Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1217
Version No:1.0
Subject:Data Set Segment Identifier Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:16 December 2010

Background:

This Patch updates the Data Set Segment Identifier Data Elements to provide a link to the "Downloads" site of The NHS Information Centre for health and social care website so users can download the current segment identifiers.

This patch also updates the Baby Feed Type preparatory items and renames the Maternity and Children's Secondary Uses Data Sets.

Summary of changes:

Supporting Information
CLINICAL DATA SETS MENU   Changed Description
MATERNITY AND CHILDRENS DATA SETS SUBMISSION REQUIREMENTS   Changed Description
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
 
Attribute Definitions
ATTENDED OR DID NOT ATTEND   Changed Description
BREASTFEEDING STATUS renamed from BABY FEEDING TYPE   Changed Aliases, Description, Name
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE   Changed Description
 
Data Elements
BREASTFEEDING STATUS   New Data Element
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)   Changed Description
DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS)   Changed Description
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET)   Changed Description
DATA SET SEGMENT IDENTIFIER (CHILDREN AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET)   Changed Description
DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET)   Changed Description
DATA SET SEGMENT RECORDS TOTAL   Changed Description
 

Date:16 December 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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CLINICAL DATA SETS MENU

Change to Supporting Information: Changed Description


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MATERNITY AND CHILDRENS DATA SETS SUBMISSION REQUIREMENTS

Change to Supporting Information: Changed Description

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

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

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

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

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

  • Data Set File Header Row

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

DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) (note - always value HDR in a file header row)
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)
DATA SET VERSION NUMBER 
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATE AND TIME DATA SET CREATED 
DATA SET SEGMENT RECORDS TOTAL

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

  • Data Set Segment Row

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

DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET)
or
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET)
or
DATA SET SEGMENT IDENTIFIER (CHILDREN AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET)

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

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

DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) (note - always value TRL in a file footer row)
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)
DATA SET VERSION NUMBER 
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATE AND TIME DATA SET CREATED
DATA SET SEGMENT RECORDS TOTAL

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

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ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
AMI ADMISSION DIAGNOSIS
AMI ADMISSION WARD TYPE
AMI ADMITTING CONSULTANT TYPE
AMI CAUSE OF DEATH IN HOSPITAL
AMI DISCHARGE DIAGNOSIS
AMI HEART RATE
BABY FEEDING TYPE
BONE SARCOMA LOCATION
BREASTFEEDING STATUS
BROAD PATIENT GROUP
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
CANCER REFERRAL TO TREATMENT PERIOD START DATE
CANCER TREATMENT INTENT
CANCER TREATMENT PERIOD START DATE
CARE PROGRAMME APPROACH LEVEL
COPD PRESENT
CORONARY ANGIOGRAPHY PERFORMED
DELIVERY FACILITIES ONLY USED
DELIVERY PLACE CHANGE REASON
DIAGNOSTIC ROUTE
DISCHARGE DESTINATION
DISCHARGE FROM MENTAL HEALTH SERVICE REASON
DISCHARGE METHOD
DISTRIBUTION OF LESIONS PRESENT
ECG DETERMINING TREATMENT
FIRST REGULAR DAY OR NIGHT ADMISSION
FULL POSTNATAL EXAMINATION DATE
GENERAL DENTAL SERVICE INDICATOR
GENETICALLY DETERMINED SKIN CANCER TYPE
INFECTION PROBABLE SOURCE
INITIAL CONTACT TYPE
INTENDED DELIVERY PLACE
INVESTIGATION OR INTERVENTION REFERRAL DATE
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MATERNAL RUBELLA STATUS
MENSTRUAL STATUS
MENTAL HEALTH CARE SPELL END CODE
MIDWIFE EPISODE END REASON
NEONATAL LEVEL OF CARE
NURSING EPISODE END REASON
NUTRITIONAL SUPPORT PROVIDED TYPE
PATIENT CLASSIFICATION
POSSUM SCORE (AFTER SURGERY)
POSSUM SCORE (AT DIAGNOSIS)
PREGNANCY LEAD PROFESSIONAL TYPE
PREGNANCY PREVIOUS CAESAREAN SECTIONS
PREGNANCY PREVIOUS INDUCED ABORTIONS
PREGNANCY TOTAL LIVE BIRTHS
PREGNANCY TOTAL NEONATAL DEATHS
PREGNANCY TOTAL NON-INDUCED ABORTIONS
PREGNANCY TOTAL PREVIOUS PREGNANCIES
PREGNANCY TOTAL STILL BIRTHS
PREVIOUS MATERNAL BLOOD TRANSFUSION
PREVIOUS TREATMENT ELSEWHERE
QUALITY OF LIFE
RADIOTHERAPY INTENT
REHABILITATION REFERRAL
RTA FURTHER ADMISSION PLANNED
SARCOMA CONDITION FIRST SEEN
SARCOMA LARGEST DIAMETER
SARCOMA PART SITE
S CATEGORY FINAL PRETREATMENT
SERUM TUMOUR MARKER PSA AT DIAGNOSIS
SKIN TCELL CLINICAL VARIANT
SKIN TCELL SURFACE AREA
SOFT TISSUE SARCOMA LOCATION
SOURCE OF ADMISSION
SUPERVISED COMMUNITY TREATMENT END REASON
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE CANCER
WARD STAY TERMINATION REASON

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ATTENDED OR DID NOT ATTEND

Change to Attribute: Changed Description

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

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.

