Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1184
Version No:1.0
Subject:September 2010 Release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:15 September 2010

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the September 2010 Release and includes:

Summary of changes:

Data Set
CDS V6 TYPE 005N   Changed Description
 
Supporting Information
ACTIVITY DIAGRAM OVERVIEW renamed from ACTIVITY   Changed Description, Name
ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION DIAGRAM OVERVIEW renamed from ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION   Changed Description, Name
APPOINTMENTS DIAGRAM OVERVIEW renamed from APPOINTMENT   Changed Description, Name
CARE PROFESSIONAL DIAGRAM OVERVIEW renamed from CARE PROFESSIONAL   Changed Description, Name
CATEGORY VALUED PERSON OBSERVATION DIAGRAM OVERVIEW renamed from CATEGORY VALUED PERSON OBSERVATION   Changed Description, Name
DEMONSTRATIONS   Changed Description
DIAGRAMS MENU   Changed Description
GENITOURINARY MEDICINE CLINIC ACTIVITY DATA SET OVERVIEW   Changed Description
HEALTH PROGRAMME DIAGRAM OVERVIEW renamed from HEALTH PROGRAMME   Changed Description, Name
LISTS DIAGRAM OVERVIEW renamed from LISTS   Changed Description, Name
NHS SERVICE AGREEMENT (RETIRED) renamed from NHS SERVICE AGREEMENT   Changed status to Retired, Name
ORGANISATION DIAGRAM OVERVIEW renamed from ORGANISATION   Changed Description, Name
PATIENT PATHWAY DIAGRAM OVERVIEW renamed from PATIENT PATHWAY   Changed Description, Name
PERSON AND PERSON PROPERTY DIAGRAM OVERVIEW renamed from PERSON AND PERSON PROPERTY   Changed Description, Name
PRESCRIBING AND DISPENSING DIAGRAM OVERVIEW renamed from PRESCRIBING AND DISPENSING   Changed Description, Name
RADIOTHERAPY DIAGRAM OVERVIEW renamed from RADIOTHERAPY   Changed Description, Name
REFERRAL REQUEST DIAGRAM OVERVIEW renamed from REFERRAL REQUEST   Changed Description, Name
WHAT'S NEW: SEPTEMBER 2010 renamed from WHAT'S NEW: AUGUST 2010   Changed Description, Name
 
Class Definitions
NHS SERVICE AGREEMENT   Changed Description
 
Attribute Definitions
ATTENDED OR DID NOT ATTEND   Changed Description
EMPLOYMENT STATUS FOR MENTAL HEALTH   Changed Description
PRIORITY TYPE   Changed Description
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE   Changed Aliases
 
Data Elements
A AND E ATTENDANCE DISPOSAL CODE   Changed Description
ASSESSMENT TOOL COMPLETION DATE   Changed Description
CARDIAC ARREST FIRST VERIFIED DATE AND TIME   Changed Description
CRITICAL CARE ACTIVITY CODE   Changed Description
CRITICAL CARE ADMISSION SOURCE   Changed Description
CRITICAL CARE ADMISSION TYPE   Changed Description
CRITICAL CARE DISCHARGE DESTINATION   Changed Description
CRITICAL CARE DISCHARGE LOCATION   Changed Description
CRITICAL CARE DISCHARGE READY DATE   Changed Description
CRITICAL CARE DISCHARGE READY TIME   Changed Description
CRITICAL CARE DISCHARGE STATUS   Changed Description
CRITICAL CARE DISCHARGE TIME   Changed Description
CRITICAL CARE SOURCE LOCATION   Changed Description
CRITICAL CARE UNIT BED CONFIGURATION   Changed Description
CRITICAL CARE UNIT FUNCTION   Changed Description
DATE   Changed Description
EMERGENCY SERVICES ARRIVAL DATE AND TIME (AMI)   Changed Description
EMPLOYEE LENGTH OF TIME IN POSITION   Changed Description
EMPLOYEE ORGANISATION LENGTH OF SERVICE   Changed Description
EMPLOYMENT STATUS (MENTAL HEALTH)   Changed Description
INITIAL PATIENT CONTACT DATE AND TIME   Changed Description
INTERVENTION DATE (FIRST IN AMI CARE SPELL)   Changed Description
MHMDS TIME CREATED   Changed Description
PERSON TITLE   Changed Description
PROFESSIONAL HELP ARRIVAL DATE AND TIME (AMI)   Changed Description
REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)   Changed Description
REPERFUSION TREATMENT DATE AND TIME   Changed Description
REPORTING PERIOD END DATE MENTAL HEALTH   Changed Description
SYMPTOM ONSET DATE AND TIME (AMI)   Changed Description
TOBACCO CHEWING HISTORY   Changed Description
TOBACCO USAGE TYPE   Changed Description
 

Date:15 September 2010
Sponsor:Richard Kavanagh, NHS Connecting for Health

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

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CDS V6 TYPE 005N

Change to Data Set: Changed Description

CDS V6 TYPE 005N - CDS TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL

Every CDS submitted or received must include a CDS Transaction Header Group which is used to carry CDS identification and addressing data and the data indicating the specific use of one of the Update Mechanisms of the CDS Exchange Protocol.

