Neonates
2Children and /or adolescents
3Elderly
8Any age
9Home Leave

INTENDED AGE GROUP replaces AGE GROUP INTENDED, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralINTENDED AGE GROUPS

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INTENDED AGE GROUP

Change to Data Element: New Data Element

INTENDED AGE GROUP
 
Attribute:
AGE GROUP INTENDED

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INTENDED CLINICAL CARE INTENSITY

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See CLINICAL CARE INTENSITY
Default Codes: 

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY is required to be separately recorded.

INTENDED CLINICAL CARE INTENSITY is the same as attribute CLINICAL CARE INTENSITY and the values recorded within the Commissioning Data Set messages are the National Codes contained within the definition of CLINICAL CARE INTENSITY, but with the addition of:

71Home Leave, non-psychiatric
72Home Leave, psychiatric
 INTENDED CLINICAL CARE INTENSITY will be replaced with INTENDED CLINICAL CARE INTENSITY CODE, which should be used for all new and developing data sets and for XML messages.

 

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INTENDED CLINICAL CARE INTENSITY CODE

Change to Data Element: New Data Element

Format/length:an2
HES item: 
National Codes:See CLINICAL CARE INTENSITY
Default Codes: 

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY CODE is required to be separately recorded.

INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY and the values recorded are the National Codes contained within the definition of CLINICAL CARE INTENSITY, but with the addition of:

71Home Leave, non-psychiatric
72Home Leave, psychiatric

INTENDED CLINICAL CARE INTENSITY CODE replaces INTENDED CLINICAL CARE INTENSITY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralINTENDED CLINICAL CARE INTENSITY CODES

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INTENDED CLINICAL CARE INTENSITY CODE

Change to Data Element: New Data Element

INTENDED CLINICAL CARE INTENSITY CODE
 
Attribute:
CLINICAL CARE INTENSITY

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INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)  renamed from INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH)

Change to Data Element: Changed Aliases, Name, Description

Format/Length:n2
Format/Length:an2
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:INTENDED CLINICAL CARE INTENSITY CODE (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):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 CODE):

72Home Leave, psychiatric
 

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INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)  renamed from INTENDED CLINICAL CARE INTENSITY (MENTAL HEALTH)

Change to Data Element: Changed Aliases, Name, Description


INTENDED MANAGEMENT

Change to Data Element: Changed Description

Format/length:n1
HES item:INTMANIG
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:see INTENDED MANAGEMENT
Default Codes:8 - Not applicable
 9 - Not known: a validation error

Notes:
This categorisation describes what is intended to happen to the PATIENT. Occasionally the PATIENT's treatment does not go exactly to plan. For example, a PATIENT admitted as a day case may develop complications and have to be kept in overnight. Therefore another data item, PATIENT CLASSIFICATION, is used to describe what actually happens to the PATIENT. In this example, the PATIENT CLASSIFICATION would be 'Ordinary admission' and not 'Day case admission'. 

INTENDED MANAGEMENT will be replaced with INTENDED MANAGEMENT CODE, which should be used for all new and developing data sets and for XML messages.

 

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INTENDED MANAGEMENT CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:INTMANIG
National Codes:see INTENDED MANAGEMENT
Default Codes:8 - Not applicable
 9 - Not known: a validation error

Notes:
INTENDED MANAGEMENT CODE is the same as attribute INTENDED MANAGEMENT.

This categorisation describes what is intended to happen to the PATIENT. Occasionally the PATIENT's treatment does not go exactly to plan. For example, a PATIENT admitted as a day case may develop complications and have to be kept in overnight. Therefore another data item, PATIENT CLASSIFICATION, is used to describe what actually happens to the PATIENT. In this example, the PATIENT CLASSIFICATION would be 'Ordinary admission' and not 'Day case admission'.

INTENDED MANAGEMENT CODE replaces INTENDED MANAGEMENT, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralINTENDED MANAGEMENT CODES

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INTENDED MANAGEMENT CODE

Change to Data Element: New Data Element

INTENDED MANAGEMENT CODE
 
Attribute:
INTENDED MANAGEMENT

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INTENDED PROCEDURE STATUS

Change to Data Element: Changed Description

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

Notes:
The following values are to be used:

1Operative procedure intended
8Not applicable: no operative procedure intended
9Not known
 

INTENDED PROCEDURE STATUS will be replaced with INTENDED PROCEDURE STATUS CODE, which should be used for all new and developing data sets and for XML messages.

 

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INTENDED PROCEDURE STATUS CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes: 
Default Codes: 

Notes:
The following values are to be used:

1Operative procedure intended
8Not applicable: no operative procedure intended
9Not known

INTENDED PROCEDURE STATUS CODE replaces INTENDED PROCEDURE STATUS, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralINTENDED PROCEDURE STATUS CODES

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LABOUR OR DELIVERY ONSET METHOD

Change to Data Element: Changed Description

Format/length:n1
HES item:DELONSET
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:see LABOUR OR DELIVERY ONSET METHOD
Default Codes:9 - Not known: a validation error

Notes:

Notes:
LABOUR OR DELIVERY ONSET METHOD is the same as the attribute LABOUR OR DELIVERY ONSET METHOD.