* Note that code 0 - 'Not applicable - APPOINTMENT occurs in the future' is NOT valid for use in the following data sets:

  • Child and Adolescent Mental Health Services Data Set
  • Child and Adolescent Mental Health Services Secondary Uses Data Set
  • Community Information Data Set
  • Improving Access to Psychological Therapies Data Set
  • Mental Health Minimum Data Set
  • National Children's and Young People's Health Services Data Set.
  • Children and Young People's Health Service Secondary Uses Data Set.

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.
  • 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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BREASTFEEDING STATUS  renamed from BABY FEEDING TYPE

Change to Attribute: Changed Aliases, Description, Name

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

This is the type of feeding a baby is receiving.The breastfeeding status of a baby.

National Codes:

01Exclusively maternal breast milk feeding
02Partially maternal breast milk feeding
03Exclusively formula milk feeding
01Exclusively breast milk feeding
02Partially breast milk feeding
03No breast milk feeding at all
 

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BREASTFEEDING STATUS  renamed from BABY FEEDING TYPE

Change to Attribute: Changed Aliases, Description, Name


RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

Change to Attribute: Changed Description

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

The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Child and Adolescent Mental Health Services Data Set and National Children's and Young People's Health Services Data Set.The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Child and Adolescent Mental Health Services Secondary Uses Data Set and Children’s and Young People’s Health Services Secondary Uses Data Set.

This is used to identify, for example, with whom the child or young person is living in a permanent context or the relationship with the main carer etc.

Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE codes at the high level (shown in bold) or at the more detailed level below each high-level code.

National Codes:

BPXBiological Parent
BPMBiological mother
BPFBiological father
SPXStep-Parent
SPMStepmother
SPFStepfather
GPXGrandparent
GPMGrandmother
GPFGrandfather
ORXOther Relative
ORAAunt
ORUUncle
ORSSister
ORBBrother
OROOther
APXAdoptive Parent
APMAdoptive mother
APFAdoptive father
FPXFoster Parent
FPMFoster mother
FPFFoster father
RCXResidential Carer
OTXOther
NOXNone - Lives Alone
 

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BREASTFEEDING STATUS

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National codes

See BREASTFEEDING STATUS

Default codes 

Notes:
BREASTFEEDING STATUS is the same as attribute BREASTFEEDING STATUS. 

This data element is also known by these names:
ContextAlias
pluralBREASTFEEDING STATUSES

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BREASTFEEDING STATUS

Change to Data Element: New Data Element

BREASTFEEDING STATUS
 
Attribute:
BREASTFEEDING STATUS

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DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)

Change to Data Element: Changed Description

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

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

Notes:
The identifier for the three Maternity and Children's Data Sets which support the National Service Framework for Children Young People and Maternity Services.The identifier for the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services.

Permitted National Codes:

MATMaternity Services Secondary Uses Data Set
CAMChild and Adolescent Mental Health Services Secondary Uses Data Set
CYPChildren and Young People's Health Services Secondary Uses Data Set
 

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DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS)

Change to Data Element: Changed Description

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

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

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

See Maternity and Childrens Data Sets Submission Requirements for usage requirements.

Permitted National Codes:

HDRData Set File Header Row
TRLData Set File Footer Row
 

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

Change to Data Element: Changed Description

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

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

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

Permitted National Codes:The segment identifiers can be found on The NHS Information Centre for health and social care website at: http://www.ic.nhs.uk/services/datasets/document-downloads/child-and-adolescent-mental-health-service-secondary-use-data-set.

CAM010 
 

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DATA SET SEGMENT IDENTIFIER (CHILDREN AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET)

Change to Data Element: Changed Description

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

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

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

Permitted National Codes:The segment identifiers can be found on The NHS Information Centre for health and social care website at: http://www.ic.nhs.uk/services/datasets/document-downloads/children-and-young-peoples-health-service-secondary-use-data-set.

CYP010 
 

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DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET)

Change to Data Element: Changed Description

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

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

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

Permitted National Codes:The segment identifiers can be found on The NHS Information Centre for health and social care website at: http://www.ic.nhs.uk/services/datasets/document-downloads/maternity.

MAT010 
 

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DATA SET SEGMENT RECORDS TOTAL

Change to Data Element: Changed Description

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

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

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

The DATA SET SEGMENT RECORDS TOTAL Data Element flows in the Data Set File Header and Footer. See Maternity and Childrens Data Sets Submission Requirements for further details.

 

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