All CDS Types using the CDS Net Change Update Mechanism of the CDS Exchange Protocol must begin with this Mandatory Data Group.All CDS TYPES using the CDS Net Change Update Mechanism of the CDS Exchange Protocol must begin with this Mandatory Data Group.

Note:
1. The CDS UNIQUE IDENTIFIER must be provided as a mandatory data item when using the Net Change Protocol. In all cases, care must be taken to ensure that the value generated for the CDS UNIQUE IDENTIFIER is unique across all NHS organisations by prefixing the locally maintained value with an NHS Organisation Code, usually that of the originator of the data. The CDS UNIQUE IDENTIFIER must be provided as a mandatory data item when using the Net Change Protocol. In all cases, care must be taken to ensure that the value generated for the CDS UNIQUE IDENTIFIER is unique across all NHS organisations by prefixing the locally maintained value with an NHS ORGANISATION CODE, usually that of the originator of the data.


2.2. The mandatory CDS ACTIVITY DATE must be present and valid for all CDS Types from Version 6 onwards. For CDS Type 170 the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the CDS CENSUS DATE. For CDS Type 170 the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the CDS CENSUS DATE.

3. For the following CDS Types the CDS ACTIVITY DATE must contain the CDS SENDER IDENTITY which is usually the end of the Period being reported:3. For the following CDS Types the CDS ACTIVITY DATE must contain the DATE OF ELECTIVE ADMISSION LIST CENSUS which is usually the end of the Period being reported:

  • CDS Type 030 Elective Admission List End of Period Census (Standard)
  • CDS Type 040 Elective Admission List End of Period Census (Old)
  • CDS Type 050 Elective Admission List End of Period Census (New)

4. The mandatory CDS ACTIVITY DATE must be present and valid for all CDS TYPES. In addition, the "Originating Date" which is used to derive the CDS ACTIVITY DATE and held elsewhere in the CDS must also be valid and compatible with the specific CDS PROTOCOL IDENTIFIER being used.
CDS Type 030 Elective Admission List End of Period Census (Standard)
CDS Type 040 Elective Admission List End of Period Census (Old)
CDS Type 050 Elective Admission List End of Period Census (New)


4. The mandatory CDS ACTIVITY DATE must be present and valid for all CDS Types. In addition, the "Originating Date" which is used to derive the CDS ACTIVITY DATE and held elsewhere in the CDS must also be valid and compatible with the specific CDS EXCHANGE PROTOCOL being used.

5. There may be up to 7 CDS COPY RECIPIENT IDENTITY occurrences specified5. There may be up to 7 CDS COPY RECIPIENT IDENTITY occurrences specified

The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data should be included whenever available
O = Optional - data need not be included

CDS V6 TYPE 005N - CDS TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
 
 
OptCDS Data ElementNote
MCDS TYPE  
MCDS PROTOCOL IDENTIFIER  
MCDS UNIQUE IDENTIFIER 1
MCDS UPDATE TYPE  
MCDS APPLICABLE DATE  
MCDS APPLICABLE TIME  
M
 
CDS ACTIVITY DATE
Mandatory for all CDS Types from Version 6 onwards.
2, 3,4
MCDS SENDER IDENTITY  
MCDS PRIME RECIPIENT IDENTITY  
O

 
CDS COPY RECIPIENT IDENTITY
Up to 7 Copy Recipient Identities may be recorded.
Refer to the Commissioning Data Set Addressing Grid shown in Commissioning Data Set Overview in the NHS Data Model Dictionary
5
OCDS TEST INDICATOR  

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ACTIVITY DIAGRAM OVERVIEW  renamed from ACTIVITY

Change to Supporting Information: Changed Description, Name

The Activity diagram demonstrates how the ACTIVITY class encompasses all the spells, episodes, stays, contacts and interventions which may be provided for a PATIENT.The Activity Diagram demonstrates how the ACTIVITY class encompasses all the spells, episodes, stays, contacts and interventions which may be provided for a PATIENT. It also shows the CARE PROFESSIONALS and ORGANISATIONS involved, the roles they perform and the sites and locations where they may take place.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION DIAGRAM OVERVIEW  renamed from ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION

Change to Supporting Information: Changed Description, Name

The Address Geographical Area and Communication diagram demonstrates how the classes ADDRESS and COMMUNICATION CONTACT INFORMATION may be utilised by a PERSON or an ORGANISATION.The Address Geographical Area and Communication Diagram demonstrates how the classes ADDRESS and COMMUNICATION CONTACT INFORMATION may be utilised by a PERSON or an ORGANISATION. It also shows how GEOGRAPHIC AREAS relate to ADDRESSES and ORGANISATIONS.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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APPOINTMENTS DIAGRAM OVERVIEW  renamed from APPOINTMENT

Change to Supporting Information: Changed Description, Name

The Appointments diagram demonstrates how the APPOINTMENT class is related to the delivery of an ACTIVITY.The Appointments Diagram demonstrates how the APPOINTMENT class is related to the delivery of an ACTIVITY.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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CARE PROFESSIONAL DIAGRAM OVERVIEW  renamed from CARE PROFESSIONAL

