Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1301
Version No:1.0
Subject:Clinical Data Sets Menu and Preparatory Items
Effective Date:Immediate
Reason for Change:Patch
Publication Date:16 March 2012

Background:

This patch updates the NHS Data Model and Dictionary as follows:

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Summary of changes:

Supporting Information
CLINICAL DATA SETS MENU   Changed Description
CLINICAL DATA SETS MESSAGE DOCUMENTATION   New Supporting Information
CLINICAL DATA SETS MESSAGE DOCUMENTATION MENU   New Supporting Information
MATERNITY AND CHILDRENS DATA SETS SUBMISSION REQUIREMENTS   Changed Description
MENTAL HEALTH ACT TABLE   Changed Description, Aliases
SUPPORTING INFORMATION INTRODUCTION   Changed Description
SUPPORTING INFORMATION MENU   Changed Description
 
Data Elements
ACCIDENT AND EMERGENCY ARRIVAL MODE CODE renamed from A AND E ARRIVAL MODE CODE   Changed Name, Description, Aliases
ACCIDENT AND EMERGENCY ATTENDANCE CATEGORY CODE renamed from A AND E ATTENDANCE CATEGORY CODE   Changed Name, Description, Aliases
ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL CODE renamed from A AND E ATTENDANCE DISPOSAL CODE   Changed Name, Description, Aliases
ADMINISTRATIVE CATEGORY (ON ADMISSION)   Changed Description
ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)   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
DEATH CAUSE CODE (CONDITION)   Changed Description
DEATH CAUSE ICD CODE (CONDITION)   New Data Element
MENTAL CATEGORY   Changed Description
PATIENT CLASSIFICATION   Changed Description
PATIENT CLASSIFICATION CODE   New Data Element
PERSON INITIAL (FIRST)   New Data Element
 

Date:16 March 2012
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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CLINICAL DATA SETS MESSAGE DOCUMENTATION

Change to Supporting Information: New Supporting Information

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CLINICAL DATA SETS MESSAGE DOCUMENTATION MENU

Change to Supporting Information: New Supporting Information

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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 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.The data carried in the three Maternity and Children's Secondary Uses 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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MENTAL HEALTH ACT TABLE

Change to Supporting Information: Changed Description, Aliases

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

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

PART

SECTIONS

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Status of Patient In Psychiatric Census

MENTAL CATEGORY

PART

SECTIONS

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Status of Patient In Psychiatric Census

MENTAL CATEGORY

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

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

PART

SECTIONS

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Status of Patient In Psychiatric Census

MENTAL CATEGORY

PART

SECTIONS

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Status of Patient In Psychiatric Census

MENTAL CATEGORY

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

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MENTAL HEALTH ACT TABLE

Change to Supporting Information: Changed Description, Aliases


SUPPORTING INFORMATION INTRODUCTION

Change to Supporting Information: Changed Description

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SUPPORTING INFORMATION MENU

Change to Supporting Information: Changed Description

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ACCIDENT AND EMERGENCY ARRIVAL MODE CODE  renamed from A AND E ARRIVAL MODE CODE

Change to Data Element: Changed Name, Description, Aliases

Format/Length:an1
HES Item: 
National Codes:See A AND E ARRIVAL MODE
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 ARRIVAL MODE CODE is the same as attribute A AND E ARRIVAL MODE.ACCIDENT AND EMERGENCY ARRIVAL MODE CODE is the same as attribute A AND E ARRIVAL MODE.

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

 

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ACCIDENT AND EMERGENCY ARRIVAL MODE CODE  renamed from A AND E ARRIVAL MODE CODE

Change to Data Element: Changed Name, Description, Aliases


ACCIDENT AND EMERGENCY ATTENDANCE CATEGORY CODE  renamed from A AND E ATTENDANCE CATEGORY CODE

Change to Data Element: Changed Name, Description, Aliases

Format/Length:an1
HES Item: 
National Codes:See A AND E ATTENDANCE CATEGORY
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 CATEGORY CODE is the same as attribute A AND E ATTENDANCE CATEGORY. ACCIDENT AND EMERGENCY ATTENDANCE CATEGORY CODE is the same as attribute A AND E ATTENDANCE CATEGORY.

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

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

A and E ATTENDANCE CATEGORY CODE replaces A and E ATTENDANCE CATEGORY and should be used for all new and developing data sets and for XML messagesACCIDENT AND EMERGENCY ATTENDANCE CATEGORY CODE replaces A and E ATTENDANCE CATEGORY and should be used for all new and developing data sets and for XML messages

 

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ACCIDENT AND EMERGENCY ATTENDANCE CATEGORY CODE  renamed from A AND E ATTENDANCE CATEGORY CODE

Change to Data Element: Changed Name, Description, Aliases


ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL CODE  renamed from A AND E ATTENDANCE DISPOSAL CODE

Change to Data Element: Changed Name, Description, Aliases

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.ACCIDENT AND EMERGENCY 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.ACCIDENT AND EMERGENCY 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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ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL CODE  renamed from A AND E ATTENDANCE DISPOSAL CODE

Change to Data Element: Changed Name, Description, Aliases


ADMINISTRATIVE CATEGORY (ON ADMISSION)

Change to Data Element: Changed Description

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

Notes: 
See ADMINISTRATIVE CATEGORY.Notes:

This data element is used to record the ADMINISTRATIVE CATEGORY at the start of the Hospital Provider Spell and is used to derive the 'Category of Patient' for HES.ADMINISTRATIVE CATEGORY (ON ADMISSION) is the same as data element ADMINISTRATIVE CATEGORY.

ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to record the ADMINISTRATIVE CATEGORY at the start of the Hospital Provider Spell and is used to derive the 'CATEGORY OF PATIENT' for Hospital Episode Statistics (HES).

The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell.
For example, the PATIENT may opt to change from NHS to private health care.

The ADMINISTRATIVE CATEGORY (AT START OF EPISODE) is recorded per episode.ADMINISTRATIVE CATEGORY (ON ADMISSION) will be replaced with ADMINISTRATIVE CATEGORY CODE (ON ADMISSION), which should be used for all new and developing data sets and for XML messages.

 

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ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)

Change to Data Element: New Data Element

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

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:
ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) is the same as data element ADMINISTRATIVE CATEGORY CODE.

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) is used to record the ADMINISTRATIVE CATEGORY CODE at the start of the Hospital Provider Spell and is used to derive the 'CATEGORY OF PATIENT' for Hospital Episode Statistics (HES). 

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) replaces ADMINISTRATIVE CATEGORY (ON ADMISSION) and should be used for all new and developing data sets and for XML messages.

 

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ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)

Change to Data Element: New Data Element

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)
 
Attribute:
ADMINISTRATIVE CATEGORY CODE

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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:
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS) is 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.DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS) is the identifier for the three Maternity and Children's Secondary Uses Data Sets.

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:
DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) 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).DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) 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 (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:
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET) is 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.DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET) is 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.

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.The segment identifiers can be found on The NHS Information Centre for health and social care website.

 

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

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.The segment identifiers can be found on The NHS Information Centre for health and social care website.

 

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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:
DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET) is 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.DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET) is 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.

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.The segment identifiers can be found on The NHS Information Centre for health and social care website.

 

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DATA SET SEGMENT RECORDS TOTAL

Change to Data Element: Changed Description

Format/Length:max 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:
DATA SET SEGMENT RECORDS TOTAL 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).DATA SET SEGMENT RECORDS TOTAL is the total number of segment records within a file submission for one of the three Maternity and Children's Secondary Uses Data Sets (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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DEATH CAUSE CODE (CONDITION)

Change to Data Element: Changed Description

Format/Length:See DIAGNOSTIC CODING 
HES Item: 
National Codes: 
Default Codes: 

Notes:
DEATH CAUSE CODE (CONDITION) is the same as attribute DEATH CAUSE CODE.

This is the ICD code of the condition giving rise to death as recorded on the death certificate.DEATH CAUSE CODE (CONDITION) is the ICD code of the condition giving rise to death as recorded on the death certificate.

 DEATH CAUSE CODE (CONDITION) will be replaced with DEATH CAUSE ICD CODE (CONDITION), which should be used for all new and developing data sets and for XML messages.

 

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DEATH CAUSE ICD CODE (CONDITION)

Change to Data Element: New Data Element

Format/Length:See DIAGNOSTIC CODING 
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.

DEATH CAUSE ICD CODE (CONDITION) is the same as attribute DEATH CAUSE CODE.

DEATH CAUSE ICD CODE (CONDITION) is the ICD code of the condition giving rise to death as recorded on the death certificate.

DEATH CAUSE ICD CODE (CONDITION) replaces DEATH CAUSE CODE (CONDITION) and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralDEATH CAUSE ICD CODES (CONDITION)

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DEATH CAUSE ICD CODE (CONDITION)

Change to Data Element: New Data Element

DEATH CAUSE ICD CODE (CONDITION)
 
Attribute:
DEATH CAUSE CODE

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MENTAL CATEGORY

Change to Data Element: Changed Description

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

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

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

MENTAL CATEGORY may continue to be used for historical purposes for any PATIENT last detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force.  In these circumstances MENTAL CATEGORY will flow in the CDS V6 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS, and the Mental Health Minimum Data Set.  In these circumstances MENTAL CATEGORY will flow in the CDS V6 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS.

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

 

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PATIENT CLASSIFICATION

Change to Data Element: Changed Description

Format/length:n1
HES item:CLASSPAT
Format/Length:n1
HES Item:CLASSPAT
National Codes:See PATIENT CLASSIFICATION
Default Codes:8 - Not applicable

Notes:
PATIENT CLASSIFICATION is derived from the ADMISSION METHOD, INTENDED MANAGEMENT and the duration of stay of the PATIENT. The duration of stay is derived by subtracting the date of admission from the date of discharge.

In the case of maternity PATIENTS, the use being made of the delivery facilities is also used in this derivation.

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

 

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PATIENT CLASSIFICATION CODE

Change to Data Element: New Data Element

Format/Length:an1
HES Item:CLASSPAT
National Codes:See PATIENT CLASSIFICATION
Default Codes:8 - Not applicable

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:
PATIENT CLASSIFICATION CODE is derived from the ADMISSION METHOD, INTENDED MANAGEMENT and the duration of stay of the PATIENT.

The duration of stay is derived by subtracting the date of admission from the date of discharge.

In the case of maternity PATIENTS, the use being made of the delivery facilities is also used in this derivation.

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

 

This data element is also known by these names:
ContextAlias
pluralPATIENT CLASSIFICATION CODES

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PATIENT CLASSIFICATION CODE

Change to Data Element: New Data Element

PATIENT CLASSIFICATION CODE
 
Attribute:
PATIENT CLASSIFICATION

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PERSON INITIAL (FIRST)

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
PERSON INITIAL (FIRST) is the same as attribute PERSON NAME WORD TEXT where the PERSON NAME WORD TYPE is classification 'Person Initials'.

PERSON INITIAL (FIRST) is the first initial of the PATIENT's first name.

 

This data element is also known by these names:
ContextAlias
pluralPERSON INITIALS (FIRST)

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For enquiries, please email datastandards@nhs.net