Only those methods that are used to induce labour, such as surgical induction, medical induction or a combination of the two, should be recorded. Methods that are used to accelerate labour should not be recorded.

 LABOUR OR DELIVERY ONSET METHOD will be replaced with LABOUR OR DELIVERY ONSET METHOD CODE, which should be used for all new and developing data sets and for XML messages.

 

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LABOUR OR DELIVERY ONSET METHOD CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:DELONSET
National Codes:see LABOUR OR DELIVERY ONSET METHOD
Default Codes:9 - Not known: a validation error

Notes:

Notes:
LABOUR OR DELIVERY ONSET METHOD CODE is the same as the attribute LABOUR OR DELIVERY ONSET METHOD.

Only those methods that are used to induce labour, such as surgical induction, medical induction or a combination of the two, should be recorded. Methods that are used to accelerate labour should not be recorded.

LABOUR OR DELIVERY ONSET METHOD CODE replaces LABOUR OR DELIVERY ONSET METHOD, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralLABOUR OR DELIVERY ONSET METHOD CODES

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LABOUR OR DELIVERY ONSET METHOD CODE

Change to Data Element: New Data Element

LABOUR OR DELIVERY ONSET METHOD CODE
 
Attribute:
LABOUR OR DELIVERY ONSET METHOD

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LAST EPISODE IN SPELL INDICATOR

Change to Data Element: Changed Description

Format/length:n1
HES item:SPELEND
National Codes: 
Default Codes:9 - Not known

Notes:
This derived data element identifies whether the consultant episode is the final episode in the Hospital Provider Spell.

The following values with the addition of the Default Code, can be used:

1This episode is the last episode in the hospital provider spell
2The episode is not the last episode in the hospital provider spell

LAST EPISODE IN SPELL INDICATOR will be replaced with LAST EPISODE IN SPELL INDICATOR CODE, which should be used for all new and developing data sets and for XML messages.

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

 

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LAST EPISODE IN SPELL INDICATOR CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:SPELEND
National Codes: 
Default Codes:9 - Not known

Notes:
This derived data element identifies whether the consultant episode is the final episode in the Hospital Provider Spell.

The following values with the addition of the Default Code, can be used:

1This episode is the last episode in the Hospital Provider Spell
2The episode is not the last episode in the Hospital Provider Spell

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

LAST EPISODE IN SPELL INDICATOR CODE replaces LAST EPISODE IN SPELL INDICATOR, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralLAST EPISODE IN SPELL INDICATOR CODES

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LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)

Change to Data Element: Changed Description

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

Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding. It is only required for the Admitted Patient Care CDS - Detained and/or Long Term Psychiatric Census. 

LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) will be replaced with MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE), which should be used for all new and developing data sets and for XML messages.

 

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LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)

Change to Data Element: Changed Description

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


Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding. 

LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) will be replaced with MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION), which should be used for all new and developing data sets and for XML messages.

 

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LIVE OR STILL BIRTH

Change to Data Element: Changed Description

Format/length:n1
HES item:BIRSTATE
National Codes:See LIVE OR STILL BIRTH
Default Codes: 

Notes:
LIVE OR STILL BIRTH is the same as the attribute LIVE OR STILL BIRTH.

If born dead before 24 weeks, it would be a spontaneous abortion.

 LIVE OR STILL BIRTH will be replaced with LIVE OR STILL BIRTH CODE, which should be used for all new and developing data sets and for XML messages.

 

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LIVE OR STILL BIRTH CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:BIRSTATE
National Codes:See LIVE OR STILL BIRTH
Default Codes: 

Notes:
LIVE OR STILL BIRTH CODE is the same as the attribute LIVE OR STILL BIRTH.

If born dead before 24 weeks, it would be a spontaneous abortion.

LIVE OR STILL BIRTH CODE replaces LIVE OR STILL BIRTH, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralLIVE OR STILL BIRTH CODES

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LIVE OR STILL BIRTH CODE

Change to Data Element: New Data Element

LIVE OR STILL BIRTH CODE
 
Attribute:
LIVE OR STILL BIRTH

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MAIN SPECIALTY CODE

Change to Data Element: Changed Description

Format/length:n3
HES item:MAINSPEF
National Codes:See Main Specialty And Treatment Function Codes for the full list of codes.
Default Codes:199 - Non-UK provider; specialty function not known, treatment mainly surgical
 499 - Non-UK provider; specialty function not known, treatment mainly medical
 560 - Non-Consultant Led Activity - Midwife Episode 
 950 - Non-Consultant Led Activity - Nursing Episode 
 960 - Non-Consultant Led Activity - Allied Health Professional Episode

Notes:
MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.