Change to Supporting Information: Changed Description, Name

The Care Professional diagram demonstrates how the different types of CARE PROFESSIONALS are related to the delivery of a CARE ACTIVITY by an ORGANISATION.The Care Professional Diagram demonstrates how the different types of CARE PROFESSIONALS are related to the delivery of a CARE ACTIVITY by an ORGANISATION.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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CATEGORY VALUED PERSON OBSERVATION DIAGRAM OVERVIEW  renamed from CATEGORY VALUED PERSON OBSERVATION

Change to Supporting Information: Changed Description, Name

The Category Valued Person Observation diagram demonstrates the usage of the subtype CATEGORY VALUED PERSON OBSERVATION, and the set of predetermined values which may be selected to record CATEGORY VALUED PERSON OBSERVATIONS for a PERSON.The Category Valued Person Observation Diagram demonstrates the usage of the subtype CATEGORY VALUED PERSON OBSERVATION, and the set of predetermined values which may be selected to record CATEGORY VALUED PERSON OBSERVATIONS for a PERSON.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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DEMONSTRATIONS

Change to Supporting Information: Changed Description


  Demonstrations

A number of short demonstrations are available which will take you through each component, step by step, in an easy to understand screen capture including a voice over and readable captions.
You can access the demonstrations from the help pages, they are indicated by this icon.

If you are not familiar with the NHS Data Model and Dictionary, it is recommended that you proceed through the demonstrations in the following order.

The subjects covered are:

At the end of each demonstration, you can choose where you want to go next, you can either:
  • test your knowledge on the section you have just completed
  • navigate through all the demonstrations in the order above (recommended for new users)
  • return to the Help menu
  • return to the front page of the NHS Data Model and Dictionary.

Once you have completed the demonstrations, there are two quizzes to check your understanding of the help pages and the navigation options:

The content of these demonstrations is for training purposes only and therefore may not match the current content of the NHS Data Model and Dictionary.
Please refer to the Main Menu for the latest version of the NHS Data Model and Dictionary.


There are also PowerPoint presentations for:

How to use the Demonstrations

  • Playback Control bar

The Playback Control bar appears at the bottom of every page.  Titles for the controls will appear when you hover over them.
The controls are explained below:

  • Rewind:  This control allows you to rewind back to the beginning of the demonstration
  •    Play / Pause:  This control allows you to play or pause a demonstration

  • Back:  This control allows you to 'rewind' a demonstration at specific intervals

  • Forward:  This control allows you to go forward in a demonstration at specific intervals

  • Fast Forward:  This control allows you to fast forward through the demonstration

  •     Audio On / Off:  This control allows you to turn the audio on or off

  • Exit:  This control exits the demonstration

  • Information:  This control provides information on Adobe Captivate

Please note:

  • will need flash player to view these demonstrations. If you do not have flash player, contact your organisation's technical support for further information.
  • if you have problems viewing the demonstrations (i.e. screen size), contact your organisation's technical support for advice.

What would you like to do next?

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

  Demonstrations

A number of short demonstrations are available which will take you through each component, step by step, in an easy to understand screen capture including a voice over and readable captions.
You can access the demonstrations from the help pages, they are indicated by this icon.

If you are not familiar with the NHS Data Model and Dictionary, it is recommended that you proceed through the demonstrations in the following order.

The subjects covered are:

At the end of each demonstration, you can choose where you want to go next, you can either:
  • test your knowledge on the section you have just completed
  • navigate through all the demonstrations in the order above (recommended for new users)
  • return to the Help menu
  • return to the front page of the NHS Data Model and Dictionary.

Once you have completed the demonstrations, there are two quizzes to check your understanding of the help pages and the navigation options:

The content of these demonstrations is for training purposes only and therefore may not match the current content of the NHS Data Model and Dictionary.
Please refer to the Main Menu for the latest version of the NHS Data Model and Dictionary.


There are also PowerPoint presentations for:

How to use the Demonstrations

  • Playback Control bar

The Playback Control bar appears at the bottom of every page.  Titles for the controls will appear when you hover over them.
The controls are explained below:

  • Rewind:  This control allows you to rewind back to the beginning of the demonstration
  •    Play / Pause:  This control allows you to play or pause a demonstration

  • Back:  This control allows you to 'rewind' a demonstration at specific intervals

  • Forward:  This control allows you to go forward in a demonstration at specific intervals

  • Fast Forward:  This control allows you to fast forward through the demonstration

  •     Audio On / Off:  This control allows you to turn the audio on or off

  • Exit:  This control exits the demonstration

  • Information:  This control provides information on Adobe Captivate

Please note:

  • will need flash player to view these demonstrations. If you do not have flash player, contact your organisation's technical support or e-Learning lead for further information.
  • if you have problems viewing the demonstrations (i.e. screen size), contact your organisation's technical support or e-Learning lead for advice.

What would you like to do next?

  •  NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

  •   Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

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DIAGRAMS MENU

Change to Supporting Information: Changed Description

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GENITOURINARY MEDICINE CLINIC ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

This return replaces KC60 which was retired on 01 April 2010.

The Genitourinary Medicine Clinic Activity Data Set is used to:

  • To inform public health response and policy formulation for England
  • To monitor the effectiveness of the policies introduced as part of the National Strategy for Sexual Health and Human Immunodeficiency Virus (HIV)
  • For performance management at Primary Care Trust, Strategic Health Authority and national level to ensure delivery of the national Public Service Agreement target on sexual health
  • For better planning and management of services at local level
  • To adapt and refine interventions, as appropriate
DATA EXTRACT SPECIFICATION

Description: The Health Protection Agency require NHS providers of specialised services, where the primary function of the specialist clinical multidisciplinary team is concerned with the provision of screening, diagnosis and management of sexually transmissible infections and related genital medical conditions.

NHS providers will be required to generate a data extract as per the Genitourinary Medicine Clinic Activity Data Set. All data elements are required.

Time period: The extract will cover one calendar quarter.

Frequency: Reports will be run quarterly, 6 weeks after the end of the quarter.

Format: Data returned should be formatted into a single comma separated variable (csv) file. The data elements should be transmitted in the order specified in the Genitourinary Medicine Clinic Activity Data Set.

Transmission: Electronic files will be transmitted to the Health Protection Agency through the secure document gateway in the Health Protection Agency website. This gateway enables organisations to distribute any type of files to previously identified users in a secure manner across the Internet. The document gateway can be found at the Health Protection Agency Document Gateway.Transmission: Electronic files will be transmitted to the Health Protection Agency through a secure web portal in the Health Protection Agency website. This web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of the Health Protection Agency across the Internet.  The web portal can be found at HIV & STI web portal.

Connection to the gateway requires a login account name and password, which will be available from the project administrator at the Centre for Infections. The browser supports the Secure Sockets Layers method of communication and passwords are changed every 3 months.Connection to the web portal requires a login account name and password, which will be available from the project administrator at the Health Protection Agency. Please contact gumcad@hpa.org.uk for access or more information.

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HEALTH PROGRAMME DIAGRAM OVERVIEW  renamed from HEALTH PROGRAMME

Change to Supporting Information: Changed Description, Name

The Health Programme diagram demonstrates the delivery of a HEALTH PROGRAMME by an ORGANISATION.The Health Programme Diagram demonstrates the delivery of a HEALTH PROGRAMME by an ORGANISATION.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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LISTS DIAGRAM OVERVIEW  renamed from LISTS

Change to Supporting Information: Changed Description, Name

The Lists diagram depicts the management of WAITING LISTS by an ORGANISATION.The Lists Diagram depicts the management of WAITING LISTS by an ORGANISATION. This includes the subtypes  APPOINTMENT WAITING LISTS, ELECTIVE ADMISSION LISTS and PRIOR NOTIFICATION LISTS FOR CYTOLOGIES and how they are related to the delivery of an ACTIVITY for a PATIENT.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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NHS SERVICE AGREEMENT (RETIRED)  renamed from NHS SERVICE AGREEMENT

Change to Supporting Information: Changed status to Retired, Name

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ORGANISATION DIAGRAM OVERVIEW  renamed from ORGANISATION

Change to Supporting Information: Changed Description, Name

The Organisation diagram details relationships for the ORGANISATION class, with respect to the management of CARE PROFESSIONALS and the delivery of ACTIVITIES.The Organisation Diagram details relationships for the ORGANISATION class, with respect to the management of CARE PROFESSIONALS and the delivery of ACTIVITIES.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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PATIENT PATHWAY DIAGRAM OVERVIEW  renamed from PATIENT PATHWAY

Change to Supporting Information: Changed Description, Name

The Patient Pathway diagram demonstrates how the PATIENT PATHWAY class is related to the delivery of an ACTIVITY by an ORGANISATION, in order to achieve the 18 week referral to treatment target.The Patient Pathway Diagram demonstrates how the PATIENT PATHWAY class is related to the delivery of an ACTIVITY by an ORGANISATION, in order to achieve the 18 week referral to treatment target.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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PERSON AND PERSON PROPERTY DIAGRAM OVERVIEW  renamed from PERSON AND PERSON PROPERTY

Change to Supporting Information: Changed Description, Name

The Person and Person Property diagram depicts information which may be recorded for a PERSON.The Person and Person Property Diagram depicts information which may be recorded for a PERSON.  A PERSON PROPERTY may be recorded as text, selected from a set of predetermined values or a numerical measurement. The dates during which the PERSON PROPERTY is effective and when the PERSON PROPERTY was observed may be recorded.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

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PRESCRIBING AND DISPENSING DIAGRAM OVERVIEW  renamed from PRESCRIBING AND DISPENSING

Change to Supporting Information: Changed Description, Name

The Prescribing and Dispensing diagram demonstrates how information is recorded for a PRESCRIPTION by an ORGANISATION, and dispensed to a PATIENT.The Prescribing and Dispensing Diagram demonstrates how information is recorded for a PRESCRIPTION by an ORGANISATION, and dispensed to a PATIENT.

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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RADIOTHERAPY DIAGRAM OVERVIEW  renamed from RADIOTHERAPY

Change to Supporting Information: Changed Description, Name

The Radiotherapy diagram demonstrates  the delivery of a   Radiotherapy Treatment Course as part of an ACTIVITY, in respect of a RADIOTHERAPY PRESCRIPTION.The Radiotherapy Diagram demonstrates  the delivery of a   Radiotherapy Treatment Course as part of an ACTIVITY, in respect of a RADIOTHERAPY PRESCRIPTION.