It is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.

All Non-Consultant Led Activity is identified in the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics by a pseudo MAIN SPECIALTY CODE of 560 for MIDWIVES, 950 for NURSES and 960 for Allied Health Professionals.

The default codes 199 and 499 are only applicable for overseas providers.

 MAIN SPECIALTY CODE will be replaced with CARE PROFESSIONAL MAIN SPECIALTY CODE, which should be used for all new and developing data sets and for XML messages.

 

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MENTAL CATEGORY

Change to Data Element: Changed Description

Format/length:n1
HES item:MENTCAT
National Codes:See MENTAL CATEGORY 
Default Codes:8 - Not applicable (i.e. not detained)
 9 - Not known: a validation error

Notes:
See Mental Health Act Table for details of how MENTAL CATEGORIES relates to Parts and Sections of the Act.

This data element is effective for PATIENTS detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, which abolishes the Mental Health Act 1983 MENTAL CATEGORIES.  For PATIENTS detained from 3rd November 2008, the MENTAL HEALTH ACT 2007 MENTAL CATEGORY data element should be used.

MENTAL CATEGORY may continue to be used for historical purposes for any PATIENT last detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force.  In these circumstances MENTAL CATEGORY will flow in the CDS V6 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS, and the Mental Health Minimum Data Set.

 MENTAL CATEGORY will be replaced with MENTAL CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.

 

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MENTAL CATEGORY CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:MENTCAT
National Codes:See MENTAL CATEGORY 
Default Codes:8 - Not applicable (i.e. not detained)
 9 - Not known: a validation error

Notes:
See Mental Health Act Table for details of how MENTAL CATEGORY CODES relate to Parts and Sections of the Act.

This data element is effective for PATIENTS detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, which abolishes the Mental Health Act 1983 MENTAL CATEGORIES.  For PATIENTS detained from 3rd November 2008, the MENTAL HEALTH ACT 2007 MENTAL CATEGORY data element should be used.

MENTAL CATEGORY CODE may continue to be used for historical purposes for any PATIENT last detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force.  In these circumstances MENTAL CATEGORY CODE will flow in the CDS V6 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS, and the Mental Health Minimum Data Set.

MENTAL CATEGORY CODE replaces MENTAL CATEGORY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL CATEGORY CODES

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MENTAL CATEGORY CODE

Change to Data Element: New Data Element

MENTAL CATEGORY CODE
 
Attribute:
MENTAL CATEGORY

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Change to Data Element: Changed Description

Format/length:n2
Format/length:an2
HES item: 
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.

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 (AT CENSUS DATE)

Change to Data Element: New Data Element

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


Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding. It is only required for the Admitted Patient Care CDS - Detained and/or Long Term Psychiatric Census.

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) replaces LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODES (AT CENSUS DATE)

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)

Change to Data Element: New Data Element

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)
 
Attribute:
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)

Change to Data Element: New Data Element

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

Notes:
See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE for details on coding.

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) replaces LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODES (ON ADMISSION)

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)

Change to Data Element: New Data Element

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
 
Attribute:
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

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NHS NUMBER STATUS INDICATOR

Change to Data Element: Changed Description

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

Notes:
The following values can be used:
01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS Number or patient detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old)
 

NHS NUMBER STATUS INDICATOR will be replaced with NHS NUMBER STATUS INDICATOR CODE, which should be used for all new and developing data sets and for XML messages.

 

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NHS NUMBER STATUS INDICATOR (BABY)

Change to Data Element: Changed Description

Format/length:See NHS NUMBER STATUS INDICATOR
HES item: 
National Codes: 
Default Codes: 

Notes:
The NHS NUMBER STATUS INDICATOR of the NHS NUMBER (BABY) within the Commissioning Data Set Delivery Episode and Commissioning Data Set Home Delivery.

The values to be used are as for NHS NUMBER STATUS INDICATOR.

 NHS NUMBER STATUS INDICATOR (BABY) will be replaced with NHS NUMBER STATUS INDICATOR CODE (BABY), which should be used for all new and developing data sets and for XML messages.

 

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NHS NUMBER STATUS INDICATOR (MOTHER)

Change to Data Element: Changed Description

Format/length:See NHS NUMBER STATUS INDICATOR
HES item: 
National Codes: 
Default Codes: 

Notes:
The NHS NUMBER STATUS INDICATOR of the NHS NUMBER (MOTHER) within the Commissioning Data Set Birth Episode and Commissioning Data Set Home Birth.

The values to be used are as for NHS NUMBER STATUS INDICATOR.

 NHS NUMBER STATUS INDICATOR (MOTHER) will be replaced with NHS NUMBER STATUS INDICATOR CODE (MOTHER), which should be used for all new and developing data sets and for XML messages.