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

 

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REFERRAL REQUEST DIAGRAM OVERVIEW  renamed from REFERRAL REQUEST

Change to Supporting Information: Changed Description, Name

The Referral Request diagram demonstrates how an ACTIVITY may be delivered for a PATIENT following a REFERRAL REQUEST made by a CARE PROFESSIONAL.The Referral Request Diagram demonstrates how an ACTIVITY may be delivered for a PATIENT following a REFERRAL REQUEST made by a CARE PROFESSIONAL.

Related diagrams include:

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

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WHAT'S NEW: SEPTEMBER 2010  renamed from WHAT'S NEW: AUGUST 2010

Change to Supporting Information: Changed Description, Name

Release: September 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
  • CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
  • CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
  • CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
  • CR1113 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

  • The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

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

Release: May 2010

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

  • CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services

Release: March 2010

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

  • CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
  • CR1139 (Immediate) - DSCN 16/2010 Person Weight
  • CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
  • CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
  • CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
  • CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

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

  • CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

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

  • CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
  • CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
  • CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

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

  • CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
  • CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
  • CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
  • CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

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

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

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

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

Release: March 2009

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

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

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

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

Release: November 2008

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

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

Release: August 2008

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

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

Release: May 2008

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

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

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

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

Release: November 2007

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

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

Release: August 2007

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

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

Release: June 2007

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

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

Release: May 2007

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

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

Release: February 2007

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

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

Release: September 2006

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

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

Release: May 2006

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

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

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

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

Release: August 2005

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

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

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

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NHS SERVICE AGREEMENT

Change to Class: Changed Description

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

Services may be commissioned in four ways:

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

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

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

 

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ATTENDED OR DID NOT ATTEND

Change to Attribute: Changed Description

This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given.

This indicates whether an APPOINTMENT for a CARE CONTACT took place.

If the APPOINTMENT did not take place it also indicates if advance warning was given.

When an APPOINTMENT is cancelled the APPOINTMENT CANCELLED DATE should also be recorded.

National Codes:

5Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT
6Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen
7PATIENT arrived late and could not be seen
2APPOINTMENT cancelled by, or on behalf of, the PATIENT
3Did not attend - no advance warning given
4APPOINTMENT cancelled or postponed by the Health Care Provider
0Not applicable - APPOINTMENT occurs in the future

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

Use in the Future Outpatient Commissioning Data Set:
For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, code 0 - Not applicable - APPOINTMENT occurs in the future should be used.
Where the future attendance has been cancelled, use the appropriate value from the National Codes.

 
  • For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, code 0 - Not applicable - APPOINTMENT occurs in the future should be used.
  • Where the future attendance has been cancelled, use the appropriate value from the National Codes.
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    EMPLOYMENT STATUS FOR MENTAL HEALTH

    Change to Attribute: Changed Description

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

    The current EMPLOYMENT status of the PATIENT as recorded in the Mental Health Minimum Data Set.

    Employed refers to those who are employed by a company and have their National Insurance paid for directly from their wages.National Codes:

    01Employed
    02Unemployed
    03Other employment status such as in education or training

    Employed refers to those who are employed by a company and have their National Insurance paid for directly from their wages. It also includes those who are self-employed (i.e. those who work for themselves and generally pay their National Insurance themselves); those who are in supported employment; and those who are in permitted work (i.e. those who are in paid work and who are also receiving Incapacity Benefit). It should also include those who are unpaid family workers (i.e. those who do unpaid work for a business they own or for a business a relative owns).

    Unemployed refers to those who are not in paid work but are actively seeking work and are available to start, or are waiting to start a paid job they have already obtained.Unemployed refers to those who are not in paid work but are actively seeking work and are available to start, or are waiting to start a paid job they have already obtained.

    Other employment status such as education or training includes those who are economically inactive, that is, those who are not in paid work and who are not actively seeking work, or they are not available to start.Other employment status such as education or training includes those who are economically inactive, that is, those who are not in paid work and who are not actively seeking work, or they are not available to start.
    It includes the following:

    -Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work;
    -The long-term sick or disabled, including those who are receiving Incapacity Benefit, income support or both, and who are not working or actively seeking work;
    -Those looking after the family or home and who are not working or actively seeking work;
    -Those who are not receiving benefits and who are not working or actively seeking work;
    -Those who are in unpaid voluntary work who are not working or actively seeking work;
    -Those of working age who have retired from paid work.

    National Codes:

    01Employed
    02Unemployed
    03Other employment status such as in education or training
     
  • Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work
  • The long-term sick or disabled, including those who are receiving Incapacity Benefit, income support or both, and who are not working or actively seeking work
  • Those looking after the family or home and who are not working or actively seeking work
  • Those who are not receiving benefits and who are not working or actively seeking work
  • Those who are in unpaid voluntary work who are not working or actively seeking work
  • Those of working age who have retired from paid work.
  •  

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    PRIORITY TYPE

    Change to Attribute: Changed Description

    This is the priority of a request for services; in the case of services to be provided by a CONSULTANT, it is as assessed by or on behalf of the CONSULTANT.

    Priority Type 'Urgent' should be used where the request for services is defined as clinically urgent, but it does not fall under the criteria for 'Two Week Wait' (see below).

    Priority Type 'Two Week Wait' should be used where either:

    the request for services meets the criteria for an urgent GENERAL PRACTITIONER referral for suspected cancer. These referrals should be made in accordance with the National Institute for Health and Clinical Excellence (NICE) clinical guidelines on referral for suspected cancer. For further information, see the NICE guidance  For further information, see the NICE guidance. 

    or

    the PATIENT has been referred urgently for breast symptoms, but the referral does not meet the criteria for urgent GENERAL PRACTITIONER referrals for suspected cancer

    National Codes:

    1Routine
    2Urgent
    3Two Week Wait
     

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    RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

    Change to Attribute: Changed Aliases


    A AND E ATTENDANCE DISPOSAL CODE

    Change to Data Element: Changed Description

    Format/Length:an2
    HES Item: 
    National Codes:See A AND E ATTENDANCE DISPOSAL
    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:
    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.

     

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    ASSESSMENT TOOL COMPLETION DATE

    Change to Data Element: Changed Description

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

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

    Notes:
    The date the ASSESSMENT TOOL was completed.

     

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    CARDIAC ARREST FIRST VERIFIED DATE AND TIME

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME for the first verified CARDIAC ARREST within the Acute Myocardial Infarction Care Spell.

    Date and time of first verified arrest only to be reported. Excludes syncope or profound vagally-mediated bradycardia. Enter date and time of death if resuscitation not attempted.

    Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

    Central Cardiac Audit Database (CCAD) item name:
    Cardiac arrest date/time - FIRST ARREST ONLY

     

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    CRITICAL CARE ACTIVITY CODE

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE ACTIVITY CODE
    Default Codes: 

    Notes:
    The CRITICAL CARE ACTIVITY CODE for a particular CARE ACTIVITY during a CRITICAL CARE PERIOD

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    CRITICAL CARE ADMISSION SOURCE

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE ADMISSION SOURCE
    Default Codes: 
     Notes:
    CRITICAL CARE ADMISSION SOURCE is the same as attribute CRITICAL CARE ADMISSION SOURCE. 

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    CRITICAL CARE ADMISSION TYPE

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE ADMISSION TYPE
    Default Codes: 
     Notes:
    CRITICAL CARE ADMISSION TYPE is the same as attribute CRITICAL CARE ADMISSION TYPE. 

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    CRITICAL CARE DISCHARGE DESTINATION

    Change to Data Element: Changed Description

    Format/length:n2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE DISCHARGE DESTINATION
    Default Codes: 
     Notes:
    CRITICAL CARE DISCHARGE DESTINATION  is the same as attribute CRITICAL CARE DISCHARGE DESTINATION. 

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    CRITICAL CARE DISCHARGE LOCATION

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE DISCHARGE LOCATION
    Default Codes: 
     Notes:
    CRITICAL CARE DISCHARGE LOCATION is the same as attribute CRITICAL CARE DISCHARGE LOCATION. 

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    CRITICAL CARE DISCHARGE READY DATE

    Change to Data Element: Changed Description

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

    Notes:
    This is the same as attribute CRITICAL CARE DISCHARGE READY DATE.CRITICAL CARE DISCHARGE READY DATE is the same as attribute CRITICAL CARE DISCHARGE READY DATE. 

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    CRITICAL CARE DISCHARGE READY TIME

    Change to Data Element: Changed Description

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

    Notes:
    This is the same as attribute CRITICAL CARE DISCHARGE READY TIME.CRITICAL CARE DISCHARGE READY TIME is the same as attribute CRITICAL CARE DISCHARGE READY TIME. 

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    CRITICAL CARE DISCHARGE STATUS

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE DISCHARGE STATUS
    Default Codes: 

    Notes:
    CRITICAL CARE DISCHARGE STATUS is the same as attribute CRITICAL CARE DISCHARGE STATUS.

    National Code 11 'PATIENT died (non heart beating solid organ donor)' should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets (Version 6-2) and the associated CDS-XML Schema Release. Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1).

     

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    CRITICAL CARE DISCHARGE TIME

    Change to Data Element: Changed Description

    Format/length:see TIME 
    Format/length:See TIME 
    National Codes: 

    Notes:
    The end time of a CRITICAL CARE PERIOD.

    This is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 56 'End Time' for the CRITICAL CARE PERIOD.CRITICAL CARE DISCHARGE TIME is the same as attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 56 'End Time' for the CRITICAL CARE PERIOD.

     

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    CRITICAL CARE SOURCE LOCATION

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE SOURCE LOCATION
    Default Codes: 
     Notes:
    CRITICAL CARE SOURCE LOCATION is the same as attribute CRITICAL CARE SOURCE LOCATION . 

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    CRITICAL CARE UNIT BED CONFIGURATION

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See UNIT BED CONFIGURATION
    Default Codes: 
     Notes:
    CRITICAL CARE UNIT BED CONFIGURATION is the same as attribute UNIT BED CONFIGURATION. 

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    CRITICAL CARE UNIT FUNCTION

    Change to Data Element: Changed Description

    Format/length:an2
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See CRITICAL CARE UNIT FUNCTION
    Default Codes: 

    Notes:
    The National Codes for non standard locations may be recorded where the delivery of care is CRITICAL CARE LEVEL National Code 02 'Level 2' or 03 'level 3' and the duration of care is greater than four hours. 

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    DATE

    Change to Data Element: Changed Description

    Format/length:an10 ccyy-mm-dd
    Format/length:an10 CCYY-MM-DD
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    The day, month, year and century, or any combination of these elements, of an event.