 

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NHS NUMBER STATUS INDICATOR CODE

Change to Data Element: New Data Element

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

Notes:
The following values can be used:

01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS Number or patient detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old)

NHS NUMBER STATUS INDICATOR CODE replaces NHS NUMBER STATUS INDICATOR, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralNHS NUMBER STATUS INDICATOR CODES

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NHS NUMBER STATUS INDICATOR CODE (BABY)

Change to Data Element: New Data Element

Format/length:See NHS NUMBER STATUS INDICATOR CODE
HES item: 
National Codes: 
Default Codes: 

Notes:
The NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (BABY).

The values to be used are as for NHS NUMBER STATUS INDICATOR CODE.

NHS NUMBER STATUS INDICATOR CODE (BABY) replaces NHS NUMBER STATUS INDICATOR (BABY), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralNHS NUMBER STATUS INDICATOR CODES (BABY)

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NHS NUMBER STATUS INDICATOR CODE (MOTHER)

Change to Data Element: New Data Element

Format/length:See NHS NUMBER STATUS INDICATOR CODE
HES item: 
National Codes: 
Default Codes: 

Notes:
The NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (MOTHER).

The values to be used are as for NHS NUMBER STATUS INDICATOR CODE.

NHS NUMBER STATUS INDICATOR CODE (MOTHER) replaces NHS NUMBER STATUS INDICATOR (MOTHER), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralNHS NUMBER STATUS INDICATOR CODES (MOTHER)

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NUMBER OF BABIES

Change to Data Element: Changed Description

Format/length:n1
HES item:NUMBBABY
National Codes: 
Default Codes:9 - Not known: a validation error

Notes:
This derived data item records the number of REGISTERABLE BIRTHS (live or still born at a particular delivery).

The following values with the addition of the Default Code, can be used:

1One
2Two
3Three
4Four
5Five
6Six or more
 

NUMBER OF BABIES will be replaced with NUMBER OF BABIES INDICATOR, which should be used for all new and developing data sets and for XML messages.

 

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NUMBER OF BABIES INDICATOR

Change to Data Element: New Data Element

Format/length:an1
HES item:NUMBBABY
National Codes: 
Default Codes:9 - Not known: a validation error

Notes:
This derived data item records the number of REGISTERABLE BIRTHS (live or still born at a particular delivery).

The following values with the addition of the Default Code, can be used:

1One
2Two
3Three
4Four
5Five
6Six or more

NUMBER OF BABIES INDICATOR replaces NUMBER OF BABIES, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralNUMBER OF BABIES INDICATORS

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OPERATION STATUS

Change to Data Element: Changed Description

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

Notes:
OPERATION STATUSES should be used once for each record to record states of knowledge regarding the operative procedure.
1One or more operative procedure carried out
8Not applicable i.e. no operative procedures performed or intended
9Not known i.e. finished episode/out-patient attendance but no data entered or the episode is unfinished and no data needs to be present. This would be a validation error only for a finished episode

Use in the Future Outpatient CDS:
If it is not intended to perform a procedure at the future attendance, use value 8. Otherwise this data element should be omitted.

 OPERATION STATUS will be replaced with OPERATION STATUS CODE, which should be used for all new and developing data sets and for XML messages.

 

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OPERATION STATUS CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:OPERSTAT
National Codes: 
Default Codes: 

Notes:
OPERATION STATUS CODES should be used once for each record to record states of knowledge regarding the operative procedure.

1One or more operative procedure carried out
8Not applicable i.e. no operative procedures performed or intended
9Not known i.e. finished episode/out-patient attendance but no data entered or the episode is unfinished and no data needs to be present. This would be a validation error only for a finished episode

Use in the Future Outpatient CDS:
If it is not intended to perform a procedure at the future attendance, use value 8. Otherwise this data element should be omitted.

OPERATION STATUS CODE replaces OPERATION STATUS, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralOPERATION STATUS CODES

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OUTCOME OF ATTENDANCE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See OUTCOME OF ATTENDANCE
Default Codes: 

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

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

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

 OUTCOME OF ATTENDANCE will be replaced with OUTCOME OF ATTENDANCE CODE, which should be used for all new and developing data set and for XML messages.

 

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OUTCOME OF ATTENDANCE CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See OUTCOME OF ATTENDANCE
Default Codes: 

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

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

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

OUTCOME OF ATTENDANCE CODE replaces OUTCOME OF ATTENDANCE, and should be used for all new and developing data set and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralOUTCOMES OF ATTENDANCE CODES

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OUTCOME OF ATTENDANCE CODE

Change to Data Element: New Data Element

OUTCOME OF ATTENDANCE CODE
 
Attribute:
OUTCOME OF ATTENDANCE

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PERSON GENDER AT REGISTRATION

Change to Data Element: Changed Description

Format/length:1 numeric
HES item: 
National Codes:See PERSON GENDER CODE for the National Codes, which may all be used except ' 0 Not Known '.
Default Codes: 

Notes:
A PERSON's gender at registration.

PERSON GENDER AT REGISTRATION is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '01 - Person Gender at Registration'.