    This is the e-Government Interoperability Framework (e-GIF) standard that should be used for all new and developing systems and for XML messages.

    Concatenated date time elements are in use and are derived from the e-GIF standards for DATE and TIME, these should continue to be used unless further notified.

    References:
    The e-GIF version approved for use in NHS England is:
    Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 1 January 2002.
    GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

     

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    EMERGENCY SERVICES ARRIVAL DATE AND TIME (AMI)

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is derived from the e-Government Interoperability Framework (e-GIF) Data Elements DATE and TIME.

    This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME from PERSON PROPERTY for the Acute Myocardial Infarction History Item where the AMI HISTORY ITEM TYPE is 'Arrival of Emergency Service'.

    Acute Myocardial Infarction History Item is a PERSON PROPERTY CLASSIFIER where the PERSON PROPERTY CLASSIFICATION is National Code 07 'Acute Myocardial Infarction History Item'.

    Routine ambulance service data.

    Central Cardiac Audit Database (CCAD) item name:
    Date/time of symptom onset

     

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    EMPLOYEE LENGTH OF TIME IN POSITION

    Change to Data Element: Changed Description

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

    Notes:
    The number of months an EMPLOYEE has been employed in an ASSIGNMENT for a POSITION in an ORGANISATION, it is calculated as follow:

     (REPORTING PERIOD END DATE - EMPLOYMENT CONTRACT START DATE)

    The format of a date, see DATE, is ccyy-mm-dd and for calculation purposes the difference between the end and start dates should be converted into the number of calendar months to calculate the result.The format of a date, see DATE, is CCYY-MM-DD and for calculation purposes the difference between the end and start dates should be converted into the number of calendar months to calculate the result.

     

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    EMPLOYEE ORGANISATION LENGTH OF SERVICE

    Change to Data Element: Changed Description

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

    Notes:
    The number of years service in an ORGANISATION by an EMPLOYEE.

    It is the calculated number of years from the EMPLOYMENT HISTORY ORGANISATION JOINING DATE to the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE.

    Where there is no recorded EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE i.e. the EMPLOYEE is still employed or the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is after the REPORTING PERIOD END DATE then the REPORTING PERIOD END DATE should be used instead of the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE.

    The format of a date, see DATE, is ccyy-mm-dd and for calculation purposes the difference between the joining and leaving dates should be converted into the number of calendar days to calculate the result.The format of a date, see DATE, is CCYY-MM-DD and for calculation purposes the difference between the joining and leaving dates should be converted into the number of calendar days to calculate the result.

     

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    EMPLOYMENT STATUS (MENTAL HEALTH)

    Change to Data Element: Changed Description

    Format/length:n2
    HES item: 
    National Codes:See EMPLOYMENT STATUS FOR MENTAL HEALTH 
    Default Codes:97 - Not disclosed (PATIENT was asked but refused to respond)
     98 - Not applicable (PATIENT has not received secondary mental health services or is not aged 18-69)
     99 Not known
     99 - Not known

    Notes:
    This is the same as attribute EMPLOYMENT STATUS FOR MENTAL HEALTH.EMPLOYMENT STATUS (MENTAL HEALTH) is the same as attribute EMPLOYMENT STATUS FOR MENTAL HEALTH.

    Required to be captured locally from 1st April 2008 and nationally from October 2008.

    The EMPLOYMENT STATUS (MENTAL HEALTH) of PATIENTS with any mental disorder should be captured periodically for all PATIENTS aged 18-69, typically as part of the PATIENT's regular Care Programme Approach Review or as part of other informal reviews. The data item should reflect the EMPLOYMENT STATUS (MENTAL HEALTH) of the PATIENT in the seven days prior to the review.

    PATIENTS who meet the criteria for being employed (1 or more hours per week) or unemployed may also be undertaking another form of activity, such as education or training, unpaid voluntary work, or looking after home or family. PATIENTS in such circumstances should only be reported as employed or unemployed and should not be reported in the 'other' category. For example:
    - 'Patient A' is in paid work (4 hours per week) and in full-time education or training. 'Patient A' should only be reported as employed.
    - 'Patient B' is unemployed (i.e.not in paid work but actively seeking work and available to start) and in unpaid voluntary work. 'Patient B' should be reported as unemployed.

     
  • 'PATIENT A' is in paid work (4 hours per week) and in full-time education or training. 'PATIENT A' should only be reported as employed.
  • 'PATIENT B' is unemployed (i.e.not in paid work but actively seeking work and available to start) and in unpaid voluntary work. 'PATIENT B' should be reported as unemployed.
  •  

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    INITIAL PATIENT CONTACT DATE AND TIME

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    INITIAL PATIENT CONTACT DATE AND TIME is derived from the e-Government Interoperability Framework (e-GIF) Data Elements date and time.

    This is the Initial Patient Contact Date and Initial Patient Contact Time of an Acute Myocardial Infarction Care Spell initiated by the PATIENT.

    The time of the initial call by PATIENT, relative or attendant. This may be to a GENERAL PRACTITIONER, NHS Direct, or the ambulance service.