The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER AT REGISTRATION should be used for all new and developing systems and for XML messages.The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER AT REGISTRATION will be replaced with PERSON GENDER CODE AT REGISTRATION, which should be used for all new and developing systems and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

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PERSON GENDER CODE AT REGISTRATION

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See PERSON GENDER CODE for the National Codes, which may all be used except ' 0 Not Known '.
Default Codes: 

Notes:
A PERSON's gender at registration.

PERSON GENDER CODE AT REGISTRATION is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '01 - Person Gender at Registration'.

The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CODE AT REGISTRATION replaces PERSON GENDER AT REGISTRATION, and should be used for all new and developing data sets and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

This data element is also known by these names:
ContextAlias
pluralPERSON GENDER CODES AT REGISTRATION

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PERSON GENDER CODE AT REGISTRATION

Change to Data Element: New Data Element

PERSON GENDER CODE AT REGISTRATION
 
Attribute:
PERSON GENDER CODE

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PERSON GENDER CODE CURRENT

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See PERSON GENDER CODE
Default Codes: 

Notes:
A PERSON's gender currently.

PERSON GENDER CODE CURRENT is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '02 - Person Gender Current'.

The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CODE CURRENT replaces PERSON GENDER CURRENT, and should be used for all new and developing data sets and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

This data element is also known by these names:
ContextAlias
pluralPERSON GENDER CODES CURRENT

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PERSON GENDER CODE CURRENT

Change to Data Element: New Data Element

PERSON GENDER CODE CURRENT
 
Attribute:
PERSON GENDER CODE

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PERSON GENDER CODE CURRENT (BABY)

Change to Data Element: New Data Element

Format/length:See PERSON GENDER CODE CURRENT
HES item: 
National Codes: 
Default Codes: 

Notes:
PERSON GENDER CODE CURRENT (BABY) is the same as data element PERSON GENDER CODE CURRENT.

PERSON GENDER CODE CURRENT (BABY) replaces PERSON GENDER CURRENT (BABY), and should be used for all new and developing data sets and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

 

This data element is also known by these names:
ContextAlias
pluralPERSON GENDER CODES CURRENT (BABY)

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PERSON GENDER CODE CURRENT (BABY)

Change to Data Element: New Data Element

PERSON GENDER CODE CURRENT (BABY)
 
Attribute:
PERSON GENDER CODE

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PERSON GENDER CURRENT

Change to Data Element: Changed Description

Format/length:1 numeric
HES item: 
National Codes:See PERSON GENDER CODE
Default Codes: 

Notes:
A PERSON's gender currently.

PERSON GENDER CURRENT is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '02 - Person Gender Current'.

The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CURRENT should be used for all new and developing systems and for XML messages.The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CURRENT will be replaced with PERSON GENDER CODE CURRENT, which should be used for all new and developing systems and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

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PERSON GENDER CURRENT (BABY)

Change to Data Element: Changed Description

Format/length:See PERSON GENDER CURRENT 
HES item: 
National Codes: 
Default Codes: 

Notes:
PERSON GENDER CURRENT (BABY) is the same as data element PERSON GENDER CURRENT.

PERSON GENDER CURRENT (BABY) will be replaced with PERSON GENDER CODE CURRENT (BABY), which should be used for all new and developing data sets and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

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PRIORITY TYPE

Change to Data Element: Changed Description

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


Notes:
PRIORITY TYPES can be defined more precisely if this is needed for local purposes, as long as the classifications can be mapped back to the National Codes. 

PRIORITY TYPE will be replaced with PRIORITY TYPE CODE, which should be used for all new and developing data sets and for XML messages.

 

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PRIORITY TYPE CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:see PRIORITY TYPE
Default Codes: 

Notes:
PRIORITY TYPE CODES can be defined more precisely if this is needed for local purposes, as long as the classifications can be mapped back to the National Codes.

PRIORITY TYPE CODE replaces PRIORITY TYPE, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralPRIORITY TYPE CODES

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PRIORITY TYPE CODE

Change to Data Element: New Data Element

PRIORITY TYPE CODE
 
Attribute:
PRIORITY TYPE

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PSYCHIATRIC PATIENT STATUS

Change to Data Element: Changed Description

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

Notes:
Where a PATIENT has a history of admissions to several Hospital Provider, then priority between National Codes 1 and 2 should be given to the current Hospital Provider, and National Code 1 selected, irrespective of whether or not the last admission was to the same Hospital Provider.

This data item applies only to PATIENTS admitted or transferred to a CONSULTANT in one of the psychiatric specialties within a Hospital Provider Spell. Record this against the first consultant episode under a CONSULTANT in one of the psychiatric specialties but not for subsequent psychiatric consultant episodes or for any non-psychiatric episodes. This information is used to indicate the turnover period within the service and identify, where possible, all first time psychiatric admissions and re-admissions.

National Codes:

0No known previous Hospital Provider Spells with a Consultant Episode (Hospital Provider) within a psychiatric speciality within any Health Care Provider.
1One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with this Health Care Provider.
2One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with another Health Care Provider, but none with this Health Care Provider.
8Not applicable: the patient is not receiving admitted patient care under a consultant in a psychiatric specialty.
9Not known: the patient is receiving admitted patient care under a consultant in a psychiatric specialty, but the information is not available. This constitutes a validation error
 

PSYCHIATRIC PATIENT STATUS will be replaced with PSYCHIATRIC PATIENT STATUS CODE, which should be used for all new and developing data sets and for XML messages.

 

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PSYCHIATRIC PATIENT STATUS CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:ADMISTAT
National Codes: 
Default Codes: 

Notes:
Where a PATIENT has a history of admissions to several Hospital Provider, then priority between National Codes 1 and 2 should be given to the current Hospital Provider, and National Code 1 selected, irrespective of whether or not the last admission was to the same Hospital Provider.

This data item applies only to PATIENTS admitted or transferred to a CONSULTANT in one of the psychiatric specialties within a Hospital Provider Spell. Record this against the first consultant episode under a CONSULTANT in one of the psychiatric specialties but not for subsequent psychiatric consultant episodes or for any non-psychiatric episodes. This information is used to indicate the turnover period within the service and identify, where possible, all first time psychiatric admissions and re-admissions.

National Codes:

0No known previous Hospital Provider Spells with a Consultant Episode (Hospital Provider) within a psychiatric speciality within any Health Care Provider.
1One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with this Health Care Provider.
2One or more previous Hospital Provider Spells involving a Consultant Episode (Hospital Provider) within a psychiatric specialty with another Health Care Provider, but none with this Health Care Provider.
8Not applicable: the patient is not receiving admitted patient care under a consultant in a psychiatric specialty.
9Not known: the patient is receiving admitted patient care under a consultant in a psychiatric specialty, but the information is not available. This constitutes a validation error

PSYCHIATRIC PATIENT STATUS CODE replaces PSYCHIATRIC PATIENT STATUS, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralPSYCHIATRIC PATIENT STATUS CODES

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REFERRAL TO TREATMENT PERIOD STATUS

Change to Data Element: New Data Element

Format/length:an2
HES item: 
National Codes:See REFERRAL TO TREATMENT PERIOD STATUS 
Default Codes: 


Notes:
REFERRAL TO TREATMENT PERIOD STATUS is the same as attribute REFERRAL TO TREATMENT PERIOD STATUS.

Use in Commissioning Data Set version 6-0 onwards

If the Commissioning Data Set record relates to a Referral To Treatment Period Included In 18 Weeks Target, and is of the following Commissioning Data Set Types:

then REFERRAL TO TREATMENT PERIOD STATUS must be present in the Commissioning Data Set PATIENT PATHWAY Data Group. 

REFERRAL TO TREATMENT PERIOD STATUS replaces REFERRAL TO TREATMENT STATUS, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralREFERRAL TO TREATMENT PERIOD STATUSES

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REFERRAL TO TREATMENT PERIOD STATUS

Change to Data Element: New Data Element

REFERRAL TO TREATMENT PERIOD STATUS
 
Attribute:
REFERRAL TO TREATMENT PERIOD STATUS

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REFERRAL TO TREATMENT STATUS

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See REFERRAL TO TREATMENT PERIOD STATUS 
Default Codes: 


Notes:
This is the same as attribute REFERRAL TO TREATMENT PERIOD STATUS.

Use in Commissioning Data Set version 6-0 onwards

If the Commissioning Data Set record relates to a Referral To Treatment Period Included In 18 Weeks Target, and is of the following Commissioning Data Set Types:

then REFERRAL TO TREATMENT STATUS must be present in the Commissioning Data Set PATIENT PATHWAY Data Group. 

 REFERRAL TO TREATMENT STATUS will be replaced with REFERRAL TO TREATMENT PERIOD STATUS, which should be used for all new and developing data sets and for XML messages.

 

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RESUSCITATION METHOD

Change to Data Element: Changed Description

Format/length:n1
HES item:BIRRESUS
National Codes: 
Default Codes:8 - Not applicable (e.g. stillborn, where no method of resuscitation was attempted)
 9 - Not known: a validation error

Notes:
This data item is derived from RESUSCITATION METHOD POSITIVE PRESSURE and RESUSCITATION METHOD DRUGS

It records the means by which regular respiration of the baby was attempted. This is not recorded for stillbirths. For local purposes, the actual drugs administered should be specified.

The following values with the addition of the Default Codes, can be used:

1Positive pressure nil, drugs nil
2Positive pressure nil, drugs administered
3Positive pressure by mask, drugs nil
4Positive pressure by mask, drugs administered
5Positive pressure by endotracheal tube, drugs nil
6Positive pressure by endotracheal tube, drugs administered
 

RESUSCITATION METHOD will be replaced with RESUSCITATION METHOD CODE, which should be used for all new and developing data sets and for XML messages.