    This time may be available from the ambulance service record as the time of the emergency call, but may only be correct when a 999 call is made to the Ambulance service. Identify to whom the initial call was made. If the call was to a GENERAL PRACTITIONER (or deputising service), or NHS Direct, establish this time as accurately as possible from the PATIENT. An important time to record wherever possible for standard 6 of the National Service Framework for Coronary Heart Disease (NSF CHD).

    Initial Patient Contact Date is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 16 'Initial Patient Contact Date'.

    Initial Patient Contact Time is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 58 'Initial Patient Contact Time'.

    Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Care Spell'.

    Central Cardiac Audit Database (CCAD) item name:
    Date/time of call for help

     

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    INTERVENTION DATE (FIRST IN AMI CARE SPELL)

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    The date of the first CLINICAL INTERVENTION within the Acute Myocardial Infarction Care Spell performed within the same hospital.

    INTERVENTION DATE (FIRST IN AMI CARE SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 12 'Event Date'.

    Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

    Central Cardiac Audit Database (CCAD) item name:
    Date of first intervention or surgery performed locally

     

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    MHMDS TIME CREATED

    Change to Data Element: Changed Description

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

    Notes:

    Definition:
    This is the time when the Mental Health Minimum Data Set file was created.

    Usage:
    This is a mandatory data element when submitting the Mental Health Minimum Data Set.. Used in the NHS standard format which is the e-Government Interoperability Framework compliant format of HH:MM:SS (and an optional.sss).

    This data element is populated by the Mental Health Minimum Data Set Assembler program.

     

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    PERSON TITLE

    Change to Data Element: Changed Description

    Format/length:max 35 characters
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    Standard form of address used to precede a PERSON's name.

    PERSON TITLE is the same as PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE equals 'a. Person Title'.

    This is the e-Government Interoperability Framework (e-GIF-GIF) standard that should be used for all new and developing systems and for XML messages.This is the e-Government Interoperability Framework (e-GIF) standard that 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 1 January 2002.
    GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

     

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    PROFESSIONAL HELP ARRIVAL DATE AND TIME (AMI)

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is derived from the e-Government Interoperability Framework (e-GIF) Data Elements DATE and TIME.

    This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME from PERSON PROPERTY where the PERSON PROPERTY CLASSIFICATION equals 'Myocardial Infarction History Item' and where the AMI HISTORY ITEM TYPE is 'Arrival of Initial professional help'.

    Time of arrival of GENERAL PRACTITIONER or other first responder.

    Central Cardiac Audit Database (CCAD) item name:
    Date/time of arrival of first professional help

     

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    REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    The date on which a referral for angiography and possible intervention was made, either locally or to another centre

    Central Cardiac Audit Database (CCAD) item name:
    Date of referral for investigation/intervention

     

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    REPERFUSION TREATMENT DATE AND TIME

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is derived from the e-Government Interoperability Framework (e-GIF) Data Elements DATE and TIME.

    This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME

    The date and time of onset of reperfusion treatment whether by bolus or infusion.

    Central Cardiac Audit Database (CCAD) item name:
    Date/time of reperfusion treatment

     

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    REPORTING PERIOD END DATE MENTAL HEALTH

    Change to Data Element: Changed Description

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

    Notes:

    Definition:
    This data element defines the end date (for the date range of the data being exchanged) for the Mental Health Minimum Data Set time period.

    Usage:
    This is a mandatory data item when the Mental Health Minimum Data Set data is being submitted. Used in the NHS standard format which is the e-Government Interoperability Framework (e-GIF-GIF) compliant format of CCYY-MM-DD. Used in the NHS standard format which is the e-Government Interoperability Framework (e-GIF) compliant format of CCYY-MM-DD. The REPORTING PERIOD END DATE MENTAL HEALTH must be a valid date and must not be before the REPORTING PERIOD START DATE MENTAL HEALTH.

     

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    SYMPTOM ONSET DATE AND TIME (AMI)

    Change to Data Element: Changed Description

    Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
    Format/length:an10 (CCYY-MM-DD) an8 (HH:MM:SS)
    HES item: 
    National Codes: 
    Default Codes: 

    Notes:
    This is derived from the e-Government Interoperability Framework (e-GIF) Data Elements DATE and TIME.

    This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME from PERSON PROPERTY where the PERSON PROPERTY CLASSIFICATION is 'Acute Myocardial Infarction History Item' and where the AMI HISTORY ITEM TYPE is 'Symptom Onset'.

    The time to within 10 minutes, if possible, when symptoms began.

    Where there is a prodrome of intermittent pain the time recorded should be the time of onset of those symptoms which led the patient to call for help. Where admission followed an out of hospital cardiac arrest, with no better information available, use the time of the arrest for onset of symptoms.

    Central Cardiac Audit Database (CCAD) item name:
    Date/time of symptom onset

     

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    TOBACCO CHEWING HISTORY

    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 TOBACCO CHEWING HISTORY
    Default Codes:9 - Not known
     Notes:
    TOBACCO CHEWING HISTORY is the same as attribute TOBACCO CHEWING HISTORY. 

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    TOBACCO USAGE TYPE

    Change to Data Element: Changed Description

    Format/length:an1
    HES item: 
    National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
    National Codes:See TOBACCO USAGE TYPE
    Default Codes: 
     Notes:
    TOBACCO USAGE TYPE is the same as attribute TOBACCO USAGE TYPE 

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