 

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RESUSCITATION METHOD CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:BIRRESUS
National Codes: 
Default Codes:8 - Not applicable (e.g. stillborn, where no method of resuscitation was attempted)
 9 - Not known: a validation error

Notes:
This data item is derived from RESUSCITATION METHOD POSITIVE PRESSURE and RESUSCITATION METHOD DRUGS

It records the means by which regular respiration of the baby was attempted. This is not recorded for stillbirths. For local purposes, the actual drugs administered should be specified.

The following values with the addition of the Default Codes, can be used:

1Positive pressure nil, drugs nil
2Positive pressure nil, drugs administered
3Positive pressure by mask, drugs nil
4Positive pressure by mask, drugs administered
5Positive pressure by endotracheal tube, drugs nil
6Positive pressure by endotracheal tube, drugs administered

RESUSCITATION METHOD CODE replaces RESUSCITATION METHOD, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralRESUSCITATION METHOD CODES

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SERVICE TYPE REQUESTED

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See SERVICE TYPE REQUESTED
Default Codes: 

Notes:
SERVICE TYPE REQUESTED is the same as attribute SERVICE TYPE REQUESTED.

 SERVICE TYPE REQUESTED will be replaced with SERVICE TYPE REQUESTED CODE, which should be used for all new and developing data sets and for XML messages.

 

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SERVICE TYPE REQUESTED CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See SERVICE TYPE REQUESTED
Default Codes: 

Notes:
SERVICE TYPE REQUESTED CODE is the same as attribute SERVICE TYPE REQUESTED.

SERVICE TYPE REQUESTED CODE replaces SERVICE TYPE REQUESTED, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralSERVICE TYPE REQUESTED CODES

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SERVICE TYPE REQUESTED CODE

Change to Data Element: New Data Element

SERVICE TYPE REQUESTED CODE
 
Attribute:
SERVICE TYPE REQUESTED

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SEX OF PATIENTS

Change to Data Element: Changed Description

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

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component SEX OF PATIENTS is required to be separately recorded. The classifications for SEX OF PATIENTS are not the same as the National Codes contained within the definition of PERSON GENDER.

The following values for the classifications of attribute SEX OF PATIENTS, with the addition of Home Leave, can be used:

1Male
2Female
8Not specified
9Home Leave
 

SEX OF PATIENTS will be replaced with SEX OF PATIENTS CODE, which should be used for all new and developing data sets and for XML messages.

 

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SEX OF PATIENTS CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes: 
Default Codes: 

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component SEX OF PATIENTS CODE is required to be separately recorded. The classifications for SEX OF PATIENTS CODE are not the same as the National Codes contained within the definition of PERSON GENDER.

The following values for the classifications of attribute SEX OF PATIENTS CODE, with the addition of Home Leave, can be used:

1Male
2Female
8Not specified
9Home Leave

SEX OF PATIENTS CODE replaced SEX OF PATIENTS, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralSEX OF PATIENTS CODES

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SEX OF PATIENTS CODE

Change to Data Element: New Data Element

SEX OF PATIENTS CODE
 
Attribute:
SEX OF PATIENTS

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SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/length:n2
HES item:ADMISORC
National Codes:See SOURCE OF ADMISSION
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) is the same as attribute SOURCE OF ADMISSION.

The values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.

 SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) will be replaced with SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.

 

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SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

Format/length:an2
HES item:ADMISORC
National Codes:See SOURCE OF ADMISSION
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) is the same as attribute SOURCE OF ADMISSION.

The values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.

SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) replaces SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralSOURCE OF ADMISSION CODES (HOSPITAL PROVIDER SPELL)

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SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)
 
Attribute:
SOURCE OF ADMISSION

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STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS

Change to Data Element: Changed Description

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

Notes:
The information about the current detained status is derived from LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) and the length of stay in hospital derived from details held about the current Hospital Provider Spell

See Mental Health Act Table for details of how this data item relates to Parts and Sections of the Act.

The following values can be used:

1Detained patient
2Long term patient
3Detained and long term patient

STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS will be replaced with STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE, which should be used for all new and developing data sets and for XML messages.

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

 

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STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:CENSAT
National Codes: 
Default Codes: 

Notes:
The information about the current detained status is derived from MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) and the length of stay in hospital derived from details held about the current Hospital Provider Spell

See Mental Health Act Table for details of how this data item relates to Parts and Sections of the Act.

The following values can be used:

1Detained patient
2Long term patient
3Detained and long term patient

STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE replaces STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS, and should be used for all new and developing data sets and for XML messages.

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

 

This data element is also known by these names:
ContextAlias
pluralSTATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODES

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STATUS OF PERSON CONDUCTING DELIVERY

Change to Data Element: Changed Description

Format/length:n1
HES item:DELSTAT
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
Default Codes:9 - Not known: a validation error

Notes:
STATUS OF PERSON CONDUCTING DELIVERY is the same as the attribute STATUS OF PERSON CONDUCTING DELIVERY.

 STATUS OF PERSON CONDUCTING DELIVERY will be replaced with STATUS OF PERSON CONDUCTING DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.

 

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STATUS OF PERSON CONDUCTING DELIVERY CODE

Change to Data Element: New Data Element

Format/length:an1
HES item:DELSTAT
National Codes:see STATUS OF PERSON CONDUCTING DELIVERY
Default Codes:9 - Not known: a validation error

Notes:
STATUS OF PERSON CONDUCTING DELIVERY CODE is the same as the attribute STATUS OF PERSON CONDUCTING DELIVERY.

STATUS OF PERSON CONDUCTING DELIVERY CODE replaces STATUS OF PERSON CONDUCTING DELIVERY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralSTATUS OF PERSON CONDUCTING DELIVERY CODES

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STATUS OF PERSON CONDUCTING DELIVERY CODE

Change to Data Element: New Data Element

STATUS OF PERSON CONDUCTING DELIVERY CODE
 
Attribute:
STATUS OF PERSON CONDUCTING DELIVERY

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TREATMENT FUNCTION CODE

Change to Data Element: Changed Description

Format/length:n3
HES item:TRETSPEF
National Codes: 
Default codes:199 - Non-UK provider; treatment function not known, treatment mainly surgical
 499 - Non-UK provider; treatment function not known, treatment mainly medical

Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest. See Main Specialty and Treatment Function Codes for the full list of valid codes.

Midwife Episodes and Nursing Episodes may use any appropriate TREATMENT FUNCTION CODE . The pseudo consultant specialty code of 950 for nurses must only be used for MAIN SPECIALTY CODE see Main Specialty and Treatment Function Codes. The code 560 Midwife Episode can be used both as a Main Specialty and a Treatment Function.

The default codes 199 and 499 are only applicable for overseas health care providers.

TREATMENT FUNCTION CODE will be replaced with ACTIVITY TREATMENT FUNCTION CODE, which should be used for all new and developing data sets and for XML messages.

Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.

Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.

 

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WARD DAY PERIOD AVAILABILITY

Change to Data Element: Changed Description

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

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For CDS message purposes therefore the constituent component WARD DAY PERIOD AVAILABILITY is required to be separately recorded.

The value for the number of days open only during the day is as recorded by attribute WARD DAY PERIOD AVAILABILITY, but with the addition of Home Leave:

0-7 
9Home Leave
 

WARD DAY PERIOD AVAILABILITY will be replaced with WARD DAY PERIOD AVAILABILITY CODE, which should be used for all new and developing data sets and for XML messages.

 

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WARD DAY PERIOD AVAILABILITY CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:see WARD DAY PERIOD AVAILABILITY
Default Codes: 

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For CDS message purposes therefore the constituent component WARD DAY PERIOD AVAILABILITY is required to be separately recorded.

The value for the number of days open only during the day is as recorded by attribute WARD DAY PERIOD AVAILABILITY, but with the addition of Home Leave:

0-7 
9Home Leave

WARD DAY PERIOD AVAILABILITY CODE replaces WARD DAY PERIOD AVAILABILITY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralWARD DAY PERIOD AVAILABILITY CODES

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WARD DAY PERIOD AVAILABILITY CODE

Change to Data Element: New Data Element

WARD DAY PERIOD AVAILABILITY CODE
 
Attribute:
WARD DAY PERIOD AVAILABILITY

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WARD NIGHT PERIOD AVAILABILITY

Change to Data Element: Changed Description

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

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component WARD NIGHT PERIOD AVAILABILITY is required to be separately recorded.

The value for the number of days open only during the night is as recorded by attribute WARD NIGHT PERIOD AVAILABILITY, but with the addition of Home Leave:

0-7 
9Home Leave
 

WARD NIGHT PERIOD AVAILABILITY will be replaced with WARD NIGHT PERIOD AVAILABILITY CODE, which should be used for all new and developing data sets and for XML messages.

 

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WARD NIGHT PERIOD AVAILABILITY CODE

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:see WARD NIGHT PERIOD AVAILABILITY
Default Codes: 

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component WARD NIGHT PERIOD AVAILABILITY is required to be separately recorded.

The value for the number of days open only during the night is as recorded by attribute WARD NIGHT PERIOD AVAILABILITY, but with the addition of Home Leave:

0-7 
9Home Leave

WARD NIGHT PERIOD AVAILABILITY CODE replaces WARD NIGHT PERIOD AVAILABILITY, and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralWARD NIGHT PERIOD AVAILABILITY CODES

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WARD NIGHT PERIOD AVAILABILITY CODE

Change to Data Element: New Data Element

WARD NIGHT PERIOD AVAILABILITY CODE
 
Attribute:
WARD NIGHT PERIOD AVAILABILITY

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